Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 0 0 2026 01 06 Soldier Suicide with a Firearm: A Case Report with an Approach to Hemorrhagic Shock Control in the Emergency Department 1493 1493 Hojat Rastegari Najafabadi Department of Emergency Medicine, Khatami Al-Anbia Hospital, Zahedan University of Medical Sciences, Zahedan, Iran. Aliakbar Keykha Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran. & Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran. 2025 11 16 2025 11 29 Military personnel face a heightened risk of suicide due to firearm accessibility. Bullet impacts can cause significant tissue damage and bleeding, which varies depending on the affected area. This report details a case of a 20-year-old Iranian Baluch soldier who was admitted to the emergency room with hemorrhagic shock after suicide with a firearm. The bullet damaged his mandible, tongue, and maxilla, exited from his forehead, and damaged his nose. In hemorrhagic shock, prioritize blood products over isotonic fluids; consider norepinephrine if hemodynamics remain unstable. https://aacc.tums.ac.ir/index.php/aacc/article/view/1493