Background: Trauma is a major public-health problem in India. With a population over one billion and an annual urbanization rate of 26%, the magnitude of the problem is a cause for concern. An unpresented increase in number of vehicles has outpaced the development of adequate roads and highways. Trauma especially RTA’S are the invariable fall out in the rapid motorization and urbanization in India. Aim: To study the physiological causes and temporal pattern of trauma death in the study population