Road traffic accidents are a major health hazard in Saudi Arabia, particularly during Ramadan. The ensuing trauma has increased in direct proportion to the increase in the number of road vehicles. An audit of RTAs over a one-year period revealed that, out of 361 victims, 16% were under 10 years and 47% between 11 and 30 years. None of those involved in accidents was wearing a seat belt. Half of the children injured were pedestrians. There was a male to female ratio of 4:1 reflecting the driving laws in Saudi Arabia. Burst tyres due to intense heat were identified as a common cause (39%) of accidents. The introduction of seat belt legislation and stricter law enforcement should lead to a rapid reduction in morbidity and mortality on the roads in Saudi Arabia.