Fracture scene treatment (a) determine the injury Do not be confused by the local wound, for example, see the casualty covered in blood, but move freely, clear consciousness, indicating that their injuries are not serious. Observe carefully to find life-threatening or potentially disabling critical injuries. (1) the determination of consciousness: call the casualty or lightly tapping his shoulder, such as in 10 seconds without any response, can be regarded as coma, more than indicates that the casualty has a different degree of cranio-cerebral injury, such as indifferent expression, slow response or unreasonable agitation, are indicative of serious injuries, should be given attention; if the casualty has obvious head trauma is not difficult to find the condition, mainly by the casualty’s consciousness to determine the injury. (2) the determination of shock: all encounter serious injury, massive bleeding, multiple fracture patients, should think of the possibility of concurrent shock; if the casualty appears excited, sweating, thirst, accelerated pulse, reduced pulse pressure or indifference, unresponsiveness, pale skin, shallow and fast breathing, wet and cold extremities, systolic blood pressure below 90mmHg, it means that the patient has shock symptoms, should be handled urgently. (3) Determination of fracture: the obvious open fracture of the casualty is not difficult to determine, while the observation of displacement, shortening, bending of non-articular parts, deformity, pseudo-articular formation, etc. of the casualty’s limb should be considered as fracture. If the casualty feels pain in the neck, chest and low back, limited activity, etc., the possibility of spinal fracture should be thought of; if the casualty feels abnormal, numbness and inability to move the limbs, loss of control of urination and defecation, the casualty should be alerted to the possibility of spinal cord injury. (B) should do 1, rescue shock: if the patient is in a state of shock, attention should be paid to insulation, minimize moving, when possible, should immediately infuse fluids, blood transfusion. Combined craniocerebral injury in a comatose state, attention should be paid to keep the airway unobstructed. 2, dressing wounds: try to use clean dressings or cloth to dressing or pressure dressing. 3.Proper fixation purpose: (1) to avoid damage to surrounding important tissues, such as blood vessels, nerves and internal organs during transport; (2) to reduce the movement of the fracture end and relieve the patient’s pain; (3) to facilitate transport. The method can be used as a temporary fixation tool by using special splints or local materials, such as wooden plates, sticks, branches, umbrellas, books, newspapers, triangular scarves or scarves.