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22.18:

Introduction to Hemostasis

JoVE Core
Anatomy and Physiology
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JoVE Core Anatomy and Physiology
Introduction to Hemostasis

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Hemostasis is a series of rapid, defensive reactions triggered to stop excessive bleeding and promote healing after a vascular injury. It is a highly localized response governed by clotting factors and platelets that commences only at the injury site. Injury or trauma sets in the vascular phase, where the blood vessels quickly constrict to reduce blood flow. The platelet phase follows vasoconstriction, where the collagen from the damaged endothelial cell lining initiates platelet adhesion. These localized platelets are activated and release several compounds to attract more platelets, forming a loose platelet plug at the injury site. This process is termed platelet aggregation. Additionally, platelets also release clotting factors involved in the reactions of the final coagulation phase. The clotting factors convert the plasma protein fibrinogen into insoluble fibrin strands, forming a meshwork that solidifies the platelet plug into a stable clot.

22.18:

Introduction to Hemostasis

Hemostasis is a complex physiological process that prevents excessive bleeding when a blood vessel is injured. It's crucial for maintaining the integrity of the circulatory system, as it ensures that our blood remains fluid while still within the vascular network and yet clots to prevent blood loss upon vessel injury.

The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized, and carefully controlled response.

Clotting factors, such as fibrinogen, are essential in the coagulation phase. They promote the formation of fibrin, which is the primary component of the clot. Platelets not only create the initial plug but also release chemicals that activate clotting factors, thereby promoting the formation of a stable clot.

  • Vascular Phase: The first step in the hemostasis process is the vascular phase. This phase involves the vasoconstriction or narrowing of the blood vessels. It aims to reduce blood flow to the site of injury, thus minimizing blood loss.
  • Platelet Phase: Following the vascular phase, we have the platelet phase. In this phase, platelets get activated and aggregate at the site of injury to form a platelet plug. This plug acts as a temporary seal to control bleeding.
  • Coagulation Phase: The final phase of hemostasis is the coagulation phase. This phase involves the formation of a fibrin clot that reinforces the platelet plug. The fibrin clot is more stable and effectively seals the damaged blood vessel, preventing further blood loss.

Through these steps, the body effectively controls bleeding and promotes healing at the site of injury. This explanation should provide a comprehensive overview of the hemostasis process in the human body.