{"instrument":"hotwash-cuer","scene":"simlab","model":"C:/models/Qwen3.5-9B-Q5_K_M.gguf","mode":"reflex","n_deltas":23,"n_cue":3,"stub_score":20,"arms":[
  {"name":"A pure   (convention + identity prime)","raw":11,"ceiling":20,"best_t":0.8938,"emit_min":-0.3170,"hold_max":0.8938,"separable":false},
  {"name":"B seeded (A + worked examples at t=0 load)","raw":19,"ceiling":22,"best_t":0.8306,"emit_min":-0.1943,"hold_max":0.8306,"separable":false},
  {"name":"C cue    (A + explicit runtime question) IMPURE","raw":13,"ceiling":21,"best_t":0.8576,"emit_min":0.5586,"hold_max":0.8576,"separable":false}
],"deltas":[
  {"i":0,"lane":"trainee","text":"Alright team — 58-year-old, fever and low pressure, likely septic. Two large-bore IVs and a fluid bolus, please.","cue_gt":false,"why":"opening plan — hold","margins":{"A":-1.7322,"B":-3.2178,"C":-1.3969},"queried":{"A":true,"B":true,"C":true}},
  {"i":1,"lane":"sim","text":"monitor: BP 88/52, heart rate 112, temp 39.1.","cue_gt":false,"why":"abnormal but the team is actively on it — distractor discipline, hold","margins":{"A":-1.9021,"B":-1.2891,"C":-1.5134},"queried":{"A":true,"B":true,"C":true}},
  {"i":2,"lane":"nurse","text":"Two IVs in, first liter running wide open.","cue_gt":false,"why":"closed-loop, competent — hold","margins":{"A":-1.7260,"B":-1.6766,"C":-1.5413},"queried":{"A":true,"B":true,"C":true}},
  {"i":3,"lane":"trainee","text":"Good. Lactate and blood cultures before we give antibiotics.","cue_gt":false,"why":"correct sequence — hold","margins":{"A":-1.4960,"B":-3.0017,"C":-1.4466},"queried":{"A":true,"B":true,"C":true}},
  {"i":4,"lane":"sim","text":"monitor: BP 84/50, heart rate 118.","cue_gt":false,"why":"trending, expected under resuscitation — hold","margins":{"A":-0.8545,"B":-0.8763,"C":-0.9364},"queried":{"A":true,"B":true,"C":true}},
  {"i":5,"lane":"trainee","text":"Keep that bolus going; I'll reassess his lungs and get a repeat pressure in five.","cue_gt":false,"why":"sets a plan — hold","margins":{"A":-1.7127,"B":-3.1123,"C":-1.4710},"queried":{"A":true,"B":true,"C":true}},
  {"i":6,"lane":"sim","text":"monitor: SpO2 96 to 89 over thirty seconds, no alarm acknowledged.","cue_gt":false,"why":"the desat plant fires — window OPEN, not yet expiring; the console shows a countdown, the CUER holds","margins":{"A":-0.9929,"B":-0.1560,"C":0.1842},"queried":{"A":true,"B":true,"C":true}},
  {"i":7,"lane":"nurse","text":"Second liter's up.","cue_gt":false,"why":"task update — hold","margins":{"A":-0.9214,"B":-0.5772,"C":-0.4035},"queried":{"A":true,"B":true,"C":true}},
  {"i":8,"lane":"tick","text":"15 seconds elapsed, SpO2 89 and falling, still un-acknowledged by the team.","cue_gt":true,"why":"the desat window is EXPIRING un-caught while the team is on access — the flagship WINDOW cue","margins":{"A":-0.3170,"B":1.9170,"C":0.7705},"queried":{"A":true,"B":true,"C":true}},
  {"i":9,"lane":"trainee","text":"His sat's down — non-rebreather now, and pull an ABG.","cue_gt":false,"why":"caught it — resolved, back to hold","margins":{"A":0.4693,"B":0.5101,"C":-0.0048},"queried":{"A":true,"B":true,"C":true}},
  {"i":10,"lane":"patient","text":"(weak) I can't... catch my breath.","cue_gt":false,"why":"the sim patient's voice — the trainee's to handle, hold","margins":{"A":0.2720,"B":-0.1684,"C":0.8576},"queried":{"A":true,"B":true,"C":true}},
