Clinical descriptors

The first matching condition determines the result. A driving ventilator is checked first, then an active irregular breathing pattern, then the ordinary breathing assessment.

Shallow breathing conditions include pneumothorax, an unsecured collapsed airway, absent airway reflexes without an adjunct or securing maneuver, airway inflammation above 15, or lung tissue damage above 20.

Apneic means no breathing is reported. Bradypneic means slow; tachypneic means fast; eupneic is the normal depth, normal rate wording. Poor tidal volume describes shallow breaths. The mechanically ventilated result uses delivered measurements instead of these spontaneous breathing labels.

Feel Skin reads blood volume, mean arterial pressure (MAP), arrest state and core temperature. The first matching row selects pallor and the perfusion tier.

The displayed color uses whichever is worse: perfusion tier or temperature band. Temperature bands are below 32°C, below 34°C, below 36°C, and 36°C or above. Clinical Descriptors changes clammy to diaphoretic; the live skin examination does not use every generic skin entry in the wording catalog below.

The early ICP threshold defaults to 18. Side specific text follows the injury side. PERRL means pupils equal, round and reactive to light. Anisocoria means unequal pupil size.

Nystagmus may be appended when the patient is alive, unconscious, outside arrest, not paralyzed, and the induction normalized ketamine effect is at least 1 and exceeds propofol plus midazolam. Plain wording reports rapid involuntary eye movement. This is an additional finding and does not replace the pupil examination.

The live ACM check reports a time band. It starts at 4, adjusts for blood volume when a pulse is present, and applies a MAP adjustment when blood volume is above 5 L. An arm tourniquet prevents the arm specific volume adjustment.

The band labels are the literal game output, including the final “>4” label at a computed value of exactly 4. The arm calculation maps 5.8 to 5.2 L across 2 to 4 seconds; the torso calculation maps 5.5 to 4.8 L across the same range. These volume conversions are not clamped. The generic wording catalog does not replace this live numeric result.

Clinical fracture inspection evaluates the selected limb in this order. Earlier rows take priority over later rows.

Crepitus is the grinding finding used by the game’s presentation rules. No crepitus found does not exclude a fracture: the mild fracture row explicitly uses that wording. Previous realignment is appended to the finding and does not clear severity. With Clinical Descriptors disabled, the native ACM inspection provides the result.

The response sentences include the patient name. Agonal respirations are gasping; myoclonic activity describes involuntary jerking. Ecchymosis means bruising; pharyngeal edema means swelling in the throat. Mild and significant airway inflammation retain their native wording.

These are the 38 plain/clinical pairs in the shared descriptor function. They include position names and reusable wording. Their presence in this catalog does not mean an action currently emits each row; the live assessment rules above describe the actual examination paths.