1. Platelets clump at the site of the puncture and partially seal the leak
2. Platelets and injured tissues release the enzyme prothrombin activator
3. Prothrombin is converted to thrombin
4. Thrombin severs two short amino acid chains from each fibrinogen molecule
5. These activated chains join end to end to form long fibrin threads
6. Fibrin threads entangle red cells and platelets in the damaged area and form the framework of the clot