Building Medical Digital Twins with Pulse: Open Source Simulation Tools for Developers and Researchers
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itm_army_example_casualty_88

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

Triage Tag Time: 5.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuAlert
ambulatoryTrue
blunt_traumaFalse
brain_o2_pp38
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate74
heart_rhythmNormalSinus
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure113
diastolic_pressure74
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.

Triage Tag Time: 10.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuAlert
ambulatoryTrue
blunt_traumaFalse
brain_o2_pp38
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate77
heart_rhythmNormalSinus
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure112
diastolic_pressure75
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.

Triage Tag Time: 15.0 min from point of injury

Vitals Description START SALT BCD
age44.0
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_pressure111
diastolic_pressure77
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.

Triage Tag Time: 20.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuAlert
ambulatoryTrue
blunt_traumaFalse
brain_o2_pp37
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate83
heart_rhythmNormalSinus
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure110
diastolic_pressure77
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.

Triage Tag Time: 25.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuAlert
ambulatoryTrue
blunt_traumaFalse
brain_o2_pp37
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate86
heart_rhythmNormalSinus
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure109
diastolic_pressure78
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: 5
Green
 
Casualty is ambulatory.
Green
 
Casualty is ambulatory.
Green
 
Casualty is ambulatory.

Triage Tag Time: 30.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuAlert
ambulatoryTrue
blunt_traumaFalse
brain_o2_pp36
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate89
heart_rhythmNormalSinus
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure107
diastolic_pressure78
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: 5
Green
 
Casualty is ambulatory.
Green
 
Casualty is ambulatory.
Green
 
Casualty is ambulatory.

Triage Tag Time: 35.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuAlert
ambulatoryTrue
blunt_traumaFalse
brain_o2_pp35
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate92
heart_rhythmNormalSinus
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO296
systolic_pressure107
diastolic_pressure79
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: 5
Green
 
Casualty is ambulatory.
Green
 
Casualty is ambulatory.
Green
 
Casualty is ambulatory.

Triage Tag Time: 40.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuVoice
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp33
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeFalse
heart_rate96
heart_rhythmNormalSinus
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate12
spO296
systolic_pressure106
diastolic_pressure80
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 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: 98.31%
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.
Yellow
 
Casualty has normal heart rate.

Triage Tag Time: 45.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuVoice
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp32
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeFalse
heart_rate100
heart_rhythmSinusTachycardia
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate12
spO296
systolic_pressure105
diastolic_pressure80
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 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: 98.31%
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 elevated heart rate.

Triage Tag Time: 50.0 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_rate104
heart_rhythmSinusTachycardia
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate13
spO296
systolic_pressure104
diastolic_pressure81
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 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: 98.31%
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 elevated heart rate.

Triage Tag Time: 55.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuVoice
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp29
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeFalse
heart_rate108
heart_rhythmSinusTachycardia
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate13
spO296
systolic_pressure104
diastolic_pressure81
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 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: 98.31%
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 elevated heart rate.

Final State if no interventions are applied: 60.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuPain
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp17
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate122
heart_rhythmSinusTachycardia
interventions
  • tourniquet
iss4.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO296
systolic_pressure47
diastolic_pressure39
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.
The casualty is experiencing tachycardia.
The casualty has a healthy capillary refill time.

 
TRISS: 72.08%
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 is not responding to voice.

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