Trauma is an important cause of death wordlwide,and severe trauma emergency treatment is a wordtwide problem.At present,there is still a big gap in the severe trauma emergency system between China and the international community.The author draws on the concept of severe trauma emergency treatment abroad and combines the experiences in regional emergency system establishment in China,trying to establish a regional severe trauma emergency system in Beijing,which is geared to the iuternational standards.Key issues including the pre-hospital first aid coordination,multidisciplinary trauma team,standardized first aid process,unified management,continuous improvement of medical quality are discussed.