{"id":"TSS_iv_000000_clinical_summary_30_1","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 69, diastolic pressure rose from 26 to 58, and heart rate was roughly stable (91 to 95). The lowest MAP was about 66 around hour 24.8, and the lowest valid SpO2 was 88 around hour 2.3; respiratory rate rose as high as 28 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 32.8-34.4 C, white count rose from 16.9 to 18.4, creatinine stayed around 0.5, lactate was checked once at 1.3, and urine output fell from 650 to 520.\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 72, diastolic pressure rose from 24 to 61, and heart rate was roughly stable (94 to 92). The lowest MAP was about 63 around hour 23.8, and the lowest valid SpO2 was 85 around hour 2.5; respiratory rate rose as high as 26 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 35.8-37.4 C, white count rose from 15.4 to 16.5, creatinine stayed around 0.4, lactate was checked once at 1.1, and urine output fell from 670 to 500.\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 68, diastolic pressure rose from 26 to 65, and heart rate was roughly stable (90 to 95). The lowest MAP was about 67 around hour 21.9, and the lowest valid SpO2 was 89 around hour 1.5; respiratory rate rose as high as 28 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 32.0-33.6 C, white count rose from 17.3 to 18.8, creatinine stayed around 0.5, lactate was checked once at 1.4, and urine output fell from 645 to 525.\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 76, diastolic pressure rose from 22 to 56, and heart rate was roughly stable (98 to 88). The lowest MAP was about 58 around hour 26.1, and the lowest valid SpO2 was 80 around hour 2.8; respiratory rate rose as high as 28 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 40.3-41.9 C, white count rose from 13.2 to 18.8, creatinine was roughly stable (0.2 to 0.5), lactate was checked once at 1.1, and urine output fell from 670 to 550.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 72, diastolic pressure rose from 24 to 61, and heart rate was roughly stable (94 to 92). The lowest MAP was about 63 around hour 23.8, and the lowest valid SpO2 was 85 around hour 2.5; respiratory rate rose as high as 26 but ended at 14. The lower-frequency data fit that summary: temperature ranged from 35.8 to 99, white count rose from 15.4 to 16.5, creatinine stayed around 0.4, lactate was checked once at 1.1, and urine output fell from 670 to 500.","episode_id":"iv_000000","anchor_time":30}
{"id":"TSS_iv_000000_clinical_summary_30_2","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 42 to 105, MAP fell from 93 to 75, and heart rate was roughly stable (91 to 95). SpO2 started at 97, ended at 100, and fell as low as 84 around hour 2.3; respiratory rate ranged 10-24. For labs and output, white count rose from 13.9 to 18.0, creatinine stayed around 0.5, lactate was checked once at 0.9, and urine output fell from 690 to 520.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 37 to 111, MAP fell from 88 to 70, and heart rate was roughly stable (96 to 90). SpO2 started at 98, ended at 95, and fell as low as 83 around hour 2.6; respiratory rate ranged 9-27. For labs and output, white count rose from 16.5 to 18.0, creatinine was roughly stable (0.3 to 0.5), lactate was checked once at 1.3, and urine output fell from 670 to 500.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 39 to 109, MAP fell from 90 to 72, and heart rate was roughly stable (94 to 92). SpO2 started at 100, ended at 97, and fell as low as 85 around hour 2.5; respiratory rate ranged 9-26. For labs and output, white count rose from 15.4 to 16.5, creatinine stayed around 0.4, lactate was checked once at 1.1, and urine output fell from 670 to 500.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 34 to 114, MAP fell from 86 to 68, and heart rate was roughly stable (98 to 95). SpO2 started at 96, ended at 92, and fell as low as 80 around hour 2.8; respiratory rate ranged 8-28. For labs and output, white count was roughly stable (17.6 to 15.7), creatinine stayed around 0.2, lactate was checked once at 1.4, and urine output fell from 640 to 470.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 39 to 109, MAP fell from 90 to 72, and heart rate was roughly stable (94 to 92). SpO2 started at 100, ended at 97, and fell as low as 85 around hour 2.5; respiratory rate ranged 9-26. For labs and output, white count rose from 15.4 to 16.5, creatinine stayed around 0.4, lactate was checked once at 1.1, and urine output fell from 670 to 500.","episode_id":"iv_000000","anchor_time":30}
{"id":"TSS_iv_000001_clinical_summary_68_0","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Taken together, the heart rate fell from 149 to 93, while MAP fell from 110 to 80. Systolic pressure was labile, ranging 66-175, with the lowest value around hour 21.1. SpO2 briefly dipped to 89 around hour 0.8 before recovering to 93, while respiratory rate peaked at 33 and later settled at 16. The associated labs and urine output showed that white count fell from 11.8 to 9.7, creatinine fell from 0.8 to 0.4, lactate was not available, and urine output fell from 140 to 43, with recorded outputs ranging 27-330.\nB. Taken together, the heart rate fell from 129 to 96, while MAP fell from 107 to 77. Systolic pressure was labile, ranging 62-195, with the lowest value around hour 19.6. SpO2 briefly dipped to 88 around hour 0.7 before recovering to 96, while respiratory rate peaked at 31 and later settled at 15. The associated labs and urine output showed that white count fell from 13.3 to 9.2, creatinine fell from 0.7 to 0.5, lactate was not available, and urine output fell from 120 to 40, with recorded outputs ranging 30-350.\nC. Taken together, the heart rate fell from 154 to 92, while MAP fell from 111 to 80. Systolic pressure was labile, ranging 58-170, with the lowest value around hour 21.5. SpO2 briefly dipped to 92 around hour 1.7 before recovering to 92, while respiratory rate peaked at 35 and later settled at 17. The associated labs and urine output showed that white count fell from 11.4 to 9.8, creatinine fell from 0.8 to 0.4, lactate was not available, and urine output fell from 145 to 0, with recorded outputs ranging 0-325.\nD. Taken together, the heart rate fell from 99 to 96, while MAP fell from 102 to 72. Systolic pressure was labile, ranging 66-225, with the lowest value around hour 17.4. SpO2 briefly dipped to 84 around hour 0.5 before recovering to 100, while respiratory rate peaked at 26 and later settled at 13. The associated labs and urine output showed that white count fell from 15.6 to 8.4, creatinine was roughly stable (0.5 to 0.6), lactate was not available, and urine output fell from 90 to 36, with recorded outputs ranging 40-380.","answer":"B","answer_text":"Taken together, the heart rate fell from 129 to 96, while MAP fell from 107 to 77. Systolic pressure was labile, ranging 62-195, with the lowest value around hour 19.6. SpO2 briefly dipped to 88 around hour 0.7 before recovering to 96, while respiratory rate peaked at 31 and later settled at 15. The associated labs and urine output showed that white count fell from 13.3 to 9.2, creatinine fell from 0.7 to 0.5, lactate was not available, and urine output fell from 120 to 40, with recorded outputs ranging 30-350.","episode_id":"iv_000001","anchor_time":68}
{"id":"TSS_iv_000001_clinical_summary_68_1","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 110 to 74, diastolic pressure fell from 92 to 65, and heart rate fell from 109 to 99. The lowest MAP was about 54 around hour 18.1, and the lowest valid SpO2 was 91 around hour 0.6; respiratory rate rose as high as 33 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 34.5-35.8 C, white count fell from 14.8 to 8.7, creatinine was roughly stable (0.8 to 0.6), lactate was not available, and urine output was roughly stable (100 to 90)\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 105 to 79, diastolic pressure fell from 87 to 59, and heart rate fell from 144 to 94. The lowest MAP was about 54 around hour 20.6, and the lowest valid SpO2 was 86 around hour 0.8; respiratory rate rose as high as 29 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 39.8-41.0 C, white count fell from 12.2 to 9.6, creatinine fell from 0.6 to 0.4, lactate was not available, and urine output fell from 135 to 38.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 107 to 77, diastolic pressure fell from 89 to 62, and heart rate fell from 129 to 96. The lowest MAP was about 51 around hour 19.6, and the lowest valid SpO2 was 88 around hour 0.7; respiratory rate rose as high as 31 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 37.5-38.8 C, white count fell from 13.3 to 9.2, creatinine fell from 0.7 to 0.5, lactate was not available, and urine output fell from 120 to 40.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 102 to 82, diastolic pressure fell from 84 to 58, and heart rate fell from 159 to 99. The lowest MAP was about 46 around hour 21.9, and the lowest valid SpO2 was 84 around hour 0; respiratory rate rose as high as 26 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 42.0-43.3 C, white count fell from 11.1 to 9.9, creatinine fell from 0.5 to 0.3, lactate was not available, and urine output fell from 150 to 36.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 107 to 77, diastolic pressure fell from 89 to 62, and heart rate fell from 129 to 96. The lowest MAP was about 51 around hour 19.6, and the lowest valid SpO2 was 88 around hour 0.7; respiratory rate rose as high as 31 but ended at 15. The lower-frequency data fit that summary: temperature ranged from 37.8 to 100.8, white count fell from 13.3 to 9.2, creatinine fell from 0.7 to 0.5, lactate was not available, and urine output fell from 120 to 40.","episode_id":"iv_000001","anchor_time":68}
{"id":"TSS_iv_000001_clinical_summary_68_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. In broad terms, the heart rate fell from 129 to 96, MAP fell from 107 to 77, and diastolic pressure moved from 89 to 62. Systolic pressure ranged 62-195 and ended at 151, and SpO2 recovered to 96 after a low of 88 around hour 0.7. Respiratory rate ended at 15; the available labs showed white count fell from 13.3 to 9.2, creatinine fell from 0.7 to 0.5, lactate was not available, and urine output fell from 120 to 40.\nB. In broad terms, the heart rate fell from 114 to 99, MAP fell from 105 to 75, and diastolic pressure moved from 91 to 59. Systolic pressure ranged 60-180 and ended at 136, and SpO2 recovered to 98 after a low of 86 around hour 0.6. Respiratory rate ended at 16; the available labs showed white count fell from 12.2 to 8.8, creatinine fell from 0.8 to 0.4, lactate was not available, and urine output fell from 105 to 42.\nC. In broad terms, the heart rate fell from 154 to 92, MAP fell from 111 to 80, and diastolic pressure moved from 85 to 66. Systolic pressure ranged 66-220 and ended at 147, and SpO2 recovered to 92 after a low of 92 around hour 1.7. Respiratory rate ended at 13; the available labs showed white count fell from 15.2 to 9.8, creatinine fell from 0.6 to 0.5, lactate was not available, and urine output fell from 145 to 36.\nD. In broad terms, the heart rate fell from 99 to 96, MAP fell from 102 to 72, and diastolic pressure moved from 94 to 58. Systolic pressure ranged 58-165 and ended at 121, and SpO2 recovered to 100 after a low of 87 around hour 0.5. Respiratory rate ended at 17; the available labs showed white count fell from 11.1 to 8.4, creatinine fell from 0.8 to 0.3, lactate was not available, and urine output fell from 170 to 44.","answer":"A","answer_text":"In broad terms, the heart rate fell from 129 to 96, MAP fell from 107 to 77, and diastolic pressure moved from 89 to 62. Systolic pressure ranged 62-195 and ended at 151, and SpO2 recovered to 96 after a low of 88 around hour 0.7. Respiratory rate ended at 15; the available labs showed white count fell from 13.3 to 9.2, creatinine fell from 0.7 to 0.5, lactate was not available, and urine output fell from 120 to 40.","episode_id":"iv_000001","anchor_time":68}
{"id":"TSS_iv_000002_clinical_summary_59_0","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. In broad terms, the heart rate fell from 83 to 47, while MAP fell from 91 to 68. Systolic pressure was labile, ranging 62-115, with the lowest value around hour 3.9. SpO2 briefly dipped to 88 around hour 3.0 before recovering to 85, while respiratory rate peaked at 27 and later settled at 22. The associated labs and urine output showed that white count fell from 12.0 to 10.1, creatinine stayed around 0.6, lactate was checked once at 2, and urine output rose from 78 to 520, with recorded outputs ranging 18-480.\nB. In broad terms, the heart rate fell from 78 to 52, while MAP fell from 86 to 68. Systolic pressure was labile, ranging 60-150, with the lowest value around hour 3.0. SpO2 briefly dipped to 83 around hour 3.8 before recovering to 90, while respiratory rate peaked at 24 and later settled at 19. The associated labs and urine output showed that white count fell from 14.6 to 9.2, creatinine stayed around 0.4, lactate was checked once at 3, and urine output rose from 73 to 450, with recorded outputs ranging 21-515.\nC. In broad terms, the heart rate fell from 80 to 50, while MAP fell from 88 to 65. Systolic pressure was labile, ranging 58-135, with the lowest value around hour 3.4. SpO2 briefly dipped to 85 around hour 2.8 before recovering to 88, while respiratory rate peaked at 25 and later settled at 20. The associated labs and urine output showed that white count fell from 13.5 to 9.6, creatinine stayed around 0.5, lactate was checked once at 3, and urine output rose from 75 to 500, with recorded outputs ranging 20-500.\nD. In broad terms, the heart rate fell from 76 to 54, while MAP fell from 84 to 60. Systolic pressure was labile, ranging 62-165, with the lowest value around hour 2.6. SpO2 briefly dipped to 80 around hour 2.5 before recovering to 92, while respiratory rate peaked at 23 and later settled at 18. The associated labs and urine output showed that white count fell from 15.8 to 8.8, creatinine was roughly stable (0.3 to 0.6), lactate was checked once at 3, and urine output rose from 75 to 500, with recorded outputs ranging 70-500.","answer":"C","answer_text":"In broad terms, the heart rate fell from 80 to 50, while MAP fell from 88 to 65. Systolic pressure was labile, ranging 58-135, with the lowest value around hour 3.4. SpO2 briefly dipped to 85 around hour 2.8 before recovering to 88, while respiratory rate peaked at 25 and later settled at 20. The associated labs and urine output showed that white count fell from 13.5 to 9.6, creatinine stayed around 0.5, lactate was checked once at 3, and urine output rose from 75 to 500, with recorded outputs ranging 20-500.","episode_id":"iv_000002","anchor_time":59}
{"id":"TSS_iv_000002_clinical_summary_59_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 91 to 62, diastolic pressure fell from 70 to 60, and heart rate fell from 77 to 53. The lowest MAP was about 49 around hour 2.9, and the lowest valid SpO2 was 88 around hour 1.8; respiratory rate rose as high as 26 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.6-34.4 C, white count fell from 15.0 to 9.1, creatinine stayed around 0.6, lactate was checked once at 4, and urine output rose from 72 to 520.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 67, diastolic pressure fell from 65 to 54, and heart rate fell from 82 to 48. The lowest MAP was about 49 around hour 4.4, and the lowest valid SpO2 was 83 around hour 2.9; respiratory rate rose as high as 24 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 38.9-39.6 C, white count fell from 12.4 to 10.0, creatinine stayed around 0.4, lactate was checked once at 3, and urine output rose from 77 to 485.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 92 to 61, diastolic pressure fell from 71 to 61, and heart rate fell from 76 to 54. The lowest MAP was about 50 around hour 2.8, and the lowest valid SpO2 was 89 around hour 2.5; respiratory rate rose as high as 27 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.9-33.6 C, white count fell from 15.4 to 9.0, creatinine was roughly stable (0.6 to 0.6), lactate was checked once at 3, and urine output rose from 75 to 550.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 88 to 65, diastolic pressure fell from 67 to 57, and heart rate fell from 80 to 50. The lowest MAP was about 46 around hour 3.4, and the lowest valid SpO2 was 85 around hour 2.8; respiratory rate rose as high as 25 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 36.6-37.4 C, white count fell from 13.5 to 9.6, creatinine stayed around 0.5, lactate was checked once at 3, and urine output rose from 75 to 500.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 88 to 65, diastolic pressure fell from 67 to 57, and heart rate fell from 80 to 50. The lowest MAP was about 46 around hour 3.4, and the lowest valid SpO2 was 85 around hour 2.8; respiratory rate rose as high as 25 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 97.8 to 99.4, white count fell from 13.5 to 9.6, creatinine stayed around 0.5, lactate was checked once at 3, and urine output rose from 75 to 500.","episode_id":"iv_000002","anchor_time":59}
{"id":"TSS_iv_000002_clinical_summary_59_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 121 to 100, MAP fell from 88 to 65, and heart rate fell from 80 to 50. SpO2 started at 85, ended at 88, and fell as low as 85 around hour 2.8; respiratory rate ranged 6-25. For labs and output, white count fell from 13.5 to 9.6, creatinine stayed around 0.5, lactate was checked once at 3, and urine output rose from 75 to 500.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 106 to 98, MAP fell from 86 to 63, and heart rate fell from 82 to 53. SpO2 started at 87, ended at 86, and fell as low as 83 around hour 2.9; respiratory rate ranged 6-27. For labs and output, white count fell from 14.6 to 8.8, creatinine stayed around 0.4, lactate was checked once at 3, and urine output rose from 73 to 485.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 146 to 96, MAP fell from 92 to 68, and heart rate fell from 76 to 54. SpO2 started at 81, ended at 92, and fell as low as 84 around hour 2.5; respiratory rate ranged 7-23. For labs and output, white count fell from 11.6 to 10.2, creatinine stayed around 0.6, lactate was checked once at 2, and urine output rose from 79 to 525.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 91 to 88, MAP fell from 84 to 60, and heart rate fell from 84 to 46. SpO2 started at 90, ended at 84, and fell as low as 80 around hour 3.1; respiratory rate ranged 5-27. For labs and output, white count fell from 15.8 to 8.8, creatinine was roughly stable (0.3 to 0.6), lactate was checked once at 3.2, and urine output rose from 75 to 500.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 121 to 100, MAP fell from 88 to 65, and heart rate fell from 80 to 50. SpO2 started at 85, ended at 88, and fell as low as 85 around hour 2.8; respiratory rate ranged 6-25. For labs and output, white count fell from 13.5 to 9.6, creatinine stayed around 0.5, lactate was checked once at 3, and urine output rose from 75 to 500.","episode_id":"iv_000002","anchor_time":59}
{"id":"TSS_iv_000002_clinical_summary_59_3","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. For handoff, the heart rate fell from 83 to 53, MAP fell from 91 to 68, and diastolic pressure moved from 64 to 54. Systolic pressure ranged 61-155 and ended at 97, and SpO2 recovered to 85 after a low of 88 around hour 3.0. Respiratory rate ended at 18; the available labs showed white count fell from 15.0 to 10.1, creatinine stayed around 0.4, lactate was checked once at 4, and urine output rose from 78 to 480.\nB. For handoff, the heart rate fell from 80 to 50, MAP fell from 88 to 65, and diastolic pressure moved from 67 to 57. Systolic pressure ranged 58-135 and ended at 100, and SpO2 recovered to 88 after a low of 85 around hour 2.8. Respiratory rate ended at 20; the available labs showed white count fell from 13.5 to 9.6, creatinine stayed around 0.5, lactate was checked once at 3, and urine output rose from 75 to 500.\nC. For handoff, the heart rate fell from 84 to 46, MAP fell from 92 to 68, and diastolic pressure moved from 63 to 61. Systolic pressure ranged 62-160 and ended at 96, and SpO2 recovered to 84 after a low of 89 around hour 3.8. Respiratory rate ended at 18; the available labs showed white count fell from 15.4 to 10.2, creatinine stayed around 0.4, lactate was checked once at 4, and urine output rose from 79 to 475.\nD. For handoff, the heart rate fell from 76 to 54, MAP fell from 84 to 60, and diastolic pressure moved from 72 to 52. Systolic pressure ranged 54-105 and ended at 96, and SpO2 recovered to 92 after a low of 84 around hour 2.5. Respiratory rate ended at 22; the available labs showed white count fell from 11.2 to 8.8, creatinine stayed around 0.7, lactate was checked once at 2, and urine output rose from 125 to 530.","answer":"B","answer_text":"For handoff, the heart rate fell from 80 to 50, MAP fell from 88 to 65, and diastolic pressure moved from 67 to 57. Systolic pressure ranged 58-135 and ended at 100, and SpO2 recovered to 88 after a low of 85 around hour 2.8. Respiratory rate ended at 20; the available labs showed white count fell from 13.5 to 9.6, creatinine stayed around 0.5, lactate was checked once at 3, and urine output rose from 75 to 500.","episode_id":"iv_000002","anchor_time":59}
{"id":"TSS_iv_000003_clinical_summary_29_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. For handoff, the heart rate fell from 97 to 72, while MAP fell from 100 to 78. Systolic pressure was labile, ranging 110-149, with the lowest value around hour 27.6. SpO2 briefly dipped to 88 around hour 1.8 before recovering to 82, while respiratory rate peaked at 34 and later settled at 20. The associated labs and urine output showed that white count fell from 9.0 to 8.3, creatinine fell from 77 to 0.5, lactate was checked once at 0.7, and urine output was roughly stable (520 to 475), with recorded outputs ranging 370-530.\nB. For handoff, the heart rate fell from 92 to 77, while MAP fell from 96 to 73. Systolic pressure was labile, ranging 115-184, with the lowest value around hour 25.0. SpO2 briefly dipped to 83 around hour 0.7 before recovering to 87, while respiratory rate peaked at 29 and later settled at 18. The associated labs and urine output showed that white count fell from 11.6 to 7, creatinine fell from 72 to 0.7, lactate was checked once at 0.5, and urine output was roughly stable (485 to 540), with recorded outputs ranging 400-565.\nC. For handoff, the heart rate fell from 98 to 71, while MAP fell from 95 to 79. Systolic pressure was labile, ranging 116-144, with the lowest value around hour 28.0. SpO2 briefly dipped to 89 around hour 0.9 before recovering to 81, while respiratory rate peaked at 33 and later settled at 21. The associated labs and urine output showed that white count fell from 8.6 to 8.4, creatinine fell from 78 to 0.5, lactate was checked once at 0.7, and urine output was roughly stable (525 to 500), with recorded outputs ranging 375-525.\nD. For handoff, the heart rate fell from 94 to 75, while MAP fell from 98 to 75. Systolic pressure was labile, ranging 113-169, with the lowest value around hour 26.1. SpO2 briefly dipped to 85 around hour 0.8 before recovering to 85, while respiratory rate peaked at 31 and later settled at 19. The associated labs and urine output showed that white count fell from 10.5 to 7.8, creatinine fell from 74 to 0.6, lactate was checked once at 0.6, and urine output was roughly stable (500 to 525), with recorded outputs ranging 350-550.","answer":"D","answer_text":"For handoff, the heart rate fell from 94 to 75, while MAP fell from 98 to 75. Systolic pressure was labile, ranging 113-169, with the lowest value around hour 26.1. SpO2 briefly dipped to 85 around hour 0.8 before recovering to 85, while respiratory rate peaked at 31 and later settled at 19. The associated labs and urine output showed that white count fell from 10.5 to 7.8, creatinine fell from 74 to 0.6, lactate was checked once at 0.6, and urine output was roughly stable (500 to 525), with recorded outputs ranging 350-550.","episode_id":"iv_000003","anchor_time":29}
