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1
+ [
2
+ "Sudden crushing chest pressure radiating to the left arm and jaw with cold sweats and vomiting that started 10 minutes ago. What are my next steps?",
3
+ "Tearing chest pain moving to the back with sudden weakness and lightheadedness. How should I proceed?",
4
+ "Crushing chest pain at rest with gray, clammy skin and breathlessness. What action should I take now?",
5
+ "Severe chest pain after cocaine use with rapid heartbeat and profuse sweating. What would you advise?",
6
+ "Chest tightness with pink frothy sputum and severe breathlessness lying flat. How should I proceed?",
7
+ "Sharp chest pain with sudden shortness of breath and one swollen, painful calf after a long flight. What should I do right now?",
8
+ "Sudden pounding heartbeat with dizziness and near-collapse while sitting still. What would you advise?",
9
+ "Crushing chest pain with new confusion and weakness in a person with diabetes. What would you advise?",
10
+ "Sudden chest pain with fainting spells and a family history of early heart disease. What would you advise?",
11
+ "Severe chest discomfort with blue lips and inability to speak in full sentences. How should I respond to this?",
12
+ "Sudden drooping of one side of the face with slurred speech and inability to lift one arm. What would you advise?",
13
+ "The worst headache of my life began instantly during light exercise and is followed by vomiting and confusion. What should I do next?",
14
+ "Sudden loss of vision in one eye with severe headache and trouble speaking. How should I handle this?",
15
+ "Sudden inability to understand simple sentences and difficulty naming common objects. What are my next steps?",
16
+ "Brief loss of consciousness after a head strike, now worsening confusion and repeated vomiting. What should I do next?",
17
+ "Severe headache with neck stiffness, high fever, and a rapidly spreading purple rash. How should I respond to this?",
18
+ "New seizure lasting over five minutes in someone with no prior seizures. What action should I take now?",
19
+ "Two seizures back-to-back without returning to normal between them, now very drowsy. What action should I take now?",
20
+ "Sudden numbness from the waist down with loss of bladder control and severe back pain. What would you advise?",
21
+ "New severe headache after starting a blood thinner with unequal pupils and confusion. What would you advise?",
22
+ "Rapidly swelling lips and tongue with hives and wheezing minutes after eating a peanut snack. How should I handle this?",
23
+ "Tight chest, noisy breathing, and inability to speak more than one or two words despite using an inhaler. How should I proceed?",
24
+ "High fever with drooling, muffled voice, and leaning forward to breathe in a child. What are my next steps?",
25
+ "Throat swelling and hoarse voice after a wasp sting with tightening chest. What should I do next?",
26
+ "Noisy, high-pitched breathing and difficulty swallowing after a fish bone feels stuck. How should I handle this?",
27
+ "Breathing difficulty and chest tightness after mixing bleach and ammonia while cleaning a bathroom. What would you advise?",
28
+ "Smoke inhalation with soot around the nose and rapid, shallow breathing after a kitchen fire. How should I proceed?",
29
+ "Sudden severe wheezing and chest tightness after exposure to chlorine at a pool. What are my next steps?",
30
+ "Breathlessness at rest with blue fingertips in someone with recent leg immobilization. How should I respond to this?",
31
+ "Choking episode on meat followed by very weak cough and quiet breathing. What are my next steps?",
32
+ "Dull headache, nausea, and confusion affecting everyone in the home after running a generator indoors. How should I handle this?",
33
+ "Very slow breathing and minimal responsiveness after taking a large amount of opioid pills. How should I handle this?",
34
+ "Accidental antifreeze ingestion followed by vomiting, confusion, and abdominal pain. What are my next steps?",
35
+ "Mouth and throat burning after sipping from a bottle that smelled like an industrial cleaner. What should I do next?",
36
+ "Strong pesticide exposure with sweating, drooling, and new muscle twitching. What would you advise?",
37
+ "Chemical splash to both eyes with severe pain, tearing, and blurred vision. What should I do right now?",
38
+ "Hydrofluoric acid on a fingertip with intense pain and progressive numbness up the hand. What should I do right now?",
39
