Farming is one of the most hazardous occupations in the United States, and the average age of the American farmer is steadily rising. When trauma strikes in agricultural settings, where heavy machinery, remote locations, and delayed EMS activation are common, the risks are amplified for older adults. The result is a unique set of emergencies that challenge providers to balance sound clinical decision-making with operational awareness and an understanding of rural culture. This course examines the unique challenges of managing traumatic injuries in geriatric patients within the agricultural environment. Participants will explore how age-related physiological changes influence trauma response, review common farm-related injury mechanisms, and discuss strategies for overcoming barriers to care in rural and remote areas. Special attention is given to scene safety, extrication challenges, and the importance of empathy when caring for aging individuals who may value independence over intervention. Designed for both BLS and ALS providers, this session will empower EMS professionals to provide safer, more effective care to one of the most vulnerable and underserved populations in emergency medicine: our senior farmers.