Background: Roadside trauma in India is an increasingly significant problem, particularly because of bad roads, irregular road signs, overcrowding, over speeding, and bad traffic etiquettes. Adequate information on the characteristics of victims, causes of accidents, frequency, vehicles involved, alcohol intake, and outcome of management is essential for understanding and planning for better management. Aim: This study aimed to determine the pattern, characteristics of polytrauma victims admitted to emergency trauma centers in India. The purpose of this study is to examine the epidemiology of trauma in western UP in India through data gained from the patients presenting in emergency centers and to analyze trauma patients to find the predictors that led to the deaths of trauma patients. Materials and methods: The present observational study involved trauma victims over 5-year period in three centers. Demographical details recorded were age, sex, alcohol intake, referral status, first aid taken, vitals on arrival, Glasgow Outcome Score (GOS) for head injury, risk factors, hospital stay, and outcome. Results: A total of 3000 patients were included in study. The mean age was 42.45 ± 15.7 years, the mean ISS was 13.82 ± 6.2, and the mean GCS was 12.20 ± 4.1. The mean time to admission at different trauma centres was 48.41 ± 172.8 h. The head injury was the most common (29.52%). Conclusion: According to this study, there is need for improvement in the referral services, the quality of first aid given, and for the development of good ambulance service with trained medical personnel accompany the patient is also required to improve rapid transport. We also noted high prevalence of head trauma in our study which enhance the need of neurosurgery Department.