Diss e mi na ted Int rav ascu l a r Co agu l at i on (D I C) The DIC process can be divided into three sta g es: • Hypercoagulable (Stage I) • Secondary fi br i no l yt i c (Stage II) • Hypocoagulable (Stage III) Hy p e rcoagul a b l e ( S t a ge I ) DIC i s commo nly i n i t ia t e d th ro ugh rel e as e o f t issu e fa c t or (TF) and F V IIa act i vat i on of the ex t r i ns i c path w ay, resu l t in g i n a dep o s i t i on of th r omb i n i n the microci r c u la t io n s y s t em . TF i s norma l l y co nt ai n e d w i th i n t he cell u l a r membra ne a nd encrypted. However, t r aumat i c t i ssue i njury, r e quired major resuscitation, or major surgery, exposes TF to the bloodstream. TF expression can also oc c ur when m o nocytes are act i vated by sepsis, e ndotoxin, the presence of cancero u s ce ll s, or i n pregnan c y when amn i ot i c f l u i d penetrates the maternal blood stream. I n s ...