To address the conflict between the reserve of repair materials for existing bridge piers and the demands for emergency repairs, as well as the challenge of converting temporary emergency structures into permanent ones without significant disassembly, a novel composite emergency steel pier has been developed. This pier utilizes commonly available thin-walled steel tube sections as the framework, I-beams as the connecting elements, and incorporates a "temporary-permanent" transition function. Taking the emergency steel pier for medium-height bridge piers in high-speed rail systems as an example, this study introduces three evaluation metrics—security coefficient (n), stability coefficient k), and variation coefficient (V)—analyzing the factors influencing the design and application thresholds of the emergency steel piers from perspectives of strength, stability, and load distribution uniformity. Based on this, a rapid design method for composite emergency steel piers with thin-walled steel tube frameworks that does not require numerical simulation has been developed and experimentally validated. Research findings indicate that when used for the emergency repair of medium-height or lower bridge piers in high-speed railways, the column line stiffness of the thin-walled steel tube framework composite emergency steel piers should range between 0.34 × 10 exp7 kN/mm to 4.15 × 10 exp7 kN/mm. The transverse and longitudinal spacing of the columns should be 1 m to 3 m and 1.5 m to 3 m respectively. The line stiffness of the plinth beams I and II should be greater than 0.69 kN/mm and 1.01 kN/mm respectively. Within these parameter ranges, the emergency steel pier will not experience strength failure or instability, and the load distribution among the columns remains uniformly favorable. In applications to other scenarios, the rapid generation of composite emergency steel piers with thin-walled steel tube frameworks can be achieved by following three steps: parameter selection and structural configuration determination, calculation of the pier-beam linear stiffness ratio, and criterion-based result verification. The rapid design and implementation of composite emergency steel piers help alleviate the contradiction between material stockpiling and repair demands. Furthermore, the pre-designed "temporary-permanent" transition functionality facilitates integrated operations for emergency repairs and permanent restorations.