After a fall, chest pain is manifested, which does not exclude that there is damage to the soft tissues of the chest wall, or even serious rib fractures, especially for the elderly with osteoporosis, a chest X-ray should be performed, and if necessary, a CT scan of the chest is also required. In the acute stage, external fixation with a chest belt can be chosen to limit the movement of the chest, which has an auxiliary pain-relieving effect, and pain-relieving drugs should also be given appropriately to prevent infection, and oxygen inhalation can be given if there is significant chest tightness and restricted breathing, and intravenous anti-infection treatment can also be given if necessary, because some patients are prone to secondary pulmonary contusions after trauma, which manifest as coughing up sputum and coughing up blood. Dynamic observation of changes in the condition is also required, and further options for closed chest drainage are needed if the condition is complicated by a hemopneumothorax.