objective: to study the analysis of emergency first aid nursing in patients with risk factors identification and prevention strategies. Methods: during 2011 ~ 2013 in our hospital emergency department patients undergoing emergency first-aid nursing risk management. Spot check 200 patients satisfaction survey, and for the implementation of the emergency first-aid nursing risk management in patients with before. Risk management mainly includes strengthening cultivation of nursing staff quality, strengthen management of the nursing records, to establish a good doctor-patient relationship several content. Results: the patient satisfaction showed the experimental group is significantly higher than the control group, p < 0.05, significant difference statistical y significant. Conclusion: the positive and effective risk management control is effective to reduce the emergency dispute that is worth promoting.