Well, in this case, one would follow the other. Punctured lungs, perhaps other internal organs, leading to internal bleeding (if that wasn't already happening, it was very likely) and shock.

Or, you know, we could do this like rational beings.

Julian takes another couple steps closer as he speaks, voice calm and as reassuring as he can possibly make it: the man's bristling at Worf, not necessarily him, even with that glare. Even so, he's well within the circle of the man's prior attack now, and he's ready to get out of it in a moment's notice if need be.

"We can explain everything, truly we can, it's a little much but you're not alone in this. And we can help you. You're seriously injured." Obviously.