{"id":"TSS_iv_000003_clinical_summary_29_2","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 175 to 113, MAP fell from 100 to 78, and heart rate fell from 91 to 78. SpO2 started at 93, ended at 88, and fell as low as 88 around hour 0.7; respiratory rate ranged 12-28. For labs and output, white count fell from 9.0 to 8.3, creatinine fell from 77 to 0.7, lactate was checked once at 0.8, and urine output was roughly stable (520 to 505)\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 155 to 116, MAP fell from 98 to 75, and heart rate fell from 94 to 75. SpO2 started at 96, ended at 85, and fell as low as 85 around hour 0.8; respiratory rate ranged 10-31. For labs and output, white count fell from 10.5 to 7.8, creatinine fell from 74 to 0.6, lactate was checked once at 0.6, and urine output was roughly stable (500 to 525)\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 180 to 112, MAP fell from 100 to 78, and heart rate fell from 90 to 79. SpO2 started at 92, ended at 89, and fell as low as 84 around hour 0.7; respiratory rate ranged 12-27. For labs and output, white count fell from 8.6 to 8.4, creatinine fell from 78 to 0.5, lactate was checked once at 0.7, and urine output was roughly stable (525 to 500)\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 125 to 120, MAP fell from 94 to 70, and heart rate fell from 98 to 78. SpO2 started at 100, ended at 80, and fell as low as 80 around hour 1.0; respiratory rate ranged 8-33. For labs and output, white count fell from 12.8 to 7, creatinine fell from 70 to 0.8, lactate was checked once at 0.4, and urine output was roughly stable (470 to 555)","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 155 to 116, MAP fell from 98 to 75, and heart rate fell from 94 to 75. SpO2 started at 96, ended at 85, and fell as low as 85 around hour 0.8; respiratory rate ranged 10-31. For labs and output, white count fell from 10.5 to 7.8, creatinine fell from 74 to 0.6, lactate was checked once at 0.6, and urine output was roughly stable (500 to 525)","episode_id":"iv_000003","anchor_time":29}
{"id":"TSS_iv_000004_clinical_summary_23_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate was roughly stable (50 to 54), while MAP was roughly stable (87 to 92). Systolic pressure was labile, ranging 116-201, with the lowest value around hour 2.6. SpO2 briefly dipped to 88 around hour 0.5 before recovering to 95, while respiratory rate peaked at 33 and later settled at 23. The associated labs and urine output showed that white count stayed around 8.8, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 10 to 300, with recorded outputs ranging 10-400.\nB. Across the recorded window, the heart rate was roughly stable (48 to 56), while MAP was roughly stable (85 to 90). Systolic pressure was labile, ranging 118-216, with the lowest value around hour 2.5. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 97, while respiratory rate peaked at 31 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (9.2 to 8), creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 10 to 300, with recorded outputs ranging 10-400.\nC. Across the recorded window, the heart rate was roughly stable (54 to 50), while MAP rose from 91 to 95. Systolic pressure was labile, ranging 112-176, with the lowest value around hour 2.9. SpO2 briefly dipped to 92 around hour 1.4 before recovering to 91, while respiratory rate peaked at 37 and later settled at 25. The associated labs and urine output showed that white count stayed around 8.2, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 12 to 250, with recorded outputs ranging 12-375.\nD. Across the recorded window, the heart rate was roughly stable (46 to 58), while MAP was roughly stable (82 to 88). Systolic pressure was labile, ranging 120-231, with the lowest value around hour 2.3. SpO2 briefly dipped to 84 around hour 0.3 before recovering to 100, while respiratory rate peaked at 35 and later settled at 21. The associated labs and urine output showed that white count stayed around 9.6, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 8 to 330, with recorded outputs ranging 8-430.","answer":"A","answer_text":"Across the recorded window, the heart rate was roughly stable (50 to 54), while MAP was roughly stable (87 to 92). Systolic pressure was labile, ranging 116-201, with the lowest value around hour 2.6. SpO2 briefly dipped to 88 around hour 0.5 before recovering to 95, while respiratory rate peaked at 33 and later settled at 23. The associated labs and urine output showed that white count stayed around 8.8, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 10 to 300, with recorded outputs ranging 10-400.","episode_id":"iv_000004","anchor_time":23}
{"id":"TSS_iv_000004_clinical_summary_23_1","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (90 to 89), diastolic pressure was roughly stable (68 to 70), and heart rate was roughly stable (47 to 57). The lowest MAP was about 65 around hour 2.4, and the lowest valid SpO2 was 91 around hour 0.4; respiratory rate rose as high as 35 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 33.7-33.8 C, white count stayed around 9.3, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 12 to 350.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (87 to 92), diastolic pressure was roughly stable (65 to 67), and heart rate was roughly stable (50 to 54). The lowest MAP was about 62 around hour 2.6, and the lowest valid SpO2 was 88 around hour 0.5; respiratory rate rose as high as 33 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 36.7-36.8 C, white count stayed around 8.8, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 10 to 300.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (91 to 88), diastolic pressure was roughly stable (69 to 71), and heart rate rose from 46 to 57. The lowest MAP was about 66 around hour 2.4, and the lowest valid SpO2 was 92 around hour 0; respiratory rate rose as high as 37 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 33.0-33.0 C, white count stayed around 9.4, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 12 to 325.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (82 to 96), diastolic pressure was roughly stable (60 to 64), and heart rate was roughly stable (54 to 50). The lowest MAP was about 65 around hour 3.6, and the lowest valid SpO2 was 84 around hour 0.7; respiratory rate rose as high as 28 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 41.2-41.3 C, white count stayed around 8.1, creatinine was 1.0 on its only check, lactate was not available, and urine output rose from 8 to 270.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (87 to 92), diastolic pressure was roughly stable (65 to 67), and heart rate was roughly stable (50 to 54). The lowest MAP was about 62 around hour 2.6, and the lowest valid SpO2 was 88 around hour 0.5; respiratory rate rose as high as 33 but ended at 23. The lower-frequency data fit that summary: temperature ranged from 98 to 98.2, white count stayed around 8.8, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 10 to 300.","episode_id":"iv_000004","anchor_time":23}
{"id":"TSS_iv_000004_clinical_summary_23_2","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (170 to 151), MAP rose from 90 to 95, and heart rate was roughly stable (47 to 57). SpO2 started at 85, ended at 98, and fell as low as 87 around hour 0.4; respiratory rate ranged 16-30. For labs and output, white count stayed around 8.3, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 12 to 280.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (135 to 170), MAP was roughly stable (85 to 90), and heart rate rose from 52 to 57. SpO2 started at 90, ended at 93, and fell as low as 86 around hour 0.6; respiratory rate ranged 13-35. For labs and output, white count was roughly stable (9.2 to 8), creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 10 to 300.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (150 to 155), MAP was roughly stable (87 to 92), and heart rate was roughly stable (50 to 54). SpO2 started at 88, ended at 95, and fell as low as 88 around hour 0.5; respiratory rate ranged 14-33. For labs and output, white count stayed around 8.8, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 10 to 300.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (120 to 185), MAP was roughly stable (82 to 88), and heart rate was roughly stable (54 to 50). SpO2 started at 92, ended at 90, and fell as low as 84 around hour 0.7; respiratory rate ranged 12-38. For labs and output, white count was roughly stable (9.6 to 8), creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 60 to 300.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (150 to 155), MAP was roughly stable (87 to 92), and heart rate was roughly stable (50 to 54). SpO2 started at 88, ended at 95, and fell as low as 88 around hour 0.5; respiratory rate ranged 14-33. For labs and output, white count stayed around 8.8, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 10 to 300.","episode_id":"iv_000004","anchor_time":23}
{"id":"TSS_iv_000004_clinical_summary_23_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Clinically, the heart rate rose from 53 to 57, MAP was roughly stable (90 to 95), and diastolic pressure moved from 62 to 64. Systolic pressure ranged 119-221 and ended at 175, and SpO2 recovered to 92 after a low of 91 around hour 0.6. Respiratory rate ended at 22; the available labs showed white count stayed around 9.3, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 8 to 320.\nB. Clinically, the heart rate was roughly stable (48 to 56), MAP rose from 85 to 95, and diastolic pressure moved from 67 to 65. Systolic pressure ranged 114-186 and ended at 151, and SpO2 recovered to 97 after a low of 86 around hour 1.4. Respiratory rate ended at 24; the available labs showed white count stayed around 8.4, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 11 to 285.\nC. Clinically, the heart rate was roughly stable (54 to 50), MAP was roughly stable (91 to 96), and diastolic pressure moved from 61 to 71. Systolic pressure ranged 120-226 and ended at 180, and SpO2 recovered to 91 after a low of 87 around hour 0.6. Respiratory rate ended at 21; the available labs showed white count was roughly stable (9.4 to 8), creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 60 to 300.\nD. Clinically, the heart rate was roughly stable (50 to 54), MAP was roughly stable (87 to 92), and diastolic pressure moved from 65 to 67. Systolic pressure ranged 116-201 and ended at 155, and SpO2 recovered to 95 after a low of 88 around hour 0.5. Respiratory rate ended at 23; the available labs showed white count stayed around 8.8, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 10 to 300.","answer":"D","answer_text":"Clinically, the heart rate was roughly stable (50 to 54), MAP was roughly stable (87 to 92), and diastolic pressure moved from 65 to 67. Systolic pressure ranged 116-201 and ended at 155, and SpO2 recovered to 95 after a low of 88 around hour 0.5. Respiratory rate ended at 23; the available labs showed white count stayed around 8.8, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 10 to 300.","episode_id":"iv_000004","anchor_time":23}
{"id":"TSS_iv_000005_clinical_summary_162_0","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Clinically, the heart rate was roughly stable (141 to 113), while MAP fell from 67 to 50. Systolic pressure was labile, ranging 41-238, with the lowest value around hour 19.7. SpO2 briefly dipped to 82 around hour 182.3 before recovering to 76, while respiratory rate peaked at 47 and later settled at 40. The associated labs and urine output showed that white count rose from 17.3 to 46.8, creatinine rose from 2.3 to 5.0, lactate stayed broadly stable from 4.9 to 13.7, and urine output fell from 97 to 12, with recorded outputs ranging 6-415.\nB. Clinically, the heart rate was roughly stable (121 to 116), while MAP fell from 64 to 47. Systolic pressure was labile, ranging 37-258, with the lowest value around hour 18.2. SpO2 briefly dipped to 79 around hour 162.3 before recovering to 79, while respiratory rate peaked at 45 and later settled at 37. The associated labs and urine output showed that white count rose from 18.8 to 43.8, creatinine rose from 2.1 to 5.5, lactate stayed broadly stable from 4.4 to 12.2, and urine output fell from 100 to 10, with recorded outputs ranging 5-395.\nC. Clinically, the heart rate was roughly stable (146 to 112), while MAP fell from 68 to 51. Systolic pressure was labile, ranging 33-233, with the lowest value around hour 20.1. SpO2 briefly dipped to 83 around hour 187.3 before recovering to 75, while respiratory rate peaked at 49 and later settled at 41. The associated labs and urine output showed that white count rose from 16.9 to 43, creatinine rose from 2.4 to 5.6, lactate stayed broadly stable from 5.0 to 14.1, and urine output fell from 96 to 12, with recorded outputs ranging 10-420.\nD. Clinically, the heart rate was roughly stable (91 to 120), while MAP fell from 60 to 50. Systolic pressure was labile, ranging 42-288, with the lowest value around hour 15.9. SpO2 briefly dipped to 74 around hour 162 before recovering to 84, while respiratory rate peaked at 40 and later settled at 32. The associated labs and urine output showed that white count rose from 21.1 to 39.3, creatinine rose from 1.8 to 6.2, lactate stayed broadly stable from 3.7 to 9.9, and urine output fell from 96 to 0, with recorded outputs ranging 0-365.","answer":"B","answer_text":"Clinically, the heart rate was roughly stable (121 to 116), while MAP fell from 64 to 47. Systolic pressure was labile, ranging 37-258, with the lowest value around hour 18.2. SpO2 briefly dipped to 79 around hour 162.3 before recovering to 79, while respiratory rate peaked at 45 and later settled at 37. The associated labs and urine output showed that white count rose from 18.8 to 43.8, creatinine rose from 2.1 to 5.5, lactate stayed broadly stable from 4.4 to 12.2, and urine output fell from 100 to 10, with recorded outputs ranging 5-395.","episode_id":"iv_000005","anchor_time":162}
{"id":"TSS_iv_000005_clinical_summary_162_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (121 to 116), MAP fell from 64 to 47, and diastolic pressure moved from 56 to 38. Systolic pressure ranged 37-258 and ended at 90, and SpO2 recovered to 79 after a low of 79 around hour 162.3. Respiratory rate ended at 37; the available labs showed white count rose from 18.8 to 43.8, creatinine rose from 2.1 to 5.5, lactate stayed broadly stable from 4.4 to 12.2, and urine output fell from 100 to 10.\nB. Over the available measurements, the heart rate was roughly stable (106 to 119), MAP fell from 62 to 45, and diastolic pressure moved from 58 to 35. Systolic pressure ranged 35-243 and ended at 88, and SpO2 recovered to 81 after a low of 77 around hour 147.3. Respiratory rate ended at 39; the available labs showed white count rose from 17.7 to 41.5, creatinine rose from 2.2 to 5.1, lactate stayed broadly stable from 4.0 to 13.3, and urine output fell from 98 to 9.\nC. Over the available measurements, the heart rate was roughly stable (146 to 112), MAP fell from 68 to 50, and diastolic pressure moved from 52 to 42. Systolic pressure ranged 41-283 and ended at 86, and SpO2 recovered to 75 after a low of 83 around hour 162. Respiratory rate ended at 33; the available labs showed white count rose from 20.7 to 47.5, creatinine rose from 1.9 to 6.1, lactate stayed broadly stable from 5.0 to 10.3, and urine output fell from 96 to 12.\nD. Over the available measurements, the heart rate was roughly stable (91 to 120), MAP fell from 60 to 42, and diastolic pressure moved from 60 to 34. Systolic pressure ranged 32-228 and ended at 86, and SpO2 recovered to 84 after a low of 78 around hour 132.3. Respiratory rate ended at 42; the available labs showed white count rose from 16.6 to 43, creatinine rose from 2.4 to 4.8, lactate stayed broadly stable from 3.7 to 14.4, and urine output fell from 150 to 8.","answer":"A","answer_text":"Over the available measurements, the heart rate was roughly stable (121 to 116), MAP fell from 64 to 47, and diastolic pressure moved from 56 to 38. Systolic pressure ranged 37-258 and ended at 90, and SpO2 recovered to 79 after a low of 79 around hour 162.3. Respiratory rate ended at 37; the available labs showed white count rose from 18.8 to 43.8, creatinine rose from 2.1 to 5.5, lactate stayed broadly stable from 4.4 to 12.2, and urine output fell from 100 to 10.","episode_id":"iv_000005","anchor_time":162}
{"id":"TSS_iv_000006_clinical_summary_51_0","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 53 to 107, while MAP fell from 105 to 86. Systolic pressure was labile, ranging 55-148, with the lowest value around hour 9.8. SpO2 briefly dipped to 78 around hour 6.7 before recovering to 92, while respiratory rate peaked at 45 and later settled at 26. The associated labs and urine output showed that white count fell from 16.0 to 11.4, creatinine rose from 0.9 to 1.2, lactate was checked once at 1.9, and urine output fell from 370 to 180, with recorded outputs ranging 50-380.\nB. Over the available measurements, the heart rate rose from 48 to 112, while MAP fell from 100 to 86. Systolic pressure was labile, ranging 60-183, with the lowest value around hour 8.9. SpO2 briefly dipped to 73 around hour 7.2 before recovering to 97, while respiratory rate peaked at 40 and later settled at 23. The associated labs and urine output showed that white count fell from 18.6 to 11.1, creatinine rose from 0.7 to 1.2, lactate was checked once at 1.5, and urine output fell from 335 to 150, with recorded outputs ranging 0-415.\nC. Over the available measurements, the heart rate rose from 50 to 110, while MAP fell from 102 to 83. Systolic pressure was labile, ranging 58-168, with the lowest value around hour 9.3. SpO2 briefly dipped to 75 around hour 6.2 before recovering to 95, while respiratory rate peaked at 42 and later settled at 24. The associated labs and urine output showed that white count fell from 17.5 to 12.2, creatinine rose from 0.8 to 1.1, lactate was checked once at 1.7, and urine output fell from 350 to 200, with recorded outputs ranging 0-400.\nD. Over the available measurements, the heart rate rose from 46 to 114, while MAP fell from 98 to 78. Systolic pressure was labile, ranging 62-198, with the lowest value around hour 8.6. SpO2 briefly dipped to 76 around hour 5.5 before recovering to 100, while respiratory rate peaked at 44 and later settled at 22. The associated labs and urine output showed that white count fell from 19.8 to 9.9, creatinine rose from 0.7 to 1.4, lactate was checked once at 1.4, and urine output fell from 320 to 230, with recorded outputs ranging 0-430.","answer":"C","answer_text":"Over the available measurements, the heart rate rose from 50 to 110, while MAP fell from 102 to 83. Systolic pressure was labile, ranging 58-168, with the lowest value around hour 9.3. SpO2 briefly dipped to 75 around hour 6.2 before recovering to 95, while respiratory rate peaked at 42 and later settled at 24. The associated labs and urine output showed that white count fell from 17.5 to 12.2, creatinine rose from 0.8 to 1.1, lactate was checked once at 1.7, and urine output fell from 350 to 200, with recorded outputs ranging 0-400.","episode_id":"iv_000006","anchor_time":51}
{"id":"TSS_iv_000006_clinical_summary_51_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 168 to 112, MAP fell from 102 to 83, and heart rate rose from 50 to 110. SpO2 started at 90, ended at 95, and fell as low as 75 around hour 6.2; respiratory rate ranged 11-42. For labs and output, white count fell from 17.5 to 12.2, creatinine rose from 0.8 to 1.1, lactate was checked once at 1.7, and urine output fell from 350 to 200.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 153 to 114, MAP fell from 100 to 81, and heart rate rose from 52 to 113. SpO2 started at 92, ended at 93, and fell as low as 73 around hour 6.6; respiratory rate ranged 10-44. For labs and output, white count fell from 18.6 to 11.4, creatinine rose from 0.7 to 1.2, lactate was checked once at 1.5, and urine output fell from 335 to 215.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 193 to 108, MAP fell from 106 to 87, and heart rate rose from 46 to 114. SpO2 started at 86, ended at 99, and fell as low as 79 around hour 5.6; respiratory rate ranged 13-38. For labs and output, white count fell from 15.6 to 14.1, creatinine rose from 0.9 to 1.2, lactate was checked once at 1.9, and urine output fell from 375 to 175.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 138 to 108, MAP fell from 98 to 86, and heart rate rose from 54 to 106. SpO2 started at 94, ended at 90, and fell as low as 74 around hour 7.0; respiratory rate ranged 9-46. For labs and output, white count fell from 19.8 to 9.9, creatinine rose from 0.7 to 1.4, lactate was checked once at 1.4, and urine output fell from 320 to 230.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 168 to 112, MAP fell from 102 to 83, and heart rate rose from 50 to 110. SpO2 started at 90, ended at 95, and fell as low as 75 around hour 6.2; respiratory rate ranged 11-42. For labs and output, white count fell from 17.5 to 12.2, creatinine rose from 0.8 to 1.1, lactate was checked once at 1.7, and urine output fell from 350 to 200.","episode_id":"iv_000006","anchor_time":51}
{"id":"TSS_iv_000006_clinical_summary_51_3","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 53 to 107, MAP fell from 105 to 86, and diastolic pressure moved from 72 to 74. Systolic pressure ranged 61-188 and ended at 108, and SpO2 recovered to 92 after a low of 78 around hour 7.2. Respiratory rate ended at 22; the available labs showed white count fell from 19.0 to 13.7, creatinine rose from 0.7 to 1.3, lactate was checked once at 1.9, and urine output fell from 330 to 220.\nB. Viewed chronologically, the heart rate rose from 50 to 110, MAP fell from 102 to 83, and diastolic pressure moved from 75 to 71. Systolic pressure ranged 58-168 and ended at 112, and SpO2 recovered to 95 after a low of 75 around hour 6.2. Respiratory rate ended at 24; the available labs showed white count fell from 17.5 to 12.2, creatinine rose from 0.8 to 1.1, lactate was checked once at 1.7, and urine output fell from 350 to 200.\nC. Viewed chronologically, the heart rate rose from 54 to 113, MAP fell from 106 to 87, and diastolic pressure moved from 71 to 68. Systolic pressure ranged 62-193 and ended at 116, and SpO2 recovered to 91 after a low of 79 around hour 6.8. Respiratory rate ended at 22; the available labs showed white count fell from 19.4 to 14.1, creatinine rose from 0.7 to 1.4, lactate was checked once at 1.9, and urine output fell from 325 to 225.\nD. Viewed chronologically, the heart rate rose from 46 to 114, MAP fell from 98 to 78, and diastolic pressure moved from 80 to 66. Systolic pressure ranged 54-138 and ended at 108, and SpO2 recovered to 100 after a low of 74 around hour 5.5. Respiratory rate ended at 26; the available labs showed white count fell from 15.2 to 11.4, creatinine rose from 1.0 to 1.2, lactate was checked once at 1.4, and urine output fell from 400 to 170.","answer":"B","answer_text":"Viewed chronologically, the heart rate rose from 50 to 110, MAP fell from 102 to 83, and diastolic pressure moved from 75 to 71. Systolic pressure ranged 58-168 and ended at 112, and SpO2 recovered to 95 after a low of 75 around hour 6.2. Respiratory rate ended at 24; the available labs showed white count fell from 17.5 to 12.2, creatinine rose from 0.8 to 1.1, lactate was checked once at 1.7, and urine output fell from 350 to 200.","episode_id":"iv_000006","anchor_time":51}
