ABSTRACT Introduction: Due to a systemic change in Emergency Medical Services (EMS) staffing in recent years the nature of the Swedish EMS has changed. Transport to an Emergency Department (ED) is no longer the only option. Referrals and non-conveyance form a growing part of EMS assignments. Trauma is one of the most common causes of death, and account for 17 % of Swedish EMS assignments. This study aimed to describe the non-conveyed trauma patients - assessed, treated, and triaged by the EMS – as to their characteristics, and the clinical outcome to gain better understanding and optimize transport and treatment decisions. Methods: The study had a descriptive, retrospective, and epidemiologic design, and was conducted by reviewing EMS and hospital records for 837 non-conveyed trauma patients in the southwest of Sweden in 2019. Results: Three in four non-conveyed trauma patients did not seek further medical care within 72 hours after EMS assessment. Later admissions to hospital were often older, had suffered a fall, and had a medical history. Half of all incidents occurred in a domestic environment. Head trauma was the major complaint. Less than one percent of the studied patients died. Conclusion: Most non-conveyed trauma patients did not seek further medical care after being discharged at site. Falling was the most common trauma event, and for the older population meant a higher risk of hospital admission. The reason for falling should therefore be investigated thoroughly prior to decision on non-conveyance. Further studies should focus on reasons for non-conveyance, and measure outcome in morbidity and invalidity, rather than mortality.