Abstract: Pediatric trauma and accidental injuries represent a major public health concern worldwide and are among the leading causes of morbidity, disability, and mortality in children. Due to their unique anatomical, physiological, developmental, and psychological characteristics, children require specialized and age-appropriate trauma care. Nurses play a pivotal role across the continuum of pediatric trauma management, from initial assessment and emergency stabilization to rehabilitation, family support, and injury prevention. This review article explores the epidemiology, types, pathophysiology, assessment principles, and comprehensive nursing management strategies for pediatric trauma and accidental injuries. Emphasis is placed on evidence-based nursing interventions, trauma life support principles, pain management, psychosocial care, family-centered approaches, and ethical considerations. The review also highlights the importance of interdisciplinary collaboration, trauma-informed care, and preventive strategies aimed at reducing injury incidence. By synthesizing current literature and best practices, this article underscores the critical role of nurses in improving outcomes and ensuring holistic care for injured children.