Background: Trauma is considered to be the second most common cause of disability. Injuries to the neck can have significant morbidity and mortality that demand immediate attention and intervention. The most common clinical presentations for patients who reach trauma centers alive are shock, active bleeding, hematoma, and neurologic deficit. Objective: To determine the epidemiology of vascular neck injuries to patients admitted to Emergency Hospital, Mansoura University. Materials and Methods: This study was conducted on 96 cases admitted to Emergency Hospital, Mansoura University suffering from Neck Vascular Injuries. Assessment includes ABCDE approach, AMPLE history taking, full clinical examination, and radiological investigations that involve FAS, multislice CT brain, Duplex U/S, and CTA (computed tomographic angiography) in selective cases. Results: shock was the main presenting symptom. Neck zone II was the most commonly affected in 41 (42.7%) of cases. Operative treatment was performed in 68 (70.8%) cases while Conservative treatment was performed in 28 (29.2%) cases. AS regards Incidence of mortality, 44 (45.8%) of cases died compared with 52 (54.2%) of cases who were Survived. Conclusion: Neck injuries were relatively uncommon, found in 2.5% of all TQIP observations. Penetrating trauma was the predominant mode of trauma among the studied cases. Shock was considered the commonest presenting symptom followed by airway compromise. The main management was operative treatment.