Background: Most reports of traumatic asphyxia, a condition which is rare in children pertain to injuries sustained following motor vehicle accidents. The clinical picture which is diagnostic of this condition should be recognized for appropriate management. Objective: We report a child with traumatic asphyxia with an unique mechanism of injury. Case report: 4 year old child was injured due to compression between the moving belts of an industrial equipment. He had classic clinical picture suggestive of traumatic asphyxia with pulmonary contusion and was managed conservatively. Conclusion: Though the clinical presentation looks alarming in traumatic asphyxia, the outcome is good in majority. It is important to recognize associated organ injuries which can influence the outcome. Causes other than road traffic accidents and stampede can also result in traumatic asphyxia in children. 

Keywords: Trauma; Asphyxia; Mechanism.