〔Abstract〕 Objective To analyze the clinical application value of emergency ultrasound in the evaluation and treatment of patients with severe traumatic hemorrhagic shock. Methods From January 2019 to December 2020, 128 patients with severe traumatic hemorrhagic shock treated by central venipuncture in the 91811 Army Hospital of the Chinese People's Liberation Army were selected for the study, and they were divided into the observation group (64 Cases, fluid resuscitation under emergency ultrasound evaluation) and the control group (64 cases, conventional fluid resuscitation by random number table method). The fluid resuscitation and the success rate of puncture were compared between the two groups. Results After 1 hour of fluid resuscitation, there was no statistically significant difference in heart rate (HR), mean arterial pressure (MAP), urine output, pH, alkaline excess (BE), and lactic acid (Lac) levels between the two groups of patients (P > 0.05); fluid resuscitation for 24 hours, the HR and Lac of the observation group were significantly lower than those of the control group, and the MAP, urine output, pH, and BE were significantly higher than those of the control group, the differences were statistically significant (P < 0.05). After 24 hours of resuscitation, the amount of fluids and drug application time in the observation group were significantly lower than those in the control group, and the lactic acid clearance rate and tissue oxygen saturation (StO2) were significantly higher than those in the control group. The differences were statistically significant (P < 0.05). The one-time puncture success rate and overall puncture success rate of the observation group were significantly higher than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion Emergency ultrasound has better evaluation value for fluid resuscitation in patients with traumatic hemorrhagic shock and can be used as a method to predict the condition of patients.