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medical_emergency_dataset.json

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+{
+  "dataset_info": {
+    "version": "1.1-cleaned",
+    "created_date": "2025-01-02",
+    "description": "Natural conversation medical emergency dataset without tool calls - for conversational training",
+    "total_scenarios": 50,
+    "tool_functions": [
+      "generate_report",
+      "show_precare_instructions"
+    ],
+    "categories": [
+      "cardiac_emergency",
+      "respiratory_emergency",
+      "trauma_bleeding",
+      "neurological",
+      "poisoning_overdose",
+      "multi_casualty",
+      "pediatric_emergency"
+    ],
+    "note": "Assistant responses have tool call JSON removed, keeping only natural conversation text"
+  },
+  "scenarios": [
+    {
+      "id": "scenario_001",
+      "category": "cardiac_emergency",
+      "priority": "high",
+      "title": "Cardiac Arrest Recognition and CPR Guidance",
+      "conversation_turns": 6,
+      "assessment_questions": 4,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "cardiac_arrest_recognition",
+        "cpr_instructions",
+        "emergency_assessment"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Someone collapsed and is not responding. What should I assess first?"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "First, ensure scene safety. Then check responsiveness by tapping shoulders and shouting 'Are you okay?' Are they responding to you at all?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "No response whatsoever"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Check for normal breathing by looking at the chest for 10 seconds. Is their chest rising and falling normally?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "No, they're not breathing normally"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "This is cardiac arrest. Call 911 immediately if not done already. I'll provide CPR instructions now."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_002",
+      "category": "cardiac_emergency",
+      "priority": "medium",
+      "title": "Heart Attack Assessment and Report Generation",
+      "conversation_turns": 8,
+      "assessment_questions": 6,
+      "final_tool": "generate_report",
+      "learning_objectives": [
+        "heart_attack_recognition",
+        "911_reporting",
+        "symptom_assessment"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "I need to call 911 about someone having chest pain. Can you help me prepare what to say?"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "I'll help you generate a structured emergency report. First, describe the chest pain - is it sharp, crushing, or burning?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They say it feels like an elephant sitting on their chest, crushing pain"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "That's concerning for heart attack. Are they also sweating, nauseous, or having trouble breathing?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, they're sweating heavily and feel nauseous"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "How old are they and do they have any heart problems or take heart medications?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "He's 58 years old and takes blood pressure medication"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "What's your exact location or nearest intersection so I can include it in the report?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "We're at 123 Main Street, downtown office building"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "I'll generate a comprehensive emergency report for 911 dispatch now."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_003",
+      "category": "respiratory_emergency",
+      "priority": "high",
+      "title": "Choking Emergency Response",
+      "conversation_turns": 5,
+      "assessment_questions": 3,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "choking_recognition",
+        "heimlich_maneuver",
+        "airway_obstruction"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Person is choking and can't cough or speak. What do I do?"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "This is a severe airway obstruction emergency. Are they conscious and standing, or have they collapsed?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They're still conscious and standing but grabbing their throat"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Can they make any sounds, cough, or breathe at all, or is it complete silence?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Complete silence, no sounds at all"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Complete airway obstruction - act immediately! I'll guide you through the Heimlich maneuver."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_004",
+      "category": "trauma_bleeding",
+      "priority": "high",
+      "title": "Severe Bleeding Control",
+      "conversation_turns": 6,
+      "assessment_questions": 4,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "bleeding_assessment",
+        "hemorrhage_control",
+        "shock_prevention"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "There's a person with severe bleeding from their arm. What care should I provide?"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "I need to assess the bleeding severity. Is the blood flowing steadily or spurting/pulsing out?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "It's spurting out with each heartbeat, bright red blood"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "That indicates arterial bleeding - very serious. Can you see any objects embedded in the wound or is it an open cut?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "It's a deep cut, no objects visible"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Is the person conscious and alert, or showing signs of weakness and pale skin?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They're conscious but getting pale and seem weak"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Signs of shock from blood loss. This requires immediate bleeding control and 911 if not called."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_005",
+      "category": "multi_casualty",
+      "priority": "high",
+      "title": "Motor Vehicle Accident Triage and Reporting",
+      "conversation_turns": 10,
+      "assessment_questions": 8,
+      "final_tool": "generate_report",
+      "learning_objectives": [
+        "multi_casualty_triage",
+        "accident_reporting",
