Chest injuries combine mechanical and inhalational pathologies, and the Judicial College Guidelines 17th edition (April 2024) reflects both. Mechanical - rib fractures, sternal fracture, flail chest, pneumothorax, haemothorax, pulmonary contusion, cardiac contusion - typically follow RTA, fall-from-height, or crush injury. Inhalational - smoke, chemical fume, toxic dust - often arise from workplace incidents, fire and chemical exposure, or failure to provide respiratory protection. Asbestos-related lung disease (mesothelioma, asbestos-related lung cancer, asbestosis, pleural plaques) has its own dedicated page - see asbestos claims for that.
Casibus works with SRA-regulated personal injury specialists on a no win, no fee basis. Every case depends on its evidence.
JCG 17th edition chest injury brackets
Most serious - lung damage / scarring with serious disability
Total removal of one lung, serious heart damage with prolonged pain and permanent impairment of function. Top of the JCG chest bracket - mid-five to low-six figures.
Traumatic injury to chest, lung and/or heart
Permanent physical effects, reduced lung function. Serious but not at the top tier.
Damage to chest and lungs
Continuing disability but with recovery or near-recovery prospects.
Collapsed lung (pneumothorax) with full recovery
Relatively uncomplicated case, full recovery expected. Mid four-figures.
Fractures of the ribs
Fractures of ribs or soft tissue injuries causing serious pain and disability over a period of weeks only. Low to mid four-figures at the top, bottom of the bracket for uncomplicated single fractures.
Toxic fume / smoke inhalation
Injury leaving residual impairment (persistent cough, reduced lung function, precipitation / exacerbation of asthma). The bracket turns on whether there is permanent residual impairment or a full recovery.
Common clinical patterns we see
- Multiple rib fractures - typical RTA / fall mechanism; significant pain limits breathing and mobility; elevated pneumonia risk in older claimants.
Routes to a chest injury claim
- RTA - seat-belt loading, airbag impact, steering-wheel compression; pedestrian knockdown; motorcyclist thrown. See road traffic accidents.
Lung function evidence
Quantifying permanent chest injury turns on lung-function testing - spirometry (FEV1, FVC, FEV1/FVC ratio), gas-transfer (DLCO / TLCO), and sometimes six-minute walk test. Expert respiratory physician evidence quantifies residual impairment and relates it to ongoing functional limitation, employability and prognosis. Pre-accident lung function (measured or estimated from predicted values given age / sex / height) is compared to post-accident measurements.
Special damages in chest injury claims
- Respiratory therapy and rehabilitation.
