A thorough understanding of clinical spectrum of chest injury, management and its outcomes shall help in better patient management and decrease the mortality and morbidity associated with chest injury. Total of 150 patients with chest trauma reported to casualty, Emergency Department, were included in study. Patients of age group 15-65 years, with no pre-existing cardiopulmonary disease were enrolled in the study. Patients treated on OPD basis and brought dead were excluded from the study. Blunt chest injury was seen in 80.07% and penetrating injury was found in 19.3% of cases. The main reasons for the chest injury were RTA (57.3%), fall from height (16%), assault (22%), industrial injury (2.7%), animal attack (0.7%) and fall of objects on chest (1.3%).