Following violent stress or injury with severe pain a general hyperfibrinolytic state is produced after widespread or profound clotting where all the circulating fibrinogen is used up. This can also occur on inactivation of endogenous plasminogen inhibitors, for example with patients given salicylates. | Following violent stress or injury with severe pain a general hyperfibrinolytic state is produced after widespread or profound clotting where all the circulating fibrinogen is used up. This can also occur on inactivation of endogenous plasminogen inhibitors, for example with patients given salicylates. |