Management of blunt chest trauma focuses on a combination of effective analgesia, surgical fixation, chest physiotherapy, respiratory care and early mobilisation [11],[12]. If rib fracture pain in blunt chest trauma is not treated in a timely manner, complications may result in death, long-term pulmonary impairment, increased hospital length of stay (LOS) and increased use of health-care resources [1]. Inadequate or delayed pain relief is well known to cause people to eat less, sleep poorly, undergo psychological stress, experience restricted movement, and be unable to participate in normal activities including work [13]. Although literature reviews exist for some specific interventions such as surgical rib fixation and epidural analgesia, there are no published reviews evaluating all potential treatment options for blunt chest trauma. The purpose of this review is to examine the literature around interventions in blunt chest trauma to prevent complications and death.