METHODS: Traumatic agriculture-related injuries admitted, transferred or dead on arrival to a designated trauma center in 2014 were identified using the Nebraska trauma registry. This analysis included injuries to patients aged 16 years and older. The injuries were classified as- definite, probable and possible cases of agriculture-related injuries. Injuries with the work-related field “yes” or primary payer “workers compensation” and occupation or industry matching keywords “farm”, “ranch”, “agriculture” were defined as definite cases. If external cause of injury (E-code) location was “farm –E849.1” or primary E-code was “E919.0-accident caused by farm machinery” then it was a probable case. Possible cases included injuries with E-codes –“E827- animal drawn vehicle accident”, “E828-accident involving animal being ridden” and “E906.8-other specified injury caused by animal”. Case specific injury rates were calculated. Outcomes of agriculture-related injuries were evaluated based on the injury severity score, length of hospital stay and status at discharge.