{"id":"TSS_iv_000007_clinical_summary_25_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 86 to 64, while MAP was roughly stable (94 to 89). Systolic pressure was labile, ranging 96-166, with the lowest value around hour 18. SpO2 briefly dipped to 91 around hour 1.5 before recovering to 93, while respiratory rate peaked at 38 and later settled at 20. The associated labs and urine output showed that white count rose from 4.8 to 8.9, creatinine rose from 0.2 to 0.4, lactate was checked once at 1, and urine output rose from 83 to 225, with recorded outputs ranging 33-480.\nB. Viewed chronologically, the heart rate fell from 81 to 69, while MAP was roughly stable (89 to 84). Systolic pressure was labile, ranging 100-201, with the lowest value around hour 15. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 98, while respiratory rate peaked at 33 and later settled at 17. The associated labs and urine output showed that white count rose from 5.7 to 7.6, creatinine rose from 0.0 to 0.6, lactate was checked once at 1, and urine output rose from 78 to 290, with recorded outputs ranging 80-515.\nC. Viewed chronologically, the heart rate fell from 87 to 63, while MAP was roughly stable (95 to 90). Systolic pressure was labile, ranging 103-161, with the lowest value around hour 18. SpO2 briefly dipped to 89 around hour 0.6 before recovering to 92, while respiratory rate peaked at 37 and later settled at 20. The associated labs and urine output showed that white count rose from 4.7 to 9.0, creatinine rose from 0.2 to 0.4, lactate was checked once at 1, and urine output rose from 84 to 250, with recorded outputs ranging 34-475.\nD. Viewed chronologically, the heart rate fell from 83 to 67, while MAP was roughly stable (91 to 86). Systolic pressure was labile, ranging 99-186, with the lowest value around hour 16. SpO2 briefly dipped to 88 around hour 0.5 before recovering to 96, while respiratory rate peaked at 35 and later settled at 18. The associated labs and urine output showed that white count rose from 5.3 to 8.4, creatinine rose from 0.1 to 0.5, lactate was checked once at 1, and urine output rose from 80 to 275, with recorded outputs ranging 30-500.","answer":"D","answer_text":"Viewed chronologically, the heart rate fell from 83 to 67, while MAP was roughly stable (91 to 86). Systolic pressure was labile, ranging 99-186, with the lowest value around hour 16. SpO2 briefly dipped to 88 around hour 0.5 before recovering to 96, while respiratory rate peaked at 35 and later settled at 18. The associated labs and urine output showed that white count rose from 5.3 to 8.4, creatinine rose from 0.1 to 0.5, lactate was checked once at 1, and urine output rose from 80 to 275, with recorded outputs ranging 30-500.","episode_id":"iv_000007","anchor_time":25}
{"id":"TSS_iv_000007_clinical_summary_25_2","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 151 to 109, MAP was roughly stable (94 to 89), and heart rate fell from 80 to 70. SpO2 started at 97, ended at 99, and fell as low as 91 around hour 0.4; respiratory rate ranged 12-37. For labs and output, white count rose from 4.8 to 7.6, creatinine rose from 0.2 to 0.4, lactate was checked once at 1, and urine output rose from 83 to 255.\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 131 to 112, MAP was roughly stable (91 to 86), and heart rate fell from 83 to 67. SpO2 started at 100, ended at 96, and fell as low as 88 around hour 0.5; respiratory rate ranged 11-35. For labs and output, white count rose from 5.3 to 8.4, creatinine rose from 0.1 to 0.5, lactate was checked once at 1, and urine output rose from 80 to 275.\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 156 to 108, MAP was roughly stable (95 to 89), and heart rate fell from 79 to 71. SpO2 started at 96, ended at 100, and fell as low as 87 around hour 0.4; respiratory rate ranged 13-31. For labs and output, white count rose from 4.7 to 9.0, creatinine rose from 0.2 to 0.4, lactate was checked once at 1, and urine output rose from 84 to 250.\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 101 to 98, MAP was roughly stable (86 to 82), and heart rate fell from 88 to 62. SpO2 started at 96, ended at 92, and fell as low as 84 around hour 0.7; respiratory rate ranged 9-40. For labs and output, white count rose from 6.0 to 7.7, creatinine rose from 0.0 to 0.6, lactate was checked once at 1.2, and urine output rose from 76 to 305.","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 131 to 112, MAP was roughly stable (91 to 86), and heart rate fell from 83 to 67. SpO2 started at 100, ended at 96, and fell as low as 88 around hour 0.5; respiratory rate ranged 11-35. For labs and output, white count rose from 5.3 to 8.4, creatinine rose from 0.1 to 0.5, lactate was checked once at 1, and urine output rose from 80 to 275.","episode_id":"iv_000007","anchor_time":25}
{"id":"TSS_iv_000007_clinical_summary_25_3","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Overall, the heart rate fell from 86 to 64, MAP was roughly stable (94 to 89), and diastolic pressure moved from 76 to 81. Systolic pressure ranged 100-206 and ended at 115, and SpO2 recovered to 93 after a low of 87 around hour 0.6. Respiratory rate ended at 16; the available labs showed white count rose from 5.8 to 7.6, creatinine rose from 0.0 to 0.6, lactate was checked once at 1, and urine output rose from 130 to 295.\nB. Overall, the heart rate fell from 81 to 69, MAP was roughly stable (89 to 89), and diastolic pressure moved from 81 to 76. Systolic pressure ranged 97-171 and ended at 108, and SpO2 recovered to 98 after a low of 86 around hour 1.5. Respiratory rate ended at 19; the available labs showed white count rose from 4.9 to 8.0, creatinine rose from 0.2 to 0.4, lactate was checked once at 1, and urine output rose from 82 to 260.\nC. Overall, the heart rate fell from 83 to 67, MAP was roughly stable (91 to 86), and diastolic pressure moved from 79 to 78. Systolic pressure ranged 99-186 and ended at 112, and SpO2 recovered to 96 after a low of 88 around hour 0.5. Respiratory rate ended at 18; the available labs showed white count rose from 5.3 to 8.4, creatinine rose from 0.1 to 0.5, lactate was checked once at 1, and urine output rose from 80 to 275.\nD. Overall, the heart rate fell from 78 to 70, MAP was roughly stable (86 to 82), and diastolic pressure moved from 84 to 75. Systolic pressure ranged 94-156 and ended at 108, and SpO2 recovered to 100 after a low of 84 around hour 0.3. Respiratory rate ended at 20; the available labs showed white count rose from 4.5 to 7.7, creatinine rose from 0.2 to 0.3, lactate was checked once at 1, and urine output rose from 84 to 245.","answer":"C","answer_text":"Overall, the heart rate fell from 83 to 67, MAP was roughly stable (91 to 86), and diastolic pressure moved from 79 to 78. Systolic pressure ranged 99-186 and ended at 112, and SpO2 recovered to 96 after a low of 88 around hour 0.5. Respiratory rate ended at 18; the available labs showed white count rose from 5.3 to 8.4, creatinine rose from 0.1 to 0.5, lactate was checked once at 1, and urine output rose from 80 to 275.","episode_id":"iv_000007","anchor_time":25}
{"id":"TSS_iv_000008_clinical_summary_40_1","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 91 to 103, diastolic pressure rose from 61 to 98, and heart rate rose from 75 to 99. The lowest MAP was about 62 around hour 9.4, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 34 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 34-34.8 C, white count fell from 17.0 to 10.8, creatinine stayed around 1.4, lactate fell from 490 to 0.8, and urine output rose from 38 to 620.\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 88 to 106, diastolic pressure rose from 58 to 95, and heart rate rose from 78 to 96. The lowest MAP was about 59 around hour 9.9, and the lowest valid SpO2 was 85 around hour 0.9; respiratory rate rose as high as 31 but ended at 27. The lower-frequency data fit that summary: temperature stayed around 37-37.8 C, white count fell from 15.5 to 12.3, creatinine stayed around 1.2, lactate fell from 470 to 0.9, and urine output rose from 35 to 600.\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 92 to 102, diastolic pressure rose from 62 to 92, and heart rate rose from 74 to 100. The lowest MAP was about 62 around hour 10.9, and the lowest valid SpO2 was 89 around hour 0.8; respiratory rate rose as high as 35 but ended at 29. The lower-frequency data fit that summary: temperature stayed around 33-34.0 C, white count fell from 17.4 to 10.4, creatinine stayed around 1.4, lactate fell from 495 to 0.8, and urine output rose from 39 to 625.\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 84 to 110, diastolic pressure rose from 54 to 90, and heart rate rose from 82 to 92. The lowest MAP was about 54 around hour 10.7, and the lowest valid SpO2 was 80 around hour 1.1; respiratory rate rose as high as 33 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 42-42.3 C, white count fell from 13.2 to 11.7, creatinine was roughly stable (0.9 to 1.3), lactate fell from 470 to 0.9, and urine output rose from 35 to 650.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 88 to 106, diastolic pressure rose from 58 to 95, and heart rate rose from 78 to 96. The lowest MAP was about 59 around hour 9.9, and the lowest valid SpO2 was 85 around hour 0.9; respiratory rate rose as high as 31 but ended at 27. The lower-frequency data fit that summary: temperature ranged from 98.6 to 100.1, white count fell from 15.5 to 12.3, creatinine stayed around 1.2, lactate fell from 470 to 0.9, and urine output rose from 35 to 600.","episode_id":"iv_000008","anchor_time":40}
{"id":"TSS_iv_000008_clinical_summary_40_2","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 116 to 127, MAP rose from 91 to 109, and heart rate rose from 75 to 99. SpO2 started at 96, ended at 98, and fell as low as 84 around hour 0.8; respiratory rate ranged 16-28. For labs and output, white count fell from 14.0 to 13.8, creatinine stayed around 1.4, lactate fell from 450 to 1.0, and urine output rose from 38 to 580.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 111 to 146, MAP rose from 86 to 104, and heart rate rose from 80 to 99. SpO2 started at 100, ended at 93, and fell as low as 83 around hour 1.0; respiratory rate ranged 13-33. For labs and output, white count fell from 16.6 to 11.5, creatinine stayed around 1.0, lactate fell from 485 to 0.8, and urine output rose from 33 to 615.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 113 to 131, MAP rose from 88 to 106, and heart rate rose from 78 to 96. SpO2 started at 99, ended at 95, and fell as low as 85 around hour 0.9; respiratory rate ranged 14-31. For labs and output, white count fell from 15.5 to 12.3, creatinine stayed around 1.2, lactate fell from 470 to 0.9, and urine output rose from 35 to 600.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 108 to 161, MAP rose from 84 to 102, and heart rate rose from 82 to 92. SpO2 started at 100, ended at 90, and fell as low as 80 around hour 1.1; respiratory rate ranged 12-36. For labs and output, white count fell from 17.8 to 10.1, creatinine was roughly stable (0.9 to 1.3), lactate fell from 470.2 to 0.9, and urine output rose from 35 to 600.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 113 to 131, MAP rose from 88 to 106, and heart rate rose from 78 to 96. SpO2 started at 99, ended at 95, and fell as low as 85 around hour 0.9; respiratory rate ranged 14-31. For labs and output, white count fell from 15.5 to 12.3, creatinine stayed around 1.2, lactate fell from 470 to 0.9, and urine output rose from 35 to 600.","episode_id":"iv_000008","anchor_time":40}
{"id":"TSS_iv_000008_clinical_summary_40_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Taken together, the heart rate rose from 81 to 99, MAP rose from 91 to 109, and diastolic pressure moved from 55 to 92. Systolic pressure ranged 70-156 and ended at 151, and SpO2 recovered to 92 after a low of 88 around hour 1.0. Respiratory rate ended at 26; the available labs showed white count fell from 17.0 to 13.8, creatinine stayed around 1.0, lactate fell from 490 to 1.0, and urine output rose from 32 to 620.\nB. Taken together, the heart rate rose from 76 to 98, MAP rose from 86 to 109, and diastolic pressure moved from 60 to 93. Systolic pressure ranged 65-121 and ended at 127, and SpO2 recovered to 97 after a low of 83 around hour 1.9. Respiratory rate ended at 28; the available labs showed white count fell from 14.4 to 11.2, creatinine stayed around 1.4, lactate fell from 455 to 0.8, and urine output rose from 37 to 585.\nC. Taken together, the heart rate rose from 82 to 92, MAP rose from 92 to 110, and diastolic pressure moved from 54 to 99. Systolic pressure ranged 71-161 and ended at 156, and SpO2 recovered to 91 after a low of 84 around hour 1.0. Respiratory rate ended at 25; the available labs showed white count fell from 17.4 to 11.5, creatinine stayed around 0.9, lactate fell from 495 to 1.0, and urine output rose from 85 to 625.\nD. Taken together, the heart rate rose from 78 to 96, MAP rose from 88 to 106, and diastolic pressure moved from 58 to 95. Systolic pressure ranged 67-136 and ended at 131, and SpO2 recovered to 95 after a low of 85 around hour 0.9. Respiratory rate ended at 27; the available labs showed white count fell from 15.5 to 12.3, creatinine stayed around 1.2, lactate fell from 470 to 0.9, and urine output rose from 35 to 600.","answer":"D","answer_text":"Taken together, the heart rate rose from 78 to 96, MAP rose from 88 to 106, and diastolic pressure moved from 58 to 95. Systolic pressure ranged 67-136 and ended at 131, and SpO2 recovered to 95 after a low of 85 around hour 0.9. Respiratory rate ended at 27; the available labs showed white count fell from 15.5 to 12.3, creatinine stayed around 1.2, lactate fell from 470 to 0.9, and urine output rose from 35 to 600.","episode_id":"iv_000008","anchor_time":40}
{"id":"TSS_iv_000009_clinical_summary_110_0","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Taken together, the heart rate fell from 140 to 80, while MAP fell from 118 to 85. Systolic pressure was labile, ranging 76-145, with the lowest value around hour 47.2. SpO2 briefly dipped to 91 around hour 14 before recovering to 97, while respiratory rate peaked at 48 and later settled at 18. The associated labs and urine output showed that white count fell from 17.2 to 5.8, creatinine was roughly stable (1.0 to 1), lactate stayed broadly stable from 6.2 to 1.2, and urine output was roughly stable (175 to 275), with recorded outputs ranging 70-4750.\nB. Taken together, the heart rate fell from 120 to 83, while MAP fell from 115 to 82. Systolic pressure was labile, ranging 79-165, with the lowest value around hour 44.2. SpO2 briefly dipped to 88 around hour 13 before recovering to 100, while respiratory rate peaked at 45 and later settled at 17. The associated labs and urine output showed that white count fell from 18.7 to 6.6, creatinine stayed around 0.9, lactate stayed broadly stable from 6.2 to 1.2, and urine output was roughly stable (175 to 275), with recorded outputs ranging 20-4750.\nC. Taken together, the heart rate fell from 145 to 79, while MAP fell from 119 to 85. Systolic pressure was labile, ranging 75-140, with the lowest value around hour 48.0. SpO2 briefly dipped to 92 around hour 14 before recovering to 96, while respiratory rate peaked at 49 and later settled at 19. The associated labs and urine output showed that white count fell from 16.8 to 7.2, creatinine stayed around 1.0, lactate stayed broadly stable from 5.6 to 1.4, and urine output was roughly stable (200 to 225), with recorded outputs ranging 22-4650.\nD. Taken together, the heart rate fell from 90 to 88, while MAP fell from 110 to 78. Systolic pressure was labile, ranging 83-195, with the lowest value around hour 39.7. SpO2 briefly dipped to 89 around hour 11 before recovering to 96, while respiratory rate peaked at 47 and later settled at 15. The associated labs and urine output showed that white count fell from 20.9 to 5.8, creatinine stayed around 0.8, lactate stayed broadly stable from 7.0 to 0.9, and urine output was roughly stable (145 to 305), with recorded outputs ranging 18-4870.","answer":"B","answer_text":"Taken together, the heart rate fell from 120 to 83, while MAP fell from 115 to 82. Systolic pressure was labile, ranging 79-165, with the lowest value around hour 44.2. SpO2 briefly dipped to 88 around hour 13 before recovering to 100, while respiratory rate peaked at 45 and later settled at 17. The associated labs and urine output showed that white count fell from 18.7 to 6.6, creatinine stayed around 0.9, lactate stayed broadly stable from 6.2 to 1.2, and urine output was roughly stable (175 to 275), with recorded outputs ranging 20-4750.","episode_id":"iv_000009","anchor_time":110}
{"id":"TSS_iv_000009_clinical_summary_110_1","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 118 to 79, diastolic pressure was roughly stable (70 to 72), and heart rate fell from 100 to 86. The lowest MAP was about 49 around hour 45.2, and the lowest valid SpO2 was 91 around hour 12; respiratory rate rose as high as 47 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.8-35.1 C, white count fell from 20.2 to 6.1, creatinine was roughly stable (1.0 to 1), lactate stayed broadly stable from 6.2 to 1.2, and urine output was roughly stable (175 to 325)\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 113 to 84, diastolic pressure was roughly stable (65 to 66), and heart rate fell from 135 to 81. The lowest MAP was about 49 around hour 49.2, and the lowest valid SpO2 was 86 around hour 14; respiratory rate rose as high as 43 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 39.0-40.4 C, white count fell from 17.6 to 7.0, creatinine stayed around 0.8, lactate stayed broadly stable from 5.8 to 1.4, and urine output was roughly stable (160 to 260)\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 115 to 82, diastolic pressure was roughly stable (67 to 69), and heart rate fell from 120 to 83. The lowest MAP was about 46 around hour 48.2, and the lowest valid SpO2 was 88 around hour 13; respiratory rate rose as high as 45 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.8-38.1 C, white count fell from 18.7 to 6.6, creatinine stayed around 0.9, lactate stayed broadly stable from 6.2 to 1.2, and urine output was roughly stable (175 to 275)\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 110 to 86, diastolic pressure was roughly stable (62 to 64), and heart rate fell from 150 to 86. The lowest MAP was about 42 around hour 52.7, and the lowest valid SpO2 was 84 around hour 12; respiratory rate rose as high as 40 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 41.3-42.6 C, white count fell from 16.4 to 7.3, creatinine stayed around 0.8, lactate stayed broadly stable from 5.5 to 1.5, and urine output was roughly stable (145 to 245)","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 115 to 82, diastolic pressure was roughly stable (67 to 69), and heart rate fell from 120 to 83. The lowest MAP was about 46 around hour 48.2, and the lowest valid SpO2 was 88 around hour 13; respiratory rate rose as high as 45 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 21 to 100.5, white count fell from 18.7 to 6.6, creatinine stayed around 0.9, lactate stayed broadly stable from 6.2 to 1.2, and urine output was roughly stable (175 to 275)","episode_id":"iv_000009","anchor_time":110}
{"id":"TSS_iv_000009_clinical_summary_110_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. In broad terms, the heart rate fell from 120 to 83, MAP fell from 115 to 82, and diastolic pressure moved from 67 to 69. Systolic pressure ranged 79-165 and ended at 130, and SpO2 recovered to 100 after a low of 88 around hour 13. Respiratory rate ended at 17; the available labs showed white count fell from 18.7 to 6.6, creatinine stayed around 0.9, lactate stayed broadly stable from 6.2 to 1.2, and urine output was roughly stable (175 to 275)\nB. In broad terms, the heart rate fell from 105 to 86, MAP fell from 113 to 80, and diastolic pressure moved from 69 to 66. Systolic pressure ranged 77-150 and ended at 115, and SpO2 recovered to 98 after a low of 86 around hour 12. Respiratory rate ended at 18; the available labs showed white count fell from 17.6 to 6.2, creatinine stayed around 1.0, lactate stayed broadly stable from 5.8 to 1.0, and urine output was roughly stable (190 to 260)\nC. In broad terms, the heart rate fell from 145 to 79, MAP fell from 119 to 86, and diastolic pressure moved from 63 to 73. Systolic pressure ranged 83-190 and ended at 155, and SpO2 recovered to 96 after a low of 87 around hour 15. Respiratory rate ended at 15; the available labs showed white count fell from 20.6 to 5.8, creatinine stayed around 0.8, lactate stayed broadly stable from 6.8 to 1.4, and urine output was roughly stable (225 to 300)\nD. In broad terms, the heart rate fell from 90 to 88, MAP fell from 110 to 85, and diastolic pressure moved from 72 to 64. Systolic pressure ranged 74-135 and ended at 126, and SpO2 recovered to 96 after a low of 84 around hour 14. Respiratory rate ended at 19; the available labs showed white count fell from 16.4 to 5.8, creatinine stayed around 1.1, lactate stayed broadly stable from 5.5 to 0.9, and urine output was roughly stable (205 to 245)","answer":"A","answer_text":"In broad terms, the heart rate fell from 120 to 83, MAP fell from 115 to 82, and diastolic pressure moved from 67 to 69. Systolic pressure ranged 79-165 and ended at 130, and SpO2 recovered to 100 after a low of 88 around hour 13. Respiratory rate ended at 17; the available labs showed white count fell from 18.7 to 6.6, creatinine stayed around 0.9, lactate stayed broadly stable from 6.2 to 1.2, and urine output was roughly stable (175 to 275)","episode_id":"iv_000009","anchor_time":110}
{"id":"TSS_iv_000010_clinical_summary_71_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 32 to 130, MAP fell from 97 to 67, and heart rate rose from 80 to 86. SpO2 started at 100, ended at 96, and fell as low as 85 around hour 2.1; respiratory rate ranged 13-51. For labs and output, white count fell from 14.1 to 10.6, creatinine was roughly stable (0.6 to 0.7), lactate stayed broadly stable from 1.5 to 1.6, and urine output was roughly stable (185 to 220)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 30 to 126, MAP fell from 95 to 70, and heart rate rose from 82 to 84. SpO2 started at 98, ended at 94, and fell as low as 84 around hour 2.2; respiratory rate ranged 12-53. For labs and output, white count fell from 15.2 to 9.5, creatinine was roughly stable (0.5 to 0.8), lactate stayed broadly stable from 1.4 to 1.5, and urine output was roughly stable (200 to 205)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 36 to 105, MAP fell from 100 to 71, and heart rate rose from 76 to 89. SpO2 started at 96, ended at 100, and fell as low as 89 around hour 1.9; respiratory rate ranged 15-53. For labs and output, white count fell from 12.2 to 9.8, creatinine was roughly stable (0.7 to 0.6), lactate stayed broadly stable from 1.8 to 1.9, and urine output was roughly stable (160 to 245)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 28 to 160, MAP fell from 92 to 62, and heart rate rose from 84 to 87. SpO2 started at 96, ended at 92, and fell as low as 80 around hour 2.4; respiratory rate ranged 11-56. For labs and output, white count fell from 16.4 to 8.3, creatinine rose from 0.4 to 0.8, lactate stayed broadly stable from 1.7 to 1.3, and urine output was roughly stable (215 to 190)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 32 to 130, MAP fell from 97 to 67, and heart rate rose from 80 to 86. SpO2 started at 100, ended at 96, and fell as low as 85 around hour 2.1; respiratory rate ranged 13-51. For labs and output, white count fell from 14.1 to 10.6, creatinine was roughly stable (0.6 to 0.7), lactate stayed broadly stable from 1.5 to 1.6, and urine output was roughly stable (185 to 220)","episode_id":"iv_000010","anchor_time":71}
