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  {"wall_ms":9250,"sim_ms":292221,"k":"tok","mind":"CHARGE","p":" and","twin":true},
  {"wall_ms":9262,"sim_ms":292238,"k":"tok","mind":"CHARGE","p":" f","twin":true},
  {"wall_ms":9273,"sim_ms":292255,"k":"tok","mind":"CHARGE","p":"entanyl","twin":true},
  {"wall_ms":9285,"sim_ms":292272,"k":"tok","mind":"CHARGE","p":" at","twin":true},
  {"wall_ms":9297,"sim_ms":292289,"k":"tok","mind":"CHARGE","p":" ","twin":true},
  {"wall_ms":9308,"sim_ms":292306,"k":"tok","mind":"CHARGE","p":"2","twin":true},
  {"wall_ms":9320,"sim_ms":292323,"k":"tok","mind":"CHARGE","p":"5","twin":true},
  {"wall_ms":9331,"sim_ms":292340,"k":"tok","mind":"CHARGE","p":" mc","twin":true},
  {"wall_ms":9343,"sim_ms":292357,"k":"tok","mind":"CHARGE","p":"g","twin":true},
  {"wall_ms":9355,"sim_ms":292374,"k":"tok","mind":"CHARGE","p":"/h","twin":true},
  {"wall_ms":9367,"sim_ms":292391,"k":"tok","mind":"CHARGE","p":"our","twin":true},
  {"wall_ms":9378,"sim_ms":292408,"k":"tok","mind":"CHARGE","p":";","twin":true},
  {"wall_ms":9390,"sim_ms":292425,"k":"tok","mind":"CHARGE","p":" let","twin":true},
  {"wall_ms":9402,"sim_ms":292442,"k":"tok","mind":"CHARGE","p":"'s","twin":true},
  {"wall_ms":9413,"sim_ms":292459,"k":"tok","mind":"CHARGE","p":" confirm","twin":true},
  {"wall_ms":9425,"sim_ms":292476,"k":"tok","mind":"CHARGE","p":" the","twin":true},
  {"wall_ms":9436,"sim_ms":292493,"k":"tok","mind":"CHARGE","p":" O","twin":true},
  {"wall_ms":9448,"sim_ms":292510,"k":"tok","mind":"CHARGE","p":"PO","twin":true},
  {"wall_ms":9460,"sim_ms":292527,"k":"tok","mind":"CHARGE","p":" details","twin":true},
  {"wall_ms":9471,"sim_ms":292544,"k":"tok","mind":"CHARGE","p":" before","twin":true},
  {"wall_ms":9483,"sim_ms":292561,"k":"tok","mind":"CHARGE","p":" we","twin":true},
  {"wall_ms":9495,"sim_ms":292578,"k":"tok","mind":"CHARGE","p":" move","twin":true},
  {"wall_ms":9506,"sim_ms":292595,"k":"tok","mind":"CHARGE","p":" forward","twin":true},
  {"wall_ms":9518,"sim_ms":292612,"k":"tok","mind":"CHARGE","p":".","twin":true},
  {"wall_ms":9530,"sim_ms":292629,"k":"commit","mind":"CHARGE","text":"He's on midazolam at 10 mg/hour and fentanyl at 25 mcg/hour; let's confirm the OPO details before we move forward.","contra":false,"twin":true},
  {"wall_ms":9530,"sim_ms":300000,"k":"commit","mind":"cabin","text":"[unit] the unit goes quiet again.","contra":false,"verb":"settle","entity":"unit"},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":1,"lane":"cabin","text":"[unit] the station phone rings twice and stops.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":2,"lane":"visitor","text":"[visitor] This is the on-call coordinator with the OPO, returning the referral page for bed 2 - do I have the charge nurse?","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":3,"lane":"charge","text":"That's me - let's confirm the details before we move forward. Flagging BEDSIDE to be present for the handoff.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":4,"lane":"cabin","text":"[unit] an IV pump beeps at bed_4.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":5,"lane":"visitor","text":"[visitor] Thanks for taking it. Can you walk me through what happened and when he came in?","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":6,"lane":"charge","text":"He came in at 01:45 with a GCS of 6 and a large subdural hematoma; let's get BEDSIDE on the line before we discuss next steps.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":7,"lane":"cabin","text":"[pa] Respiratory therapy to three west. Respiratory to three west.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":8,"lane":"visitor","text":"[visitor] Okay. Is he on the ventilator now, and what's driving that?","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":9,"lane":"charge","text":"He's on the vent for a GCS 6 and a large subdural hematoma; let's get BEDSIDE on the line before we discuss next steps.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":10,"lane":"cabin","text":"[unit] the unit doors open and a gurney comes through.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":11,"lane":"visitor","text":"[visitor] Has anyone from the team talked with the family yet, or is that still ahead?","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":12,"lane":"charge","text":"The family hasn't been notified yet, but let's confirm the OPO details before we move forward.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":13,"lane":"cabin","text":"[unit] a call light comes on at bed_6.