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This chapter will focus on blunt and penetrating injuries to the neck, including injuries to the vasculature, digestive tract and larynx and airway management cervical spine injuries will be addressed separately (Chapter 17). Many blunt injuries are the result of sports participation and play activities. The most common mechanisms of injury within this group were stabbings and gunshot/firearm. A total of 1238 pediatric patients were identified among 434,780 children. The National Trauma Data Bank between the years 2008–2012 for children less than 15 years old with penetrating neck trauma (Advances in pediatric neck trauma: What’s New in assessment and management? In: Relias Media-Continuing Medical Education Publishing. Whether the mechanism of injury is blunt or penetrating, there is a significant risk to the upper aerodigestive tract and the surrounding critical neurovascular structures. Pediatric neck trauma is an uncommon entity in the United States.