 - All patients presenting to any of the four study sites with a potentially life-threatening or limb-threatening injury. Specifically, all presenting injured patients triaged as Red or Yellow according to the Australia-India Trauma Systems Collaboration AITSC Trauma Triage Protocol, will meet the screening criteria for data collection. Retrospective inclusion in the registry will be continued for all screened patients presenting to any of the included hospitals with injury including near-drowning as the primary diagnosis and with at least one of the following criteria: 