Just two years after the Wenchuan earthquake, the Yushu earthquake unfortunately came immediately afterwards, and the main reason why it is so heart-warming is that there were major casualties. Most of the skeletal trauma caused by the earthquake is serious, such as: open fracture, spinal injury, crush syndrome, fracture fragment piercing blood vessels to cause hemorrhage, etc. With the professionalism of an orthopedic surgeon, the treatment of bone trauma caused by earthquake must be fast. First, get out of the dangerous environment quickly. After the earthquake caused bone trauma, many injured people may still be buried under the rubble, and their activities will be limited due to the existing injury, and the aftershock may produce secondary injury, so it is the first priority to get them out of the dangerous situation as soon as possible. Second, quickly determine the condition of the injury. Bone injuries from earthquakes are often combined with injuries to internal organs, skull, brain, chest and other important parts of the body, so do not be too specialized in the front line of saving lives. The shortest time to determine the most important problems of the injured is the quality of an emergency physician. In addition, the scene must pay attention to those relatively “silent” injured, the most serious patients are often in it. Third, rapid braking and hemostasis. Bone trauma will lead to local deformation, due to pain or handling, the broken fracture fragment will be constantly active, which will lead to the fracture end to stimulate the blood vessels and nerves, so after rescuing people, brake the injury site, and active bleeding must be dealt with on the spot. Fourth, rapid debridement and fixation. Open bone injuries can lead to later wound infection and affect fracture healing, emphasizing the importance of cleaning the wound as soon as possible when available and early surgery to maximize the maintenance of limb function. Yushu, cheer up.