Nothing creates more fear in the healthcare worker assigned to care for the traumatically injured patient than learning that the patient is also pregnant. Jeff Solheim addresses the physiologic changes of pregnancy and how they impact the assessment, recognition of shock, and management of trauma in this unique patient population. Attendees will learn how trauma mechanisms, maternal–fetal priorities, and altered hemodynamics impact recognition of shock, diagnostic decisions, and life-saving interventions. Using evidence-based guidelines, the session provides practical strategies to optimize outcomes for both mother and fetus during high-risk trauma resuscitations.