Snapshot A 35-year-old man presents to the ED with a stab wound to the left chest lateral and above the nipple. The paramedics report that he had been writhing in pain in the ambulance. His blood pressure is 80/50 mmHg, pulse is 120/min, and respirations are 22/min. Tube thoracostomy is performed in the left chest at the fifth intercostal space. About 1500 ml of blood is evacuated immediately, but the patient continues to lose blood. Introduction Trauma to chest accounts for ~50% trauma mortality 80% of all chest injuries can be managed non-surgically with simple measures including intubation, chest tubes, and pain control Location and mechanism of injury determines acuity and management strategy Presentation Different chest trauma diagnoses can be identified and managed during primary and secondary survey Primary survey login to view 7 more bullets Secondary survey login to view 12 more bullets STUDIES Diseases suspected in primary survey login to view 2 more bullets Diseases suspected in secondary survey login to view 14 more bullets Management Airway management: intubate early if airway compromise suspected Needle thoracostomy login to view 2 more bullets Tube thoracostomy login to view 2 more bullets Oxygenation login to view 1 more bullet Circulation login to view 2 more bullets Thoracotomy login to view 3 more bullets Surgical repair as needed