Chest trauma is a common cause of morbidity and mortality, especially in the young patients. Road traffic crushes (RTCs) are the commonest cause of blunt chest injuries. Chest trauma may be due to penetrating trauma produced by knife or gunshot and its incidence increases with use of firearms Successful management of thoracic trauma depends on effective resuscitation by the ABCDE approaches with rapid detection and treatment of life-threatening complicationsoutcome and prognosis for the great majority of patients with chest trauma are excellent. to improve management process and outcome of chest trauma patients. This study is a cross-sectional study included 200traumatic patients admitted in Suez Canal University Hospital. Firstly Start primary survey by check Airway, secure cervical spine by neck collar, Breathing and circulation (A B C) and treat the life threading conditions if present. Blunt thoracic trauma was found in 144 patients, while penetrating injuries in only 56 patients. Patients suffered blunt trauma,(87.5%) were males and (12.5%) females, no mortalities were recorded in penetrating trauma patients since all patients were discharged after treatment and improvement. Rib fractures were the commonest injuries in blunt chest trauma, haemothorax is the commonest injury in penetrating chest trauma, tube thoracostomy is the most common surgical interference done
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1. Mirka H, Ferda J, Baxa J. MDCT of blunt chest trauma: indications, technique and interpretation. Insights Imaging. 2012;3(5):433–49.
2. Lema M, Chalya P, Mabula J, Mahalu W. Pattern and outcome of chest injuries at Bugando Medical Centre in Northwestern Tanzania. J Cardiothorac Surg. 2011;6:7.
3. Elbaih AH, Elshapowry IM, Kalil NG, El-Aouty H. Evaluation of thoracic trauma severity score in predicting the outcome of isolated blunt chest trauma patients. IJSM. 2016;2(3):100-6.
4. Blyth A. Thoracic trauma. BMJ. 2014;7:348: g1137.
5. Kaewlai R, Avery L, Asrani V, Novelline RA. Multidetector CT of blunt thoracic trauma. Radiographies. 2008;28(6):1555-70.
6. National Trauma Data Bank (NTDB) Report 2007. https://www.facs.org/~/media/files/quality%20programs/trauma/nt db/ntdbannualreport2007.ashx access date 12.09.2016
7. Sawyer M, Sawyer E, Jablons D. Blunt chest trauma in J Trauma. 2007;63(6):68–80.
8. Ulshrestha P, MunshiIand R. Profile of chest trauma in a level I trauma center. J Trauma. 2004;57(3):576-81.
9. Jenkins J, Braens G. chesttruma.In: manual of emergency medicine, fifth edition, Lippincott Williams. 2004 63-4.
10. Virgós Señor B, Nebra Puertas AC, Sánchez Polo C, Broto Civera A, Suárez Pinilla MA. Predictors of outcome in blunt chest trauma. Arch Bronconeumol. 2007;40(11):489-94.
11. Mattox K, Wall M. Thoracic trauma, Glenn’s cardiovascular surgery, 6th ed. Prentice Hall International Inc. 1996;93-112.
12. Ustundag M; Aldemir M; Orak M; Guloglu C. Predictors of Mortality in Blunt Multi-trauma Patients: A Retrospective Review Hong Kong Journal of Emergency Medicine. 2010;17(5) 149–53.
13. Milisavljević S, Spasić M, Arsenijevic M. Thoracic Trauma, Current Concepts. In: Lucio Cagini, eds. General Thoracic Surgery. New York: InTech. 2012;622-88.
14. Bradley AP, Longstaff ID. Sample Size Estimation using the Receiver Operating Characteristic Curve. Pattern Recognition. 2004;175-86.
15. Richardson J, Franklin G, Heffley S, Seligson D. Operative fixation of chest wall fractures: an underused procedure?. Am Surg. 2007;73(6):596-7.
16. Ulutas H, Celik M, Ozgel M, Soysal O, Kuzucu A. Pulmonary pseudocyst secondary to blunt or penetrating chest trauma: clinical course and diagnostic issues. Eur J Trauma Emerg Surg. 2015;41(2):181-8.
17. Khorsandi M, Skouras C, Prasad S, Shah R. Major cardiothoracic trauma: Eleven-year review of outcomes in the North West of England. Ann R Coll Surg Engl. 2015;97(4):298-303
18. Yazici Ü, Yazicioglu A, Aydin E, Aydoğdu K, Kaya S, Karaoğlanoğlu N. Penetrating chest injuries: analysis of 99 cases. Turk J Med Sci. 2012;42(6):1082-5.
19. Abd El Wadod RH. Incidence, Patterns and short term outcome in penetrating chest injuries in patients admitted to Emergency department in Alexandria Main University Hospital. Ph.D. thesis, Alexandria Main University, Alexandria, 2014.
20. Huber S, Biberthaler P, Delhey P, Trentzsch H, Winter H, van Griensven M, Lefering R, Huber-Wagner S; Trauma Register DGU. Predictors of poor outcomes after significant chest trauma in multiply injured patients: a retrospective analysis from the German Trauma Registry (Trauma Register DGU®). Scand J Trauma Resusc Emerg Med. 2014;22(1):52.
21. Kessel B, Dagan J, Swaid F, Ashkenazi I, Olsha O, Peleg K, Givon A; Israel Trauma Group, Alfici R.. Rib fractures: comparison of associated injuries between pediatric and adult population. Am J Surg. 2014;208(5):831-4.
22. Rashid M, Wikstrom T, Ortenwall P. Outcome of lung trauma. Eur J Surg. 2000;166(1):22-8.
23. Khan M, Bilal A. A prospective study of penetrating Chest trauma and Evaluation of role of thoracotomy. JPMI. 2004;18(1): 33-9.
24. El Naggar AM. Incidence and patterns of chest injuries in patients with blunt chest trauma in Emergency Department of Alexandria University. Ph.D. thesis, Alexandria Main University, Alexandria, 2012.
25. Ekpe E, Eyo C. Determinants of mortality in chest trauma patients. Niger J Surg. 2014;20(1):30-4.