{"id":"TSS_iv_000010_clinical_summary_71_3","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. For handoff, the heart rate rose from 83 to 86, MAP fell from 100 to 70, and diastolic pressure moved from 18 to 57. Systolic pressure ranged 16-176 and ended at 126, and SpO2 recovered to 93 after a low of 88 around hour 3.1. Respiratory rate ended at 18; the available labs showed white count fell from 15.6 to 12.1, creatinine was roughly stable (0.5 to 0.8), lactate stayed broadly stable from 1.7 to 1.4, and urine output was roughly stable (205 to 240)\nB. For handoff, the heart rate rose from 80 to 86, MAP fell from 97 to 67, and diastolic pressure moved from 20 to 54. Systolic pressure ranged 14-156 and ended at 130, and SpO2 recovered to 96 after a low of 85 around hour 2.1. Respiratory rate ended at 20; the available labs showed white count fell from 14.1 to 10.6, creatinine was roughly stable (0.6 to 0.7), lactate stayed broadly stable from 1.5 to 1.6, and urine output was roughly stable (185 to 220)\nC. For handoff, the heart rate rose from 84 to 89, MAP fell from 100 to 71, and diastolic pressure moved from 18 to 51. Systolic pressure ranged 16-181 and ended at 155, and SpO2 recovered to 92 after a low of 89 around hour 2.4. Respiratory rate ended at 18; the available labs showed white count fell from 16.0 to 12.5, creatinine was roughly stable (0.5 to 0.8), lactate stayed broadly stable from 1.8 to 1.4, and urine output was roughly stable (210 to 245)\nD. For handoff, the heart rate rose from 76 to 90, MAP fell from 92 to 62, and diastolic pressure moved from 22 to 50. Systolic pressure ranged 12-126 and ended at 100, and SpO2 recovered to 100 after a low of 84 around hour 1.8. Respiratory rate ended at 22; the available labs showed white count fell from 11.8 to 9.8, creatinine was roughly stable (0.8 to 0.5), lactate stayed broadly stable from 1.2 to 1.9, and urine output was roughly stable (235 to 190)","answer":"B","answer_text":"For handoff, the heart rate rose from 80 to 86, MAP fell from 97 to 67, and diastolic pressure moved from 20 to 54. Systolic pressure ranged 14-156 and ended at 130, and SpO2 recovered to 96 after a low of 85 around hour 2.1. Respiratory rate ended at 20; the available labs showed white count fell from 14.1 to 10.6, creatinine was roughly stable (0.6 to 0.7), lactate stayed broadly stable from 1.5 to 1.6, and urine output was roughly stable (185 to 220)","episode_id":"iv_000010","anchor_time":71}
{"id":"TSS_iv_000011_clinical_summary_41_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. For handoff, the heart rate rose from 73 to 75, while MAP rose from 71 to 100. Systolic pressure was labile, ranging 90-152, with the lowest value around hour 5.9. SpO2 briefly dipped to 91 around hour 1.0 before recovering to 93, while respiratory rate peaked at 36 and later settled at 22. The associated labs and urine output showed that white count fell from 10.6 to 9.9, creatinine stayed around 1.0, lactate was not available, and urine output fell from 400 to 110, with recorded outputs ranging 75-400.\nB. For handoff, the heart rate rose from 68 to 80, while MAP rose from 66 to 100. Systolic pressure was labile, ranging 95-187, with the lowest value around hour 5.0. SpO2 briefly dipped to 86 around hour 1.9 before recovering to 98, while respiratory rate peaked at 31 and later settled at 20. The associated labs and urine output showed that white count fell from 13.2 to 9.6, creatinine was roughly stable (0.8 to 0.9), lactate was not available, and urine output fell from 385 to 60, with recorded outputs ranging 26-415.\nC. For handoff, the heart rate rose from 74 to 77, while MAP rose from 72 to 100. Systolic pressure was labile, ranging 97-147, with the lowest value around hour 6.0. SpO2 briefly dipped to 89 around hour 1.0 before recovering to 92, while respiratory rate peaked at 35 and later settled at 23. The associated labs and urine output showed that white count fell from 10.2 to 8.7, creatinine was roughly stable (1.0 to 0.7), lactate was not available, and urine output fell from 425 to 114, with recorded outputs ranging 23-375.\nD. For handoff, the heart rate rose from 70 to 78, while MAP rose from 68 to 97. Systolic pressure was labile, ranging 93-172, with the lowest value around hour 5.4. SpO2 briefly dipped to 88 around hour 0.9 before recovering to 96, while respiratory rate peaked at 33 and later settled at 21. The associated labs and urine output showed that white count fell from 12.1 to 10.7, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output fell from 400 to 110, with recorded outputs ranging 25-400.","answer":"D","answer_text":"For handoff, the heart rate rose from 70 to 78, while MAP rose from 68 to 97. Systolic pressure was labile, ranging 93-172, with the lowest value around hour 5.4. SpO2 briefly dipped to 88 around hour 0.9 before recovering to 96, while respiratory rate peaked at 33 and later settled at 21. The associated labs and urine output showed that white count fell from 12.1 to 10.7, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output fell from 400 to 110, with recorded outputs ranging 25-400.","episode_id":"iv_000011","anchor_time":41}
{"id":"TSS_iv_000011_clinical_summary_41_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 97, diastolic pressure rose from 53 to 75, and heart rate rose from 70 to 78. The lowest MAP was about 54 around hour 3.4, and the lowest valid SpO2 was 88 around hour 0.9; respiratory rate rose as high as 33 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 36.6-37.2 C, white count fell from 12.1 to 10.7, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output fell from 400 to 110.\nB. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 66 to 99, diastolic pressure rose from 51 to 73, and heart rate rose from 72 to 81. The lowest MAP was about 52 around hour 3.8, and the lowest valid SpO2 was 86 around hour 0; respiratory rate rose as high as 31 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 38.9-39.5 C, white count fell from 11.0 to 9.5, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output fell from 415 to 108.\nC. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 93, diastolic pressure rose from 57 to 72, and heart rate rose from 66 to 82. The lowest MAP was about 57 around hour 4.4, and the lowest valid SpO2 was 92 around hour 0.8; respiratory rate rose as high as 37 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 32.9-33.5 C, white count fell from 14.0 to 8.8, creatinine was roughly stable (1.0 to 0.9), lactate was not available, and urine output fell from 375 to 114.\nD. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 64 to 100, diastolic pressure rose from 48 to 70, and heart rate rose from 74 to 77. The lowest MAP was about 50 around hour 4.2, and the lowest valid SpO2 was 84 around hour 1.1; respiratory rate rose as high as 35 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 41.1-41.7 C, white count fell from 9.8 to 8.3, creatinine stayed around 0.8, lactate was not available, and urine output fell from 400 to 160.","answer":"A","answer_text":"Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 97, diastolic pressure rose from 53 to 75, and heart rate rose from 70 to 78. The lowest MAP was about 54 around hour 3.4, and the lowest valid SpO2 was 88 around hour 0.9; respiratory rate rose as high as 33 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 97.89 to 99, white count fell from 12.1 to 10.7, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output fell from 400 to 110.","episode_id":"iv_000011","anchor_time":41}
{"id":"TSS_iv_000011_clinical_summary_41_2","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 152 to 172, MAP rose from 71 to 100, and heart rate rose from 67 to 81. SpO2 started at 93, ended at 99, and fell as low as 91 around hour 0.8; respiratory rate ranged 16-35. For labs and output, white count fell from 10.6 to 9.1, creatinine stayed around 1.0, lactate was not available, and urine output fell from 400 to 110.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 132 to 166, MAP rose from 68 to 97, and heart rate rose from 70 to 78. SpO2 started at 96, ended at 96, and fell as low as 88 around hour 0.9; respiratory rate ranged 14-33. For labs and output, white count fell from 12.1 to 10.7, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output fell from 400 to 110.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 157 to 177, MAP rose from 72 to 100, and heart rate rose from 66 to 81. SpO2 started at 92, ended at 100, and fell as low as 92 around hour 0.8; respiratory rate ranged 16-35. For labs and output, white count fell from 10.2 to 9.9, creatinine was roughly stable (1.0 to 0.7), lactate was not available, and urine output fell from 425 to 114.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 102 to 162, MAP rose from 64 to 100, and heart rate rose from 74 to 77. SpO2 started at 100, ended at 92, and fell as low as 87 around hour 1.1; respiratory rate ranged 12-38. For labs and output, white count fell from 14.3 to 8.4, creatinine was roughly stable (0.8 to 1.0), lactate was not available, and urine output fell from 370 to 106.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 132 to 166, MAP rose from 68 to 97, and heart rate rose from 70 to 78. SpO2 started at 96, ended at 96, and fell as low as 88 around hour 0.9; respiratory rate ranged 14-33. For labs and output, white count fell from 12.1 to 10.7, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output fell from 400 to 110.","episode_id":"iv_000011","anchor_time":41}
{"id":"TSS_iv_000011_clinical_summary_41_3","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 73 to 75, MAP rose from 71 to 100, and diastolic pressure moved from 50 to 78. Systolic pressure ranged 96-192 and ended at 186, and SpO2 recovered to 93 after a low of 87 around hour 1.0. Respiratory rate ended at 20; the available labs showed white count fell from 13.6 to 9.9, creatinine was roughly stable (0.8 to 0.9), lactate was not available, and urine output fell from 450 to 107.\nB. Across the recorded window, the heart rate rose from 68 to 81, MAP rose from 66 to 95, and diastolic pressure moved from 55 to 72. Systolic pressure ranged 91-157 and ended at 151, and SpO2 recovered to 98 after a low of 86 around hour 0.8. Respiratory rate ended at 22; the available labs showed white count fell from 11.0 to 9.6, creatinine was roughly stable (1.0 to 0.7), lactate was not available, and urine output fell from 385 to 112.\nC. Across the recorded window, the heart rate rose from 70 to 78, MAP rose from 68 to 97, and diastolic pressure moved from 53 to 75. Systolic pressure ranged 93-172 and ended at 166, and SpO2 recovered to 96 after a low of 88 around hour 0.9. Respiratory rate ended at 21; the available labs showed white count fell from 12.1 to 10.7, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output fell from 400 to 110.\nD. Across the recorded window, the heart rate rose from 66 to 82, MAP rose from 64 to 100, and diastolic pressure moved from 58 to 70. Systolic pressure ranged 88-142 and ended at 162, and SpO2 recovered to 100 after a low of 84 around hour 1.9. Respiratory rate ended at 23; the available labs showed white count fell from 9.8 to 8.4, creatinine was roughly stable (1.1 to 0.7), lactate was not available, and urine output fell from 370 to 114.","answer":"C","answer_text":"Across the recorded window, the heart rate rose from 70 to 78, MAP rose from 68 to 97, and diastolic pressure moved from 53 to 75. Systolic pressure ranged 93-172 and ended at 166, and SpO2 recovered to 96 after a low of 88 around hour 0.9. Respiratory rate ended at 21; the available labs showed white count fell from 12.1 to 10.7, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output fell from 400 to 110.","episode_id":"iv_000011","anchor_time":41}
{"id":"TSS_iv_000012_clinical_summary_22_1","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 82, diastolic pressure fell from 74 to 53, and heart rate rose from 43 to 77. The lowest MAP was about 76 around hour 7.5, and the lowest valid SpO2 was 91 around hour 0.4; respiratory rate rose as high as 37 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.4-34.4 C, white count was 10.0 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 585 to 320.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 97 to 85, diastolic pressure fell from 71 to 56, and heart rate rose from 46 to 74. The lowest MAP was about 73 around hour 6.5, and the lowest valid SpO2 was 88 around hour 0.5; respiratory rate rose as high as 34 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.4-37.4 C, white count was 9.5 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 565 to 300.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 81, diastolic pressure fell from 75 to 60, and heart rate rose from 42 to 77. The lowest MAP was about 77 around hour 5.9, and the lowest valid SpO2 was 92 around hour 0; respiratory rate rose as high as 38 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.6-33.6 C, white count was 10.1 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 590 to 325.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 92 to 90, diastolic pressure fell from 66 to 52, and heart rate rose from 50 to 70. The lowest MAP was about 68 around hour 7.2, and the lowest valid SpO2 was 84 around hour 0.7; respiratory rate rose as high as 36 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 40.9-41.9 C, white count was 8.8 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 535 to 350.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 97 to 85, diastolic pressure fell from 71 to 56, and heart rate rose from 46 to 74. The lowest MAP was about 73 around hour 6.5, and the lowest valid SpO2 was 88 around hour 0.5; respiratory rate rose as high as 34 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 97.5 to 99.4, white count was 9.5 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 565 to 300.","episode_id":"iv_000012","anchor_time":22}
{"id":"TSS_iv_000012_clinical_summary_22_2","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 172 to 192, MAP fell from 100 to 88, and heart rate rose from 43 to 77. SpO2 started at 94, ended at 99, and fell as low as 91 around hour 0.4; respiratory rate ranged 10-31. For labs and output, white count was 9.0 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 585 to 280.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (137 to 172), MAP fell from 95 to 83, and heart rate rose from 48 to 77. SpO2 started at 99, ended at 94, and fell as low as 86 around hour 0.6; respiratory rate ranged 9-36. For labs and output, white count was 9.9 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 550 to 315.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (152 to 157), MAP fell from 97 to 85, and heart rate rose from 46 to 74. SpO2 started at 97, ended at 96, and fell as low as 88 around hour 0.5; respiratory rate ranged 9-34. For labs and output, white count was 9.5 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 565 to 300.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (122 to 153), MAP fell from 92 to 88, and heart rate rose from 50 to 70. SpO2 started at 100, ended at 92, and fell as low as 87 around hour 0.7; respiratory rate ranged 8-38. For labs and output, white count was 10.2 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 535 to 330.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (152 to 157), MAP fell from 97 to 85, and heart rate rose from 46 to 74. SpO2 started at 97, ended at 96, and fell as low as 88 around hour 0.5; respiratory rate ranged 9-34. For labs and output, white count was 9.5 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 565 to 300.","episode_id":"iv_000012","anchor_time":22}
{"id":"TSS_iv_000012_clinical_summary_22_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Clinically, the heart rate rose from 49 to 71, MAP fell from 100 to 88, and diastolic pressure moved from 68 to 59. Systolic pressure ranged 143-189 and ended at 177, and SpO2 recovered to 93 after a low of 87 around hour 0.6. Respiratory rate ended at 16; the available labs showed white count was 10.0 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 615 to 320.\nB. Clinically, the heart rate rose from 44 to 76, MAP fell from 95 to 88, and diastolic pressure moved from 73 to 54. Systolic pressure ranged 108-154 and ended at 153, and SpO2 recovered to 98 after a low of 86 around hour 1.5. Respiratory rate ended at 19; the available labs showed white count was 9.1 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 580 to 285.\nC. Clinically, the heart rate rose from 50 to 77, MAP fell from 100 to 89, and diastolic pressure moved from 67 to 53. Systolic pressure ranged 148-194 and ended at 182, and SpO2 recovered to 92 after a low of 92 around hour 0.6. Respiratory rate ended at 16; the available labs showed white count was 10.1 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 540 to 325.\nD. Clinically, the heart rate rose from 46 to 74, MAP fell from 97 to 85, and diastolic pressure moved from 71 to 56. Systolic pressure ranged 123-169 and ended at 157, and SpO2 recovered to 96 after a low of 88 around hour 0.5. Respiratory rate ended at 18; the available labs showed white count was 9.5 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 565 to 300.","answer":"D","answer_text":"Clinically, the heart rate rose from 46 to 74, MAP fell from 97 to 85, and diastolic pressure moved from 71 to 56. Systolic pressure ranged 123-169 and ended at 157, and SpO2 recovered to 96 after a low of 88 around hour 0.5. Respiratory rate ended at 18; the available labs showed white count was 9.5 on its only check, creatinine was 1 on its only check, lactate was not available, and urine output fell from 565 to 300.","episode_id":"iv_000012","anchor_time":22}
{"id":"TSS_iv_000013_clinical_summary_100_0","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Clinically, the heart rate fell from 119 to 75, while MAP fell from 92 to 85. Systolic pressure was labile, ranging 101-147, with the lowest value around hour 88.8. SpO2 briefly dipped to 89 around hour 2.9 before recovering to 97, while respiratory rate peaked at 44 and later settled at 24. The associated labs and urine output showed that white count fell from 8.7 to 8.2, creatinine was roughly stable (0.9 to 0.6), lactate was not available, and urine output was roughly stable (320 to 295), with recorded outputs ranging 27-630.\nB. Clinically, the heart rate fell from 116 to 78, while MAP fell from 89 to 82. Systolic pressure was labile, ranging 97-167, with the lowest value around hour 85.8. SpO2 briefly dipped to 88 around hour 2.7 before recovering to 100, while respiratory rate peaked at 42 and later settled at 22. The associated labs and urine output showed that white count fell from 10.2 to 9.1, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output was roughly stable (300 to 275), with recorded outputs ranging 30-650.\nC. Clinically, the heart rate fell from 120 to 74, while MAP was roughly stable (93 to 85). Systolic pressure was labile, ranging 93-142, with the lowest value around hour 89.5. SpO2 briefly dipped to 92 around hour 3.7 before recovering to 96, while respiratory rate peaked at 46 and later settled at 24. The associated labs and urine output showed that white count fell from 8.3 to 7.8, creatinine was roughly stable (0.9 to 0.6), lactate was not available, and urine output was roughly stable (325 to 225), with recorded outputs ranging 26-625.\nD. Clinically, the heart rate fell from 112 to 82, while MAP fell from 84 to 78. Systolic pressure was labile, ranging 100-197, with the lowest value around hour 81.3. SpO2 briefly dipped to 84 around hour 2.4 before recovering to 96, while respiratory rate peaked at 38 and later settled at 20. The associated labs and urine output showed that white count fell from 12.4 to 8.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (300 to 275), with recorded outputs ranging 80-650.","answer":"B","answer_text":"Clinically, the heart rate fell from 116 to 78, while MAP fell from 89 to 82. Systolic pressure was labile, ranging 97-167, with the lowest value around hour 85.8. SpO2 briefly dipped to 88 around hour 2.7 before recovering to 100, while respiratory rate peaked at 42 and later settled at 22. The associated labs and urine output showed that white count fell from 10.2 to 9.1, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output was roughly stable (300 to 275), with recorded outputs ranging 30-650.","episode_id":"iv_000013","anchor_time":100}
{"id":"TSS_iv_000014_clinical_summary_43_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (106 to 101), MAP was roughly stable (79 to 78), and heart rate fell from 99 to 91. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 0.1; respiratory rate ranged 12-25. For labs and output, white count fell from 9.2 to 7.1, creatinine stayed around 0.4, lactate was not available, and urine output rose from 150 to 380.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (104 to 103), MAP was roughly stable (77 to 76), and heart rate fell from 100 to 89. SpO2 started at 98, ended at 96, and fell as low as 86 around hour 0.2; respiratory rate ranged 11-26. For labs and output, white count fell from 9.6 to 6.7, creatinine was roughly stable (0.3 to 0.5), lactate was not available, and urine output rose from 150 to 380.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 110 to 97, MAP was roughly stable (83 to 81), and heart rate fell from 95 to 92. SpO2 started at 96, ended at 100, and fell as low as 84 around hour 0.0; respiratory rate ranged 14-23. For labs and output, white count fell from 8.6 to 7.7, creatinine stayed around 0.5, lactate was not available, and urine output rose from 125 to 405.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (102 to 106), MAP was roughly stable (74 to 74), and heart rate was roughly stable (100 to 94). SpO2 started at 96, ended at 94, and fell as low as 80 around hour 0.2; respiratory rate ranged 10-27. For labs and output, white count fell from 9.9 to 6.3, creatinine stayed around 0.2, lactate was not available, and urine output rose from 180 to 350.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (106 to 101), MAP was roughly stable (79 to 78), and heart rate fell from 99 to 91. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 0.1; respiratory rate ranged 12-25. For labs and output, white count fell from 9.2 to 7.1, creatinine stayed around 0.4, lactate was not available, and urine output rose from 150 to 380.","episode_id":"iv_000014","anchor_time":43}
{"id":"TSS_iv_000014_clinical_summary_43_3","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 100 to 88, MAP was roughly stable (82 to 81), and diastolic pressure moved from 67 to 75. Systolic pressure ranged 89-146 and ended at 97, and SpO2 recovered to 95 after a low of 88 around hour 1.1. Respiratory rate ended at 14; the available labs showed white count fell from 9.7 to 7.6, creatinine stayed around 0.3, lactate was not available, and urine output rose from 170 to 400.\nB. Viewed chronologically, the heart rate fell from 99 to 91, MAP was roughly stable (79 to 78), and diastolic pressure moved from 70 to 72. Systolic pressure ranged 86-126 and ended at 101, and SpO2 recovered to 98 after a low of 85 around hour 0.1. Respiratory rate ended at 16; the available labs showed white count fell from 9.2 to 7.1, creatinine stayed around 0.4, lactate was not available, and urine output rose from 150 to 380.\nC. Viewed chronologically, the heart rate was roughly stable (100 to 94), MAP was roughly stable (83 to 82), and diastolic pressure moved from 66 to 69. Systolic pressure ranged 90-151 and ended at 105, and SpO2 recovered to 94 after a low of 89 around hour 0.2. Respiratory rate ended at 14; the available labs showed white count fell from 9.8 to 7.7, creatinine stayed around 0.3, lactate was not available, and urine output rose from 175 to 405.\nD. Viewed chronologically, the heart rate fell from 94 to 91, MAP was roughly stable (74 to 74), and diastolic pressure moved from 74 to 68. Systolic pressure ranged 82-96 and ended at 96, and SpO2 recovered to 100 after a low of 84 around hour 0.0. Respiratory rate ended at 18; the available labs showed white count fell from 8.4 to 6.3, creatinine stayed around 0.6, lactate was not available, and urine output rose from 200 to 350.","answer":"B","answer_text":"Viewed chronologically, the heart rate fell from 99 to 91, MAP was roughly stable (79 to 78), and diastolic pressure moved from 70 to 72. Systolic pressure ranged 86-126 and ended at 101, and SpO2 recovered to 98 after a low of 85 around hour 0.1. Respiratory rate ended at 16; the available labs showed white count fell from 9.2 to 7.1, creatinine stayed around 0.4, lactate was not available, and urine output rose from 150 to 380.","episode_id":"iv_000014","anchor_time":43}