+ "Lab exposure to cyanide with sudden dizziness, headache, and rapid breathing. How should I handle this?",
40
+ "Organophosphate spray exposure with pinpoint pupils, sweating, and vomiting. What would you advise?",
41
+ "Carbon monoxide alarm sounding with dizziness and confusion in all family members. What should I do next?",
42
+ "Very high blood sugar with deep, rapid breathing, vomiting, and severe weakness. How should I proceed?",
43
+ "Shakiness, sweating, and confusion progressing to unresponsiveness after too much insulin. What should I do next?",
44
+ "High fever, rapid heartbeat, severe agitation, and diarrhea after missing thyroid medication for days. What should I do next?",
45
+ "Extreme fatigue, low blood pressure, vomiting, and confusion after stopping long-term steroids. How should I proceed?",
46
+ "Very low body temperature, puffy face, slowed thinking, and confusion in cold weather. What should I do right now?",
47
+ "Vomiting bright red blood with dizziness and clammy skin. What action should I take now?",
48
+ "Black, tarry stools with severe abdominal pain and near-fainting. What action should I take now?",
49
+ "Severe upper abdominal pain radiating to the back after heavy drinking with persistent vomiting. What should I do next?",
50
+ "Rigid, distended abdomen with severe pain and repeated vomiting after recent abdominal surgery. What should I do next?",
51
+ "Severe right upper abdominal pain with fever and yellowing eyes. What would you advise?",
52
+ "Cramping abdominal pain with frequent bloody diarrhea and lightheadedness. How should I proceed?",
53
+ "Severe stomach pain after starting a new anticoagulant and now passing black stools. What should I do next?",
54
+ "Sudden severe lower right abdominal pain with fever, loss of appetite, and vomiting. How should I respond to this?",
55
+ "Severe abdominal pain and hives after eating shellfish with repeated vomiting. What should I do right now?",
56
+ "Bright red blood in vomit after binge drinking with dizziness and sweating. What would you advise?",
57
+ "Severe flank pain with blood in urine and vomiting that began suddenly. What should I do right now?",
58
+ "Sudden inability to urinate with painful lower abdominal swelling and nausea. How should I respond to this?",
59
+ "Fever, chills, and back pain with confusion in an older adult after burning urination. What are my next steps?",
60
+ "Severe testicular pain that started abruptly with nausea and sweating. How should I handle this?",
61
+ "Severe groin pain and a swollen, tender scrotum after sudden movement. What action should I take now?",
62
+ "Heavy vaginal bleeding with severe cramping and dizziness in early pregnancy. What action should I take now?",
63
+ "Severe lower abdominal pain with shoulder pain and faintness in early pregnancy. What would you advise?",
64
+ "Severe headache, vision changes, and swelling of hands and face in the second trimester. What action should I take now?",
65
+ "No fetal movement all day with abdominal pain and fluid leakage in late pregnancy. What should I do right now?",
66
+ "Heavy bleeding with large clots and dizziness one week after delivery. How should I handle this?",
67
+ "Sudden chest pain and shortness of breath in late pregnancy. What should I do next?",
68
+ "Sudden large bruises and nosebleeds with profound fatigue and paleness. How should I handle this?",
69
+ "High fever, shaking chills, confusion, and low blood pressure in someone without a spleen. How should I handle this?",
70
+ "Fever, mouth ulcers, and severe sore throat a week after chemotherapy with extreme fatigue. What action should I take now?",
71
+ "Severe back pain and dark urine after starting a new antibiotic. How should I respond to this?",
72
+ "Painful swollen calf with sudden sharp chest pain and breathlessness. What would you advise?",
73
+ "Deep forearm laceration with visible tendon and heavy bleeding despite firm pressure. How should I handle this?",
74
+ "Spurting bleeding from a thigh wound after falling through a glass door. What should I do next?",
75
+ "Lower leg deformity with bone visible after a sports tackle and extreme pain. How should I handle this?",
76
+ "Crushed foot under a heavy pallet with numb toes and unbearable pain. What would you advise?",
77
+ "Pelvic pain and inability to stand after a motorcycle crash. What would you advise?",
78
+ "Severe neck pain with numbness in both arms after a diving accident. What should I do right now?",
79
