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In Saudi Arabia, unintentional injuries among children represent a prevalent and significant public health issue and severe injuries are of the leading indications for hospitalization and impairments. This study aimed to describe the pattern of unintentional trauma in children admitted to Abha Maternal and Children Hospital, South region of Saudi Arabia. This study was a prospective descriptive, cross-sectional, hospital-based study, which was conducted in the Pediatric Intensive Care Unit, Maternity and Children's Hospital, Abha, Aseer region, Saudi Arabia. This is the central and main hospital in the region but not the only hospital receiving childhood injuries. The study period was from January 2023 to January 2024. Children's age groups were from 0 to 12 years old. All children in the study were admitted with a diagnosis of unintentional injuries, like RTAs (road traffic accidents), falls, and other home accidents. The study included 104 children and the data collected were analyzed using SPSS (version 27; IBM Corp). Appropriate statistical tests were used for the analysis and all tests were two tailed and probability P≤.05 is considered significant. The sample size of the study was 104 children. The gender distribution was 35 females (33.7 %) and 69 males (66.3 %). The patients were recruited from 18 cities in the Aseer region. About half of the patients (49%) were aged 6-12 years. Road traffic accidents (RTA) represent the highest percentage of accidents, with 66 (63.5%) children, followed by falls from height with 38 (36.5%) patients. The most significant types of injuries were head and brain injuries 37 (35.6%), followed by chest and lung injuries 12 (11.5%). Most patients (n=62, 59.6%) remained admitted to the pediatric intensive care unit (PICU) for one to three days. Followed by three to seven days (27), then eight to 14 days (14). Head/brain axonal injury is also the most common injury associated with complications, followed by polytrauma. Road traffic accidents are a significant cause of death and disability in Saudi Arabia for all age groups. A strong association existed between the PICU admission duration and the outcome (P=.02). Health and community institutes and governments should increase community education about the risks and consequences of RTA, strengthen traffic rules and laws, and punish violators.

This is a case of an eleven-year-old female Sudanese child, a known Sickle Cell Anemia (SCA) patient, who presented with fever, as well as left thigh and leg swelling that was associated with pain and warmness, which was diagnosed as Deep Vein Thrombosis (DVT) of her left lower limb. She had a previous history of admissions to the emergency room, during which she once received blood. The patient was managed by carrying out a basic routine initial laboratory investigation. A Doppler ultrasound scan showed features consistent with DVT. Based on the clinical findings and investigation results, management began by providing the patient with intravenous fluid, analgesia, packed Red Blood Cells (RBCs), intravenous antibiotics, and low-molecular-weight heparin. Further consultations showed that there was no need for vascular surgery or surgical intervention. This case highlights the need for more studies on DVT and Venous Thromboembolism (VTE) complications in children with SCA, so as to develop strategies for diagnosis and management in order to reduce the risk of life-threatening complications of VTE in patients with Sickle Cell Disease SCD.