{"id":"TSS_iv_000015_clinical_summary_31_0","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 33 to 99, while MAP fell from 93 to 86. Systolic pressure was labile, ranging 94-125, with the lowest value around hour 4.9. SpO2 briefly dipped to 86 around hour 34.4 before recovering to 80, while respiratory rate peaked at 37 and later settled at 20. The associated labs and urine output showed that white count rose from 0 to 13.0, creatinine rose from 0.7 to 0.8, lactate rose from 1.4 to 277, and urine output rose from 57 to 320, with recorded outputs ranging 12-470.\nB. Viewed chronologically, the heart rate rose from 28 to 104, while MAP was roughly stable (88 to 86). Systolic pressure was labile, ranging 92-160, with the lowest value around hour 4.0. SpO2 briefly dipped to 81 around hour 31 before recovering to 85, while respiratory rate peaked at 33 and later settled at 18. The associated labs and urine output showed that white count rose from 2 to 10.4, creatinine rose from 0.5 to 0.9, lactate rose from 1.0 to 242, and urine output rose from 62 to 250, with recorded outputs ranging 9-435.\nC. Viewed chronologically, the heart rate rose from 34 to 98, while MAP fell from 94 to 87. Systolic pressure was labile, ranging 86-120, with the lowest value around hour 5.0. SpO2 briefly dipped to 87 around hour 35.1 before recovering to 79, while respiratory rate peaked at 39 and later settled at 21. The associated labs and urine output showed that white count rose from 0 to 10.7, creatinine rose from 0.7 to 0.9, lactate rose from 1.4 to 282, and urine output rose from 56 to 325, with recorded outputs ranging 60-475.\nD. Viewed chronologically, the heart rate rose from 30 to 102, while MAP fell from 90 to 83. Systolic pressure was labile, ranging 90-145, with the lowest value around hour 4.4. SpO2 briefly dipped to 83 around hour 31.4 before recovering to 83, while respiratory rate peaked at 35 and later settled at 19. The associated labs and urine output showed that white count rose from 0 to 11.5, creatinine rose from 0.6 to 0.8, lactate rose from 1.2 to 257, and urine output rose from 60 to 300, with recorded outputs ranging 10-450.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 30 to 102, while MAP fell from 90 to 83. Systolic pressure was labile, ranging 90-145, with the lowest value around hour 4.4. SpO2 briefly dipped to 83 around hour 31.4 before recovering to 83, while respiratory rate peaked at 35 and later settled at 19. The associated labs and urine output showed that white count rose from 0 to 11.5, creatinine rose from 0.6 to 0.8, lactate rose from 1.2 to 257, and urine output rose from 60 to 300, with recorded outputs ranging 10-450.","episode_id":"iv_000015","anchor_time":31}
{"id":"TSS_iv_000015_clinical_summary_31_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 83, diastolic pressure was roughly stable (69 to 68), and heart rate rose from 30 to 102. The lowest MAP was about 66 around hour 2.4, and the lowest valid SpO2 was 83 around hour 31.4; respiratory rate rose as high as 35 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 36.1-36.8 C, white count rose from 0 to 11.5, creatinine rose from 0.6 to 0.8, lactate rose from 1.2 to 257, and urine output rose from 60 to 300.\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 88 to 85, diastolic pressure was roughly stable (67 to 66), and heart rate rose from 32 to 105. The lowest MAP was about 64 around hour 2.5, and the lowest valid SpO2 was 82 around hour 30.4; respiratory rate rose as high as 33 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 38.4-39.0 C, white count rose from 0 to 12.6, creatinine rose from 0.5 to 0.7, lactate rose from 1.4 to 242, and urine output rose from 58 to 315.\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 79, diastolic pressure was roughly stable (73 to 65), and heart rate rose from 26 to 106. The lowest MAP was about 69 around hour 3.4, and the lowest valid SpO2 was 87 around hour 27.6; respiratory rate rose as high as 39 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 32.4-33.0 C, white count rose from 2 to 9.6, creatinine rose from 0.7 to 0.9, lactate rose from 0.9 to 282, and urine output rose from 64 to 275.\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 83, diastolic pressure was roughly stable (64 to 64), and heart rate rose from 34 to 98. The lowest MAP was about 62 around hour 2.7, and the lowest valid SpO2 was 78 around hour 35.9; respiratory rate rose as high as 37 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 40.6-41.3 C, white count rose from 0 to 13.8, creatinine rose from 0.4 to 0.9, lactate rose from 1.5 to 227, and urine output rose from 56 to 350.","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 83, diastolic pressure was roughly stable (69 to 68), and heart rate rose from 30 to 102. The lowest MAP was about 66 around hour 2.4, and the lowest valid SpO2 was 83 around hour 31.4; respiratory rate rose as high as 35 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 97 to 98.2, white count rose from 0 to 11.5, creatinine rose from 0.6 to 0.8, lactate rose from 1.2 to 257, and urine output rose from 60 to 300.","episode_id":"iv_000015","anchor_time":31}
{"id":"TSS_iv_000015_clinical_summary_31_2","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 165 to 107, MAP was roughly stable (93 to 86), and heart rate rose from 27 to 105. SpO2 started at 86, ended at 86, and fell as low as 82 around hour 28.4; respiratory rate ranged 8-32. For labs and output, white count rose from 0 to 13.0, creatinine rose from 0.7 to 0.8, lactate rose from 1.4 to 277, and urine output rose from 57 to 320.\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 145 to 111, MAP fell from 90 to 83, and heart rate rose from 30 to 102. SpO2 started at 89, ended at 83, and fell as low as 83 around hour 31.4; respiratory rate ranged 7-35. For labs and output, white count rose from 0 to 11.5, creatinine rose from 0.6 to 0.8, lactate rose from 1.2 to 257, and urine output rose from 60 to 300.\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 170 to 107, MAP fell from 94 to 87, and heart rate rose from 26 to 105. SpO2 started at 85, ended at 87, and fell as low as 87 around hour 27.6; respiratory rate ranged 8-37. For labs and output, white count rose from 0 to 10.7, creatinine rose from 0.7 to 0.8, lactate rose from 1.4 to 282, and urine output rose from 56 to 325.\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 112, MAP fell from 86 to 78, and heart rate rose from 34 to 98. SpO2 started at 94, ended at 78, and fell as low as 78 around hour 35.9; respiratory rate ranged 6-40. For labs and output, white count rose from 3 to 9.2, creatinine rose from 0.4 to 0.9, lactate rose from 1.4 to 227, and urine output rose from 64 to 270.","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 145 to 111, MAP fell from 90 to 83, and heart rate rose from 30 to 102. SpO2 started at 89, ended at 83, and fell as low as 83 around hour 31.4; respiratory rate ranged 7-35. For labs and output, white count rose from 0 to 11.5, creatinine rose from 0.6 to 0.8, lactate rose from 1.2 to 257, and urine output rose from 60 to 300.","episode_id":"iv_000015","anchor_time":31}
{"id":"TSS_iv_000015_clinical_summary_31_3","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Overall, the heart rate rose from 33 to 105, MAP fell from 93 to 86, and diastolic pressure moved from 66 to 65. Systolic pressure ranged 93-165 and ended at 114, and SpO2 recovered to 80 after a low of 86 around hour 34.4. Respiratory rate ended at 18; the available labs showed white count rose from 2 to 13.0, creatinine rose from 0.5 to 0.9, lactate rose from 1.4 to 237, and urine output rose from 63 to 320.\nB. Overall, the heart rate rose from 28 to 104, MAP was roughly stable (88 to 86), and diastolic pressure moved from 71 to 66. Systolic pressure ranged 88-130 and ended at 107, and SpO2 recovered to 85 after a low of 81 around hour 31. Respiratory rate ended at 20; the available labs showed white count rose from 0 to 10.4, creatinine rose from 0.7 to 0.8, lactate rose from 1.0 to 272, and urine output rose from 58 to 285.\nC. Overall, the heart rate rose from 30 to 102, MAP fell from 90 to 83, and diastolic pressure moved from 69 to 68. Systolic pressure ranged 90-145 and ended at 111, and SpO2 recovered to 83 after a low of 83 around hour 31.4. Respiratory rate ended at 19; the available labs showed white count rose from 0 to 11.5, creatinine rose from 0.6 to 0.8, lactate rose from 1.2 to 257, and urine output rose from 60 to 300.\nD. Overall, the heart rate rose from 26 to 106, MAP fell from 86 to 78, and diastolic pressure moved from 74 to 64. Systolic pressure ranged 86-115 and ended at 106, and SpO2 recovered to 88 after a low of 82 around hour 26.9. Respiratory rate ended at 21; the available labs showed white count rose from 0 to 10.7, creatinine rose from 0.8 to 0.9, lactate rose from 0.9 to 287, and urine output rose from 110 to 270.","answer":"C","answer_text":"Overall, the heart rate rose from 30 to 102, MAP fell from 90 to 83, and diastolic pressure moved from 69 to 68. Systolic pressure ranged 90-145 and ended at 111, and SpO2 recovered to 83 after a low of 83 around hour 31.4. Respiratory rate ended at 19; the available labs showed white count rose from 0 to 11.5, creatinine rose from 0.6 to 0.8, lactate rose from 1.2 to 257, and urine output rose from 60 to 300.","episode_id":"iv_000015","anchor_time":31}
{"id":"TSS_iv_000016_clinical_summary_44_2","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 140 to 112, MAP was roughly stable (92 to 93), and heart rate fell from 99 to 53. SpO2 started at 93, ended at 91, and fell as low as 87 around hour 0.1; respiratory rate ranged 12-20. For labs and output, white count was 8.9 on its only check, creatinine rose from 0.7 to 0.9, lactate was not available, and urine output fell from 380 to 1.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (105 to 118), MAP was roughly stable (87 to 88), and heart rate fell from 104 to 53. SpO2 started at 98, ended at 86, and fell as low as 86 around hour 0.3; respiratory rate ranged 10-24. For labs and output, white count was 9.8 on its only check, creatinine rose from 0.5 to 0.7, lactate was not available, and urine output fell from 415 to 1.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (120 to 116), MAP was roughly stable (89 to 90), and heart rate fell from 102 to 50. SpO2 started at 96, ended at 88, and fell as low as 88 around hour 0.2; respiratory rate ranged 11-22. For labs and output, white count was 9.4 on its only check, creatinine rose from 0.6 to 0.8, lactate was not available, and urine output fell from 400 to 1.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (90 to 120), MAP was roughly stable (84 to 86), and heart rate fell from 106 to 46. SpO2 started at 100, ended at 84, and fell as low as 84 around hour 0.4; respiratory rate ranged 9-24. For labs and output, white count was 10.2 on its only check, creatinine rose from 0.4 to 0.9, lactate was not available, and urine output fell from 430 to 1.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (120 to 116), MAP was roughly stable (89 to 90), and heart rate fell from 102 to 50. SpO2 started at 96, ended at 88, and fell as low as 88 around hour 0.2; respiratory rate ranged 11-22. For labs and output, white count was 9.4 on its only check, creatinine rose from 0.6 to 0.8, lactate was not available, and urine output fell from 400 to 1.","episode_id":"iv_000016","anchor_time":44}
{"id":"TSS_iv_000017_clinical_summary_112_0","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Taken together, the heart rate rose from 86 to 95, while MAP rose from 83 to 95. Systolic pressure was labile, ranging 80-146, with the lowest value around hour 34.3. SpO2 briefly dipped to 87 around hour 1.5 before recovering to 90, while respiratory rate peaked at 35 and later settled at 18. The associated labs and urine output showed that white count fell from 12.2 to 6.3, creatinine was roughly stable (0.9 to 0.9), lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75, with recorded outputs ranging 75-900.\nB. Taken together, the heart rate rose from 83 to 98, while MAP rose from 80 to 92. Systolic pressure was labile, ranging 83-166, with the lowest value around hour 31.3. SpO2 briefly dipped to 84 around hour 1.3 before recovering to 93, while respiratory rate peaked at 32 and later settled at 16. The associated labs and urine output showed that white count fell from 13.7 to 7.1, creatinine stayed around 0.8, lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75, with recorded outputs ranging 25-900.\nC. Taken together, the heart rate rose from 87 to 94, while MAP rose from 84 to 95. Systolic pressure was labile, ranging 79-141, with the lowest value around hour 35.0. SpO2 briefly dipped to 88 around hour 2.3 before recovering to 89, while respiratory rate peaked at 36 and later settled at 18. The associated labs and urine output showed that white count fell from 11.8 to 7.7, creatinine stayed around 0.9, lactate rose from 0.9 to 1.6, and urine output fell from 275 to 25, with recorded outputs ranging 27-875.\nD. Taken together, the heart rate rose from 78 to 100, while MAP rose from 76 to 88. Systolic pressure was labile, ranging 87-196, with the lowest value around hour 26.8. SpO2 briefly dipped to 85 around hour 1.0 before recovering to 98, while respiratory rate peaked at 34 and later settled at 14. The associated labs and urine output showed that white count fell from 15.9 to 6.3, creatinine stayed around 0.7, lactate rose from 1.4 to 1.6, and urine output fell from 220 to 80, with recorded outputs ranging 23-930.","answer":"B","answer_text":"Taken together, the heart rate rose from 83 to 98, while MAP rose from 80 to 92. Systolic pressure was labile, ranging 83-166, with the lowest value around hour 31.3. SpO2 briefly dipped to 84 around hour 1.3 before recovering to 93, while respiratory rate peaked at 32 and later settled at 16. The associated labs and urine output showed that white count fell from 13.7 to 7.1, creatinine stayed around 0.8, lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75, with recorded outputs ranging 25-900.","episode_id":"iv_000017","anchor_time":112}
{"id":"TSS_iv_000017_clinical_summary_112_1","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 83 to 89, diastolic pressure was roughly stable (70 to 71), and heart rate rose from 80 to 100. The lowest MAP was about 61 around hour 45.3, and the lowest valid SpO2 was 87 around hour 1.1; respiratory rate rose as high as 35 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.3-35.9 C, white count fell from 15.2 to 6.6, creatinine stayed around 0.9, lactate rose from 1.3 to 1.5, and urine output fell from 270 to 78.\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 78 to 94, diastolic pressure rose from 65 to 72, and heart rate rose from 85 to 96. The lowest MAP was about 56 around hour 46.5, and the lowest valid SpO2 was 82 around hour 1.5; respiratory rate rose as high as 34 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 38.5-41.1 C, white count fell from 12.6 to 7.5, creatinine was roughly stable (0.7 to 0.9), lactate rose from 1.1 to 1.4, and urine output fell from 250 to 125.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 80 to 92, diastolic pressure rose from 67 to 74, and heart rate rose from 83 to 98. The lowest MAP was about 58 around hour 44.3, and the lowest valid SpO2 was 84 around hour 1.3; respiratory rate rose as high as 32 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.3-38.9 C, white count fell from 13.7 to 7.1, creatinine stayed around 0.8, lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 76 to 96, diastolic pressure rose from 62 to 70, and heart rate rose from 88 to 101. The lowest MAP was about 54 around hour 48.8, and the lowest valid SpO2 was 80 around hour 0.3; respiratory rate rose as high as 28 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 40.8-43.4 C, white count fell from 11.4 to 7.8, creatinine stayed around 0.7, lactate rose from 0.8 to 1.7, and urine output fell from 220 to 70.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 80 to 92, diastolic pressure rose from 67 to 74, and heart rate rose from 83 to 98. The lowest MAP was about 58 around hour 44.3, and the lowest valid SpO2 was 84 around hour 1.3; respiratory rate rose as high as 32 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 97.4 to 102, white count fell from 13.7 to 7.1, creatinine stayed around 0.8, lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75.","episode_id":"iv_000017","anchor_time":112}
{"id":"TSS_iv_000017_clinical_summary_112_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. In broad terms, the heart rate rose from 83 to 98, MAP rose from 80 to 92, and diastolic pressure moved from 67 to 74. Systolic pressure ranged 83-166 and ended at 139, and SpO2 recovered to 93 after a low of 84 around hour 1.3. Respiratory rate ended at 16; the available labs showed white count fell from 13.7 to 7.1, creatinine stayed around 0.8, lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75.\nB. In broad terms, the heart rate rose from 81 to 100, MAP rose from 78 to 95, and diastolic pressure moved from 69 to 72. Systolic pressure ranged 81-151 and ended at 135, and SpO2 recovered to 95 after a low of 82 around hour 2.3. Respiratory rate ended at 17; the available labs showed white count fell from 12.6 to 6.7, creatinine stayed around 0.9, lactate rose from 1.0 to 1.2, and urine output fell from 265 to 73.\nC. In broad terms, the heart rate rose from 87 to 101, MAP rose from 84 to 96, and diastolic pressure moved from 63 to 71. Systolic pressure ranged 87-191 and ended at 164, and SpO2 recovered to 89 after a low of 88 around hour 1.6. Respiratory rate ended at 14; the available labs showed white count fell from 15.6 to 7.7, creatinine stayed around 0.7, lactate rose from 1.4 to 1.6, and urine output fell from 225 to 79.\nD. In broad terms, the heart rate rose from 78 to 100, MAP rose from 76 to 88, and diastolic pressure moved from 72 to 70. Systolic pressure ranged 78-136 and ended at 109, and SpO2 recovered to 98 after a low of 83 around hour 1.0. Respiratory rate ended at 18; the available labs showed white count fell from 11.4 to 6.3, creatinine stayed around 1.0, lactate rose from 0.8 to 1.1, and urine output fell from 300 to 70.","answer":"A","answer_text":"In broad terms, the heart rate rose from 83 to 98, MAP rose from 80 to 92, and diastolic pressure moved from 67 to 74. Systolic pressure ranged 83-166 and ended at 139, and SpO2 recovered to 93 after a low of 84 around hour 1.3. Respiratory rate ended at 16; the available labs showed white count fell from 13.7 to 7.1, creatinine stayed around 0.8, lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75.","episode_id":"iv_000017","anchor_time":112}
{"id":"TSS_iv_000018_clinical_summary_65_0","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. In broad terms, the heart rate rose from 53 to 57, while MAP rose from 77 to 96. Systolic pressure was labile, ranging 102-124, with the lowest value around hour 1.4. SpO2 briefly dipped to 91 around hour 1.4 before recovering to 97, while respiratory rate peaked at 23 and later settled at 18. The associated labs and urine output showed that white count fell from 13.3 to 11.8, creatinine fell from 0.9 to 0.4, lactate was checked once at 1.4, and urine output was roughly stable (470 to 480), with recorded outputs ranging 220-530.\nB. In broad terms, the heart rate rose from 48 to 62, while MAP rose from 72 to 91. Systolic pressure was labile, ranging 107-159, with the lowest value around hour 1.0. SpO2 briefly dipped to 86 around hour 1.0 before recovering to 98, while respiratory rate peaked at 20 and later settled at 16. The associated labs and urine output showed that white count fell from 15.9 to 12.1, creatinine fell from 0.7 to 0.6, lactate was checked once at 1.0, and urine output was roughly stable (435 to 515), with recorded outputs ranging 250-565.\nC. In broad terms, the heart rate rose from 50 to 60, while MAP rose from 74 to 93. Systolic pressure was labile, ranging 105-144, with the lowest value around hour 1.2. SpO2 briefly dipped to 88 around hour 1.2 before recovering to 100, while respiratory rate peaked at 21 and later settled at 17. The associated labs and urine output showed that white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500), with recorded outputs ranging 200-550.\nD. In broad terms, the heart rate rose from 46 to 64, while MAP rose from 70 to 96. Systolic pressure was labile, ranging 110-174, with the lowest value around hour 0.9. SpO2 briefly dipped to 84 around hour 2.2 before recovering to 96, while respiratory rate peaked at 19 and later settled at 15. The associated labs and urine output showed that white count fell from 17.1 to 10.7, creatinine fell from 0.7 to 0.6, lactate was checked once at 0.9, and urine output stayed around 420, with recorded outputs ranging 200-550.","answer":"C","answer_text":"In broad terms, the heart rate rose from 50 to 60, while MAP rose from 74 to 93. Systolic pressure was labile, ranging 105-144, with the lowest value around hour 1.2. SpO2 briefly dipped to 88 around hour 1.2 before recovering to 100, while respiratory rate peaked at 21 and later settled at 17. The associated labs and urine output showed that white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500), with recorded outputs ranging 200-550.","episode_id":"iv_000018","anchor_time":65}
{"id":"TSS_iv_000018_clinical_summary_65_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 77 to 90, diastolic pressure rose from 66 to 74, and heart rate rose from 47 to 63. The lowest MAP was about 70 around hour 20.2, and the lowest valid SpO2 was 91 around hour 1.0; respiratory rate rose as high as 22 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.4-34.1 C, white count fell from 16.3 to 11.4, creatinine fell from 0.9 to 0.6, lactate was checked once at 1.0, and urine output was roughly stable (470 to 520)\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 95, diastolic pressure rose from 61 to 75, and heart rate rose from 52 to 58. The lowest MAP was about 65 around hour 20.3, and the lowest valid SpO2 was 86 around hour 1.4; respiratory rate rose as high as 23 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 38.6-39.4 C, white count fell from 13.7 to 12.2, creatinine fell from 0.7 to 0.6, lactate was checked once at 1.4, and urine output rose from 435 to 550.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 78 to 89, diastolic pressure rose from 67 to 81, and heart rate rose from 46 to 63. The lowest MAP was about 71 around hour 17.3, and the lowest valid SpO2 was 92 around hour 0.2; respiratory rate rose as high as 23 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 32.6-33.4 C, white count fell from 16.7 to 11.0, creatinine fell from 0.9 to 0.6, lactate was checked once at 0.9, and urine output was roughly stable (475 to 525)\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 74 to 93, diastolic pressure rose from 63 to 77, and heart rate rose from 50 to 60. The lowest MAP was about 67 around hour 19.2, and the lowest valid SpO2 was 88 around hour 1.2; respiratory rate rose as high as 21 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.4-37.1 C, white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500)","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 74 to 93, diastolic pressure rose from 63 to 77, and heart rate rose from 50 to 60. The lowest MAP was about 67 around hour 19.2, and the lowest valid SpO2 was 88 around hour 1.2; respiratory rate rose as high as 21 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 97.5 to 98.8, white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500)","episode_id":"iv_000018","anchor_time":65}
