From the perspective of a trauma medical director, this class discusses shock as it relates to trauma and how it applies in the prehospital setting. Trauma is something that all prehospital providers experience throughout their career. This class will provide tools that may help in early recognition and treatment of shock. Topics include recognition of hemorrhagic and nonhemorrhagic causes of shock, the importance of and available techniques to control bleeding, review of recent updates to field triage guidelines, the pathophysiology of shock and its effect on patient outcomes, and patient monitoring and treatment recommendations focused on the prehospital and emergency setting.