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"As the beginning of this book states: There is a lot of very diverse world out there that needs healing, surgical and otherwise. Medicine in general and surgery in particular are getting more standardized in principle and practiced by technologic advances in the hyper-developed and over-serviced, advanced First World nations. There are increasingly numerous and more impoverished people in the majority part of the world’s “south” euphemistically referred to in the hopeful economic term “developing.” These people suffer lack of almost everything which is found in such redundancy in the neighboring “north.”

Most of the globe’s citizens live and die without benefit of a physician’s attention. More than 90% of the world’s surgical needs exist outside Europe and North America. Yet all our training and technology are geared to service a minority representation of the world’s needs, while the vast majority of these needs are comfortably outside our view.

This book assists in narrowing the divide between the labor and equipment intensive practice of medicine and surgery in Europe and North America (First World) and the Third World of constrained resources where ingenuity is not only rewarded, but is a requirement in medical/surgical care. It reviews tricks of ancillary trades which add to the resourcefulness that can be brought to the field in laboratory, anesthesia, nursing services, and even such taken-for-granted supply of one’s own utility services such as water, electricity and basic materials like IV fluids and suture.

Specific surgical treatments can be adapted to resource constraints by applied ingenuity in a section on the tools and techniques that can be improvised to accommodate fundamental surgical principles. And an important component of the medical mission is the sustainability of it through the training and continuing encouragement and assistance to those who will carry on at the field site, passing on and indigenizing hope. In addition, the author believes that the improvisations and techniques reviewed in this text can be carried back as skills learned—a gift from the Third to the First World—and adapted to the care of increasingly diverse populations of patients closer to home. The intention is that lives should be enhanced on either side of the exchange.

CHEERS!"

Glenn Geelhoed M.D.

NIFA Surgeon Faculty

NIFA REQUEST YOU ADHERE TO THE PUBLISHER'S ADVICE BEFORE DOWNLOADING: While the authors, editors, sponsor and publisher believe that drug selection and dosage and the specifications and usage of equipment and devices, as set forth in this book, are in accord with current recommendations and practice at the time of publication, they make no warranty, expressed or implied, with respect to material described in this book. In view of the ongoing research, equipment development, changes in governmental regulations and the rapid accumulation of information relating to the biomedical sciences, the reader is urged to carefully review and evaluate the information provided herein.

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Read about Jennifer Curran's RNFA mission with Dr. Geelhoed!