Purpose: Australia has an ageing population. In 2020, 16% of the population was above the age of 65. This has seen an increasing number of geriatric trauma presentations. Geriatric patients pose significant challenges in trauma settings, due to comorbidities, frailty, and age-related changes in physiology and shock responses. When compared to their younger counterparts, mortality rates, length of stay and discharge to rehabilitation wards are higher in geriatric trauma patients. Methodology: This was a single institution retrospective study with data collected from the Tasmanian Trauma Registry. This study included patients admitted between 01/4/2020 to 31/3/2023 >65 years old and had an injury severity score >12 or died secondary to sustained injuries. Results: There were 272 patients included in this study, with a median age of 78 and mortality rate of 19%. There were 1955 individual injuries records. Falls constituted majority of these traumas, occurring in 74% of patients. The mechanism with the highest mortality rate was fall from standing height (31%, p<0.05). Among all patients, 20% required surgical intervention, 19% were admitted to ICU and 40% were not discharged to their usual place of residence. Conclusion: These findings demonstrate the significant morbidity and mortality associated with geriatric trauma. It highlights how a simple mechanism such as a fall from standing height carries a significant risk of death to this patient population. The number of geriatric trauma presentations will continue to grow as the population ages, which will require increased resource allocation, improved triage protocols and a multidisciplinary approach. This highlights the importance of integrating geriatric perioperative services within trauma teams.