{"id":"TSS_iv_000018_clinical_summary_65_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 138, MAP rose from 74 to 93, and heart rate rose from 50 to 60. SpO2 started at 88, ended at 100, and fell as low as 88 around hour 1.2; respiratory rate ranged 11-21. For labs and output, white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 103 to 134, MAP rose from 72 to 96, and heart rate rose from 52 to 58. SpO2 started at 90, ended at 98, and fell as low as 87 around hour 1.4; respiratory rate ranged 10-22. For labs and output, white count fell from 15.9 to 11.8, creatinine fell from 0.7 to 0.6, lactate was checked once at 1.0, and urine output was roughly stable (435 to 515)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 109 to 113, MAP rose from 78 to 97, and heart rate rose from 46 to 64. SpO2 started at 84, ended at 96, and fell as low as 92 around hour 0.9; respiratory rate ranged 13-19. For labs and output, white count fell from 12.9 to 11.4, creatinine fell from 0.9 to 0.6, lactate was checked once at 1.4, and urine output was roughly stable (475 to 475)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 168, MAP rose from 70 to 88, and heart rate rose from 54 to 63. SpO2 started at 92, ended at 96, and fell as low as 84 around hour 1.5; respiratory rate ranged 9-23. For labs and output, white count fell from 17.1 to 12.1, creatinine fell from 0.7 to 0.6, lactate was checked once at 0.9, and urine output was roughly stable (420 to 530)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 138, MAP rose from 74 to 93, and heart rate rose from 50 to 60. SpO2 started at 88, ended at 100, and fell as low as 88 around hour 1.2; respiratory rate ranged 11-21. For labs and output, white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500)","episode_id":"iv_000018","anchor_time":65}
{"id":"TSS_iv_000018_clinical_summary_65_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. For handoff, the heart rate rose from 53 to 57, MAP rose from 77 to 96, and diastolic pressure moved from 60 to 80. Systolic pressure ranged 108-164 and ended at 134, and SpO2 recovered to 97 after a low of 91 around hour 2.2. Respiratory rate ended at 16; the available labs showed white count fell from 16.3 to 14.4, creatinine fell from 0.7 to 0.6, lactate was checked once at 1.4, and urine output was roughly stable (430 to 520)\nB. For handoff, the heart rate rose from 50 to 60, MAP rose from 74 to 93, and diastolic pressure moved from 63 to 77. Systolic pressure ranged 105-144 and ended at 138, and SpO2 recovered to 100 after a low of 88 around hour 1.2. Respiratory rate ended at 17; the available labs showed white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500)\nC. For handoff, the heart rate rose from 54 to 63, MAP rose from 78 to 97, and diastolic pressure moved from 59 to 74. Systolic pressure ranged 109-169 and ended at 163, and SpO2 recovered to 96 after a low of 92 around hour 1.4. Respiratory rate ended at 15; the available labs showed white count fell from 16.7 to 14.8, creatinine fell from 0.7 to 0.6, lactate was checked once at 1.4, and urine output was roughly stable (425 to 525)\nD. For handoff, the heart rate rose from 46 to 64, MAP rose from 70 to 88, and diastolic pressure moved from 68 to 72. Systolic pressure ranged 100-114 and ended at 108, and SpO2 recovered to 96 after a low of 87 around hour 0.9. Respiratory rate ended at 19; the available labs showed white count fell from 12.6 to 12.1, creatinine fell from 1.0 to 0.3, lactate was checked once at 0.9, and urine output was roughly stable (500 to 470)","answer":"B","answer_text":"For handoff, the heart rate rose from 50 to 60, MAP rose from 74 to 93, and diastolic pressure moved from 63 to 77. Systolic pressure ranged 105-144 and ended at 138, and SpO2 recovered to 100 after a low of 88 around hour 1.2. Respiratory rate ended at 17; the available labs showed white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500)","episode_id":"iv_000018","anchor_time":65}
{"id":"TSS_iv_000019_clinical_summary_43_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 90 to 98, diastolic pressure rose from 76 to 87, and heart rate rose from 64 to 96. The lowest MAP was about 71 around hour 5.1, and the lowest valid SpO2 was 88 around hour 1.9; respiratory rate rose as high as 25 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 36.7-38 C, white count fell from 15.1 to 6, creatinine was roughly stable (1.8 to 3.6), lactate was not available, and urine output rose from 150 to 500.\nB. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 88 to 100, diastolic pressure rose from 74 to 85, and heart rate rose from 66 to 99. The lowest MAP was about 69 around hour 5.5, and the lowest valid SpO2 was 86 around hour 0.9; respiratory rate rose as high as 24 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 39.0-40 C, white count fell from 14.0 to 6, creatinine was roughly stable (1.6 to 3.2), lactate was not available, and urine output rose from 165 to 485.\nC. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 94 to 97, diastolic pressure rose from 80 to 91, and heart rate rose from 60 to 100. The lowest MAP was about 75 around hour 4.5, and the lowest valid SpO2 was 92 around hour 1.6; respiratory rate rose as high as 27 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 33.0-34 C, white count fell from 17.0 to 5, creatinine was roughly stable (2.0 to 3.7), lactate was not available, and urine output rose from 125 to 550.\nD. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 86 to 100, diastolic pressure rose from 72 to 84, and heart rate rose from 68 to 92. The lowest MAP was about 74 around hour 6.1, and the lowest valid SpO2 was 84 around hour 2.2; respiratory rate rose as high as 23 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 41.2-42 C, white count fell from 12.8 to 7, creatinine was roughly stable (1.5 to 2.9), lactate was not available, and urine output rose from 180 to 470.","answer":"A","answer_text":"Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 90 to 98, diastolic pressure rose from 76 to 87, and heart rate rose from 64 to 96. The lowest MAP was about 71 around hour 5.1, and the lowest valid SpO2 was 88 around hour 1.9; respiratory rate rose as high as 25 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 98 to 100.4, white count fell from 15.1 to 6, creatinine was roughly stable (1.8 to 3.6), lactate was not available, and urine output rose from 150 to 500.","episode_id":"iv_000019","anchor_time":43}
{"id":"TSS_iv_000019_clinical_summary_43_2","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (155 to 140), MAP rose from 93 to 101, and heart rate rose from 61 to 99. SpO2 started at 97, ended at 100, and fell as low as 87 around hour 1.7; respiratory rate ranged 12-24. For labs and output, white count fell from 13.6 to 6, creatinine was roughly stable (2.0 to 3.1), lactate was not available, and urine output rose from 170 to 520.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 135 to 144, MAP rose from 90 to 98, and heart rate rose from 64 to 96. SpO2 started at 100, ended at 98, and fell as low as 88 around hour 1.9; respiratory rate ranged 11-25. For labs and output, white count fell from 15.1 to 6, creatinine was roughly stable (1.8 to 3.6), lactate was not available, and urine output rose from 150 to 500.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 160 to 180, MAP rose from 94 to 100, and heart rate rose from 60 to 100. SpO2 started at 96, ended at 100, and fell as low as 92 around hour 1.6; respiratory rate ranged 13-23. For labs and output, white count fell from 13.2 to 7, creatinine was roughly stable (2.0 to 3.7), lactate was not available, and urine output rose from 175 to 525.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 174, MAP rose from 86 to 94, and heart rate rose from 68 to 99. SpO2 started at 96, ended at 94, and fell as low as 84 around hour 2.2; respiratory rate ranged 9-27. For labs and output, white count fell from 17.4 to 5.2, creatinine was roughly stable (1.5 to 4.3), lactate was not available, and urine output rose from 120 to 470.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 135 to 144, MAP rose from 90 to 98, and heart rate rose from 64 to 96. SpO2 started at 100, ended at 98, and fell as low as 88 around hour 1.9; respiratory rate ranged 11-25. For labs and output, white count fell from 15.1 to 6, creatinine was roughly stable (1.8 to 3.6), lactate was not available, and urine output rose from 150 to 500.","episode_id":"iv_000019","anchor_time":43}
{"id":"TSS_iv_000019_clinical_summary_43_3","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 67 to 99, MAP rose from 93 to 100, and diastolic pressure moved from 73 to 84. Systolic pressure ranged 100-181 and ended at 164, and SpO2 recovered to 95 after a low of 91 around hour 2.1. Respiratory rate ended at 18; the available labs showed white count fell from 16.6 to 6, creatinine was roughly stable (1.6 to 4.1), lactate was not available, and urine output rose from 170 to 480.\nB. Across the recorded window, the heart rate rose from 62 to 98, MAP rose from 88 to 101, and diastolic pressure moved from 78 to 85. Systolic pressure ranged 95-146 and ended at 140, and SpO2 recovered to 100 after a low of 86 around hour 2.9. Respiratory rate ended at 20; the available labs showed white count fell from 14.0 to 6, creatinine was roughly stable (2.0 to 3.2), lactate was not available, and urine output rose from 135 to 515.\nC. Across the recorded window, the heart rate rose from 64 to 96, MAP rose from 90 to 98, and diastolic pressure moved from 76 to 87. Systolic pressure ranged 97-161 and ended at 144, and SpO2 recovered to 98 after a low of 88 around hour 1.9. Respiratory rate ended at 19; the available labs showed white count fell from 15.1 to 6, creatinine was roughly stable (1.8 to 3.6), lactate was not available, and urine output rose from 150 to 500.\nD. Across the recorded window, the heart rate rose from 60 to 100, MAP rose from 86 to 94, and diastolic pressure moved from 80 to 82. Systolic pressure ranged 92-131 and ended at 114, and SpO2 recovered to 100 after a low of 87 around hour 1.6. Respiratory rate ended at 21; the available labs showed white count fell from 12.8 to 5.2, creatinine was roughly stable (2.1 to 2.9), lactate was not available, and urine output rose from 200 to 530.","answer":"C","answer_text":"Across the recorded window, the heart rate rose from 64 to 96, MAP rose from 90 to 98, and diastolic pressure moved from 76 to 87. Systolic pressure ranged 97-161 and ended at 144, and SpO2 recovered to 98 after a low of 88 around hour 1.9. Respiratory rate ended at 19; the available labs showed white count fell from 15.1 to 6, creatinine was roughly stable (1.8 to 3.6), lactate was not available, and urine output rose from 150 to 500.","episode_id":"iv_000019","anchor_time":43}
{"id":"TSS_iv_000021_clinical_summary_76_0","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Clinically, the heart rate rose from 53 to 62, while MAP fell from 73 to 60. Systolic pressure was labile, ranging 87-123, with the lowest value around hour 6. SpO2 briefly dipped to 91 around hour 0.2 before recovering to 96, while respiratory rate peaked at 30 and later settled at 18. The associated labs and urine output showed that white count fell from 26.0 to 11.2, creatinine fell from 1.4 to 0.8, lactate fell from 247 to 1.4, and urine output stayed around 47, with recorded outputs ranging 50-380.\nB. Clinically, the heart rate rose from 50 to 65, while MAP fell from 70 to 57. Systolic pressure was labile, ranging 90-143, with the lowest value around hour 5. SpO2 briefly dipped to 88 around hour 0.1 before recovering to 99, while respiratory rate peaked at 28 and later settled at 17. The associated labs and urine output showed that white count fell from 27.5 to 12, creatinine fell from 1.2 to 0.7, lactate fell from 227 to 1.2, and urine output stayed around 50, with recorded outputs ranging 30-400.\nC. Clinically, the heart rate rose from 54 to 61, while MAP fell from 74 to 61. Systolic pressure was labile, ranging 94-118, with the lowest value around hour 6. SpO2 briefly dipped to 92 around hour 0.2 before recovering to 95, while respiratory rate peaked at 30 and later settled at 19. The associated labs and urine output showed that white count fell from 25.6 to 14, creatinine fell from 1.4 to 0.6, lactate fell from 252 to 1.4, and urine output stayed around 46, with recorded outputs ranging 34-350.\nD. Clinically, the heart rate rose from 46 to 70, while MAP fell from 66 to 60. Systolic pressure was labile, ranging 94-173, with the lowest value around hour 4. SpO2 briefly dipped to 84 around hour 1.1 before recovering to 100, while respiratory rate peaked at 26 and later settled at 15. The associated labs and urine output showed that white count fell from 29.8 to 10, creatinine fell from 0.9 to 0.8, lactate fell from 197 to 0.9, and urine output was roughly stable (54 to 0), with recorded outputs ranging 0-400.","answer":"B","answer_text":"Clinically, the heart rate rose from 50 to 65, while MAP fell from 70 to 57. Systolic pressure was labile, ranging 90-143, with the lowest value around hour 5. SpO2 briefly dipped to 88 around hour 0.1 before recovering to 99, while respiratory rate peaked at 28 and later settled at 17. The associated labs and urine output showed that white count fell from 27.5 to 12, creatinine fell from 1.2 to 0.7, lactate fell from 227 to 1.2, and urine output stayed around 50, with recorded outputs ranging 30-400.","episode_id":"iv_000021","anchor_time":76}
{"id":"TSS_iv_000021_clinical_summary_76_1","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 73 to 54, diastolic pressure fell from 74 to 50, and heart rate rose from 47 to 68. The lowest MAP was about 60 around hour 74, and the lowest valid SpO2 was 91 around hour 0.0; respiratory rate rose as high as 30 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.4-34.1 C, white count fell from 29.0 to 10, creatinine fell from 1.4 to 0.8, lactate fell from 207 to 1.4, and urine output was roughly stable (53 to 100)\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 68 to 59, diastolic pressure fell from 69 to 44, and heart rate rose from 52 to 63. The lowest MAP was about 55 around hour 76, and the lowest valid SpO2 was 86 around hour 0.2; respiratory rate rose as high as 27 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 38.6-39.4 C, white count fell from 26.4 to 13, creatinine fell from 1.0 to 0.6, lactate fell from 242 to 1.0, and urine output was roughly stable (48 to 52)\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 70 to 57, diastolic pressure fell from 71 to 47, and heart rate rose from 50 to 65. The lowest MAP was about 57 around hour 77, and the lowest valid SpO2 was 88 around hour 0.1; respiratory rate rose as high as 28 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.4-37.1 C, white count fell from 27.5 to 12, creatinine fell from 1.2 to 0.7, lactate fell from 227 to 1.2, and urine output was roughly stable (50 to 50)\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 66 to 62, diastolic pressure fell from 66 to 42, and heart rate rose from 54 to 68. The lowest MAP was about 52 around hour 82, and the lowest valid SpO2 was 84 around hour 0; respiratory rate rose as high as 26 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 40.9-41.6 C, white count fell from 25.2 to 14, creatinine fell from 0.9 to 0.5, lactate fell from 257 to 0.9, and urine output was roughly stable (46 to 54)","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 70 to 57, diastolic pressure fell from 71 to 47, and heart rate rose from 50 to 65. The lowest MAP was about 57 around hour 77, and the lowest valid SpO2 was 88 around hour 0.1; respiratory rate rose as high as 28 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 97.5 to 98.7, white count fell from 27.5 to 12, creatinine fell from 1.2 to 0.7, lactate fell from 227 to 1.2, and urine output was roughly stable (50 to 50)","episode_id":"iv_000021","anchor_time":76}
{"id":"TSS_iv_000021_clinical_summary_76_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 50 to 65, MAP fell from 70 to 57, and diastolic pressure moved from 71 to 47. Systolic pressure ranged 90-143 and ended at 118, and SpO2 recovered to 99 after a low of 88 around hour 0.1. Respiratory rate ended at 17; the available labs showed white count fell from 27.5 to 12, creatinine fell from 1.2 to 0.7, lactate fell from 227 to 1.2, and urine output was roughly stable (50 to 50)\nB. Over the available measurements, the heart rate rose from 48 to 67, MAP fell from 68 to 60, and diastolic pressure moved from 73 to 45. Systolic pressure ranged 88-128 and ended at 114, and SpO2 recovered to 100 after a low of 86 around hour 1.1. Respiratory rate ended at 18; the available labs showed white count fell from 26.4 to 11, creatinine fell from 1.4 to 0.6, lactate fell from 212 to 1.4, and urine output was roughly stable (48 to 48)\nC. Over the available measurements, the heart rate rose from 54 to 68, MAP fell from 74 to 61, and diastolic pressure moved from 67 to 44. Systolic pressure ranged 94-168 and ended at 122, and SpO2 recovered to 95 after a low of 92 around hour 0.2. Respiratory rate ended at 15; the available labs showed white count fell from 29.4 to 14, creatinine fell from 0.9 to 0.8, lactate fell from 252 to 0.9, and urine output was roughly stable (54 to 54)\nD. Over the available measurements, the heart rate rose from 46 to 70, MAP fell from 66 to 52, and diastolic pressure moved from 76 to 42. Systolic pressure ranged 86-113 and ended at 114, and SpO2 recovered to 100 after a low of 87 around hour 0.0. Respiratory rate ended at 19; the available labs showed white count fell from 25.2 to 11.2, creatinine fell from 1.5 to 0.5, lactate fell from 197 to 1.5, and urine output was roughly stable (100 to 46)","answer":"A","answer_text":"Over the available measurements, the heart rate rose from 50 to 65, MAP fell from 70 to 57, and diastolic pressure moved from 71 to 47. Systolic pressure ranged 90-143 and ended at 118, and SpO2 recovered to 99 after a low of 88 around hour 0.1. Respiratory rate ended at 17; the available labs showed white count fell from 27.5 to 12, creatinine fell from 1.2 to 0.7, lactate fell from 227 to 1.2, and urine output was roughly stable (50 to 50)","episode_id":"iv_000021","anchor_time":76}
{"id":"TSS_iv_000022_clinical_summary_159_0","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 114 to 83, while MAP rose from 69 to 85. Systolic pressure was labile, ranging 73-182, with the lowest value around hour 103.1. SpO2 briefly dipped to 86 around hour 0.6 before recovering to 94, while respiratory rate peaked at 32 and later settled at 26. The associated labs and urine output showed that white count stayed around 8.7, creatinine fell from 1.9 to 1, lactate fell from 279 to 3.1, and urine output fell from 402 to 180, with recorded outputs ranging 6-530.\nB. Over the available measurements, the heart rate fell from 109 to 88, while MAP rose from 64 to 85. Systolic pressure was labile, ranging 71-217, with the lowest value around hour 97.8. SpO2 briefly dipped to 83 around hour 1.5 before recovering to 99, while respiratory rate peaked at 28 and later settled at 23. The associated labs and urine output showed that white count stayed around 9.6, creatinine fell from 1.5 to 1, lactate fell from 314 to 2.8, and urine output fell from 367 to 150, with recorded outputs ranging 5-565.\nC. Over the available measurements, the heart rate fell from 111 to 86, while MAP rose from 66 to 82. Systolic pressure was labile, ranging 69-202, with the lowest value around hour 100.1. SpO2 briefly dipped to 85 around hour 0.5 before recovering to 97, while respiratory rate peaked at 30 and later settled at 24. The associated labs and urine output showed that white count stayed around 9.2, creatinine fell from 1.7 to 1, lactate fell from 299 to 2.9, and urine output fell from 382 to 200, with recorded outputs ranging 5-550.\nD. Over the available measurements, the heart rate fell from 106 to 90, while MAP rose from 62 to 78. Systolic pressure was labile, ranging 74-232, with the lowest value around hour 95.6. SpO2 briefly dipped to 80 around hour 0.3 before recovering to 100, while respiratory rate peaked at 26 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (9.9 to 8.4), creatinine fell from 1.7 to 1.1, lactate fell from 299 to 2.9, and urine output fell from 382 to 200, with recorded outputs ranging 55-550.","answer":"C","answer_text":"Over the available measurements, the heart rate fell from 111 to 86, while MAP rose from 66 to 82. Systolic pressure was labile, ranging 69-202, with the lowest value around hour 100.1. SpO2 briefly dipped to 85 around hour 0.5 before recovering to 97, while respiratory rate peaked at 30 and later settled at 24. The associated labs and urine output showed that white count stayed around 9.2, creatinine fell from 1.7 to 1, lactate fell from 299 to 2.9, and urine output fell from 382 to 200, with recorded outputs ranging 5-550.","episode_id":"iv_000022","anchor_time":159}
{"id":"TSS_iv_000022_clinical_summary_159_3","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 114 to 83, MAP rose from 69 to 85, and diastolic pressure moved from 20 to 57. Systolic pressure ranged 72-222 and ended at 175, and SpO2 recovered to 94 after a low of 84 around hour 0.6. Respiratory rate ended at 22; the available labs showed white count was roughly stable (9.7 to 8.4), creatinine fell from 1.7 to 1, lactate fell from 299 to 2.9, and urine output fell from 432 to 200.\nB. Viewed chronologically, the heart rate fell from 111 to 86, MAP rose from 66 to 82, and diastolic pressure moved from 22 to 54. Systolic pressure ranged 69-202 and ended at 155, and SpO2 recovered to 97 after a low of 85 around hour 0.5. Respiratory rate ended at 24; the available labs showed white count stayed around 9.2, creatinine fell from 1.7 to 1, lactate fell from 299 to 2.9, and urine output fell from 382 to 200.\nC. Viewed chronologically, the heart rate fell from 115 to 89, MAP rose from 70 to 86, and diastolic pressure moved from 20 to 51. Systolic pressure ranged 73-227 and ended at 180, and SpO2 recovered to 93 after a low of 89 around hour 0.6. Respiratory rate ended at 22; the available labs showed white count stayed around 9.8, creatinine fell from 1.9 to 1, lactate fell from 324 to 3.1, and urine output fell from 357 to 225.\nD. Viewed chronologically, the heart rate fell from 106 to 90, MAP rose from 62 to 85, and diastolic pressure moved from 24 to 50. Systolic pressure ranged 64-172 and ended at 151, and SpO2 recovered to 100 after a low of 80 around hour 1.5. Respiratory rate ended at 26; the available labs showed white count stayed around 8.4, creatinine fell from 1.4 to 1, lactate fell from 269 to 2.6, and urine output fell from 412 to 170.","answer":"B","answer_text":"Viewed chronologically, the heart rate fell from 111 to 86, MAP rose from 66 to 82, and diastolic pressure moved from 22 to 54. Systolic pressure ranged 69-202 and ended at 155, and SpO2 recovered to 97 after a low of 85 around hour 0.5. Respiratory rate ended at 24; the available labs showed white count stayed around 9.2, creatinine fell from 1.7 to 1, lactate fell from 299 to 2.9, and urine output fell from 382 to 200.","episode_id":"iv_000022","anchor_time":159}
{"id":"TSS_iv_000023_clinical_summary_55_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 75 to 68, diastolic pressure rose from 35 to 46, and heart rate rose from 77 to 104. The lowest MAP was about 55 around hour 32.5, and the lowest valid SpO2 was 85 around hour 21.9; respiratory rate rose as high as 32 but ended at 31. The lower-frequency data fit that summary: temperature stayed around 36.4-37.1 C, white count rose from 4.7 to 5.8, creatinine was roughly stable (1.3 to 1.4), lactate was checked once at 1, and urine output was roughly stable (130 to 60)\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 73 to 70, diastolic pressure rose from 33 to 44, and heart rate rose from 79 to 107. The lowest MAP was about 53 around hour 34.8, and the lowest valid SpO2 was 83 around hour 20.9; respiratory rate rose as high as 30 but ended at 29. The lower-frequency data fit that summary: temperature stayed around 38.6-39.4 C, white count rose from 4.3 to 6.2, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 1, and urine output was roughly stable (115 to 58)\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 79 to 64, diastolic pressure rose from 39 to 50, and heart rate rose from 73 to 108. The lowest MAP was about 59 around hour 28.8, and the lowest valid SpO2 was 89 around hour 20.0; respiratory rate rose as high as 34 but ended at 35. The lower-frequency data fit that summary: temperature stayed around 32.6-33.4 C, white count rose from 5.3 to 5.8, creatinine rose from 1.6 to 1.8, lactate was checked once at 1, and urine output was roughly stable (155 to 110)\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 70 to 67, diastolic pressure rose from 30 to 43, and heart rate rose from 82 to 100. The lowest MAP was about 58 around hour 33.5, and the lowest valid SpO2 was 80 around hour 24.1; respiratory rate rose as high as 28 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 40.9-41.6 C, white count rose from 4.0 to 6.5, creatinine was roughly stable (1.0 to 1.1), lactate was checked once at 1, and urine output was roughly stable (100 to 56)","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 75 to 68, diastolic pressure rose from 35 to 46, and heart rate rose from 77 to 104. The lowest MAP was about 55 around hour 32.5, and the lowest valid SpO2 was 85 around hour 21.9; respiratory rate rose as high as 32 but ended at 31. The lower-frequency data fit that summary: temperature ranged from 97.5 to 98.7, white count rose from 4.7 to 5.8, creatinine was roughly stable (1.3 to 1.4), lactate was checked once at 1, and urine output was roughly stable (130 to 60)","episode_id":"iv_000023","anchor_time":55}
