Hemorrhagic shock is one of the main causes of death in trauma patients, and damage control resuscitation (DCR) has become the first choice of resuscitation. Replenishing lost and depleted clotting factors is the key to resuscitation. DCR first addresses coagulation dysfunction in patients with traumatic shock by early infusion of blood products, while limiting crystallographic infusion. Its theoretical core includes permissive hypotensive resuscitation, hemostatic resuscitation, damage control surgery (DCS), timely correction of metabolic acidosis, strengthening management of hypocalcemia and hyperkalemia, and prevention of hypothermia. This case was a hemorrhagic shock patient with complete rupture of femoral artery and femoral vein due to severe left lower limb trauma. Immediately after admission, the patient was correctly identified and DCR was initiated. Early intervention was performed to correct coagulation dysfunction, maintain internal environment stability, prevent hypothermia, and successfully completed DCS under permissive hypotensive resuscitation.