+        "priority_assessment"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Multiple people injured in workplace accident. How do I prioritize who to help first?"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "I'll help you with triage priorities. How many people are injured total?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "I count 4 people injured"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "First, are any of them not breathing or unconscious?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "One person is unconscious but breathing"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are any of the others bleeding heavily or have obvious severe injuries?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "One person has heavy bleeding from their leg, the other two are walking around"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "What type of workplace accident was this - machinery, fall, chemical exposure?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Machinery accident in a factory, something fell from overhead"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "What's the exact location of your workplace for the emergency report?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "ABC Manufacturing, 456 Industrial Drive"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Priority: 1) Control heavy leg bleeding first, 2) Monitor unconscious person's breathing, 3) Keep walking wounded in safe area. Generating comprehensive incident report."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_006",
+      "category": "neurological",
+      "priority": "medium",
+      "title": "Seizure Management and Assessment",
+      "conversation_turns": 7,
+      "assessment_questions": 5,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "seizure_recognition",
+        "seizure_safety",
+        "post_ictal_care"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Need care instructions for someone having a seizure"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "I'll help with seizure care. Is the person currently seizing, or has the seizure stopped?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They're actively seizing right now, shaking all over"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "How long has the seizure been going on? Have you been timing it?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "It started about 2 minutes ago"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are they on the ground in a safe area, or near any hard objects or furniture?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They're on the ground but there's a coffee table nearby"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Do you know if they have a history of seizures or epilepsy?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "I'm not sure, I don't know them well"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "I'll provide immediate seizure safety instructions. Do NOT restrain them or put anything in their mouth."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_007",
+      "category": "cardiac_emergency",
+      "priority": "medium",
+      "title": "Chest Pain Assessment and Distinction",
+      "conversation_turns": 8,
+      "assessment_questions": 6,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "chest_pain_assessment",
+        "heart_attack_vs_other",
+        "cardiac_care"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Person having chest pain, sweating, nausea. They think it's heartburn."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Even if they think it's heartburn, these could be heart attack symptoms. Where exactly is the pain located?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Center of the chest, and they say it feels heavy"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Does the pain radiate to their left arm, jaw, or back?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, they mentioned their left arm feels tingly"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "How long has this been going on, and did it start suddenly or gradually?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Started about 20 minutes ago, came on pretty suddenly"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Do they take any heart medications or have they had heart problems before?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They have nitroglycerin pills for angina"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "This is likely a cardiac event, not heartburn. With their cardiac history and these classic symptoms, we need to act quickly."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_008",
+      "category": "trauma_bleeding",
+      "priority": "medium",
+      "title": "Head Injury Assessment and Care",
+      "conversation_turns": 9,
+      "assessment_questions": 7,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "head_injury_assessment",
+        "spinal_precautions",
+        "consciousness_monitoring"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Elderly person fell and can't move their leg. Hip looks deformed. What should I assess?"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Suspected hip fracture - very important not to move them. Did they hit their head when they fell?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, I think they hit their head on the ground"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are they conscious and speaking clearly, or seem confused or drowsy?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They're awake but seem confused about what happened"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Can you see any bleeding or swelling on their head, or fluid coming from ears or nose?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "There's a small cut on their forehead with some bleeding"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are they complaining of severe pain in their hip, and on a scale of 1-10 how bad do they say it is?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They say the hip pain is about an 8 out of 10"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Do they remember falling, or is there any gap in their memory about what happened?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They don't remember falling at all"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Head injury with memory loss plus hip fracture - needs immediate medical attention with spinal precautions."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_009",
+      "category": "respiratory_emergency",
+      "priority": "medium",
+      "title": "Asthma Attack Management",
+      "conversation_turns": 6,
+      "assessment_questions": 4,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "asthma_recognition",
+        "inhaler_assistance",