+ "Loss of sensation below the waist after a fall from a roof onto the back. What are my next steps?",
80
+ "Back pain with weakness in both legs after moving furniture and feeling a pop. How should I respond to this?",
81
+ "Shoulder deformity after a fall with a cold, numb hand that has no pulse. What should I do next?",
82
+ "Knee injury with a loud pop and foot numbness after twisting on uneven ground. How should I handle this?",
83
+ "Hand trapped in machinery with rapidly increasing swelling and severe pain. What would you advise?",
84
+ "Calf pain and tightness under a new cast with the foot becoming numb and pale. What should I do next?",
85
+ "Finger avulsion injury with part of the fingertip missing and continuous bleeding. What should I do next?",
86
+ "Degloving injury to a hand from a ring catching on a fence with exposed tissue. How should I handle this?",
87
+ "Hip pain with leg shortened and turned outward after slipping on stairs. How should I respond to this?",
88
+ "Rib pain and difficulty breathing after being crushed by a heavy object. What should I do right now?",
89
+ "Open skull wound with continued bleeding after a fall and a brief blackout. What would you advise?",
90
+ "Unequal pupils, vomiting, and confusion after a bicycle crash without a helmet. What should I do next?",
91
+ "Jaw pain, inability to open the mouth, and drooling after a punch to the face. What should I do next?",
92
+ "Facial fractures with swelling that is blocking airflow after a high-speed collision. What should I do right now?",
93
+ "Abdominal puncture with a protruding object after a construction accident. What should I do right now?",
94
+ "Penetrating chest wound with worsening shortness of breath and chest pain. What should I do right now?",
95
+ "Scalp laceration with pulsatile bleeding after being struck by a falling branch. What should I do next?",
96
+ "Ankle deformity with no detectable foot pulse after a fall from a ladder. What should I do next?",
97
+ "Wrist deformity with numb, pale fingers after slipping on ice. What action should I take now?",
98
+ "Elbow injury with severe pain and hand numbness after falling onto an outstretched arm. What should I do right now?",
99
+ "Clavicle deformity and severe shoulder pain after a bike crash. What are my next steps?",
100
+ "Forearm swelling and tightness after a snakebite with severe pain. What would you advise?",
101
+ "Back injury with inability to move legs after a heavy object fell on the spine. What would you advise?",
102
+ "Confusion and hot, dry skin after working outside in extreme heat without sweating. What would you advise?",
103
+ "Shivering, slurred speech, and growing drowsiness after hours in cold rain. What are my next steps?",
104
+ "Severe burns to the face and hands with charred skin after a grease fire. What are my next steps?",
105
+ "Large blistering burn on the thigh after boiling water spilled from a pot. What are my next steps?",
106
+ "Electrical shock with chest discomfort and muscle pain after touching a live wire. How should I proceed?",
107
+ "Lightning strike during a storm followed by confusion and weakness. What should I do next?",
108
+ "Chemical burns on the forearm after industrial cleaner exposure with whitening of the skin. What should I do right now?",
109
+ "Fingers pale, hard, and numb after hours of exposure to snow and wind. How should I respond to this?",
110
+ "Collapsed while hiking with pounding headache and hot, dry skin in high heat. How should I respond to this?",
111
+ "Smoke inhalation in a house fire with soot around the nose and rapid, shallow breathing. How should I respond to this?",
112
+ "Throat swelling and muffled voice after a dental infection spreading into the neck. What are my next steps?",
113
+ "Heavy bleeding after tooth extraction with dizziness and weakness. How should I proceed?",
114
+ "Foreign object stuck in the throat with drooling and inability to swallow. How should I proceed?",
115
+ "Nasal fracture with persistent heavy bleeding after a sports impact. How should I handle this?",
116
+ "Severe facial swelling after a molar infection causing difficulty breathing. What action should I take now?",
117
+ "High-speed metal fragment hit the eye causing severe pain and sudden vision loss. What should I do next?",
118
+ "Severe eye pain with halos around lights and sudden blurred vision in a dark room. What are my next steps?",
119
+ "Alkali chemical burn to the eyes with severe pain and clouded vision. How should I handle this?",
120
