Accidents at work can involve a wide range of both physical and psychological injuries, from the relatively minor to the very serious. It is generally accepted that road traffic accidents cause brain injuries, but the fact that work accidents can also result in severe brain injury is often overlooked. Work-related brain damage can occur at the same time as, or because of, an orthopaedic injury. Another common cause may be an accumulation of poisonous fumes or toxins. Expert guidance may be needed to confirm whether or not it is appropriate to make a claim for psychiatric injury.