+        "breathing_support"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Someone is having trouble breathing and wheezing. They say they have asthma."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Asthma attack needs immediate attention. Are they able to speak in full sentences or just short phrases?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Only short phrases, they seem to be struggling"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Do they have an inhaler with them, and have they tried using it already?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, they have an inhaler but say it's not helping much"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are their lips or fingernails turning blue, or do they appear panicked and unable to catch their breath?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Their lips look a bit blue and they seem really scared"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Blue lips indicate severe asthma attack - this needs emergency care. I'll guide you through helping them."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_010",
+      "category": "poisoning_overdose",
+      "priority": "high",
+      "title": "Drug Overdose Recognition and Response",
+      "conversation_turns": 8,
+      "assessment_questions": 6,
+      "final_tool": "generate_report",
+      "learning_objectives": [
+        "overdose_recognition",
+        "narcan_administration",
+        "overdose_reporting"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Found someone unconscious, I think they might have overdosed on something"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "This could be a life-threatening overdose. Are they breathing at all, and what does their breathing look like?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Breathing is very slow and shallow, almost not breathing"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Can you see any drug paraphernalia nearby, or do you know what they might have taken?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "There are some pills scattered around and what looks like drug paraphernalia"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are their lips or fingernails blue, and do their pupils look very small (pinpoint) or very large?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Lips are blue and pupils are tiny, like pinpoints"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Pinpoint pupils and slow breathing suggest opioid overdose. Do you have access to Narcan (naloxone) or know if there's any available nearby?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "I don't have any Narcan available"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "What's your exact location so I can include it in the emergency report for fast EMS response?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "We're at 789 Oak Street, apartment 2B"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Generating priority overdose report for immediate EMS response with advanced life support."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_011",
+      "category": "pediatric_emergency",
+      "priority": "high",
+      "title": "Infant Choking Emergency",
+      "conversation_turns": 5,
+      "assessment_questions": 3,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "infant_choking",
+        "back_blows_chest_thrusts",
+        "pediatric_airway"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "A baby is choking and can't breathe. What do I do differently than for adults?"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Infant choking requires different technique than adults. How old is the baby - under 1 year?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, about 8 months old"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are they making any sounds at all, or completely silent and turning blue?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Completely silent and starting to turn blue"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Complete airway obstruction in infant - use back blows and chest thrusts immediately."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_012",
+      "category": "trauma_bleeding",
+      "priority": "medium",
+      "title": "Burn Injury Assessment and Care",
+      "conversation_turns": 8,
+      "assessment_questions": 6,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "burn_assessment",
+        "burn_care",
+        "burn_severity"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Someone got burned by hot oil in the kitchen. The skin looks really red and blistered."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Kitchen burns can be serious. How large is the burned area - about the size of their palm or larger?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "It's larger than their palm, covers most of their forearm"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are the blisters intact or have any broken open? Is the skin white, charred, or just red?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Some blisters are broken and the skin underneath looks white in places"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "White skin indicates deep burns. Are they in severe pain or surprisingly little pain in the white areas?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They say the red areas hurt terribly but the white parts don't hurt much"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Is their clothing stuck to the burn, or were you able to remove it from the area?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "The shirt sleeve is partially stuck to the burned skin"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "This is a significant second and third degree burn requiring hospital care. Don't remove stuck clothing."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_013",
+      "category": "neurological",
+      "priority": "high",
+      "title": "Stroke Recognition and Emergency Response",
+      "conversation_turns": 7,
+      "assessment_questions": 5,
+      "final_tool": "generate_report",
+      "learning_objectives": [
+        "stroke_recognition",
+        "FAST_assessment",
+        "time_critical_care"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "My neighbor is acting really strange - slurred speech and face looks droopy on one side"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Those are potential stroke symptoms. Ask them to smile - does one side of their face droop or look uneven?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, the right side of their face definitely droops when they try to smile"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Ask them to raise both arms - can they lift both arms equally or does one drift down?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "The right arm keeps drifting down, they can't keep it up"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "When did you first notice these symptoms - was it sudden or gradual over hours?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "I talked to them about 30 minutes ago and they were fine, this came on suddenly"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "What's the exact address so I can generate an emergency stroke alert for immediate response?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "321 Maple Avenue, it's the blue house"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Classic stroke signs with 30-minute onset - time is critical for treatment. Generating emergency stroke alert."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_014",
