Building Medical Digital Twins with Pulse: Open Source Simulation Tools for Developers and Researchers
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itm_army_eval10k_casualty_8927

Each section below is independent and represents the duration time since the injury.

These sections represent the status of the patient as if a medical professional just arrived to triage the patient at the provided time.

Injury

Casualty has a hemorrhage on the extremity with severity 2.0

Death

If left untreated, casualty will die ~60 min from the initial injury.

Cause of Death: Death from a brain O2 deficit lasting 180s.

Triage Tag Time: 15.0 min from point of injury

Vitals Description START SALT BCD
age36
avpuAlert
ambulatoryTrue
blunt_traumaFalse
brain_o2_pp38
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate80
heart_rhythmNormalSinus
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure110
diastolic_pressure76
survivable_injuriesTrue
visible_hemorrhage_severity2.0
The casualty has a moderate hemorrhage on their right leg.
You were able to apply a tourniquet to reduce the bleeding.

The casualty is able to walk.

 
TRISS: 99.33%
NEWS: 4
Green
 
Casualty is ambulatory.
Green
 
Casualty is ambulatory.
Green
 
Casualty is ambulatory.

Intervention

A tourniquet was applied to the casualty's wounded extremity. Casualty state an hour after the intervention is performed.

Vitals Description START SALT BCD
age36
avpuAlert
ambulatoryTrue
blunt_traumaFalse
brain_o2_pp36
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate90
heart_rhythmNormalSinus
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO296
systolic_pressure107
diastolic_pressure79
survivable_injuriesTrue
visible_hemorrhage_severity2.0
Casualty has been waiting 60 min for further care.



 
TRISS: 99.33%
NEWS: 5
Green
 
Casualty is ambulatory.
Green
 
Casualty is ambulatory.
Green
 
Casualty is ambulatory.

Triage Tag Time: 60.0 min from point of injury

Vitals Description START SALT BCD
age36
avpuPain
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp16
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeFalse
heart_rate134
heart_rhythmSinusTachycardia
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate12
spO294
systolic_pressure47
diastolic_pressure38
survivable_injuriesTrue
visible_hemorrhage_severity2.0
The casualty has a moderate hemorrhage on their right leg.
You were able to apply a tourniquet to reduce the bleeding.

The casualty is unable to walk.
The casualty is not alert.
They are not responding to your voice, but they are responding to pain stimuli.
The casualty is breathing normally.
Casualty does not have a peripheral pulse.
The casualty has a poor capillary refill time.

 
TRISS: 72.08%
NEWS: 13
Red
 
Casualty does not have a healthy capillary refill time.
Red
 
Casualty does not obey commands or make purposeful movements.
Casualty is likely to survive these injuries.
Red
 
Casualty is not responding to voice.

Intervention

A tourniquet was applied to the casualty's wounded extremity. Casualty state an hour after the intervention is performed.

Vitals Description START SALT BCD
age36
avpuPain
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp24
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeFalse
heart_rate123
heart_rhythmSinusTachycardia
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate13
spO294
systolic_pressure74
diastolic_pressure59
survivable_injuriesTrue
visible_hemorrhage_severity2.0
Casualty has been waiting 60 min for further care.



 
TRISS: 84.24%
NEWS: 12
Red
 
Casualty does not have a healthy capillary refill time.
Red
 
Casualty does not obey commands or make purposeful movements.
Casualty is likely to survive these injuries.
Red
 
Casualty is not responding to voice.

Final State if no interventions are applied: Death occurs 60.4 min from point of injury

Vitals Description START SALT BCD
age36
avpuUnresponsive
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp0
breathingFalse
breathing_distressedNone
healthy_capillary_refill_timeFalse
heart_rate0
heart_rhythmAsystole
interventions
iss4.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate0
spO20
systolic_pressure0
diastolic_pressure0
survivable_injuriesFalse
visible_hemorrhage_severity2.0
The casualty has a moderate hemorrhage on their right leg.

The casualty is unable to walk.
The casualty is unresponsive to any stimuli.
Casualty is not breathing.
Repositioning their airway did not help breathing.
Casualty does not have a peripheral pulse.
The casualty has a poor capillary refill time.

 
TRISS: 0.00%
NEWS: 0.0
Black
 
Casualty is not breathing.
Repositioning their airway did not help breathing.
Black
 
Casualty is not breathing.
Repositioning their airway did not result in spontaneous breathing.
Black
 
Casualty is not breathing.
Repositioning their airway did not help breathing.

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