Building Medical Digital Twins with Pulse: Open Source Simulation Tools for Developers and Researchers
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itm_army_example_casualty_89

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 3.0

Death

If left untreated, casualty will die ~43 min from the initial injury.

Cause of Death: Death from cardiovascular collapse.

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_rate75
heart_rhythmNormalSinus
interventions
  • tourniquet
iss9.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure112
diastolic_pressure74
survivable_injuriesTrue
visible_hemorrhage_severity3.0
The casualty has a serious hemorrhage on their left arm.
You were able to apply a tourniquet to reduce the bleeding.

The casualty is able to walk.

 
TRISS: 99.07%
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_rate80
heart_rhythmNormalSinus
interventions
  • tourniquet
iss9.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure111
diastolic_pressure77
survivable_injuriesTrue
visible_hemorrhage_severity3.0
The casualty has a serious hemorrhage on their left arm.
You were able to apply a tourniquet to reduce the bleeding.

The casualty is able to walk.

 
TRISS: 99.07%
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_pp37
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate84
heart_rhythmNormalSinus
interventions
  • tourniquet
iss9.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure109
diastolic_pressure77
survivable_injuriesTrue
visible_hemorrhage_severity3.0
The casualty has a serious hemorrhage on their left arm.
You were able to apply a tourniquet to reduce the bleeding.

The casualty is able to walk.

 
TRISS: 99.07%
NEWS: 5
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_rate89
heart_rhythmNormalSinus
interventions
  • tourniquet
iss9.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure108
diastolic_pressure78
survivable_injuriesTrue
visible_hemorrhage_severity3.0
The casualty has a serious hemorrhage on their left arm.
You were able to apply a tourniquet to reduce the bleeding.

The casualty is able to walk.

 
TRISS: 99.07%
NEWS: 5
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
avpuVoice
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp34
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate94
heart_rhythmNormalSinus
interventions
  • tourniquet
iss9.0
major_injuriesFalse
peripheral_pulseTrue
respiratory_rate12
spO296
systolic_pressure107
diastolic_pressure79
survivable_injuriesTrue
visible_hemorrhage_severity3.0
The casualty has a serious hemorrhage on their left arm.
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.
The casualty has a normal heart rate.
The casualty has a healthy capillary refill time.

 
TRISS: 97.67%
NEWS: 8
Red
 
Casualty is unable to follow commands.
Green
 
Casualty injuries are minor.
Yellow
 
Casualty has normal heart rate.

Triage Tag Time: 30.0 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_rate98
heart_rhythmNormalSinus
interventions
  • tourniquet
iss9.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate12
spO296
systolic_pressure105
diastolic_pressure80
survivable_injuriesTrue
visible_hemorrhage_severity3.0
The casualty has a serious hemorrhage on their left arm.
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: 97.67%
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: 35.0 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
iss9.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate12
spO296
systolic_pressure104
diastolic_pressure81
survivable_injuriesTrue
visible_hemorrhage_severity3.0
The casualty has a serious hemorrhage on their left arm.
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: 97.67%
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: 40.0 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_rate109
heart_rhythmSinusTachycardia
interventions
  • tourniquet
iss9.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate13
spO296
systolic_pressure102
diastolic_pressure81
survivable_injuriesTrue
visible_hemorrhage_severity3.0
The casualty has a serious hemorrhage on their left arm.
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: 97.67%
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: Death occurs 43.3 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
iss9.0
major_injuriesFalse
peripheral_pulseFalse
respiratory_rate0
spO20
systolic_pressure0
diastolic_pressure0
survivable_injuriesFalse
visible_hemorrhage_severity3.0
The casualty has a serious hemorrhage on their left arm.

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.

Distributed under the Apache License, Version 2.0.

See accompanying NOTICE file for details.