{"id":"TSS_iv_000023_clinical_summary_55_2","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 153 to 100, MAP fell from 78 to 71, and heart rate rose from 74 to 107. SpO2 started at 97, ended at 95, and fell as low as 88 around hour 20.4; respiratory rate ranged 14-29. For labs and output, white count rose from 4.2 to 6.3, creatinine rose from 1.5 to 1.7, lactate was checked once at 1.2, and urine output was roughly stable (150 to 57)\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 133 to 120, MAP fell from 75 to 68, and heart rate rose from 77 to 104. SpO2 started at 100, ended at 92, and fell as low as 85 around hour 21.9; respiratory rate ranged 12-32. For labs and output, white count rose from 4.7 to 5.8, creatinine was roughly stable (1.3 to 1.4), lactate was checked once at 1, and urine output was roughly stable (130 to 60)\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 158 to 116, MAP was roughly stable (79 to 71), and heart rate rose from 73 to 108. SpO2 started at 96, ended at 96, and fell as low as 84 around hour 20.0; respiratory rate ranged 14-28. For labs and output, white count rose from 4.1 to 6.4, creatinine was roughly stable (1.6 to 1.1), lactate was checked once at 1, and urine output was roughly stable (155 to 56)\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 103 to 83, MAP fell from 70 to 64, and heart rate rose from 82 to 107. SpO2 started at 96, ended at 88, and fell as low as 80 around hour 24.1; respiratory rate ranged 10-34. For labs and output, white count was roughly stable (5.5 to 5), creatinine was roughly stable (1.0 to 1.7), lactate was checked once at 1, and urine output was roughly stable (100 to 64)","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 133 to 120, MAP fell from 75 to 68, and heart rate rose from 77 to 104. SpO2 started at 100, ended at 92, and fell as low as 85 around hour 21.9; respiratory rate ranged 12-32. For labs and output, white count rose from 4.7 to 5.8, creatinine was roughly stable (1.3 to 1.4), lactate was checked once at 1, and urine output was roughly stable (130 to 60)","episode_id":"iv_000023","anchor_time":55}
{"id":"TSS_iv_000023_clinical_summary_55_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Overall, the heart rate rose from 80 to 107, MAP fell from 78 to 71, and diastolic pressure moved from 32 to 43. Systolic pressure ranged 97-170 and ended at 140, and SpO2 recovered to 89 after a low of 88 around hour 23.4. Respiratory rate ended at 28; the available labs showed white count rose from 5.2 to 6.3, creatinine was roughly stable (1.1 to 1.6), lactate was checked once at 1, and urine output was roughly stable (110 to 63)\nB. Overall, the heart rate rose from 75 to 106, MAP was roughly stable (73 to 71), and diastolic pressure moved from 37 to 44. Systolic pressure ranged 98-135 and ended at 116, and SpO2 recovered to 94 after a low of 83 around hour 22.9. Respiratory rate ended at 33; the available labs showed white count rose from 4.3 to 5.4, creatinine was roughly stable (1.5 to 1.2), lactate was checked once at 1, and urine output was roughly stable (145 to 58)\nC. Overall, the heart rate rose from 77 to 104, MAP fell from 75 to 68, and diastolic pressure moved from 35 to 46. Systolic pressure ranged 100-150 and ended at 120, and SpO2 recovered to 92 after a low of 85 around hour 21.9. Respiratory rate ended at 31; the available labs showed white count rose from 4.7 to 5.8, creatinine was roughly stable (1.3 to 1.4), lactate was checked once at 1, and urine output was roughly stable (130 to 60)\nD. Overall, the heart rate rose from 72 to 108, MAP fell from 70 to 64, and diastolic pressure moved from 40 to 42. Systolic pressure ranged 96-120 and ended at 90, and SpO2 recovered to 96 after a low of 84 around hour 19.6. Respiratory rate ended at 36; the available labs showed white count was roughly stable (4.0 to 5), creatinine was roughly stable (1.6 to 1.1), lactate was checked once at 1, and urine output fell from 180 to 56.","answer":"C","answer_text":"Overall, the heart rate rose from 77 to 104, MAP fell from 75 to 68, and diastolic pressure moved from 35 to 46. Systolic pressure ranged 100-150 and ended at 120, and SpO2 recovered to 92 after a low of 85 around hour 21.9. Respiratory rate ended at 31; the available labs showed white count rose from 4.7 to 5.8, creatinine was roughly stable (1.3 to 1.4), lactate was checked once at 1, and urine output was roughly stable (130 to 60)","episode_id":"iv_000023","anchor_time":55}
{"id":"TSS_iv_000024_clinical_summary_71_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Overall, the heart rate fell from 113 to 71, while MAP fell from 90 to 69. Systolic pressure was labile, ranging 86-146, with the lowest value around hour 56.7. SpO2 briefly dipped to 88 around hour 27.7 before recovering to 99, while respiratory rate peaked at 24 and later settled at 17. The associated labs and urine output showed that white count fell from 10.2 to 7.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (40 to 25), with recorded outputs ranging 15-390.\nB. Overall, the heart rate fell from 111 to 73, while MAP fell from 88 to 67. Systolic pressure was labile, ranging 88-161, with the lowest value around hour 54.5. SpO2 briefly dipped to 86 around hour 26.6 before recovering to 100, while respiratory rate peaked at 23 and later settled at 16. The associated labs and urine output showed that white count fell from 11.3 to 6.5, creatinine was roughly stable (0.6 to 0.8), lactate was not available, and urine output was roughly stable (40 to 25), with recorded outputs ranging 25-390.\nC. Overall, the heart rate fell from 117 to 67, while MAP fell from 94 to 73. Systolic pressure was labile, ranging 90-121, with the lowest value around hour 60.5. SpO2 briefly dipped to 89 around hour 29.6 before recovering to 95, while respiratory rate peaked at 26 and later settled at 19. The associated labs and urine output showed that white count fell from 8.3 to 7.9, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (36 to 27), with recorded outputs ranging 17-415.\nD. Overall, the heart rate fell from 108 to 76, while MAP fell from 86 to 72. Systolic pressure was labile, ranging 90-176, with the lowest value around hour 52.2. SpO2 briefly dipped to 84 around hour 28.7 before recovering to 100, while respiratory rate peaked at 22 and later settled at 15. The associated labs and urine output showed that white count fell from 12.4 to 6.5, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (44 to 0), with recorded outputs ranging 0-360.","answer":"A","answer_text":"Overall, the heart rate fell from 113 to 71, while MAP fell from 90 to 69. Systolic pressure was labile, ranging 86-146, with the lowest value around hour 56.7. SpO2 briefly dipped to 88 around hour 27.7 before recovering to 99, while respiratory rate peaked at 24 and later settled at 17. The associated labs and urine output showed that white count fell from 10.2 to 7.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (40 to 25), with recorded outputs ranging 15-390.","episode_id":"iv_000024","anchor_time":71}
{"id":"TSS_iv_000024_clinical_summary_71_1","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 66, diastolic pressure fell from 82 to 54, and heart rate fell from 110 to 74. The lowest MAP was about 63 around hour 8.7, and the lowest valid SpO2 was 91 around hour 26.2; respiratory rate rose as high as 26 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 31-34.4 C, white count fell from 11.7 to 6.8, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (43 to 24)\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 69, diastolic pressure fell from 79 to 57, and heart rate fell from 113 to 71. The lowest MAP was about 60 around hour 7.7, and the lowest valid SpO2 was 88 around hour 27.7; respiratory rate rose as high as 24 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 34-37.4 C, white count fell from 10.2 to 7.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (40 to 25)\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 65, diastolic pressure fell from 83 to 61, and heart rate fell from 109 to 74. The lowest MAP was about 64 around hour 7.1, and the lowest valid SpO2 was 92 around hour 26.7; respiratory rate rose as high as 26 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 30-33.6 C, white count fell from 12.1 to 6.7, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (44 to 23)\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 74, diastolic pressure fell from 74 to 52, and heart rate fell from 118 to 66. The lowest MAP was about 56 around hour 8.4, and the lowest valid SpO2 was 84 around hour 29.9; respiratory rate rose as high as 26 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 38-41.9 C, white count fell from 7.9 to 7.4, creatinine was roughly stable (0.5 to 0.8), lactate was not available, and urine output was roughly stable (40 to 75)","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 69, diastolic pressure fell from 79 to 57, and heart rate fell from 113 to 71. The lowest MAP was about 60 around hour 7.7, and the lowest valid SpO2 was 88 around hour 27.7; respiratory rate rose as high as 24 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 34 to 98.7, white count fell from 10.2 to 7.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (40 to 25)","episode_id":"iv_000024","anchor_time":71}
{"id":"TSS_iv_000024_clinical_summary_71_2","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 148 to 108, MAP fell from 93 to 72, and heart rate fell from 110 to 74. SpO2 started at 97, ended at 100, and fell as low as 91 around hour 26.2; respiratory rate ranged 12-26. For labs and output, white count fell from 8.7 to 6.5, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (37 to 26)\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 107, MAP fell from 88 to 72, and heart rate fell from 115 to 69. SpO2 started at 98, ended at 97, and fell as low as 87 around hour 28.8; respiratory rate ranged 10-25. For labs and output, white count fell from 11.3 to 6.9, creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (42 to 24)\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 128 to 111, MAP fell from 90 to 69, and heart rate fell from 113 to 71. SpO2 started at 100, ended at 99, and fell as low as 88 around hour 27.7; respiratory rate ranged 11-24. For labs and output, white count fell from 10.2 to 7.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (40 to 25)\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 98 to 95, MAP fell from 86 to 64, and heart rate fell from 118 to 66. SpO2 started at 96, ended at 94, and fell as low as 84 around hour 29.9; respiratory rate ranged 9-26. For labs and output, white count fell from 12.4 to 6.5, creatinine was roughly stable (0.5 to 0.8), lactate was not available, and urine output was roughly stable (40 to 25)","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 128 to 111, MAP fell from 90 to 69, and heart rate fell from 113 to 71. SpO2 started at 100, ended at 99, and fell as low as 88 around hour 27.7; respiratory rate ranged 11-24. For labs and output, white count fell from 10.2 to 7.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (40 to 25)","episode_id":"iv_000024","anchor_time":71}
{"id":"TSS_iv_000025_clinical_summary_53_0","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Taken together, the heart rate fell from 98 to 51, while MAP fell from 68 to 33. Systolic pressure was labile, ranging 36-117, with the lowest value around hour 56.6. SpO2 briefly dipped to 70 around hour 56.6 before recovering to 64, while respiratory rate peaked at 34 and later settled at 8. The associated labs and urine output showed that white count fell from 16 to 3.8, creatinine was roughly stable (4.3 to 4.3), lactate fell from 4350 to 6.3, and urine output was roughly stable (87 to 22), with recorded outputs ranging 20-93.\nB. Taken together, the heart rate fell from 95 to 54, while MAP fell from 65 to 30. Systolic pressure was labile, ranging 39-137, with the lowest value around hour 53.6. SpO2 briefly dipped to 67 around hour 53.6 before recovering to 67, while respiratory rate peaked at 31 and later settled at 8. The associated labs and urine output showed that white count fell from 17 to 4.6, creatinine was roughly stable (3.8 to 4.2), lactate fell from 4270 to 5.8, and urine output was roughly stable (90 to 20), with recorded outputs ranging 5-90.\nC. Taken together, the heart rate fell from 99 to 50, while MAP fell from 69 to 33. Systolic pressure was labile, ranging 35-112, with the lowest value around hour 57.4. SpO2 briefly dipped to 71 around hour 53 before recovering to 63, while respiratory rate peaked at 35 and later settled at 9. The associated labs and urine output showed that white count fell from 15 to 5.2, creatinine was roughly stable (4.4 to 3.6), lactate fell from 4370 to 6.4, and urine output fell from 86 to 0, with recorded outputs ranging 0-94.\nD. Taken together, the heart rate fell from 90 to 58, while MAP fell from 60 to 26. Systolic pressure was labile, ranging 44-167, with the lowest value around hour 49.1. SpO2 briefly dipped to 62 around hour 49.1 before recovering to 72, while respiratory rate peaked at 33 and later settled at 7. The associated labs and urine output showed that white count fell from 19 to 3.8, creatinine was roughly stable (3.0 to 5.0), lactate fell from 4150 to 5.0, and urine output was roughly stable (94 to 18), with recorded outputs ranging 4-140.","answer":"B","answer_text":"Taken together, the heart rate fell from 95 to 54, while MAP fell from 65 to 30. Systolic pressure was labile, ranging 39-137, with the lowest value around hour 53.6. SpO2 briefly dipped to 67 around hour 53.6 before recovering to 67, while respiratory rate peaked at 31 and later settled at 8. The associated labs and urine output showed that white count fell from 17 to 4.6, creatinine was roughly stable (3.8 to 4.2), lactate fell from 4270 to 5.8, and urine output was roughly stable (90 to 20), with recorded outputs ranging 5-90.","episode_id":"iv_000025","anchor_time":53}
{"id":"TSS_iv_000025_clinical_summary_53_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 110 to 35, MAP fell from 68 to 33, and heart rate fell from 92 to 57. SpO2 started at 88, ended at 70, and fell as low as 66 around hour 50.6; respiratory rate ranged 6-28. For labs and output, white count fell from 16 to 5.1, creatinine was roughly stable (4.3 to 3.7), lactate fell from 4350 to 6.3, and urine output was roughly stable (87 to 22)\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 105 to 41, MAP fell from 63 to 28, and heart rate fell from 97 to 52. SpO2 started at 93, ended at 65, and fell as low as 65 around hour 55.9; respiratory rate ranged 6-33. For labs and output, white count fell from 18 to 4.2, creatinine was roughly stable (3.4 to 4.3), lactate fell from 4270.2 to 5.4, and urine output was roughly stable (92 to 19)\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 111 to 35, MAP fell from 69 to 34, and heart rate fell from 91 to 57. SpO2 started at 87, ended at 71, and fell as low as 71 around hour 49.9; respiratory rate ranged 7-33. For labs and output, white count fell from 15 to 3.8, creatinine was roughly stable (4.4 to 3.6), lactate fell from 4370 to 6.4, and urine output was roughly stable (86 to 22)\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 107 to 39, MAP fell from 65 to 30, and heart rate fell from 95 to 54. SpO2 started at 91, ended at 67, and fell as low as 67 around hour 53.6; respiratory rate ranged 6-31. For labs and output, white count fell from 17 to 4.6, creatinine was roughly stable (3.8 to 4.2), lactate fell from 4270 to 5.8, and urine output was roughly stable (90 to 20)","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 107 to 39, MAP fell from 65 to 30, and heart rate fell from 95 to 54. SpO2 started at 91, ended at 67, and fell as low as 67 around hour 53.6; respiratory rate ranged 6-31. For labs and output, white count fell from 17 to 4.6, creatinine was roughly stable (3.8 to 4.2), lactate fell from 4270 to 5.8, and urine output was roughly stable (90 to 20)","episode_id":"iv_000025","anchor_time":53}
{"id":"TSS_iv_000025_clinical_summary_53_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. In broad terms, the heart rate fell from 95 to 54, MAP fell from 65 to 30, and diastolic pressure moved from 51 to 26. Systolic pressure ranged 39-137 and ended at 39, and SpO2 recovered to 67 after a low of 67 around hour 53.6. Respiratory rate ended at 8; the available labs showed white count fell from 17 to 4.6, creatinine was roughly stable (3.8 to 4.2), lactate fell from 4270 to 5.8, and urine output was roughly stable (90 to 20)\nB. In broad terms, the heart rate fell from 93 to 56, MAP fell from 63 to 33, and diastolic pressure moved from 53 to 25. Systolic pressure ranged 35-122 and ended at 35, and SpO2 recovered to 69 after a low of 65 around hour 53. Respiratory rate ended at 8; the available labs showed white count fell from 16 to 4.2, creatinine was roughly stable (4.2 to 3.8), lactate fell from 4210 to 6.2, and urine output was roughly stable (88 to 19)\nC. In broad terms, the heart rate fell from 99 to 57, MAP fell from 69 to 34, and diastolic pressure moved from 47 to 23. Systolic pressure ranged 43-162 and ended at 43, and SpO2 recovered to 63 after a low of 71 around hour 57.4. Respiratory rate ended at 7; the available labs showed white count fell from 19 to 5.2, creatinine was roughly stable (3.2 to 4.8), lactate fell from 4370 to 5.2, and urine output was roughly stable (94 to 22)\nD. In broad terms, the heart rate fell from 90 to 58, MAP fell from 60 to 26, and diastolic pressure moved from 56 to 24. Systolic pressure ranged 34-107 and ended at 34, and SpO2 recovered to 72 after a low of 66 around hour 49.1. Respiratory rate ended at 9; the available labs showed white count fell from 15 to 3.8, creatinine was roughly stable (4.5 to 3.5), lactate fell from 4150 to 6.5, and urine output fell from 140 to 18.","answer":"A","answer_text":"In broad terms, the heart rate fell from 95 to 54, MAP fell from 65 to 30, and diastolic pressure moved from 51 to 26. Systolic pressure ranged 39-137 and ended at 39, and SpO2 recovered to 67 after a low of 67 around hour 53.6. Respiratory rate ended at 8; the available labs showed white count fell from 17 to 4.6, creatinine was roughly stable (3.8 to 4.2), lactate fell from 4270 to 5.8, and urine output was roughly stable (90 to 20)","episode_id":"iv_000025","anchor_time":53}
{"id":"TSS_iv_000026_clinical_summary_167_0","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. In broad terms, the heart rate fell from 163 to 84, while MAP fell from 79 to 69. Systolic pressure was labile, ranging 79-143, with the lowest value around hour 80.6. SpO2 briefly dipped to 86 around hour 0.7 before recovering to 94, while respiratory rate peaked at 39 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (16.3 to 18.3), creatinine was roughly stable (1.7 to 2.0), lactate fell from 235 to 0.9, and urine output was roughly stable (280 to 245), with recorded outputs ranging 2-570.\nB. In broad terms, the heart rate fell from 128 to 89, while MAP fell from 74 to 64. Systolic pressure was labile, ranging 77-178, with the lowest value around hour 75.3. SpO2 briefly dipped to 83 around hour 0.5 before recovering to 99, while respiratory rate peaked at 35 and later settled at 22. The associated labs and urine output showed that white count fell from 18.9 to 16, creatinine was roughly stable (1.4 to 2.3), lactate fell from 200 to 0.7, and urine output was roughly stable (315 to 210), with recorded outputs ranging 50-535.\nC. In broad terms, the heart rate fell from 143 to 87, while MAP fell from 76 to 66. Systolic pressure was labile, ranging 75-163, with the lowest value around hour 77.6. SpO2 briefly dipped to 85 around hour 0.6 before recovering to 97, while respiratory rate peaked at 37 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (17.8 to 16.8), creatinine was roughly stable (1.5 to 2.2), lactate fell from 215 to 0.8, and urine output was roughly stable (300 to 225), with recorded outputs ranging 0-550.\nD. In broad terms, the heart rate fell from 113 to 92, while MAP fell from 72 to 69. Systolic pressure was labile, ranging 80-193, with the lowest value around hour 73.1. SpO2 briefly dipped to 80 around hour 1.6 before recovering to 100, while respiratory rate peaked at 32 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (20.1 to 14.6), creatinine was roughly stable (1.2 to 2.5), lactate fell from 185 to 0.7, and urine output fell from 330 to 175, with recorded outputs ranging 0-520.","answer":"C","answer_text":"In broad terms, the heart rate fell from 143 to 87, while MAP fell from 76 to 66. Systolic pressure was labile, ranging 75-163, with the lowest value around hour 77.6. SpO2 briefly dipped to 85 around hour 0.6 before recovering to 97, while respiratory rate peaked at 37 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (17.8 to 16.8), creatinine was roughly stable (1.5 to 2.2), lactate fell from 215 to 0.8, and urine output was roughly stable (300 to 225), with recorded outputs ranging 0-550.","episode_id":"iv_000026","anchor_time":167}
{"id":"TSS_iv_000026_clinical_summary_167_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (113 to 118), MAP fell from 76 to 66, and heart rate fell from 143 to 87. SpO2 started at 94, ended at 97, and fell as low as 85 around hour 0.6; respiratory rate ranged 6-37. For labs and output, white count was roughly stable (17.8 to 16.8), creatinine was roughly stable (1.5 to 2.2), lactate fell from 215 to 0.8, and urine output was roughly stable (300 to 225)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (111 to 120), MAP fell from 74 to 64, and heart rate fell from 158 to 90. SpO2 started at 96, ended at 95, and fell as low as 83 around hour 0.7; respiratory rate ranged 6-39. For labs and output, white count fell from 18.9 to 16, creatinine was roughly stable (1.4 to 2.4), lactate fell from 200 to 0.7, and urine output was roughly stable (315 to 210)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (117 to 114), MAP fell from 80 to 69, and heart rate fell from 118 to 91. SpO2 started at 90, ended at 100, and fell as low as 84 around hour 0.5; respiratory rate ranged 7-33. For labs and output, white count was roughly stable (15.9 to 18.7), creatinine was roughly stable (1.8 to 2.0), lactate fell from 240 to 0.9, and urine output was roughly stable (275 to 250)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (108 to 122), MAP fell from 72 to 62, and heart rate fell from 173 to 82. SpO2 started at 98, ended at 92, and fell as low as 80 around hour 0.8; respiratory rate ranged 5-42. For labs and output, white count was roughly stable (20.1 to 14.6), creatinine was roughly stable (1.2 to 2.3), lactate fell from 215.2 to 0.7, and urine output was roughly stable (330 to 195)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (113 to 118), MAP fell from 76 to 66, and heart rate fell from 143 to 87. SpO2 started at 94, ended at 97, and fell as low as 85 around hour 0.6; respiratory rate ranged 6-37. For labs and output, white count was roughly stable (17.8 to 16.8), creatinine was roughly stable (1.5 to 2.2), lactate fell from 215 to 0.8, and urine output was roughly stable (300 to 225)","episode_id":"iv_000026","anchor_time":167}
