Chest Trauma

Chest trauma covers injuries to the chest wall, lungs, heart, and great vessels from blunt or penetrating mechanisms. Severity ranges from minor bruising to immediately life-threatening injuries.

Quick Facts

  • ICD-10: S20–S29

When to Call 911

Seek emergency care for:
  • Severe chest pain or breathing difficulty after injury
  • Chest wall deformity
  • Coughing up blood
  • Penetrating chest wounds
  • Severe weakness, paleness, or fainting

Common Chest Injuries

  • Rib fractures
  • Flail chest (multiple adjacent rib fractures)
  • Pulmonary contusion (lung bruise)
  • Pneumothorax (collapsed lung)
  • Hemothorax (blood in chest)
  • Cardiac contusion
  • Sternal fracture
  • Diaphragm injury
  • Aortic injury (rare but often fatal)

Treatment

  • Pain control to allow deep breathing (prevents pneumonia)
  • Chest tube for pneumothorax or hemothorax
  • Surgery for major vessel or organ injury
  • Mechanical ventilation for severe lung injury
  • Cardiac monitoring for contusion
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American College of Surgeons. ATLS Resources.