{ "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." } ] } ] } ] }