+      "category": "multi_casualty",
+      "priority": "high",
+      "title": "Car Accident with Multiple Injuries",
+      "conversation_turns": 12,
+      "assessment_questions": 10,
+      "final_tool": "generate_report",
+      "learning_objectives": [
+        "vehicle_accident_triage",
+        "scene_safety",
+        "multiple_victim_prioritization"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Car accident just happened, two cars involved. I can see people injured in both vehicles."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "First priority is scene safety. Are the vehicles stable and is there any fire, smoke, or fuel leaking?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "No fire but one car is smoking a little from the engine. Both cars are damaged but upright."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Stay back from the smoking car. How many people total can you see, and are any trapped in the vehicles?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "I count 4 people total - 2 in each car. One person seems trapped in the smoking car."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are any of the people unconscious or not responding when you call to them?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "The trapped person in the smoking car is unconscious. The others are awake but one is holding their chest."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Can you see any obvious severe bleeding on any of the victims?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, one person in the second car has blood on their head and face."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "What's the exact location of this accident - intersection or mile marker?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "It's at the intersection of Highway 101 and Miller Road"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are the vehicles blocking traffic lanes, and is there ongoing danger to other vehicles?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, both lanes are blocked and cars are backing up. It's getting dangerous."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Multi-vehicle accident with entrapment, unconscious victim, and traffic hazard. This requires immediate multiple unit response."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_015",
+      "category": "pediatric_emergency",
+      "priority": "medium",
+      "title": "Child Fever and Seizure Assessment",
+      "conversation_turns": 8,
+      "assessment_questions": 6,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "febrile_seizure",
+        "pediatric_fever",
+        "child_assessment"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "My 2-year-old has a high fever and just had what looked like a seizure. Should I be worried?"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Febrile seizures in toddlers can be scary but often aren't dangerous. How long did the seizure last?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Maybe about 2 minutes. She was shaking all over and then stopped."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Is she conscious and responding to you now, or still seems out of it?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "She's awake now but seems really tired and cranky."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "What's her temperature, and how long has she had the fever?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "103.2°F on the thermometer. The fever started this morning."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Has she had seizures before, or is this the first time?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "This is the first time she's ever had a seizure."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Is she drinking fluids okay and does she have any rash on her body?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "She's been refusing to drink much, and I don't see any rash."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "First febrile seizure with high fever needs medical evaluation. I'll provide immediate fever management guidance."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_016",
+      "category": "poisoning_overdose",
+      "priority": "medium",
+      "title": "Accidental Poisoning Assessment",
+      "conversation_turns": 7,
+      "assessment_questions": 5,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "poisoning_recognition",
+        "poison_control",
+        "decontamination"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "I think someone accidentally drank cleaning solution. They're conscious but saying their mouth and throat burn."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Chemical ingestion is serious. What type of cleaning solution was it - bleach, toilet bowl cleaner, or something else?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "It was toilet bowl cleaner with hydrochloric acid in it."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Acid ingestion is very dangerous. Are they drooling, having trouble swallowing, or vomiting?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, they're drooling a lot and say it hurts to swallow."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "How much do you think they swallowed - a sip, a mouthful, or more?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They said just a sip but they're in a lot of pain."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are they having any trouble breathing or is their voice hoarse or different than normal?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Their voice does sound hoarse and raspy."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Acid ingestion with hoarse voice suggests airway injury. This needs immediate medical attention."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_017",
+      "category": "trauma_bleeding",
+      "priority": "low",
+      "title": "Sprain Assessment and Care",
+      "conversation_turns": 6,
+      "assessment_questions": 4,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "sprain_vs_fracture",
+        "RICE_protocol",
