Shock is a life threatening condition. The management of an hemorrhagic shock, whether traumatic or not, requires early identification of the bleeding source and adequate hemodynamic support. The diagnosis accuracy is based on clinical, hemodynamic, radiologic and biochemical findings which also allow appraisal of the treatment efficiency. Treatment should be goal-oriented with rapid hemorrhage control by surgery, interventional radiology or drug support. Circulatory resuscitation is aimed to restore adequate tissue perfusion and oxygenation and should be closely monitored.