With the advancement of technology and the ready availability of medical aid, it is no wonder that older adults in our communities are living longer. Unfortunately this poses a serious problem for healthcare professionals as older people are increasingly affected by injuries, presenting complications of greater severity than their younger colleagues (Ng et al., 2002). This essay will discuss the epidemiology, evaluation, and presentation of an elderly patient with a traumatic injury. It will also examine the specific considerations of older adults in terms of management and ethical and cultural differences. As we age, our susceptibility to a traumatic incident increases dramatically (Chan, Moran, Clarke, Martin, & Solomon, 2009). Elderly patients require many more medical resources than younger patients with the same mechanism of injury (Dinh, Roncal, Byrne, & Petchell, 2013), and is likely due to the deterioration of body systems that comes with age. As seen in Figure 1, the two leading causes of death for both sexes between the ages of 65 and 84 are traffic collisions (RTCs) or falls. Figure 1. Leading causes of death due to unintentional injuries between 2000 and 2002 (retrieved from http://www.moh.govt.nz/moh.nsf/pagesmh/5795/$File/older-peoples-health- chart-book-2006-new.pdf).According to Oyetunji, Ong'uti, Bolorunduro, Gonzalez, Cornwell, & Haider (2011), women over the age of 65 are 47% less likely to die from injuries in hospital than men, however they are 79.6% more likely to suffer injuries. Given that females have a longer life expectancy than males, it is understandable why this happens. The factors that attribute the high probability that an elderly person suffers from a traumatic event are cardiac, respiratory and neurological deterioration...... half of the article ......rtality associated with traumatic injuries in the elderly: a population based study. Archives of Gerontology and Geriatrics, 54, 426-430. Oyetunji, T. A., Ong'uti, S. K., Bolorunduro, O. B., Gonzalez, D. O., Cornwell, E. E. & Haider, A. H. (2011). Epidemiological trend in domestic injuries of the elderly. Journal of Surgical Research, 173, 206-211.PHTLS. (2011). PHTLS: Pre-Hospital Trauma Life Support (Military version: 7th ed.). St Louis, MO, USA: Elsevier.Porth, C. &Matfin, G. (2009) Pathophysiology: concepts of altered health states. Philadelphia, United States of America: Wolters Kluwer Health.Schouten, B. C., & Meeuwesen, L. (2006). Cultural differences in medical communication: a review of the literature. Patient Education and Counseling, 64, 21-34. St John's Clinical Advisory Group. (2011). St John Authorized Patient Care Procedures. Wellington: Order of St. John.