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| The Edwin Smith papyri
represented the ancient Egyptian "Merck Manual" for the
management of injury. Despite the fact that most of the papyri which have come to light
have been more mystical than medical these writings
represented the "hard core" medical information of their time. It is
believed that the original papyrus was written by a unknown surgeon, with
another unknown physician adding commentary and clarification years
later. The existing text is believed to have been something which
was recopied by a scribe in about 1,700 B.C. The Edwin Smith
documents are remarkable in many ways including their lucidity regarding
real medical situations which are presented as 48 systematically arranged
case histories beginning with head injuries and then proceeding down the
spine. Each case presentation is divided into title, examination,
diagnosis and treatment. The Edwin Smith papyri also document the first application of the principle of "triage" in that, in each case, a definitive treatment decision was made using well-stated criteria and followed by the determination: |
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"An ailment not
to be treated" |
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| For those individuals whose ailments allowed treatment spinal traction was one of the therapies employed. Along with skull trephination performed by pre-historic man spinal traction was clearly one of the most venerated treatment modalities in medical history still having, due to advanced technology, a continuing prominent role in present medical practice. | ||||
References: Wilkins RH: Neurosurgical Classics, Johnson Reprint Corporation: New York and London, 1965. Bonnabeau RC: The Edwin Smith Papyrus from Ancient Egypt. The World's First Surgical Treatise. Minn. Med. 68(4): 277, 279-280, 1985 (April). |
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