Point-of-care Gastric Ultrasound for Fracture Surgery

This study is investigating whether point-of-care ultrasound of the stomach (gastric ultrasound) can be used to assess how full a patient's stomach is before emergency fracture surgery. When patients need urgent surgery, the risk of inhaling stomach contents during anesthesia (aspiration) is a serious concern. Gastric ultrasound may provide a quick, non-invasive way to assess aspiration risk and guide anesthesia decisions in real time. You may be eligible if: - You are 18 years of age or older - You need surgery after a traumatic bone fracture - You have an ASA Physical Status classification of I, II, or III (ranging from completely healthy to having a severe but controlled systemic disease) You may NOT be eligible if: - Your BMI is over 35 - You have conditions that delay stomach emptying (gastroparesis), including known gastroesophageal reflux disease, autonomic neuropathy, or diabetes mellitus - You have had gastric surgery or have a hiatal hernia, gallbladder stones, or esophageal abnormalities - You are pregnant - You used narcotic pain medications before the operation - You have connective tissue disorders like scleroderma or amyloidosis Talk to your doctor to see if this trial is right for you.