Abstract: Motor vehicle accidents are the most common cause of traumatic chest injuries. Early arrival to the hospital improves the chances of survival. Patients already in shock at the time of arrival to hospital have poor prognosis. There is an increase in traumatic chest injuries in the present days due to increase in road traffic accidents and violence in various forms. Chest trauma cases are usually associated with other injuries also. The most common being head injury, which also incidentally is the most common cause of death in many patients. Complete evaluation of the patient and early intervention can reduce the mortality and morbidity.