Pelvic fractures which often result from high-energy trauma are critical and life-threatening injuries. The mortality rate is also high due to bleeding in the acute phase, followed by hemorrhagic shock and associated organ injuries. The emergency management of the patient with pelvic fracture is critical to provide enough time to the surgeon for optimal treatment and to prevent hemorrhagic shock, thereby reducing mortality. Emergency interventions for pelvic fractures include fluid replacement, external fixator applications, angiographic embolization, surgical exploration and hemostasis, and retroperitoneal packing techniques. On the other hand, the possible early and late complications of pelvic fractures include hemorrhagic shock, urethral and perineal injuries, neurological injuries, chronic pain and shortening of the limb. Appropriate emergency management in a timely manner reduces the mortality and complication rate to minimum. Therefore, emergency management of the patient with pelvic fracture should be performed immediately by the orthopedic surgeon using early intervention techniques. Associated organ injuries should be also kept in mind and a multidisciplinary approach should be addressed.