This new medical evidence suggests that an attacker, positioned behind and below his victim, fired a single arrow that struck the Iceman's left shoulder blade–precisely the area at which prehistoric hunters aimed to bring down game with one shot. The arrow went clean through the bone and pierced the artery. Blood instantly began to gush out, filling the space between the shoulder blade and the ribs. In his few remaining minutes of life, the Iceman became a textbook case of what is now known as hemorrhagic shock. His heart started to race. Sweat drenched his garments, even at an altitude two miles (three kilometers) above sea level. He felt increasingly faint because not enough oxygen was reaching his brain. In a matter of a few minutes, the Iceman collapsed, lost consciousness, and bled out.