This report is focused on older adults, defined as those aged 65 years and over, with major trauma injuries. It provides an in-depth analysis of 11,145 episodes of care between 2017 and 2021 from the 26 participating hospitals. As has been stated in previous reports, the leading cause of major trauma is from low falls. Findings from this report will extend the understanding of the range of injuries associated with such incidents in an older adult population.