{ "cases": [ { "id": "CASE-TRAUMA-DISASTER-SYN-001", "title_zh": "高速交通伤：院前预警到早期复评", "title_en": "High-speed transport injury: pre-alert to early reassessment", "case_type": "synthetic teaching case", "mode": "challenge", "duration_min": 45, "review_status": "pending_clinician_review", "source_type": "teaching_illustration", "source_refs": [ "lesson-1", "lesson-2" ], "deidentification_status": "synthetic_no_real_patient", "trigger_zh": "32岁男性，高速交通伤。院前报告提示烦躁、呼吸急促、右下肢活动性出血。预计2分钟后到达。", "trigger_en": "A 32-year-old man after high-speed traffic injury. Prehospital report notes agitation, rapid breathing, and active right lower-limb bleeding. Arrival is expected in 2 minutes.", "monitor": { "HR": "trend elevated", "BP": "trend concerning", "SpO2": "trend vulnerable", "RR": "trend increased", "GCS": "watch change", "Temperature": "warming risk", "Elapsed Time": "0 min" }, "stages": [ { "id": "pre-alert", "title_zh": "院前预警", "title_en": "Pre-alert", "information_zh": "机制和途中表现提示需要完整团队准备，但仍有许多未知信息。", "information_en": "The mechanism and en-route appearance suggest whole-team readiness, with many unknowns remaining.", "preferred_choice_zh": "建立创伤团队角色、共享 xABCDE 板和资源准备语言。", "preferred_choice_en": "Set trauma-team roles, a shared xABCDE board, and resource-readiness language.", "unsafe_choice_zh": "只围绕单一损伤区域准备。", "unsafe_choice_en": "Prepare around only one suspected injury region.", "feedback_zh": "单线准备会削弱团队对外出血、气道、呼吸和循环的并行关注。", "feedback_en": "Single-lane preparation weakens parallel attention to external bleeding, airway, breathing, and circulation.", "state_delta": { "elapsedTime": "time used for team readiness", "patient": "risk remains incompletely characterized" } }, { "id": "arrival", "title_zh": "到院交接", "title_en": "Arrival handoff", "information_zh": "可见出血、呼吸表现和躁动信息同时进入团队画面。", "information_en": "Visible bleeding, breathing appearance, and agitation enter the team picture together.", "preferred_choice_zh": "用观察事实报告 x/B/C 相关担心，并请团队复述已知和未知。", "preferred_choice_en": "Report observed x/B/C concerns and ask the team to restate knowns and unknowns.", "unsafe_choice_zh": "在团队共享信息前直接选择全身 CT。", "unsafe_choice_en": "Choose whole-body CT before the team has shared the information picture.", "feedback_zh": "过早跳到单一资源会造成时间消耗，并使立即威胁和复评问题被后移。", "feedback_en": "Jumping early to one resource consumes time and pushes immediate threats and reassessment questions backward.", "state_delta": { "elapsedTime": "delay signal", "patient": "trend more concerning" } }, { "id": "reassessment", "title_zh": "早期复评", "title_en": "Early reassessment", "information_zh": "团队行动和新信息出现后，学习者需要说明哪些风险改变，哪些仍未解决。", "information_en": "After team action and new information, the learner explains what changed and what remains unresolved.", "preferred_choice_zh": "回到 xABCDE，报告改善、恶化或仍不确定的趋势。", "preferred_choice_en": "Return to xABCDE and report improved, worsened, or still-uncertain trends.", "unsafe_choice_zh": "把一次行动后的短暂变化当作结束点。", "unsafe_choice_en": "Treat a short change after one action as the end point.", "feedback_zh": "创伤初评是循环语言，新的信息会让团队重新排序。", "feedback_en": "Trauma primary survey is loop language; new information can reorder the team picture.", "state_delta": { "elapsedTime": "reassessment cycle", "patient": "requires continued trend watching" } } ], "boundary": "Educational simulation only; not patient-specific guidance, treatment protocol, or local pathway." }, { "id": "CASE-TRAUMA-DISASTER-SYN-002", "title_zh": "公共场所爆炸伴局部坍塌", "title_en": "Public-space explosion with partial structural collapse", "case_type": "synthetic disaster simulation", "mode": "instructor", "duration_min": 45, "review_status": "pending_clinician_review", "source_type": "teaching_illustration", "source_refs": [ "lesson-3", "lesson-4" ], "deidentification_status": "synthetic_no_real_patient", "system_state": { "casualties": "first wave 8; later number unknown", "resuscitation_bays": "limited", "operating_rooms": "limited", "blood_products": "limited", "available_teams": "limited", "ambulances": "strained", "icu_beds": "limited", "transfer_capacity": "requires coordination" }, "patients": [ { "id": "P1", "summary_zh": "活动性大出血和休克风险", "summary_en": "Active major bleeding and shock risk", "status": "high concern", "triage_algorithm_status": "pending_course_lead_confirmation", "review_status": "pending_clinician_review" }, { "id": "P2", "summary_zh": "呼吸困难和单侧呼吸音消失线索", "summary_en": "Breathing difficulty and unilateral breath-sound concern", "status": "high concern", "triage_algorithm_status": "pending_course_lead_confirmation", "review_status": "pending_clinician_review" }, { "id": "P3", "summary_zh": "稳定闭合骨折", "summary_en": "Stable closed fracture", "status": "resource planning", "triage_algorithm_status": "pending_course_lead_confirmation", "review_status": "pending_clinician_review" }, { "id": "P4", "summary_zh": "轻伤且能够行走", "summary_en": "Minor injury and able to walk", "status": "low immediate concern", "triage_algorithm_status": "pending_course_lead_confirmation", "review_status": "pending_clinician_review" }, { "id": "P5", "summary_zh": "严重颅脑损伤和高资源需求", "summary_en": "Severe traumatic brain injury concern and high resource need", "status": "high resource need", "triage_algorithm_status": "pending_course_lead_confirmation", "review_status": "pending_clinician_review" }, { "id": "P6", "summary_zh": "腹部损伤，早期稳定后恶化", "summary_en": "Abdominal injury concern with later deterioration", "status": "reassessment priority", "triage_algorithm_status": "pending_course_lead_confirmation", "review_status": "pending_clinician_review" } ], "learner_tasks": [ "Activate response", "Assign roles", "Triage casualties", "Allocate resources", "Perform xABCDE", "Request support", "Arrange transport", "Reassess priorities", "Conduct handover" ], "boundary": "This scenario teaches system reasoning and resource discussion. It does not define a triage algorithm or hospital command policy." } ], "triageSystems": { "separateSystems": [ "START", "JumpSTART", "SALT", "Chinese 2006" ], "requireReassessment": true, "p4Blast": "Walking does not exclude delayed blast lung/bowel injury", "numericCases": "synthetic" } }