Building Medical Digital Twins with Pulse: Open Source Simulation Tools for Developers and Researchers
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itm_army_example_casualty_59

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 abdomen with severity 5.0

Death

If left untreated, casualty will die ~28 min from the initial injury.

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

Triage Tag Time: 5.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuVoice
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp38
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate78
heart_rhythmNormalSinus
interventions
  • wound_pack
iss25.0
major_injuriesTrue
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure111
diastolic_pressure75
survivable_injuriesTrue
visible_hemorrhage_severity5.0
The casualty has a critical hemorrhage from their abdomen.
You were able to pack the wound with gauze to reduce the bleeding.

The casualty is unable to walk.
The casualty is not alert.
They do move in response to your voice.
The casualty is breathing normally.
The casualty has a normal heart rate.
The casualty has a healthy capillary refill time.

 
TRISS: 93.68%
NEWS: 7
Red
 
Casualty is unable to follow commands.
Yellow
 
Casualty injuries are major.
Red
 
Casualty has catastrophic hemorrhage.

Triage Tag Time: 10.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuVoice
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp37
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate86
heart_rhythmNormalSinus
interventions
  • wound_pack
iss25.0
major_injuriesTrue
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure108
diastolic_pressure77
survivable_injuriesTrue
visible_hemorrhage_severity5.0
The casualty has a critical hemorrhage from their abdomen.
You were able to pack the wound with gauze to reduce the bleeding.

The casualty is unable to walk.
The casualty is not alert.
They do move in response to your voice.
The casualty is breathing normally.
The casualty has a normal heart rate.
The casualty has a healthy capillary refill time.

 
TRISS: 93.68%
NEWS: 8
Red
 
Casualty is unable to follow commands.
Yellow
 
Casualty injuries are major.
Red
 
Casualty has catastrophic hemorrhage.

Triage Tag Time: 15.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuVoice
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp34
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeFalse
heart_rate95
heart_rhythmNormalSinus
interventions
  • wound_pack
iss25.0
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate12
spO296
systolic_pressure107
diastolic_pressure80
survivable_injuriesTrue
visible_hemorrhage_severity5.0
The casualty has a critical hemorrhage from their abdomen.
You were able to pack the wound with gauze to reduce the bleeding.

The casualty is unable to walk.
The casualty is not alert.
They do move in response to your voice.
The casualty is breathing normally.
Casualty does not have a peripheral pulse.
The casualty has a poor capillary refill time.

 
TRISS: 93.68%
NEWS: 8
Red
 
Casualty does not have a healthy capillary refill time.
Red
 
Casualty does not have a peripheral pulse.
Casualty is likely to survive these injuries.
Red
 
Casualty has catastrophic hemorrhage.

Triage Tag Time: 20.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuVoice
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp30
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeFalse
heart_rate105
heart_rhythmSinusTachycardia
interventions
  • wound_pack
iss25.0
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate12
spO296
systolic_pressure103
diastolic_pressure80
survivable_injuriesTrue
visible_hemorrhage_severity5.0
The casualty has a critical hemorrhage from their abdomen.
You were able to pack the wound with gauze to reduce the bleeding.

The casualty is unable to walk.
The casualty is not alert.
They do move in response to your voice.
The casualty is breathing normally.
Casualty does not have a peripheral pulse.
The casualty has a poor capillary refill time.

 
TRISS: 93.68%
NEWS: 8
Red
 
Casualty does not have a healthy capillary refill time.
Red
 
Casualty does not have a peripheral pulse.
Casualty is likely to survive these injuries.
Red
 
Casualty has catastrophic hemorrhage.

Triage Tag Time: 25.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuPain
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp23
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate122
heart_rhythmSinusTachycardia
interventions
  • wound_pack
iss25.0
major_injuriesTrue
peripheral_pulseTrue
respiratory_rate13
spO296
systolic_pressure67
diastolic_pressure53
survivable_injuriesTrue
visible_hemorrhage_severity5.0
The casualty has a critical hemorrhage from their abdomen.
You were able to pack the wound with gauze 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.
The casualty is experiencing tachycardia.
The casualty has a healthy capillary refill time.

 
TRISS: 57.67%
NEWS: 11
Red
 
Casualty is unable to follow commands.
Red
 
Casualty does not obey commands or make purposeful movements.
Casualty is likely to survive these injuries.
Red
 
Casualty has catastrophic hemorrhage.

Final State if no interventions are applied: Death occurs 28.8 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuUnresponsive
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp0
breathingFalse
breathing_distressedNone
healthy_capillary_refill_timeFalse
heart_rate0
heart_rhythmAsystole
interventions
iss25.0
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate0
spO20
systolic_pressure0
diastolic_pressure0
survivable_injuriesFalse
visible_hemorrhage_severity5.0
The casualty has a critical hemorrhage from their abdomen.

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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