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Initially, when the patient suffers a major wound in an artery or, to a lesser extent, an arteriole, his blood pressure will drop dramatically. The systolic system is under great pressure and a puncture in that system would result in a drop in blood pressure. That would result in a lack of return to the heart, which would decrease baroreceptor firing and thereby increase sympathetic activity . That increase in sympathetic activity will increase the patient's heart rate, which will expel further blood from the heart . In the case of hemorrhage that blood, which follows the path of least resistance, would exit through the wound...
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