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Journal of Pediatric Oncology Nursing
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Theories of Blood Coagulation

James P. Riddel, Jr., MS, RN, CPNP

Division of Hematology at Children's Hospital and Research Center Oakland, Oakland, California, jriddel{at}mail.cho.org

Bradley E. Aouizerat, PhD

Department of Physiological Nursing & Institute for Human Genetics at the University of California, San Francisco

Christine Miaskowski, RN, PhD

Department of Physiological Nursing at the University of California, San Francisco

David P. Lillicrap, MD, FRCPC

Department of Pathology & Molecular Medicine at Queen's University, Kingston, Ontario, Canada

Although the concept of the coagulation cascade represented a significant advance in the understanding of coagulation and served for many years as a useful model, more recent clinical and experimental observations demonstrate that the cascade/waterfall hypothesis does not fully and completely reflect the events of hemostasis in vivo. The goal of this article is to review the evolution of the theories of coagulation and their proposed models to serve as a tool when reviewing the research and practice literature that was published in the context of these different theories over time.

Key Words: coagulation • coagulation cascade • cell-based theory of coagulation • bleeding disorders

Journal of Pediatric Oncology Nursing, Vol. 24, No. 3, 123-131 (2007)
DOI: 10.1177/1043454206298693


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