Abstract
Fragments of the history of trauma care, an important part of our surgical heritage, can offer a relevant message to contemporary science, even at the level of statistical evaluations. A surprisingly good match of results using two distinctively different approaches for calculating survival after a chest injury is reported in a historical model. Statistical data published by French and British surgeons serving in the Crimean War (1853–1856) were found to conform with the analysis of literary observations in Leo Tolstoy’s Sebastopol Sketches. The nearly complete agreement on survival probabilities from two sources so different in their nature highlights the question of the relevance of nonstatistical methods in other fields of surgery as well.
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References
Schein M, editor. Aphorisms and Quotations for the Surgeon. Shrewsbury, Shropshire, UK, tfm Publishing, 2003;143
Molnar TF, Hasse J, Jeyasingham K, et al. Changing dogmas: history of development in treatment modalities of traumatic penumothorax, hemothorax and posttraumatic empyema thoracis. Ann Thorac Surg 2004;77:372–378
Edgerton RB. Death or Glory: The Legacy of the Crimean War. Oxford, Westview Press, 1999
Blaisdell FW. Medical advances during the Civil War. Arch Surg 1988;123:1045–1050
Garrison FH. The statistical lessons of the Crimean War. Milit Surg 1917;41:457–473
King JD, Harris JH. War wounds of the chest among marine and naval casualties in Korea. Surg Gynecol Obstet 1953;97:199–212
Tolstoy L. The Sebastopol Sketches. London, Penguin, 1986
Nichols R. Casualty. In: Clapham M, editor. The Wordsworth Book of First World War Poetry. Ware, UK, Wordsworth Editions, 1995;p61
Acknowledgements
Special thanks are due to Chloe Campbell (Penguin, London, UK), Dr. Howard Rickenberg (Marseille, France), and Mr. Anthony J. Morgan (Bristol, UK) without whose generous help and contribution this article would never have been written.
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Molnar, T.F., Lukacs, L. Tolstoy’s Report of Five Cases of Chest Trauma: Its Relevance to Contemporary Military Surgical Experience. World J. Surg. 30, 1400–1402 (2006). https://doi.org/10.1007/s00268-005-0691-8
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DOI: https://doi.org/10.1007/s00268-005-0691-8