Chest Trauma

This prospective observational study aims to evaluate the predictive utility of the Thorax Trauma Severity Score (TTSS) in determining morbidity and mortality in patients presenting with chest trauma at a tertiary hospital in Iraq. The primary objectives of the study are: To assess the accuracy of TTSS in predicting mortality and critical outcomes such as ICU admission and the need for advanced interventions. To evaluate the utility of TTSS in stratifying patients based on injury severity in a resource-constrained setting. To identify demographic and clinical factors influencing the predictive performance of TTSS. Participants will: Be assessed using the TTSS upon arrival at the emergency department to establish risk stratification. Provide demographic and clinical data, including age, gender, mechanism of injury, comorbidities, and length of hospital stay, for analyzing associations with clinical outcomes.

Thoracic trauma is a critical clinical entity and a major global public health burden, representing the second most frequently occurring unintentional traumatic injury and the third most common cause of death-following head and abdominal injuries-in patients with polytrauma. It places a substantial demand on emergency departments and directly accounts for 20% to 25% of all trauma-related fatalities worldwide(1). The severity of these injuries is underscored by persistently high mortality rates, which can reach up to 60% in cases of severe blunt chest trauma depending on the healthcare setting. Recent epidemiological data indicates that among potentially preventable trauma deaths, thoracic injuries represent up to 41%, with blunt mechanisms such as motor vehicle collisions acting as the primary driver (accounting for 80% to 92% of cases)(2). Given this significant risk profile, rapid and accurate clinical triage is vital. Current evidence consistently demonstrates that early recognition, protocolized multidisciplinary management, and the timely provision of definitive interventions at dedicated trauma centers are essential to decreasing morbidity and significantly reducing preventable trauma mortality(3).Effective initial assessment in the ED relies heavily on validated trauma scoring systems. GCS is the most universally utilized tool for evaluating a patient's level of consciousness, calculating a score between 3 and 15 based on three physiological parameters: eye opening, verbal response, and motor response. RTS is a broader physiological scoring system combining the GCS, systolic blood pressure, and respiratory rate. CTS is a specific, targeted assessment tool designed to quantify the severity of thoracic injuries.

This prospective cohort study aims to evaluate whether blood levels of soluble receptor for advanced glycation end products (sRAGE), Club Cell Protein-16 (CC16), and Syndecan-1 measured early after severe chest trauma can predict the development of acute respiratory distress syndrome (ARDS) and in-hospital mortality. Adult patients aged 18 years or older admitted with severe blunt or penetrating chest trauma will be enrolled. Clinical data, injury severity, laboratory findings, imaging results, and clinical outcomes will be recorded. Patients will be followed daily during the first 7 days after admission for the development of ARDS, and in-hospital mortality will be recorded until discharge or death. The findings may help identify patients at high risk of respiratory complications and poor outcomes after severe chest trauma.

This prospective observational study aims to validate the STUMBL score for risk stratification in emergency department patients with blunt thoracic trauma in Iraq. The main questions it seeks to answer are: How accurately does the STUMBL score predict mortality and critical outcomes such as ICU admission or advanced interventions? How well does the score stratify patients by injury severity in a resource-limited setting? Are there demographic or clinical factors that influence the score's predictive performance? Participants will: Be assessed using the STUMBL score upon arrival at the emergency department to predict risk levels. Have demographic and clinical data, including age, gender, injury mechanism, comorbidities, and length of hospital stay, collected to explore potential associations with outcomes.

The goal of this observational study is to compare the predictive utility of the Thorax Trauma Severity Score (TTSS) and the Trauma and Injury Severity Score (TRISS) in determining outcomes among patients presenting with chest trauma to the emergency room. The main questions it aims to answer are: Does the TTSS provide a more accurate prediction of patient outcomes (e.g., mortality, ICU admission) than the TRISS? Are there specific patient subgroups where one score is more effective than the other? Participants will: Have their chest trauma severity assessed using both TTSS and TRISS during their emergency room admission. Have their clinical outcomes (e.g., mortality, ICU admission, length of hospital stay) monitored throughout their hospital stay.

Guidelines for noninvasive ventilation (NIV) recommend continuous positive airway pressure in patients with thoracic trauma who remain hypoxic . However, no any suggestion was applied for high flow nasal cannula (HFNC). Therefore, Our aim was to determine whether HFNC reduces intubation in severe trauma-related hypoxemia.

Background: FAST ultrasound is a crucial technique in emergency medicine, enabling rapid assessment of trauma patients. By allowing visualization of an effusion in a trauma patient in a far more sensitive and specific way than clinical examination, it enables informed decisions to be made on therapeutics, technical gestures, but also the potential receiving service. Arbitrarily, FAST ultrasound is taught with the cardiac probe (phased-array) and the abdominal probe (curvilinear). The difference in use of these two probes varies according to operator and team, with no figures available. No recent study has been conducted on the possibility of better diagnostic performance of FAST with a curvilinear versus phased-array probe. Objective: The main objective of this project is to evaluate and compare the diagnostic performance of FAST ultrasound using a phased-array probe versus a curvilinear probe in the detection of effusions in trauma patients (FAST protocol). Materials and methods: Prospective, interventional, multicenter, randomized study. Hypothesis tested: FAST-ultrasound with a curvilinear probe improves diagnostic performance compared with FAST-ultrasound with a phased-array probe.

The aim of this study is to evaluate the accuracy, sensitivity and specificity of lung ultrasound in early detection of ARDS and Pneumonia in comparison to CT chest in patients with chest trauma. Also, we aim at finding any pulmonary complications and its correlation to development of ARDS and pneumonia in patients with chest trauma.