Hemorrhagic shock remains one of the leading causes of preventable death in pediatric trauma. Children present unique challenges due to their distinct anatomical and physiological characteristics—such as higher total body water content, heart rate-dependent cardiac output, and limited physiologic reserves. Early identification and rapid intervention are critical as pediatric patients can maintain normal blood pressure until significant blood loss has occurred. This chapter provides a structured overview of the assessment and management of hemorrhagic shock in children, tailored to the needs of primary care providers (PCPs), including nurses, paramedics, and frontline clinicians in emergency settings. Emphasis is placed on systematic approaches like the Pediatric Assessment Triangle and the ABCDE framework, alongside practical insights into intravenous access, fluid resuscitation, blood transfusion strategies, and when to escalate care. Through illustrative case scenarios, the chapter highlights the importance of early recognition of compensated versus decompensated shock, safe fluid management, and teamwork in trauma settings. A section on family support signifies the psychosocial toll of pediatric trauma while special attention is given to the role of PCPs in initial stabilization, ongoing monitoring, and coordination with trauma teams. The content also integrates evidence-informed practices on massive transfusion protocols, use of tranexamic acid, and perioperative readiness for surgical control of bleeding. This resource equips PCPs with the knowledge to act decisively, save lives, and deliver compassionate, child-focused trauma care in resource-constrained or rural settings.