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01), factor X (p less then 0.01), and fibrinogen levels (p less then 0.01). Thrombin generation was well preserved. Fibrinolytic biomarkers were raised correlating with the degree of shock (p less then 0.01), and 8% of casualties had hyperfibrinolysis on ROTEM analysis. Plasmin-antiplasmin complexes (p less then 0.01) and d-dimer levels (p = 0.01) were higher and clot firmness lower (p = 0.02) in those injured by explosion compared to GSW's. Conclusions ATC was present and correlated with shock, similar to civilian trauma. Thrombin gen