1.  Definition It is either blunt or penetrating Blunt: by sudden compression or positive pressure inflicted to the chest wall Penetrating: When a foreign object penetrate the chest wall

2. 1- most common blunt trauma is motor vehicle crashes 2- acceleration : Moving object hitting the chest 3- deceleration: sudden decrease in the speed 4- Compression

3.  Hypoxemia  Hypovolemia  Cardiac failure

4.  Physical examination  Chest X-ray.  CT-sacn  Complete Blood Count  Clotting studies  Blood grouping  ABGs

5.  Airway management  Fluid replacement  Draining intrapleural fluids and blood

6.  ASSESSMENT  DIAGNOSIS  PLANNING  INTERVENTION  EVALUATION