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Clotting basics

What is haemostasis?

Learn how blood vessels, platelets and clotting factors work together to limit blood loss, and where topical haemostats fit.

See red blood cells in motion
How haemostasis limits bleeding
  1. Vessel responseThe vessel narrows near the injury.
  2. Platelet plugPlatelets gather and form a temporary plug.
  3. CoagulationThrombin converts fibrinogen into fibrin.
  4. Fibrin clotA fibrin network reinforces the plug.

These responses overlap.

The vessel responds

Haemostasis is the process that limits bleeding after a blood vessel is damaged. The vessel can narrow at the injury, reducing local blood flow while platelets and clotting proteins begin to act.

Platelets form a plug

Platelets are small cell fragments in the blood. They attach at the injury, become activated and recruit other platelets. This creates a temporary plug over the break in the vessel.

Fibrin strengthens the plug

Coagulation involves a series of reactions between clotting proteins. One result is the production of thrombin, an enzyme that converts soluble fibrinogen into fibrin. Fibrin forms a network that reinforces the platelet plug.

These responses overlap. A useful way to remember them is that the vessel limits flow, platelets build the initial plug and fibrin gives it more stability.

Where topical haemostats fit

A topical haemostat is a material or agent used at a bleeding surface. In surgery it can serve as an adjunct to the team’s bleeding-control methods. Its material and intended use are defined in the documentation for that product.

Red blood cells in motion.

Watch red blood cells move through a vessel. The diagram above shows how platelets and fibrin help form a clot.

Animation of red blood cells travelling through a vessel

For professional education and procurement. Consult the current product instructions for use for clinical decisions.

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