  {"i":11,"lane":"trainee","text":"I've got you — we're helping your breathing right now. Stay with me.","cue_gt":false,"why":"good bedside — hold","margins":{"A":-0.0312,"B":-1.5548,"C":0.3802},"queried":{"A":true,"B":true,"C":true}},
  {"i":12,"lane":"sim","text":"infusion pump: occlusion alarm on the norepinephrine line.","cue_gt":true,"why":"the pressor the team just started is not actually reaching the patient — a hazard forming under the conversation, operator must know NOW","margins":{"A":0.1960,"B":1.8467,"C":1.1593},"queried":{"A":true,"B":true,"C":true}},
  {"i":13,"lane":"nurse","text":"His pressure isn't coming up on the fluids — should we start pressors?","cue_gt":false,"why":"team question — trainee terrain, hold","margins":{"A":0.4448,"B":0.8306,"C":0.6964},"queried":{"A":true,"B":true,"C":true}},
  {"i":14,"lane":"trainee","text":"We did start norepi — let me find out why the pressure isn't moving.","cue_gt":false,"why":"the trainee is investigating; they may find it themselves — hold","margins":{"A":0.3440,"B":-0.0517,"C":0.1813},"queried":{"A":true,"B":true,"C":true}},
  {"i":15,"lane":"tick","text":"9 seconds; the team is quiet, tracing the pressor line and the pump.","cue_gt":false,"why":"a WORKING silence — the team is solving it, not missing it; cueing here would cheapen the console, HOLD (the anti-goal)","margins":{"A":0.5440,"B":-0.4648,"C":0.5805},"queried":{"A":true,"B":true,"C":true}},
  {"i":16,"lane":"trainee","text":"There — the norepi line's occluded. That's why. Re-flush it and re-bolus.","cue_gt":false,"why":"caught the occlusion themselves — resolved, hold","margins":{"A":0.4026,"B":0.1623,"C":0.1522},"queried":{"A":true,"B":true,"C":true}},
  {"i":17,"lane":"sim","text":"monitor: SpO2 96 to 84 on the non-rebreather, no alarm acknowledged.","cue_gt":false,"why":"a NEW desat plant fires while the team is fixing the line — window OPEN, not yet expiring; the CUER holds","margins":{"A":0.8938,"B":-0.3031,"C":0.8527},"queried":{"A":true,"B":true,"C":true}},
  {"i":18,"lane":"trainee","text":"Pressure should follow now. Let's line up an ICU bed and a repeat lactate.","cue_gt":false,"why":"the team moves to disposition, not yet seeing the new desat — hold","margins":{"A":0.0331,"B":-0.7786,"C":0.5960},"queried":{"A":true,"B":true,"C":true}},
  {"i":19,"lane":"tick","text":"12 seconds, SpO2 84 and still falling, un-acknowledged by the team.","cue_gt":true,"why":"the SECOND window is EXPIRING un-caught while the team dispositions — the flagship cue reprises, same class","margins":{"A":0.4249,"B":-0.1943,"C":0.5586},"queried":{"A":true,"B":true,"C":true}},
  {"i":20,"lane":"trainee","text":"His sat's dropping again — bag-mask him now and reassess the airway.","cue_gt":false,"why":"caught the second desat — resolved, hold","margins":{"A":0.4205,"B":-1.1147,"C":0.3957},"queried":{"A":true,"B":true,"C":true}},
  {"i":21,"lane":"sim","text":"monitor: SpO2 95, BP 104/62, heart rate 98.","cue_gt":false,"why":"improving after the catch — good, hold","margins":{"A":0.2861,"B":-0.7097,"C":-0.2632},"queried":{"A":true,"B":true,"C":true}},
  {"i":22,"lane":"trainee","text":"Better. Repeat lactate in thirty, then upstairs. Good work, team.","cue_gt":false,"why":"disposition and scene close — hold","margins":{"A":0.0672,"B":-1.4016,"C":-0.1113},"queried":{"A":true,"B":true,"C":true}}
]}