+        "minor_injury_care"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Someone twisted their ankle playing sports. It's swollen and they can't put weight on it."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Ankle injuries are common in sports. Can they move their ankle at all, or is it completely immobile?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They can move it a little but it really hurts to do so."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Is the ankle deformed or bent at an odd angle, or does it look normal except for swelling?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "It looks normal shape-wise, just really swollen on the outside."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "On a pain scale of 1-10, what do they rate the pain when they try to put weight on it?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They say about a 7 when they try to step on it."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Sounds like a significant ankle sprain. I'll provide immediate care instructions to reduce swelling and pain."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_018",
+      "category": "respiratory_emergency",
+      "priority": "high",
+      "title": "Anaphylactic Reaction Emergency",
+      "conversation_turns": 8,
+      "assessment_questions": 6,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "anaphylaxis_recognition",
+        "epipen_administration",
+        "allergic_reaction"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Someone ate something they're allergic to and now they're having trouble breathing and their face is swelling."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "This sounds like a severe allergic reaction. How quickly did this start after they ate the food?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "It started within about 5 minutes of eating peanuts."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are they wheezing, having trouble getting air in, or making any strange breathing sounds?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, they're wheezing and seem panicked about not being able to breathe."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Do they have an EpiPen or epinephrine auto-injector with them?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes! They have an EpiPen in their bag."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are they conscious and able to help with the EpiPen, or do you need to administer it?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They're conscious but really panicked and their hands are shaking."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Is there any hives or rash appearing on their skin along with the facial swelling?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, red hives are appearing on their arms and neck."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "This is anaphylaxis - life-threatening allergic reaction. You need to help them use the EpiPen immediately."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_019",
+      "category": "neurological",
+      "priority": "medium",
+      "title": "Concussion Assessment After Fall",
+      "conversation_turns": 9,
+      "assessment_questions": 7,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "concussion_recognition",
+        "head_injury_monitoring",
+        "neurological_assessment"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Someone fell off a ladder and hit their head. They seem confused and don't remember what happened."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Head injury with memory loss is concerning. Are they conscious and able to speak, just confused about the fall?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, they're talking but keep asking the same questions over and over."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Repetitive questions suggest concussion. Did they lose consciousness at all, even briefly?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "I'm not sure, I found them sitting on the ground looking dazed."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are they nauseous or have they vomited since the fall?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They said they feel sick to their stomach but haven't thrown up yet."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Look at their pupils - are they the same size, or is one larger than the other?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They look the same size to me."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Any visible bleeding or swelling on their head where they hit it?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "There's a bump on the back of their head but no bleeding I can see."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Are they complaining of headache, and if so, how severe on a scale of 1-10?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They say their head hurts, about a 6 out of 10."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Signs point to concussion from the fall. They need medical evaluation and careful monitoring."
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "scenario_020",
+      "category": "cardiac_emergency",
+      "priority": "high",
+      "title": "Cardiac Arrest with AED Available",
+      "conversation_turns": 6,
+      "assessment_questions": 4,
+      "final_tool": "show_precare_instructions",
+      "learning_objectives": [
+        "aed_use",
+        "cardiac_arrest_response",
+        "cpr_with_aed"
+      ],
+      "conversation": [
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Person collapsed at the gym and isn't breathing. There's an AED on the wall. Should I use it?"
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes! If they're unresponsive and not breathing normally, use the AED immediately. Are they completely unconscious?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Yes, no response when I shake their shoulders and shout at them."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Is someone calling 911, or do you need to call first before starting?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "Someone else is calling 911 now."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Good. Is the person's chest bare, or do you need to remove clothing for the AED pads?"
+            }
+          ]
+        },
+        {
+          "role": "user",
+          "content": [
+            {
+              "type": "text",
+              "text": "They're wearing a shirt, so I'll need to expose their chest."
+            }
+          ]
+        },
+        {
+          "role": "assistant",
+          "content": [
+            {
+              "type": "text",
+              "text": "Perfect. Get the AED and start immediately - it will guide you through everything."
+            }
+          ]
+        }
+      ]
+    }
+  ]
+}