Surviving the Extremes: What Happens to the Body and Mind at the Limits of Human Endurance

Medical case studies can be fascinating to read, full of drama, heroism, and sometimes tragedy. Most doctors' tales take place in clinics or hospitals, but those pedestrian settings are not for Kenneth Kamler, who practices medicine outside, patching people up with surprising success under harrowing conditions. Surviving the Extremes starts with open-air surgery in the steamy jungles of the Amazon River, moves to disturbingly detailed descriptions of the many ways humans can die at sea, and from there takes white-knuckled readers through the rest of Earth's extreme environments. Krakauer fans will gasp at the book's best chapter, covering the high-altitude medical feats Kamler has performed on Mt. Everest and other peaks. "No course in medical school taught me the proper mixture of oxygen, IV fluids, and Tibetan chants to treat a subdural hematoma in below-zero temperatures on a 3-mile-high glacier," Kamler writes. Instead, he has learned the fine art of adventure doctoring by doing it, and in the process, he's won fans among the world's most prominent risk-takers. Through it all, Kamler remains fascinated by the human body's ability to heal under horrifically dangerous conditions. His medical adventures are inspiring and thrilling, as well as occasionally bloody and disgusting. In short, perfect stories of human survival. --Therese Littleton