Building Medical Digital Twins with Pulse: Open Source Simulation Tools for Developers and Researchers
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itm_army_example_casualty_91

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 4.0

Death

If left untreated, casualty will die ~36 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_rate77
heart_rhythmNormalSinus
interventions
  • tourniquet
iss16.0
major_injuriesTrue
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure112
diastolic_pressure75
survivable_injuriesTrue
visible_hemorrhage_severity4.0
The casualty has a severe hemorrhage on their right 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: 96.38%
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_rate82
heart_rhythmNormalSinus
interventions
  • tourniquet
iss16.0
major_injuriesTrue
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure110
diastolic_pressure77
survivable_injuriesTrue
visible_hemorrhage_severity4.0
The casualty has a severe hemorrhage on their right 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: 96.38%
NEWS: 7
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_pp37
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeTrue
heart_rate89
heart_rhythmNormalSinus
interventions
  • tourniquet
iss16.0
major_injuriesTrue
peripheral_pulseTrue
respiratory_rate12
spO297
systolic_pressure108
diastolic_pressure78
survivable_injuriesTrue
visible_hemorrhage_severity4.0
The casualty has a severe hemorrhage on their right 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: 96.38%
NEWS: 8
Red
 
Casualty is unable to follow commands.
Yellow
 
Casualty injuries are major.
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_pp34
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeFalse
heart_rate95
heart_rhythmNormalSinus
interventions
  • tourniquet
iss16.0
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate12
spO296
systolic_pressure106
diastolic_pressure80
survivable_injuriesTrue
visible_hemorrhage_severity4.0
The casualty has a severe hemorrhage on their right 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: 96.38%
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
avpuVoice
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp31
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeFalse
heart_rate101
heart_rhythmSinusTachycardia
interventions
  • tourniquet
iss16.0
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate12
spO296
systolic_pressure104
diastolic_pressure79
survivable_injuriesTrue
visible_hemorrhage_severity4.0
The casualty has a severe hemorrhage on their right 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: 96.38%
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: 30.0 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
iss16.0
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate13
spO296
systolic_pressure103
diastolic_pressure80
survivable_injuriesTrue
visible_hemorrhage_severity4.0
The casualty has a severe hemorrhage on their right 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: 96.38%
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: 35.0 min from point of injury

Vitals Description START SALT BCD
age44.0
avpuPain
ambulatoryFalse
blunt_traumaFalse
brain_o2_pp16
breathingTrue
breathing_distressedFalse
healthy_capillary_refill_timeFalse
heart_rate133
heart_rhythmSinusTachycardia
interventions
  • tourniquet
iss16.0
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate11
spO293
systolic_pressure47
diastolic_pressure39
survivable_injuriesTrue
visible_hemorrhage_severity4.0
The casualty has a severe hemorrhage on their right arm.
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 slowly.
Casualty does not have a peripheral pulse.
The casualty has a poor capillary refill time.

 
TRISS: 54.18%
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 has catastrophic hemorrhage.

Final State if no interventions are applied: Death occurs 36.9 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
iss16.0
major_injuriesTrue
peripheral_pulseFalse
respiratory_rate0
spO20
systolic_pressure0
diastolic_pressure0
survivable_injuriesFalse
visible_hemorrhage_severity4.0
The casualty has a severe hemorrhage on their right 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.