Traumatic asphyxia is rare and often associated with chest or upper abdomen crushing. In this report, a seven-year-old boy was crushed over the anterior chest. Violet skin over the head and neck, bilateral subconjunctival hemorrhages and facial edema were observed. Clear consciousness, mild tachycardia and no airway obstruction were found. Only a mild right lower lung contusion was detected by chest CT. He was admitted to SICU for supportive care with head elevation, O2 supplement. He was discharged uneventfully five days later. Traumatic asphyxia may be not as ominous as the patient's first appearance indicates. Associated injuries are often significant in terms of both management and prognosis.