+ "Sudden painless loss of vision in one eye while reading. What should I do next?",
121
+ "Eye protrusion, severe pain, and double vision after blunt facial trauma. What should I do next?",
122
+ "Infant is limp with blue lips and shallow breathing shortly after feeding. How should I proceed?",
123
+ "Toddler swallowed a button battery and is drooling with chest discomfort. What should I do right now?",
124
+ "Child pulled a pot of boiling soup and now has large blisters on the chest. What action should I take now?",
125
+ "Four-year-old with high fever, purple rash, and very hard to wake. What are my next steps?",
126
+ "Child is coughing weakly after inhaling a small toy and is now very quiet. What action should I take now?",
127
+ "High fever, rapid heartbeat, confusion, and low blood pressure a few days after surgery. How should I proceed?",
128
+ "Red, swollen leg with spreading streaks and fever, now feeling faint and shaky. How should I proceed?",
129
+ "Severe abdominal pain and fever after recent gallbladder surgery with increasing tenderness. What should I do right now?",
130
+ "Confusion, fast breathing, and weakness in an older adult after a urinary infection. How should I handle this?",
131
+ "Severe headache, fever, and neck stiffness after travel to an area with meningitis outbreaks. What would you advise?",
132
+ "Vomiting blood clots with dizziness in someone with known liver disease. How should I respond to this?",
133
+ "Heavy rectal bleeding with weakness and lightheadedness. What should I do next?",
134
+ "Coughing up a large volume of bright red blood with breathlessness. What action should I take now?",
135
+ "Heavy vaginal bleeding unrelated to pregnancy with cramping and faintness. What should I do right now?",
136
+ "Large scalp wound with continuous heavy bleeding after slipping in the shower. What should I do right now?",
137
+ "Sudden cold, pale, and numb foot with severe leg pain after a cramp while running. What should I do next?",
138
+ "Blue, painful fingers trapped by a tight ring with increasing swelling. What are my next steps?",
139
+ "Severe abdominal and back pain with a pulsating feeling in the belly in an older adult. What should I do right now?",
140
+ "Sudden severe arm pain with the hand becoming cold and numb after a fall. How should I proceed?",
141
+ "Painful swollen calf after a long car trip with new sharp chest pain and breathlessness. What would you advise?",
142
+ "Sudden chest pain and shortness of breath one week after knee surgery. What are my next steps?",
143
+ "Severe headache and neck stiffness after a recent spinal tap. What should I do next?",
144
+ "Port site is red and very tender with fever and chills in someone receiving chemotherapy. What should I do next?",
145
+ "Severe abdominal pain and fever two days after colonoscopy. What should I do right now?",
146
+ "Heavy bleeding around a dialysis fistula with pulsatile flow. What are my next steps?",
147
+ "Whole-body muscle rigidity and very high fever after starting a new antipsychotic. How should I handle this?",
148
+ "High fever, agitation, and tremors after combining migraine medication with an antidepressant. What are my next steps?",
149
+ "Severe muscle pain with dark cola-colored urine after being trapped under debris. What should I do right now?",
150
+ "Severe facial pain with black nasal discharge and fever in someone with uncontrolled diabetes. What are my next steps?",
151
+ "Severe weakness and paralysis spreading upward after eating home-canned food. How should I proceed?",
152
+ "Penetrating neck wound with bubbling at the site and hoarse voice after a workshop incident. What are my next steps?",
153
+ "Severe groin bleeding after landing on a metal post during a fall. How should I respond to this?",
154
+ "Severe abdominal pain and bruising from a seatbelt after a high-speed stop. What are my next steps?",
155
+ "Nail gun puncture through the palm with severe pain and numbness in the fingers. How should I handle this?",
156
+ "Chest crush injury from a collapsing jack with shallow breathing. What should I do right now?",
157
+ "Fall from a horse with back pain and tingling in both legs. How should I proceed?",
158
+ "Wire puncture to the eye with immediate vision loss. What are my next steps?",
159
+ "Ear bleeding and confusion after a fall down stairs. How should I handle this?",
160
+ "Collapse during a run with pounding headache and hot, dry skin. How should I handle this?",
161
