Building Medical Digital Twins with Pulse: Open Source Simulation Tools for Developers and Researchers
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itm_army_example_casualty_7

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 airway_obstruction on the head_and_neck with severity 6.0

Death

If left untreated, casualty will die ~10 min from the initial injury.

Cause of Death: Death from SpO2 < 85 for 140s.

Triage Tag Time: 5.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuUnresponsive
ambulatoryFalse
blunt_traumaTrue
brain_o2_pp35
breathingTrue
breathing_distressedTrue
healthy_capillary_refill_timeFalse
heart_rate135
heart_rhythmSinusTachycardia
interventions
iss75
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate21
spO286
systolic_pressure108
diastolic_pressure83
survivable_injuriesFalse
visible_hemorrhage_severity0
There is no visible injury to the casualty.
There is not a visible hemorrhage.

The casualty is unable to walk.
The casualty is unresponsive to any stimuli.
The casualty is breathing rapidly.
The casualty's breathing is distressed.
Casualty does not have a peripheral pulse.
The casualty has a poor capillary refill time.

 
TRISS: 3.22%
NEWS: 12
Red
 
Casualty does not have a healthy capillary refill time.
Black
 
Casualty does not obey commands or make purposeful movements.
Casualty is NOT likely to survive these injuries.
Red
 
Casualty is not responding to voice.

Triage Tag Time: 10.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuUnresponsive
ambulatoryFalse
blunt_traumaTrue
brain_o2_pp35
breathingTrue
breathing_distressedTrue
healthy_capillary_refill_timeFalse
heart_rate139
heart_rhythmSinusTachycardia
interventions
iss75
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate34
spO282
systolic_pressure108
diastolic_pressure83
survivable_injuriesFalse
visible_hemorrhage_severity0
There is no visible injury to the casualty.
There is not a visible hemorrhage.

The casualty is unable to walk.
The casualty is unresponsive to any stimuli.
The casualty's breathing is very rapid and shallow.
The casualty's breathing is distressed.
Casualty does not have a peripheral pulse.
The casualty has a poor capillary refill time.

 
TRISS: 2.56%
NEWS: 13
Red
 
Casualty respiratory rate greater than 30 breaths per minute.
Black
 
Casualty does not obey commands or make purposeful movements.
Casualty is NOT likely to survive these injuries.
Red
 
Casualty is not responding to voice.

Final State if no interventions are applied: Death occurs 10.7 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuUnresponsive
ambulatoryFalse
blunt_traumaTrue
brain_o2_pp0
breathingFalse
breathing_distressedNone
healthy_capillary_refill_timeFalse
heart_rate0
heart_rhythmAsystole
interventions
iss75
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate0
spO20
systolic_pressure0
diastolic_pressure0
survivable_injuriesFalse
visible_hemorrhage_severity0
There is no visible injury to the casualty.
There is not a visible hemorrhage.

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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