Pediatric neck trauma, though uncommon, poses significant diagnostic and management challenges due to the anatomical compactness and the presence of vital structures including the airway, vascular pathways, digestive tract, and cervical spine. Even minor external injuries may result in life-threatening complications, making early recognition and structured evaluation critical. This chapter provides a comprehensive, evidence-based approach to the initial assessment, diagnostic workup, and emergency management of pediatric neck trauma for primary care providers (PCPs). The evaluation is guided by the ABCDE approach, with special emphasis on airway protection, cervical spine immobilization, and hemorrhage control. The chapter highlights both blunt and penetrating mechanisms of injury, detailing their pathophysiological implications and associated red flag signs such as stridor, dysphonia, expanding hematoma, and neurological deficits. It further categorizes neck injuries based on anatomical zones (I, II, and III) to assist in triage, imaging decisions, and surgical planning. Key diagnostic tools—including contrast-enhanced CT, flexible laryngoscopy, angiography, and endoscopy—are discussed with attention to their indications, limitations, and application in resource-constrained settings. Management strategies include airway interventions in stable vs. unstable patients, fluid resuscitation, and timely surgical referral, with an emphasis on avoiding blind manipulation of embedded foreign bodies. The chapter also defines the critical role of PCPs in stabilization, communication, caregiver education, and multidisciplinary coordination. Finally, prevention strategies, discharge planning, and caregiver counseling are underscored as integral components of pediatric trauma care.