A bleeding child in the pediatric intensive care unit (PICU) shows platelet-related and coagulation disorders. While taking the medical history of such child, factors like the sites of bleeding, the severity and duration of bleeding, and the age at onset should be considered. Family history is obtained by asking questions about previous surgical procedures, dental extractions, and transfusions of all family members, as well as the menstrual and obstetric histories of female relatives. Patients with significant bleeding disorders are to be examined for bruises in any area that appear excessively large for the degree of trauma or for underlying palpable hematomas. A complete blood count, peripheral blood smear and coagulation studies are carried out to rule out any bleeding disorder. Quantitative and qualitative aspects of platelet disorders in PICU are discussed. Management of bleeding child is by administration of vitamin K, platelets and clotting factor concentrates. Other treatment includes recombinant factor VIIIa therapy.