Background: Across the globe, trauma remains as one of the leading causes of morbidity and mortality. 25% of trauma mortalities can be attributed to blunt thoracic trauma. Myocardial contusions are perhaps the most uncommon injury reported after blunt thoracic trauma and no gold standard has been established to diagnose such patients. Patients with cardiac contusions have non-specific signs and symptoms which can easily be masked by other diagnoses like hemorrhagic shock, tension pneumothorax and tamponade. Case Report: A young male with blunt trauma presented to the emergency after a road traffic accident and succumbed due to myocardial contusions. Here we describe how we came to the diagnosis of myocardial contusions. Conclusion: It is imperative for emergency physicians to recognize myocardial contusions in blunt thoracic injuries early to avoid unfavorable outcomes.