Introduction: Abraham Lincoln was the 16th President of the United States of America. On April 14, 1865, shortly after his re-election and the conclusion of the Civil War, Lincoln was shot and killed by John Wilkes Booth. Though numerous physicians tended to the President shortly after his injury, he passed away the next morning.
Methods: Here, we review President Lincoln's head injury and its treatment. We analyze the pivotal role of Dr. Cushing in WWI and trace the evolution of neuro-trauma care through major wars, up to and including Operation Iraqi Freedom.
Results: Today, we recognize Lincoln as one of the greatest Presidents in American history. His assassination profoundly influenced the future of the United States, especially as the country was coming back together again following the Civil War. Testaments to his lasting legacy can be seen in many places, from the stone carving of him on Mount Rushmore to his image gracing the $5 bill.
Conclusions: What if the President had survived his injury? Would he have had a different outcome utilizing current critical care treatment? Neuro-trauma care in 1865 was not yet developed, and head wounds such as the one Lincoln sustained were almost always fatal. The medical attention he received is considered by historians and physicians today to be excellent for that time. We look at the evolution of neuro-trauma care over the last 150 years in the US. Particular focus is paid to the advancement of care for penetrating brain injuries in modern trauma centers.
Patient Care: By understanding the historical background of neuro-trauma and critical care, neurosurgeons can continue to establish guidelines and refine techniques for treatment of penetrating brain injuries.
Learning Objectives: By the conclusion of this session, participants should be able to: 1) Understand the events surrounding President Lincoln's assassination, 2) Understand neuro-trauma care as it existed in 1865, 3) Follow the evolution of neuro-trauma care from the time of Lincoln's assassination to modern times