Efficacy of Lung ultrasound in monitoring fluid resuscitation in chest trauma patients with lung contusions

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.

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.

This is an observational study that will be conducted on patients admitted with chest trauma in Assuit or Alexandria Main University Hospitals after obtaining their or their next of kin consent to participate in the study without affecting their course of treatment according to permission obtained from ethical committee of faculty of medicine in Assiut and Alexandria universities.