Incidence of real injury is high in this piece of the nation with a similarly high mortality. Injury care has improved comprehensively after presentation of injury review in different focuses of the world. Injury Severity Score (TRISS) is utilized for deciding survival likelihood and assessment of injury care dependent on Injury Severity Score, Revised Trauma Score and concentrated on injury result (passings and survivors). Objective: Present investigation was intended to improve and archive

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... consideration of injury patients by receiving TRISS strategy for diagramming and review. Patients and Methods: This planned examination was led at Services Hospital, Lahore, from first November 2017 to 31st April 2018. All injury patients got in the mishap and crisis office were incorporated into this investigation, as indicated by criteria of Major Trauma Outcome Study (MTOS). Results: An aggregate of 528 patients were incorporated into this investigation, with mean time of 28.43± 9.2 years. Male to female proportion was 4.5:1. It was noticed that 278 patients had various wounds including more than one body locale. Death rate in our arrangement was 11.17% (which is high) and every one of these patients had real injury score (>16). Among complete passing (59), 26 patients kicked the bucket surprisingly, regardless of their survival likelihood was more noteworthy than 0.5. Conclusion: Trauma graph is a dependable instrument to pass judgment on the adequacy of medicinal consideration in a clinic and to diminish the quantity of missed wounds. We recognized right around 44 % sudden passings in our arrangement. Key words: Major Trauma, TRISS methodology, Surgical audit, MTOS, AIS.