A fundamental element that characterizes the management of out-of-hospital trauma, which is not found in the emer­gency room, is the need to ensure a safe environment. The safety of the scene is the rst aspect to be considered upon arrival at the target of the accident, even before the assess­ment of the injured [10]. Upon receipt of the emergency call from the Dispatch Center, the rescuer’s mind must imagine the types of real dangers they might encounter. The dangers that the scenes of a trauma can show it is good to remember that these are not limited only to road accident situations but are also present in other scenarios, from domestic to rural ones, from industrial ones to disaster situations, up to the possible situations of violence that can also be unleashed on rescuers themselves. The dangers can be represented by dif­ferent elements, such as people in possession of blades or rearms, dispersed chemical materials, which represent the most frequently encountered category, and the presence of dangerous elements that can fall on the scene. In this con­text, it is necessary to remember that meteorological situa­tions can also represent a risk. It is necessary to promptly recognize where there may be a potential hazard or risk and adopt valid strategies to mitigate the risk. This must be shared with the team even before reaching the target. Another aspect to improve the safety of operational scenar­ios is to always entrust the safety of the environment to tech­nical rescue and above all to refrain from maneuvers where sufcient safety conditions are not identied to allow the team to operate.