〔Abstract〕 Objective To investigate the effect of limited fluid resuscitation in the pre-hospital emergency treatment of elderly patients with severe traumatic hemorrhagic shock. Methods A total of 86 elderly patients with severe traumatic hemorrhagic shock admitted to Xiamen Medical Emergency Center from September 2019 to March 2020 were randomly divided into two groups: control group (43 cases) and observation group (43 cases). Patients in the control group were treated with conventional fluid resuscitation, while those in the observation group were treated with limited fluid resuscitation. The blood coagulation function (prothrombin time, thromboplastin time), blood lactic acid level, clinical resuscitation related indicators (hemoglobin level, resuscitation fluid consumption) before and after resuscitation and complications of the two groups were compared. Results Before resuscitation, there were no significant differences in prothrombin time, thromboplastin time and blood lactic acid level between the two groups (P > 0.05). After resuscitation, the levels of above indexes in the two groups were lower than before, and the observation group was lower than the control group, the differences were statistically significant (P < 0.05). Compared with the control group, the observation group had higher hemoglobin level and lower resuscitation fluid use (P < 0.05). The total incidence of complications in the observation group was 2.33%, lower than that in the control group (23.26%), and the difference was statistically significant (P < 0.05). Conclusion Limited fluid resuscitation therapy in clinical is effective on pre-hospital emergency elderly patients with severe traumatic hemorrhagic shock.