Orthopedic injuries are found in approximately 85% of blunt trauma victims; thus knowledge of their evaluation and treatment is important. Some of these injuries are also acutely life- or limb-threatening and need to be treated in an expedited fashion. Despite the importance of early treatment, the standard primary survey promulgated by the ATLS course is necessary to detect other injuries that have a higher priority. During the primary survey, the only attention to musculoskeletal injury is acute hemorrhage control with direct pressure.