The injury pattern of vertical pelvic fracture was rotationally and vertically unstable, with a complete disruption of the posterior osseous ligamentous structure of the pelvis [
1]. Patients with unstable pelvic ring fracture, Young-Burgess classification types B and C showed significantly worse vital signs compared with type A, presenting a higher ratio of patients in shock already in the field for them [
2]. This case was an unstable pelvic ring fracture, Young-Burgess classification type C, but hemorrhagic shock did not develop, not based on its injury severity. Initial resuscitative management was performed without massive transfusion, and operative management was carried out next day during the skeletal traction. Therefore, resuscitative treatment for pelvic fracture should be determined based on the hemodynamics and bleeding tendency of patient, with even unstable pelvic ring fracture.