Tehran University of Medical Sciences Frontiers in Emergency Medicine 2717-3593 4 1 2019 10 10 e5 e5 Sushma Shriyan Department of Emergency Medicine, Bharati Hospital, Maharashtra, India Utsav Mani Department of Emergency Medicine, Bharati Hospital, Maharashtra, India Firdaus Bhot Department of Emergency Medicine, Bharati Hospital, Maharashtra, India Elizabeth Sada Department of Emergency Medicine, Bharati Hospital, Maharashtra, India Rajesh Ursekar Department of Emergency Medicine, Bharati Hospital, Maharashtra, India Digvijay Adake Department of Emergency Medicine, Bharati Hospital, Maharashtra, India 2019 08 11 2019 10 10 Introduction: Bull injuries are common in India. An injury by a bull is more common in rural and agriculture dependent regions of the country. The incident causing injury by a bull can be sports related or work related. Work related injuries are almost mostly seen in farmers. Case presentation: We would like to present six cases of bull injury over a period of three years who reported to our EM. All six patients were admitted. Five out of six patients survived the hospital stay. Conclusion: Trauma sustained due to being hit by a large animal should be treated akin to a high velocity trauma and such a patient definitely warrants a period of observation even if the injuries are not life threatening. A high index of suspicion is needed for suspecting occult injuries. Fluid resuscitation and age of the patient are important considerations. https://fem.tums.ac.ir/index.php/fem/article/view/244 https://fem.tums.ac.ir/index.php/fem/article/download/244/237