+ "Struck by a car as a pedestrian with pelvic pain and dizziness. What would you advise?",
162
+ "Neck swelling and breathing difficulty after eating shellfish. How should I proceed?",
163
+ "Severe throat pain and drooling after swallowing a fish bone. What would you advise?",
164
+ "Sudden severe back pain while on blood thinners with new leg weakness. What are my next steps?",
165
+ "Severe tongue swelling after starting a new blood pressure medication. What would you advise?",
166
+ "Severe calf swelling and pain under a cast applied yesterday with numb foot. What action should I take now?",
167
+ "Sudden confusion and very high fever in an older adult with a new rash. How should I respond to this?",
168
+ "Loss of consciousness after inhaling solvent fumes in a poorly ventilated room. How should I proceed?",
169
+ "Hand caught in a conveyor with crushing injury and pale, cold fingers. What are my next steps?",
170
+ "High-pressure injection injury from a pressure washer to the palm with severe pain. What would you advise?",
171
+ "Propane leak inhalation in a basement with dizziness and chest tightness. How should I proceed?",
172
+ "Firework explosion affecting the eye with vomiting blood and vision loss. How should I proceed?",
173
+ "Firework explosion affecting the throat with confusion and rapid swelling. What should I do next?",
174
+ "Firework explosion affecting the chest with vomiting blood and heavy bleeding. How should I proceed?",
175
+ "Firework explosion affecting the abdomen with numbness and loss of movement. What should I do next?",
176
+ "Firework explosion affecting the scalp with tight chest and severe pain. What would you advise?",
177
+ "Firework explosion affecting the neck with vision loss and loss of movement. What are my next steps?",
178
+ "Firework explosion affecting the back with loss of movement and vision loss. How should I respond to this?",
179
+ "Firework explosion affecting the hand with heavy bleeding and vision loss. What would you advise?",
180
+ "Firework explosion affecting the forearm with severe pain and loss of movement. What action should I take now?",
181
+ "Firework explosion affecting the thigh with vision loss and loss of movement. What should I do right now?",
182
+ "Firework explosion affecting the knee with heavy bleeding and tight chest. What are my next steps?",
183
+ "Firework explosion affecting the ankle with heavy bleeding and vomiting blood. What are my next steps?",
184
+ "Firework explosion affecting the foot with vomiting blood and vision loss. How should I handle this?",
185
+ "Firework explosion affecting the face with severe pain and severe pain. How should I proceed?",
186
+ "Battery acid spill affecting the eye with heavy bleeding and severe pain. What should I do right now?",
187
+ "Battery acid spill affecting the throat with loss of movement and confusion. What would you advise?",
188
+ "Battery acid spill affecting the chest with numbness and vomiting blood. What should I do next?",
189
+ "Battery acid spill affecting the abdomen with heavy bleeding and tight chest. What are my next steps?",
190
+ "Battery acid spill affecting the scalp with vision loss and vomiting blood. How should I proceed?",
191
+ "Battery acid spill affecting the neck with severe pain and severe pain. How should I respond to this?",
192
+ "Battery acid spill affecting the back with vision loss and severe pain. What action should I take now?",
193
+ "Battery acid spill affecting the hand with tight chest and heavy bleeding. How should I respond to this?",
194
+ "Battery acid spill affecting the forearm with vision loss and rapid swelling. How should I handle this?",
195
+ "Battery acid spill affecting the thigh with vomiting blood and numbness. What action should I take now?",
196
+ "Battery acid spill affecting the knee with vision loss and tight chest. What would you advise?",
197
+ "Battery acid spill affecting the ankle with confusion and trouble breathing. How should I respond to this?",
198
+ "Battery acid spill affecting the foot with confusion and tight chest. What are my next steps?",
199
+ "Battery acid spill affecting the face with rapid swelling and numbness. How should I handle this?",
200
+ "Propane heater leak affecting the eye with vomiting blood and confusion. What would you advise?",
201
+ "Propane heater leak affecting the throat with vomiting blood and confusion. What are my next steps?",
202
+ "Propane heater leak affecting the chest with loss of movement and vision loss. How should I handle this?",
203
