Introduction – Two wheeler accidents account for 25% of all accidents. EMS teams can triage the patients to the nearest appropriate centre. ED physician can involve other departments early to preserve life and reduce morbidity. This study was aimed at determining patterns of injuries and their severity based on injury Severity Score(ISS) in patients with trauma–related to motorbike accidents. Methods– This is a retrospective, observational study Results– Younger males appear to have involved in motorbike crash frequently. External injuries are most common, followed by extremity injuries. Lower limbs, especially fractures of tibia and fibula are commonest extremity injury. Cerebral contusions and subarachnoid haemorrhage are the common injuries of head and neck. Fractures of zygoma and maxilla are dominant facial fractures. Conclusion– Most cases have low ISS. Drunken driving appears to be the most frequent cause serious injuries. Improving road conditions and controlling traffic can have positive on reducing the accidents.