What are the four main stages of the hemostatic process?

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The normal hemostatic response to vascular injury is organized into four distinct stages:1

  1. Initial vasoconstriction: The blood vessel narrows to minimize blood loss at the site of injury.1
  2. Platelet plug formation: Platelets aggregate on and around the lesion to form a temporary plug.1
  3. Activation of coagulation: A series of biochemical reactions occurs, involving various coagulation factors, which leads to the formation of a stable fibrin meshwork.12
  4. Activation of fibrinolysis: The process by which the fibrin clot is eventually dissolved by the enzyme plasmin once the vessel has healed.13