Background:Hemorrhage occurs when there is excessive external or internal blood loss. Shock occurs when there is hypoperfusion of vital organs. The present study was conducted in the department of general medicine. Materials & Methods: The present study was conducted in the department of general medicine on 520 patients of both genders. An estimated blood loss more than 40% (more than 2000 ml for a 70 kg man) of blood volume and a SBP <90 mmHg was considered. Results: Out of 520 patients, males were 280 and females were 240. The difference was non- significant (P- 0.1).Out of 280 males, 198 survived and 82 died. Out of 240 females, 170 survived and 70 died. Common cause of shock was road traffic accident in males (120) and females (110), fall in males (100) and females (80) and assault in males (60) and females (50). The difference was significant (P< 0.05).SBP (mean± S.D) in males was 124± 16 and in females was 110± 12. Pulse (mean± S.D) in males was 108.2± 10 and in females was 106.4± 14. Conclusion: Hemorrhagic shock is the leading cause of deaths worldwide. Males had higher number as compared to females. The deaths were more in males. Key words: Blood, Hemorrhagic shock, Hypoperfusion