Tactical Combat Casualty Care (TCCC) Practice Test 2026 - Free TCCC Practice Questions and Study Guide

Excessive IV fluid in the context of internal hemorrhage can exacerbate the bleeding for several reasons. When a patient is experiencing internal hemorrhage, their body is already losing blood and thus volume. Administering a large volume of IV fluid can increase the pressure within the circulatory system. This increased pressure can lead to further bleeding from the site of the hemorrhage, as the body may be unable to manage the added volume effectively. This is particularly critical in cases where the hemostatic mechanisms are already challenged due to significant blood loss.

In managing internal hemorrhage, it is essential to focus on controlling the source of the hemorrhage and maintaining adequate perfusion without overloading the vascular system. It is crucial to balance fluid resuscitation with the need to avoid exacerbating the injury, which is why controlling the amount of IV fluid given is paramount in these situations.