Background: Out of three vital organ two (Heart and Lung ) are in the thoracic cavity. So injuries to chest cavity are mostly fatal in the form of haemorrhagic shock or neurogenic shock. Blunt or sharp objects may causes these type of injuries.

Aims: To study the epidemiological aspect of fatal blunt chest injuries.

Material And Method: In this study 120 cases of chest injuries by blunt objects are studied for their various aspect.

Results: Most cases are of road traffic accident (RTA). Most of them are young male between 20-40 years of age. Though majority of them died within in 1hrs, on the spot or on the way. Nature of injuries are correlated with the history and incident. Involvement od lung shows multiple rib fractures. Heart, major vessels and diaphragm were also involved in significant number of cases.

Conclusion: Most of the fatal blunt chest injuries were of road traffic accidents majority of them have lungs and ribs injuries and emorrhagic shock is the cause of death in almost all cases.

Keywords: RTA; Fracture; Spot Death; Haemorrhagic Shock.