en Nursing Orginal research <strong><em>Background:</em></strong> Injuries caused by motorcycle crashes in children and adolescents are one of the main health problems that can cause serious injuries or even death in this population.<br> <strong><em>Objectives: </em></strong>This study aimed to determine the injury patterns and severity of motorcycle crash injuries among hospitalized children and adolescents in Darab, Iran.<br> <strong><em>Methods:</em></strong> This descriptive cross-sectional study was started on May 15, 2017 and continued for three months. All 212 children and adolescents, who had been injured in motorcycle crashes in 2016 and were referred to the emergency ward of the central hospital of Darab, were selected, and their medical records were reviewed. The data collection tools included a demographic information form, an injury-related questionnaire, and the Injury Severity Score (ISS). Data analysis was performed in SPSS v<span dir="RTL">16</span>, using descriptive statistics, Mann-Whitney test, and Chi-square test at a significance level of &alpha;<span dir="RTL">&ge;</span>0.05.<br> <strong><em>Results</em>:</strong>&nbsp;The mean age of the injured children was 14.28<span dir="RTL">&plusmn;</span>2.97 years. The head was the most commonly injured organ, while 130 (61.3%) cases had been injured in more than one organ. Most children had minor injuries with an ISS<9 (79%). The highest frequency of accidents was reported in the summer and spring. The majority of the injured motorcycle riders (n=191, 90%) had not used a helmet. Besides, the use of helmet was found to decrease with advancing age (P=0.017).<strong><em>Conclusion:</em></strong> Although head injuries are more frequent than injuries to other parts of the body, and more than 90% of motorcyclists do not wear helmets, informing and educating children and families is very important in this area. It is recommended to implement strict traffic laws for motorcycling and highlight the necessity of wearing helmets by motorcycle riders. Moreover, families should be stricter about their children riding motorcycles, especially during school holidays (summer and spring). accidents, adolescent, child, injury severity score, motorcycle 59 66 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-763-1&slc_lang=en&sid=1 Parisa Navabi pa.navabi@gmail.com 10031947532846007251 10031947532846007251 No MSc. Graduated of Nursing, Department of Nursing, School of Nursing and Midwifery, Bushehr university of Medical Sciences, Bushehr, Iran Rahim Tahmasebi rahimtahmasebi@yahoo.com 10031947532846007252 10031947532846007252 No Ph.D. Professor in Biostatistics, Department of Biostatistics, School of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran; And The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr university of Medical Sciences, Bushehr, Iran Maryam Ravanipour ravanipour@gmail.com 10031947532846007253 10031947532846007253 Yes Professor, Department of Nursing, School of Nursing and Midwifery; And The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr university of Medical Sciences, Bushehr, IR Iran