ROLE OF LIVER TRANSAMINASES AND FAST ULTRASOUND IN PREDICTING HEPATIC INJURY IN BLUNT TRAUMA PATIENTS

In blunt trauma patients, timely and accurate assessment of hepatic injury is critical for effective management and improved outcomes. Liver transaminases, specifically alanine aminotransferase (ALT) and aspartate aminotransferase (AST), are enzymes released into the bloodstream in response to hepatocyte damage, making them useful biomarkers for detecting liver injury. Elevated levels of these enzymes can indicate the extent of hepatic trauma, thus aiding in clinical decision-making.FAST (Focused Assessment with Sonography for Trauma), is a non-invasive imaging technique widely used in emergency settings to rapidly identify free fluid, often a sign of internal bleeding, including from hepatic sources. The integration of liver transaminase measurements with FAST can enhance the sensitivity and specificity of diagnosing hepatic injuries, potentially reducing the need for more invasive diagnostic procedures. Understanding the combined role of these tools is essential for optimizing the management of patients with blunt abdominal trauma.AIM OF THE WORK:The aim of the current study was to evaluate the accuracy of FAST and ALTfor detection of hepatic injury after blunt abdominal trauma in adult abdominal trauma patients.