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In hemorrhagic shock, the priority is hemorrhage control and restoring oxygen-carrying capacity. Current trauma resuscitation principles favor damage-control resuscitation: permissive hypotension (e.g., SBP ~80–90 mmHg in non-TBI patients) and early balanced blood product administration (e.g., PRBCs, plasma, platelets in ratios guided by local protocol) rather than large volumes of crystalloids. Excessive crystalloids (A) dilute clotting factors, exacerbate acidosis, and increase mortality. High PEEP and hyperventilation (C) do not address hypovolemia and may reduce venous return. Vasopressors (D) without adequate volume can worsen tissue perfusion and are generally avoided early in hemorrhagic shock, except as a bridge in refractory cases when blood is being obtained. Monitor calcium levels during massive transfusion, maintain normothermia, prevent coagulopathy, and coordinate rapid transport to definitive surgical or interventional control.