Road traffic injuries as a man-made calamity impose great burden on poor people and needs to be addressed through social justice and end of poverty. Pointing out that around 186,300 children under the age of 18 are killed every year, and much more are injured, urgent need to work on road safety measures will be revealed. Although preventing road traffic crashes from occurring should be the main goal to be pursed, Post crash care as one of the pillars of the decade of action on road safety is important to avoid preventable death and disability, limit the severity of the injury and the suffering caused by it, and ensure the crash survivor’s best possible recovery and reintegration into society. This paper focus on pre-hospital and hospital infrastructure and capacity within the Ministry of Health & Medical Education,  importance of universal access number(UAN) and integrated dispatch center and role of laypeople to prevent death and disability in different age groups and challenges the current system face to handle children as victims of road traffic injuries.