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":14,"lane":"visitor","text":"[visitor] That helps. I'll hold off on anything family-facing until you tell me the timing is right.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":15,"lane":"charge","text":"He arrived at 01:45 with a GCS of 6 and a large subdural hematoma; let's get BEDSIDE on the line before we discuss next steps.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":16,"lane":"cabin","text":"[unit] a monitor alarm sounds at bed_4.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":17,"lane":"visitor","text":"[visitor] Do you have tonight's labs in front of you, or should I call back once they post?","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":18,"lane":"charge","text":"The labs posted an hour ago and show a rising lactate that matches the clinical picture; let's get BEDSIDE on the line before we discuss next steps.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":19,"lane":"cabin","text":"[unit] two visitors walk past the station toward bed_6.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":20,"lane":"visitor","text":"[visitor] One thing for your end - I need to reach the family around three, so I'd like the chart current by then.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":21,"lane":"charge","text":"The family hasn't been notified yet, but let's confirm the OPO details before we move forward.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":22,"lane":"cabin","text":"[unit] the patient in bed 2's chart updates on the board.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":23,"lane":"visitor","text":"[visitor] What are the pressors running at right now?","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":24,"lane":"charge","text":"He's on norepinephrine and phenylephrine to maintain his mean arterial pressure above 65.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":25,"lane":"cabin","text":"[unit] new numbers post for the patient in bed 2 - MAP 78.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":26,"lane":"visitor","text":"[visitor] Understood. Any change in the neuro exam this shift?","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":27,"lane":"charge","text":"No change in the neuro exam this shift; let's confirm the OPO details before we move forward.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":28,"lane":"cabin","text":"[unit] an IV pump beeps at bed_2.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":29,"lane":"visitor","text":"[visitor] Okay - remind me of the vent settings, FiO2 and PEEP?","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":30,"lane":"charge","text":"FiO2 is 60% with a PEEP of 10; let's confirm the OPO details before we move forward.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":31,"lane":"cabin","text":"[unit] new numbers post for the patient in bed 2 - MAP 54.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":32,"lane":"visitor","text":"[visitor] Last thing and I'll let you go - walk me through the sedation: what's running, at what rate, and when was it last changed?","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":33,"lane":"cabin","text":"[unit] a monitor alarm sounds at bed_2.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":34,"lane":"charge","text":"He's on midazolam at 10 mg/hour and fentanyl at 25 mcg/hour; it was last titrated an hour ago. Flagging BEDSIDE to confirm before we move forward.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":35,"lane":"cabin","text":"[unit] 42 seconds pass.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":36,"lane":"visitor","text":"[visitor] That's everything I need. Thank you - I know what kind of night this is.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":37,"lane":"charge","text":"He's on midazolam at 10 mg/hour and fentanyl at 25 mcg/hour; let's confirm the OPO details before we move forward.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"tape","rev":38,"lane":"cabin","text":"[unit] the unit goes quiet again.","abort":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"sampler","consulted":381},
  {"wall_ms":9537,"sim_ms":300000,"k":"metrics","deck":"referral_line_v1","score":"referral","seed":17,"sampler_consulted":381,"emits":12,"aborts":0,"adjudicates":0,"injects":12,"world_events":13,"consequences":0,"dampened":0,"empty_gen":0,"ticks":1,"decide_rounds":0,"handles_identical":true,"no_priority_field":true,"dry":false},
  {"wall_ms":9537,"sim_ms":300000,"k":"fzombie","turns":12,"blind":1}
]}