What happens when you reach the threshold of life and death - and come back?

As long as humans have lived on the planet, there have been wars, and injured soldiers and civilians. But today, as we engage in wars with increasingly sophisticated technology, we are able to bring people back from ever closer encounters with death.

Historian Emily Mayhew explores the reality of medicine and injury in wartime, from the trenches of World War One to the plains of Afghanistan and the rehabilitation wards of Headley Court in Surrey. Mixing vivid and compelling stories of unexpected survival with astonishing insights from the front line of medicine, A Heavy Reckoning is a book about how far we have come in saving, healing and restoring the human body.

From the plastic surgeon battling to restore function to a blasted hand to the double amputee learning to walk again on prosthetic legs, Mayhew gives us a new understanding of the limits of human life and the extraordinary costs paid physically and mentally by casualties all over the world.

The Four Horsemen - War, Pestilence, Famine and Death - first appeared in the Book of Revelations a thousand years ago, but they continue to track us in our own time. This original and inspiring study by celebrated historian Emily Mayhew traces the advances in science, technology and humanitarianism that are enabling us to take them on, one by one.

It begins in Mosul, our oldest surviving city, and the extraordinary coalition created in a matter of days to save its people from the worst horrors of the liberation battle against ISIS. As the city and the humanitarian operation that helped it to survive are restructured for a new age, Mayhew shows other people whose work gives us hope for the future, from the search to find new ways to discover and use antimicrobial medicines and the innovations in preventing the spread of deadly viruses; the laboratory work being taken to protect crops from disease and reduce famine, and why the potato, not the banana is the future; to the unique courage and resolution of those dedicated to securing the rights of the dead and their families.

Standing in the way of the Horsemen is what Emily Mayhew calls, 'the most extraordinary alliance ever to come together in defence of our humanity.' These are the doctors, scientists, statisticians, engineers, peace negotiators, pharmacists, historians, forensic scientists, vaccinators and volunteers who are creating solutions to life and death problems which threaten us all. They are the new heroes of our age and this book is about them.

The Four Horsemen - War, Pestilence, Famine and Death - first appeared in the Book of Revelations a thousand years ago, but they continue to track us in our own time. This original and inspiring study by celebrated historian Emily Mayhew traces the advances in science, technology and humanitarianism that are enabling us to take them on, one by one. 'The beauty of The Four Horsemen is how she takes her quaking readers to the edge of the abyss . . . I was left moved and uplifted . . . [A] first-class example of popular science' The Times '[A] thoughtful and ultimately uplifting analysis of the unsung heroes of our age' Independent It begins in Mosul, our oldest surviving city, and the extraordinary coalition created in a matter of days to save its people from the worst horrors of the liberation battle against ISIS. As the city and the humanitarian operation that helped it to survive are restructured for a new age, Mayhew shows other people whose work gives us hope for the future, from the search to find new ways to discover and use antimicrobial medicines and the innovations in preventing the spread of deadly viruses; the laboratory work being taken to protect crops from disease and reduce famine, and why the potato, not the banana is the future; to the unique courage and resolution of those dedicated to securing the rights of the dead and their families. Standing in the way of the Horsemen is what Emily Mayhew calls, 'the most extraordinary alliance ever to come together in defence of our humanity.' These are the doctors, scientists, statisticians, engineers, peace negotiators, pharmacists, historians, forensic scientists, vaccinators and volunteers who are creating solutions to life and death problems which threaten us all. They are the new heroes of our age and this book is about them.

This is the unforgettable story of the remarkable medical workers of World War One. A hundred years ago, the Armistice that ended the Great War was signed. The human cost was devastating: over 21 million military wounded, and nearly 10 million killed. The injuries on the battlefield were unlike anything those in the medical field had ever witnessed. Yet, they adapted incredibly fast - saving millions of lives. Drawing on letters and diary entries, we follow the lone stretcher bearer into the trenches only to find that they were all dead, to the dugouts where rescue teams dug frantically to escape the earth-shaking shellfire, and from stretcher to aid station, from jolting ambulance to crowded operating tent, exploring actual cases of casualties who recorded their terrifying and remarkable experiences. A groundbreaking book of the history of the Western Front from a new perspective, this is a tribute to the indispensable medical network that came together and saved our soldiers. 'A highly readable account...this is an engaging book...they are voices that deserve to be heard.' Daily Express

The Four Horsemen - War, Pestilence, Famine and Death - first appeared in the Book of Revelations a thousand years ago, but they continue to track us in our own time. This original and inspiring study by celebrated historian Emily Mayhew traces the advances in science, technology and humanitarianism that are enabling us to take them on, one by one. 'The beauty of The Four Horsemen is how she takes her quaking readers to the edge of the abyss . . . I was left moved and uplifted . . . [A] first-class example of popular science' The Times '[A] thoughtful and ultimately uplifting analysis of the unsung heroes of our age' Independent It begins in Mosul, our oldest surviving city, and the extraordinary coalition created in a matter of days to save its people from the worst horrors of the liberation battle against ISIS. As the city and the humanitarian operation that helped it to survive are restructured for a new age, Mayhew shows other people whose work gives us hope for the future, from the search to find new ways to discover and use antimicrobial medicines and the innovations in preventing the spread of deadly viruses; the laboratory work being taken to protect crops from disease and reduce famine, and why the potato, not the banana is the future; to the unique courage and resolution of those dedicated to securing the rights of the dead and their families. Standing in the way of the Horsemen is what Emily Mayhew calls, 'the most extraordinary alliance ever to come together in defence of our humanity.' These are the doctors, scientists, statisticians, engineers, peace negotiators, pharmacists, historians, forensic scientists, vaccinators and volunteers who are creating solutions to life and death problems which threaten us all. They are the new heroes of our age and this book is about them.

The number of soldiers wounded in World War I is, in itself, devastating: over 21 million military wounded, and nearly 10 million killed. On the battlefield, the injuries were shocking, unlike anything those in the medical field had ever witnessed. The bullets hit fast and hard, went deep and took bits of dirty uniform and airborne soil particles in with them. Soldier after soldier came in with the most dreaded kinds of casualty: awful, deep, ragged wounds to their heads, faces and abdomens. And yet the medical personnel faced with these unimaginable injuries adapted with amazing aptitude, thinking and reacting on their feet to save millions of lives. In Wounded, Emily Mayhew tells the history of the Western Front from a new perspective: the medical network that arose seemingly overnight to help sick and injured soldiers. These men and women pulled injured troops from the hellscape of trench, shell crater, and no man's land, transported them to the rear, and treated them for everything from foot rot to poison gas, venereal disease to traumatic amputation from exploding shells. Drawing on hundreds of letters and diary entries, Mayhew allows readers to peer over the shoulder of the stretcher bearer who jumped into a trench and tried unsuccessfully to get a tightly packed line of soldiers out of the way, only to find that they were all dead. She takes us into dugouts where rescue teams awoke to dirt thrown on their faces by scores of terrified moles, digging frantically to escape the earth-shaking shellfire. Mayhew moves her account along the route followed by wounded men, from stretcher to aid station, from jolting ambulance to crowded operating tent, from railway station to the ship home, exploring actual cases of casualties who recorded their experiences. Both comprehensive and intimate, this groundbreaking book captures an often neglected aspect of the soldier's world and a transformative moment in military and medical history.