Advancing time is a decision and is recorded as one. Pressure and temperature only appear when you take them.
Verb set: Assess, Call, Act, Advance, Escalate. No prescribing verb exists in this module. No timer. No countdown. No elapsed-time element. No urgency chrome.
model & provenance
Trajectories are generated by parametrised functions with seeded noise: a compensate-then-decline course whose earliest cue precedes criticality by at least twenty sim-minutes; a stable course inside the bands; and an opioid-related respiratory drift under a realistic base rate of nuisance alarms. Reference bands are standard adult ranges drawn lightly for context only -- no status is computed from them. The warning-score panel is point-in-time by construction and says so. Emergent scenarios (arrest, anaphylaxis, airway, chest pain) advance sim time by act only; the rhythm on the pads is generated by the rhythm engine -- ventricular fibrillation, asystole, or artefact -- and shock is a protocol act. Wall-clock latency from finding to first compression is recorded silently on the arrest only and shown after the scenario, per the tier decision; nothing renders during the scenario. Compression depth and rate are psychomotor and are not measured here. Sequences follow the AHA 2025 guidelines and anaphylaxis protocol confirmed at sign-off; no BLS certification claimed. Constructed patients only. Simplified model for educational and research purposes -- not clinical decision support.