This document provides information on assessing and managing chest trauma. It discusses inspecting, palpating and auscultating the chest to evaluate respiratory status. Tension pneumothorax is described as a life-threatening condition requiring immediate needle decompression. Chest trauma management focuses on treating respiratory distress from rib fractures, pneumothorax and pulmonary contusion, as well as hemorrhagic shock. Special considerations for open pneumothorax and pregnancy are also covered.