High-energy trauma-induced pelvic fractures often cause hemodynamic instability which is the first cause of death in their victims. Rapid and effective control of massive bleeding in patients with pelvic fracture is still a clinical challenge for which there have been no well-accepted standards for clinical diagnosis and treatment. Although the development of pelvic packing and angiographic embolization has raised the survival rate for patients undergoing massive hemorrhage after pelvic fracture, their martality rate still fluctuates between 30% and 50%. This review introduces the recent advances made in pelvic packing and angiographic embolization used in clinical emergency treatment of massive hemorrhage following pelvic fracture, hoping to provide useful knowledge for clinicians who may handle this condition.