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However, accumulated interfacial blood causes delayed clotting in adhesion\u2010reliant dense hemostats, and rapid but off\u2010site coagulation in absorptive porous materials. Here, we present MAGIC (Micromesh\u2010At\u2010Grid Integrated Cotton) gauze, which leverages a reversible transition between dense and porous states to precisely coordinate the spatial and temporal dynamics of coagulation. This transition is achieved by a pressure\u2010responsive micromesh composed of supramolecular procoagulant microparticles. Spatially, blood\u2010derived ions trigger the gelation of these procoagulant particles on the gauze surface, laterally repelling interfacial blood to ensure on\u2010site coagulation. Temporally, applied pressure induces micromesh dissociation to re\u2010expose the gauze macropores for wicking residual fluid, followed by the rapid co\u2010assembly of sol\u2010state procoagulant particles with blood components. This tightly synchronized process seals the cleared wound with a robust clot. Consequently, a single MAGIC pad arrested lethal porcine femoral artery hemorrhage within 30 s. Compared to standard gauze, it reduced blood loss by 98%, cotton consumption by 96%, treatment costs by 83%, and lifecycle CO\n                    <jats:sub>2<\/jats:sub>\n                    emissions by 84%. Collectively, MAGIC gauze delivers exceptional preclinical first aid efficacy while pioneering a viable pathway for the decarbonization of surgical consumables.\n                  <\/jats:p>","DOI":"10.1002\/adma.75091","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:25:26Z","timestamp":1789971926000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Micromesh\u2010At\u2010Grid Integrated Cotton (MAGIC) Gauze with Pressure\u2010Responsive Pore Gating Enables Sustainable Hemostasis via Spatiotemporally Coordinated Coagulation"],"prefix":"10.1002","author":[{"given":"Yirong","family":"Zeng","sequence":"first","affiliation":[{"name":"The State Key Laboratory of Metal Matrix Composites School of Materials Science and Engineering and National Center For Translational Medicine Shanghai Jiao Tong University  Shanghai 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