Chest Trauma, Contusions Pulmonary, Fluid Overload Pulmonary Edema, Lung Injury
Conditions
Brief summary
Efficacy of Lung ultrasound in monitoring fluid resuscitation in chest trauma patients with lung contusions
Detailed description
Trauma is a public health problem, associated to high morbidity and mortality, In Egypt the mortality from road traffic crashes is about 12000 victims per year. * Chest trauma represents from 10% to 15% of the total number of traumas worldwide. According to ATLS protocol , early diagnosis and management of Chest trauma are essential. \*Pulmonary contusion is found in 30-75% of cases of chest injury. * point of care Ultrasound (POCUS) is Now a corner stone in Emergency management it can predict lung contusions within the first 72 hours after trauma. * Recently, LUS Play a major role in assessment of the volume status in Trauma patients. * B-lines score (BLS) has been validated as a lung ultrasound quantification of pulmonary congestion.The sum of all B-lines yields a score, B-lines score (BLS), which assess the degree of lung contusion. So that LUS may provide a valuable safety threshold to conduct fluid therapy.
Interventions
OTHERChest examination with Ultrasound device
Chest examination with Ultrasound device
Sponsors
Assiut University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Age \> 18 years. * chest trauma patients either with or without other injuries. * Any patient with either blunt or penetrating chest trauma.
Exclusion criteria
* \- Patients in cardiac arrest. * Patient refusal to participate * Pregnant females.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with lung contusion | Upto 24 hours after trauma | Pulmonary edema will be detected by B\_lines trauma patients with lung contusions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical correlation between Type & volume of Fluid & occurance of pulmonary edema. Correlation between severity of pulmonary lung contusion & The final disposition of the patients whatever (OR _another department _death….. etc) upto 24hr. | For first 24 hours after trauma | Follow up on degree of contusions after fluid resuscitation |
Countries
Egypt
Outcome results
None listed