+ "Propane heater leak affecting the abdomen with tight chest and loss of movement. What would you advise?",
204
+ "Propane heater leak affecting the scalp with tight chest and heavy bleeding. How should I handle this?",
205
+ "Propane heater leak affecting the neck with numbness and tight chest. What should I do right now?",
206
+ "Propane heater leak affecting the back with severe pain and numbness. What should I do right now?",
207
+ "Propane heater leak affecting the hand with severe pain and vomiting blood. What should I do next?",
208
+ "Propane heater leak affecting the forearm with vomiting blood and tight chest. How should I handle this?",
209
+ "Propane heater leak affecting the thigh with trouble breathing and rapid swelling. What should I do next?",
210
+ "Propane heater leak affecting the knee with trouble breathing and numbness. What should I do next?",
211
+ "Propane heater leak affecting the ankle with trouble breathing and numbness. What would you advise?",
212
+ "Propane heater leak affecting the foot with vision loss and vomiting blood. What are my next steps?",
213
+ "Propane heater leak affecting the face with rapid swelling and trouble breathing. What should I do right now?",
214
+ "Dry ice buildup in a small room affecting the eye with vomiting blood and trouble breathing. How should I respond to this?",
215
+ "Dry ice buildup in a small room affecting the throat with tight chest and rapid swelling. How should I handle this?",
216
+ "Dry ice buildup in a small room affecting the chest with heavy bleeding and numbness. How should I proceed?",
217
+ "Dry ice buildup in a small room affecting the abdomen with tight chest and vomiting blood. What should I do right now?",
218
+ "Dry ice buildup in a small room affecting the scalp with tight chest and vomiting blood. What would you advise?",
219
+ "Dry ice buildup in a small room affecting the neck with vomiting blood and tight chest. What are my next steps?",
220
+ "Dry ice buildup in a small room affecting the back with rapid swelling and vomiting blood. What would you advise?",
221
+ "Dry ice buildup in a small room affecting the hand with loss of movement and numbness. What would you advise?",
222
+ "Dry ice buildup in a small room affecting the forearm with vomiting blood and severe pain. What should I do next?",
223
+ "Dry ice buildup in a small room affecting the thigh with trouble breathing and tight chest. How should I proceed?",
224
+ "Dry ice buildup in a small room affecting the knee with heavy bleeding and vomiting blood. How should I handle this?",
225
+ "Dry ice buildup in a small room affecting the ankle with tight chest and loss of movement. How should I handle this?",
226
+ "Dry ice buildup in a small room affecting the foot with heavy bleeding and severe pain. How should I respond to this?",
227
+ "Dry ice buildup in a small room affecting the face with severe pain and severe pain. What are my next steps?",
228
+ "Chlorine tablet fumes affecting the eye with severe pain and rapid swelling. What should I do right now?",
229
+ "Chlorine tablet fumes affecting the throat with confusion and tight chest. What should I do next?",
230
+ "Chlorine tablet fumes affecting the chest with rapid swelling and trouble breathing. How should I handle this?",
231
+ "Chlorine tablet fumes affecting the abdomen with vomiting blood and heavy bleeding. What are my next steps?",
232
+ "Chlorine tablet fumes affecting the scalp with vision loss and tight chest. How should I proceed?",
233
+ "Chlorine tablet fumes affecting the neck with loss of movement and severe pain. What would you advise?",
234
+ "Chlorine tablet fumes affecting the back with rapid swelling and rapid swelling. What are my next steps?",
235
+ "Chlorine tablet fumes affecting the hand with severe pain and numbness. What action should I take now?",
236
+ "Chlorine tablet fumes affecting the forearm with trouble breathing and rapid swelling. What are my next steps?",
237
+ "Chlorine tablet fumes affecting the thigh with numbness and numbness. What action should I take now?",
238
+ "Chlorine tablet fumes affecting the knee with rapid swelling and loss of movement. How should I respond to this?",
239
+ "Chlorine tablet fumes affecting the ankle with severe pain and tight chest. How should I handle this?",
240
+ "Chlorine tablet fumes affecting the foot with confusion and rapid swelling. What should I do next?",
241
+ "Chlorine tablet fumes affecting the face with vision loss and vomiting blood. How should I proceed?"
242
+ ]