Objective To explore the application effect of emergency standardized first aid process for patients with fulminant myocarditis (FM) in emergency department. Methods A total of 80 patients suspected of FM treated in the emergency department were divided into 2 groups of 40 cases each according to the time of admission. The control group was subjected to traditional first aid process, while the observation group was subjected to a standardized first aid process for FM. Results A total of 31 patients in the control group and 40 patients in the observation group completed the study. The FM triage accuracy in the observation group was significantly higher than that in the control group, and the emergency room waiting time and the length of stay in the emergency room among patients later confirmed FM in the observation group were significantly shorter than those in the control group (all P.<0.05). After the implementation of the standardized first aid process, the scores of safety atmosphere and management perception dimensions in the safety attitude of emergency medical staff were higher than those before the implementation (all P.<0.05). Conclusion Establishment and implementation of the stan-dardized of emergency first aid process, is helpful for early screening and identifying FM patients, shortens the waiting time and stay time in the emergency department ,and improve the efficiency of patient treatment.