Background: The nurse must be aware of specific assessment findings that are associated with abdominal trauma and immediate recognition of problems and prevention of occurrence complications. The aim of this study was to determine the effectiveness of implementing emergency nursing intervention on clinical outcomes of abdominal trauma patients. Design quasi experimental research design was used. Setting the study was conducted at causality hospital affiliated to Tanta University and Elminshawy general hospital affiliated to Ministry of health. Sample a convenient sample of (60) adult patients who had abdominal trauma injury, had inclusion criteria and scheduled for emergency nursing intervention was selected and divided randomly into two equal groups, 30 patients in each group. Tools of the study: three tools were used for data collection: trauma patient assessment tool, hemodynamic instability score, and an observational check list. The results showed that half of the control and study groups had substantial beginning requirements and that the patient has a robust continuous volume need for the examined patient (score 4). Also, half of the control and study groups had large-resolved prearrival hypotension or tachycardia (score 1) before the emergency nursing intervention, whereas fewer than three quarters of the control and study groups had never been hypotensed or tachycardic. After the nursing intervention, there was a statistically significant difference in the mean total score between the control and study groups. Conclusions: patients showed an improvement in their hemodynamic stabilization, Glasgow coma scale (GCS) equal 15, decrease length stay and free from complications after received emergency nursing intervention. Recommendations: Implementation of emergency nursing intervention for abdominal trauma patients upon admission until