Using Transesophageal Echocardiography by Emergency Doctors to Detect Blunt Traumatic Aortic Injury in Chest Trauma Patients

What this Trial Is About

Researchers are evaluating the use of transesophageal echocardiography TEE performed by emergency physicians to identify blunt traumatic aortic injury BTAI in patients with chest trauma. This multicenter prospective observational study aims to assess how well TEE detects BTAI compared to the standard computed tomography angiography CTA, which confirms the diagnosis. The study also considers TEEs ability to provide additional information on heart function, blood flow, and lung conditions in trauma patients. In this study, all trauma patients suspected of having BTAI at the emergency department will receive TEE followed by CTA. TEE is a minimally invasive imaging procedure that evaluates the thoracic aorta and other chest structures. The findings from TEE will be compared to CTA results, and when available, surgical or autopsy confirmation will also be used. Investigators have assessed how consistently different observers interpret TEE images before starting the study. Participants will undergo TEE and CTA during their emergency care. Researchers will measure the sensitivity and specificity of TEE in identifying BTAI over one year. This study involves careful monitoring of imaging results and comparison with reference standards. Participation includes consent by the patient or their next of kin before TEE. The total study period extends to the end of 2025, focusing on trauma patients aged 18 to 100 years.

Transesophageal Echocardiography To Diagnose Blunt Traumatic Aortic Injury Traumatic Aortic Injury