Extremity traumas have a wide clinical spectrum ranging from life-threatening serious injuries to simple injuries that can be discharged from the emergency room after simple interventions. A primary survey, in which we evaluate the life-threatening pathologies of patients in a certain systematic order, is the initial assessment of these patients. While evaluating the patient following five fundamental steps of the primary survey (ABCDE), conditions such as airway obstruction, tension pneumothorax, open pneumothorax, massive hemothorax, cardiac tamponade, tracheobronchial injury, and traumatic circulatory arrest can be diagnosed and treated immediately. It is rare for this extremity injury itself to be life-threatening. But upon inspection, it has a dramatic bad look. This noisy picture causes physicians to focus primarily on the extremities. However, it should not be forgotten that there may be trauma to the thorax and abdomen since the physical impact that will cause this noise picture must be high. The most common secondary pathologies with extremity trauma are missed fractures. Therefore, all extremities, including the vertebra, should be evaluated in detail, not just the area of tenderness. To have a holistic approach to extremity trauma, patients should be evaluated in a systematic way.