Shock -- triggered by massive circula-
tory failure, the inevitable consequence
of every violent accident -- is an insidious
process leading inexorably to death. For
years doctors watched helpless as their pa-
tients slipped away. One man, Dr. R
Adams Cowley, decided to study the shock
phenomenon, leading at last to the
pioneering and fiercely controversial
Maryland Institute tor Emergency Medi-
cal Services, known to friends and enemies
alike as Shocktrauma. Now, in Shock-
trtl~lrt~l, two acclaimed journalists, one a
Pulitzer Prize winner, tell the fidl story of
how Cowley tbught against the medical
hierarchy to establish and preserve his ex-
perimental unit, the one place the Secret
Service would take the President if he
were injured. Dramatically and graphi-
cally they show how accident victims who
once would have died on the way to the
nearest enlergency room are now flown by
helicopter to a Shocktrauma unit con-
stantly prepared to take the most heroic
mea~sores. They describe the tremendous
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