{"id":"TSS_iv_000026_clinical_summary_167_3","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. For handoff, the heart rate fell from 163 to 84, MAP fell from 79 to 69, and diastolic pressure moved from 66 to 51. Systolic pressure ranged 78-183 and ended at 114, and SpO2 recovered to 94 after a low of 88 around hour 1.6. Respiratory rate ended at 22; the available labs showed white count was roughly stable (19.3 to 18.3), creatinine was roughly stable (1.3 to 2.4), lactate fell from 235 to 0.7, and urine output was roughly stable (320 to 245)\nB. For handoff, the heart rate fell from 143 to 87, MAP fell from 76 to 66, and diastolic pressure moved from 69 to 48. Systolic pressure ranged 75-163 and ended at 118, and SpO2 recovered to 97 after a low of 85 around hour 0.6. Respiratory rate ended at 23; the available labs showed white count was roughly stable (17.8 to 16.8), creatinine was roughly stable (1.5 to 2.2), lactate fell from 215 to 0.8, and urine output was roughly stable (300 to 225)\nC. For handoff, the heart rate fell from 168 to 83, MAP fell from 80 to 70, and diastolic pressure moved from 65 to 52. Systolic pressure ranged 79-188 and ended at 122, and SpO2 recovered to 93 after a low of 84 around hour 0.7. Respiratory rate ended at 21; the available labs showed white count fell from 19.7 to 16, creatinine was roughly stable (1.2 to 2.5), lactate fell from 240 to 0.7, and urine output fell from 350 to 250.\nD. For handoff, the heart rate fell from 113 to 90, MAP fell from 72 to 62, and diastolic pressure moved from 74 to 45. Systolic pressure ranged 70-133 and ended at 114, and SpO2 recovered to 100 after a low of 80 around hour 0.4. Respiratory rate ended at 25; the available labs showed white count was roughly stable (15.6 to 14.6), creatinine was roughly stable (1.8 to 1.9), lactate fell from 185 to 1.0, and urine output was roughly stable (270 to 195)","answer":"B","answer_text":"For handoff, the heart rate fell from 143 to 87, MAP fell from 76 to 66, and diastolic pressure moved from 69 to 48. Systolic pressure ranged 75-163 and ended at 118, and SpO2 recovered to 97 after a low of 85 around hour 0.6. Respiratory rate ended at 23; the available labs showed white count was roughly stable (17.8 to 16.8), creatinine was roughly stable (1.5 to 2.2), lactate fell from 215 to 0.8, and urine output was roughly stable (300 to 225)","episode_id":"iv_000026","anchor_time":167}
{"id":"TSS_iv_000027_clinical_summary_90_2","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 183 to 120, MAP fell from 93 to 78, and heart rate fell from 108 to 87. SpO2 started at 85, ended at 96, and fell as low as 91 around hour 0.0; respiratory rate ranged 10-32. For labs and output, white count fell from 8.9 to 7.1, creatinine fell from 0.8 to 0.4, lactate fell from 2.5 to 1.4, and urine output was roughly stable (37 to 38)\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 163 to 140, MAP fell from 90 to 75, and heart rate fell from 111 to 84. SpO2 started at 88, ended at 93, and fell as low as 88 around hour 0.1; respiratory rate ranged 9-30. For labs and output, white count was roughly stable (9.4 to 7.9), creatinine fell from 0.7 to 0.5, lactate fell from 2.3 to 1.2, and urine output was roughly stable (40 to 35)\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 188 to 115, MAP fell from 94 to 79, and heart rate fell from 107 to 88. SpO2 started at 84, ended at 97, and fell as low as 92 around hour 0.0; respiratory rate ranged 10-26. For labs and output, white count was roughly stable (8.8 to 8.5), creatinine was roughly stable (0.8 to 0.6), lactate fell from 2.5 to 1.4, and urine output was roughly stable (36 to 39)\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 133 to 113, MAP fell from 86 to 78, and heart rate fell from 116 to 80. SpO2 started at 92, ended at 88, and fell as low as 87 around hour 0.2; respiratory rate ranged 8-34. For labs and output, white count was roughly stable (10.2 to 7.2), creatinine fell from 0.5 to 0.4, lactate fell from 2.0 to 0.9, and urine output was roughly stable (44 to 30)","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 163 to 140, MAP fell from 90 to 75, and heart rate fell from 111 to 84. SpO2 started at 88, ended at 93, and fell as low as 88 around hour 0.1; respiratory rate ranged 9-30. For labs and output, white count was roughly stable (9.4 to 7.9), creatinine fell from 0.7 to 0.5, lactate fell from 2.3 to 1.2, and urine output was roughly stable (40 to 35)","episode_id":"iv_000027","anchor_time":90}
{"id":"TSS_iv_000028_clinical_summary_78_0","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 68 to 55, while MAP rose from 100 to 108. Systolic pressure was labile, ranging 92-189, with the lowest value around hour 3.9. SpO2 briefly dipped to 88 around hour 5.9 before recovering to 88, while respiratory rate peaked at 45 and later settled at 20. The associated labs and urine output showed that white count fell from 15.8 to 11, creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 3.2 to 2, and urine output was roughly stable (60 to 100), with recorded outputs ranging 0-200.\nB. Across the recorded window, the heart rate fell from 66 to 57, while MAP rose from 98 to 111. Systolic pressure was labile, ranging 94-204, with the lowest value around hour 3.5. SpO2 briefly dipped to 86 around hour 6.9 before recovering to 90, while respiratory rate peaked at 43 and later settled at 19. The associated labs and urine output showed that white count fell from 16.9 to 10, creatinine was roughly stable (1.5 to 1.2), lactate stayed broadly stable from 2.8 to 2, and urine output was roughly stable (62 to 50), with recorded outputs ranging 0-185.\nC. Across the recorded window, the heart rate fell from 72 to 51, while MAP rose from 96 to 112. Systolic pressure was labile, ranging 88-164, with the lowest value around hour 4.5. SpO2 briefly dipped to 92 around hour 6.5 before recovering to 84, while respiratory rate peaked at 49 and later settled at 22. The associated labs and urine output showed that white count fell from 13.9 to 10.2, creatinine was roughly stable (1.9 to 1.2), lactate stayed broadly stable from 3.8 to 2, and urine output was roughly stable (56 to 96), with recorded outputs ranging 50-225.\nD. Across the recorded window, the heart rate fell from 64 to 60, while MAP rose from 96 to 104. Systolic pressure was labile, ranging 96-219, with the lowest value around hour 3.1. SpO2 briefly dipped to 84 around hour 5.2 before recovering to 92, while respiratory rate peaked at 47 and later settled at 18. The associated labs and urine output showed that white count fell from 18.1 to 9, creatinine was roughly stable (1.3 to 1.4), lactate stayed broadly stable from 2.5 to 2, and urine output was roughly stable (64 to 96), with recorded outputs ranging 0-170.","answer":"A","answer_text":"Across the recorded window, the heart rate fell from 68 to 55, while MAP rose from 100 to 108. Systolic pressure was labile, ranging 92-189, with the lowest value around hour 3.9. SpO2 briefly dipped to 88 around hour 5.9 before recovering to 88, while respiratory rate peaked at 45 and later settled at 20. The associated labs and urine output showed that white count fell from 15.8 to 11, creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 3.2 to 2, and urine output was roughly stable (60 to 100), with recorded outputs ranging 0-200.","episode_id":"iv_000028","anchor_time":78}
{"id":"TSS_iv_000028_clinical_summary_78_1","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 97 to 105, diastolic pressure rose from 73 to 76, and heart rate fell from 65 to 58. The lowest MAP was about 64 around hour 4.9, and the lowest valid SpO2 was 91 around hour 5.4; respiratory rate rose as high as 48 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.6-35.7 C, white count fell from 17.3 to 10, creatinine was roughly stable (1.8 to 1.3), lactate stayed broadly stable from 2.7 to 2, and urine output was roughly stable (63 to 97)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 100 to 108, diastolic pressure rose from 70 to 79, and heart rate fell from 68 to 55. The lowest MAP was about 61 around hour 3.9, and the lowest valid SpO2 was 88 around hour 5.9; respiratory rate rose as high as 45 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 36.6-38.7 C, white count fell from 15.8 to 11, creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 3.2 to 2, and urine output was roughly stable (60 to 100)\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 96 to 104, diastolic pressure rose from 74 to 83, and heart rate fell from 64 to 58. The lowest MAP was about 65 around hour 3.3, and the lowest valid SpO2 was 87 around hour 4.9; respiratory rate rose as high as 49 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.9-35.0 C, white count fell from 17.7 to 9, creatinine was roughly stable (1.9 to 1.4), lactate stayed broadly stable from 2.6 to 2, and urine output was roughly stable (64 to 96)\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 96 to 112, diastolic pressure rose from 66 to 74, and heart rate fell from 72 to 50. The lowest MAP was about 56 around hour 4.7, and the lowest valid SpO2 was 84 around hour 6.7; respiratory rate rose as high as 47 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 41.1-43.2 C, white count fell from 13.6 to 13, creatinine was roughly stable (1.3 to 1.2), lactate stayed broadly stable from 4.0 to 2, and urine output rose from 56 to 150.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 100 to 108, diastolic pressure rose from 70 to 79, and heart rate fell from 68 to 55. The lowest MAP was about 61 around hour 3.9, and the lowest valid SpO2 was 88 around hour 5.9; respiratory rate rose as high as 45 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 37 to 101.7, white count fell from 15.8 to 11, creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 3.2 to 2, and urine output was roughly stable (60 to 100)","episode_id":"iv_000028","anchor_time":78}
{"id":"TSS_iv_000028_clinical_summary_78_2","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (197 to 181), MAP rose from 97 to 111, and heart rate fell from 65 to 58. SpO2 started at 97, ended at 91, and fell as low as 87 around hour 5.4; respiratory rate ranged 16-42. For labs and output, white count fell from 14.3 to 12, creatinine was roughly stable (1.8 to 0.9), lactate stayed broadly stable from 3.7 to 2, and urine output was roughly stable (57 to 97)\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 162 to 200, MAP rose from 98 to 106, and heart rate fell from 70 to 53. SpO2 started at 98, ended at 86, and fell as low as 86 around hour 6.3; respiratory rate ranged 14-47. For labs and output, white count fell from 16.9 to 10, creatinine was roughly stable (1.5 to 1.2), lactate stayed broadly stable from 3.4 to 2, and urine output was roughly stable (62 to 98)\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 177 to 185, MAP rose from 100 to 108, and heart rate fell from 68 to 55. SpO2 started at 100, ended at 88, and fell as low as 88 around hour 5.9; respiratory rate ranged 15-45. For labs and output, white count fell from 15.8 to 11, creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 3.2 to 2, and urine output was roughly stable (60 to 100)\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 147 to 215, MAP rose from 96 to 104, and heart rate fell from 72 to 58. SpO2 started at 96, ended at 84, and fell as low as 84 around hour 6.7; respiratory rate ranged 13-47. For labs and output, white count fell from 18.1 to 10.2, creatinine was roughly stable (1.3 to 1.4), lactate stayed broadly stable from 2.5 to 2, and urine output was roughly stable (64 to 96)","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 177 to 185, MAP rose from 100 to 108, and heart rate fell from 68 to 55. SpO2 started at 100, ended at 88, and fell as low as 88 around hour 5.9; respiratory rate ranged 15-45. For labs and output, white count fell from 15.8 to 11, creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 3.2 to 2, and urine output was roughly stable (60 to 100)","episode_id":"iv_000028","anchor_time":78}
{"id":"TSS_iv_000029_clinical_summary_130_0","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Clinically, the heart rate was roughly stable (73 to 64), while MAP rose from 94 to 144. Systolic pressure was labile, ranging 101-151, with the lowest value around hour 6.0. SpO2 briefly dipped to 91 around hour 3.5 before recovering to 92, while respiratory rate peaked at 36 and later settled at 20. The associated labs and urine output showed that white count fell from 16.9 to 16, creatinine fell from 0.9 to 0.4, lactate was not available, and urine output fell from 620 to 150, with recorded outputs ranging 97-780.\nB. Clinically, the heart rate was roughly stable (70 to 67), while MAP rose from 91 to 141. Systolic pressure was labile, ranging 104-171, with the lowest value around hour 5.5. SpO2 briefly dipped to 88 around hour 2.5 before recovering to 95, while respiratory rate peaked at 33 and later settled at 18. The associated labs and urine output showed that white count fell from 18.4 to 15, creatinine fell from 0.8 to 0.5, lactate was not available, and urine output fell from 600 to 200, with recorded outputs ranging 100-800.\nC. Clinically, the heart rate was roughly stable (74 to 63), while MAP rose from 95 to 166. Systolic pressure was labile, ranging 100-146, with the lowest value around hour 6.1. SpO2 briefly dipped to 92 around hour 2.8 before recovering to 91, while respiratory rate peaked at 37 and later settled at 20. The associated labs and urine output showed that white count fell from 16.5 to 14.2, creatinine fell from 0.9 to 0.6, lactate was not available, and urine output fell from 625 to 225, with recorded outputs ranging 150-775.\nD. Clinically, the heart rate was roughly stable (66 to 72), while MAP rose from 86 to 111. Systolic pressure was labile, ranging 108-201, with the lowest value around hour 4.8. SpO2 briefly dipped to 89 around hour 2.2 before recovering to 100, while respiratory rate peaked at 35 and later settled at 16. The associated labs and urine output showed that white count fell from 20.6 to 13, creatinine fell from 0.7 to 0.6, lactate was not available, and urine output fell from 570 to 170, with recorded outputs ranging 96-830.","answer":"B","answer_text":"Clinically, the heart rate was roughly stable (70 to 67), while MAP rose from 91 to 141. Systolic pressure was labile, ranging 104-171, with the lowest value around hour 5.5. SpO2 briefly dipped to 88 around hour 2.5 before recovering to 95, while respiratory rate peaked at 33 and later settled at 18. The associated labs and urine output showed that white count fell from 18.4 to 15, creatinine fell from 0.8 to 0.5, lactate was not available, and urine output fell from 600 to 200, with recorded outputs ranging 100-800.","episode_id":"iv_000029","anchor_time":130}
{"id":"TSS_iv_000029_clinical_summary_130_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (70 to 67), MAP rose from 91 to 141, and diastolic pressure moved from 69 to 82. Systolic pressure ranged 104-171 and ended at 159, and SpO2 recovered to 95 after a low of 88 around hour 2.5. Respiratory rate ended at 18; the available labs showed white count fell from 18.4 to 15, creatinine fell from 0.8 to 0.5, lactate was not available, and urine output fell from 600 to 200.\nB. Over the available measurements, the heart rate was roughly stable (68 to 69), MAP rose from 89 to 144, and diastolic pressure moved from 71 to 80. Systolic pressure ranged 102-156 and ended at 155, and SpO2 recovered to 97 after a low of 86 around hour 3.5. Respiratory rate ended at 19; the available labs showed white count fell from 17.3 to 14, creatinine fell from 0.9 to 0.4, lactate was not available, and urine output fell from 585 to 215.\nC. Over the available measurements, the heart rate was roughly stable (74 to 63), MAP rose from 95 to 166, and diastolic pressure moved from 65 to 86. Systolic pressure ranged 108-196 and ended at 184, and SpO2 recovered to 91 after a low of 87 around hour 2.8. Respiratory rate ended at 16; the available labs showed white count fell from 20.3 to 14.2, creatinine fell from 0.7 to 0.6, lactate was not available, and urine output fell from 650 to 175.\nD. Over the available measurements, the heart rate stayed around 66, MAP rose from 91 to 141, and diastolic pressure moved from 69 to 79. Systolic pressure ranged 104-171 and ended at 159, and SpO2 recovered to 95 after a low of 88 around hour 2.5. Respiratory rate ended at 20; the available labs showed white count fell from 18.4 to 15, creatinine fell from 0.8 to 0.5, lactate was not available, and urine output fell from 600 to 200.","answer":"A","answer_text":"Over the available measurements, the heart rate was roughly stable (70 to 67), MAP rose from 91 to 141, and diastolic pressure moved from 69 to 82. Systolic pressure ranged 104-171 and ended at 159, and SpO2 recovered to 95 after a low of 88 around hour 2.5. Respiratory rate ended at 18; the available labs showed white count fell from 18.4 to 15, creatinine fell from 0.8 to 0.5, lactate was not available, and urine output fell from 600 to 200.","episode_id":"iv_000029","anchor_time":130}
{"id":"TSS_iv_000030_clinical_summary_65_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 139 to 127, MAP fell from 108 to 89, and heart rate rose from 57 to 65. SpO2 started at 98, ended at 97, and fell as low as 88 around hour 51.4; respiratory rate ranged 8-46. For labs and output, white count fell from 20.8 to 6.3, creatinine was roughly stable (1 to 0.9), lactate fell from 330 to 255, and urine output rose from 250 to 425.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 124 to 104, MAP fell from 106 to 87, and heart rate rose from 59 to 63. SpO2 started at 100, ended at 95, and fell as low as 86 around hour 53.6; respiratory rate ranged 8-48. For labs and output, white count fell from 21.9 to 5.9, creatinine stayed around 1, lactate fell from 330.2 to 255, and urine output rose from 250 to 425.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 164 to 123, MAP fell from 112 to 92, and heart rate rose from 53 to 69. SpO2 started at 94, ended at 100, and fell as low as 87 around hour 47.6; respiratory rate ranged 9-42. For labs and output, white count fell from 18.9 to 6.9, creatinine was roughly stable (1 to 0.8), lactate fell from 355 to 280, and urine output rose from 225 to 450.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 109 to 89, MAP fell from 104 to 84, and heart rate rose from 62 to 68. SpO2 started at 100, ended at 92, and fell as low as 84 around hour 55.9; respiratory rate ranged 7-48. For labs and output, white count fell from 23.1 to 5.5, creatinine was roughly stable (1 to 1.1), lactate fell from 300 to 225, and urine output rose from 280 to 395.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 139 to 127, MAP fell from 108 to 89, and heart rate rose from 57 to 65. SpO2 started at 98, ended at 97, and fell as low as 88 around hour 51.4; respiratory rate ranged 8-46. For labs and output, white count fell from 20.8 to 6.3, creatinine was roughly stable (1 to 0.9), lactate fell from 330 to 255, and urine output rose from 250 to 425.","episode_id":"iv_000030","anchor_time":65}
{"id":"TSS_iv_000030_clinical_summary_65_3","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 60 to 68, MAP fell from 111 to 92, and diastolic pressure moved from 89 to 75. Systolic pressure ranged 100-168 and ended at 147, and SpO2 recovered to 94 after a low of 91 around hour 54.4. Respiratory rate ended at 10; the available labs showed white count fell from 22.3 to 6.8, creatinine was roughly stable (1 to 1.0), lactate fell from 350 to 235, and urine output rose from 270 to 445.\nB. Viewed chronologically, the heart rate rose from 57 to 65, MAP fell from 108 to 89, and diastolic pressure moved from 92 to 78. Systolic pressure ranged 99-148 and ended at 127, and SpO2 recovered to 97 after a low of 88 around hour 51.4. Respiratory rate ended at 12; the available labs showed white count fell from 20.8 to 6.3, creatinine was roughly stable (1 to 0.9), lactate fell from 330 to 255, and urine output rose from 250 to 425.\nC. Viewed chronologically, the heart rate rose from 61 to 64, MAP fell from 112 to 92, and diastolic pressure moved from 88 to 82. Systolic pressure ranged 100-173 and ended at 123, and SpO2 recovered to 93 after a low of 92 around hour 52.4. Respiratory rate ended at 10; the available labs showed white count fell from 22.7 to 6.9, creatinine was roughly stable (1 to 1.0), lactate fell from 355 to 230, and urine output rose from 275 to 450.\nD. Viewed chronologically, the heart rate rose from 52 to 70, MAP fell from 104 to 84, and diastolic pressure moved from 96 to 74. Systolic pressure ranged 94-118 and ended at 97, and SpO2 recovered to 100 after a low of 87 around hour 46.9. Respiratory rate ended at 14; the available labs showed white count fell from 18.6 to 5.5, creatinine was roughly stable (1 to 0.8), lactate fell from 300 to 285, and urine output rose from 300 to 395.","answer":"B","answer_text":"Viewed chronologically, the heart rate rose from 57 to 65, MAP fell from 108 to 89, and diastolic pressure moved from 92 to 78. Systolic pressure ranged 99-148 and ended at 127, and SpO2 recovered to 97 after a low of 88 around hour 51.4. Respiratory rate ended at 12; the available labs showed white count fell from 20.8 to 6.3, creatinine was roughly stable (1 to 0.9), lactate fell from 330 to 255, and urine output rose from 250 to 425.","episode_id":"iv_000030","anchor_time":65}
{"id":"TSS_iv_000031_clinical_summary_51_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 111 to 87, while MAP rose from 80 to 85. Systolic pressure was labile, ranging 100-175, with the lowest value around hour 39.9. SpO2 briefly dipped to 88 around hour 1.3 before recovering to 95, while respiratory rate peaked at 26 and later settled at 26. The associated labs and urine output showed that white count stayed around 8.9, creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (140 to 90), with recorded outputs ranging 38-380.\nB. Viewed chronologically, the heart rate fell from 106 to 92, while MAP was roughly stable (75 to 80). Systolic pressure was labile, ranging 105-210, with the lowest value around hour 34.6. SpO2 briefly dipped to 83 around hour 0.2 before recovering to 100, while respiratory rate peaked at 23 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (9 to 8.6), creatinine was roughly stable (0.5 to 0.6), lactate was not available, and urine output was roughly stable (120 to 140), with recorded outputs ranging 85-400.\nC. Viewed chronologically, the heart rate fell from 112 to 86, while MAP was roughly stable (81 to 86). Systolic pressure was labile, ranging 107-170, with the lowest value around hour 40.6. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 94, while respiratory rate peaked at 26 and later settled at 26. The associated labs and urine output showed that white count stayed around 8.8, creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (145 to 115), with recorded outputs ranging 39-375.\nD. Viewed chronologically, the heart rate fell from 108 to 90, while MAP was roughly stable (77 to 82). Systolic pressure was labile, ranging 103-195, with the lowest value around hour 36.9. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 98, while respiratory rate peaked at 24 and later settled at 24. The associated labs and urine output showed that white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140), with recorded outputs ranging 35-400.","answer":"D","answer_text":"Viewed chronologically, the heart rate fell from 108 to 90, while MAP was roughly stable (77 to 82). Systolic pressure was labile, ranging 103-195, with the lowest value around hour 36.9. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 98, while respiratory rate peaked at 24 and later settled at 24. The associated labs and urine output showed that white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140), with recorded outputs ranging 35-400.","episode_id":"iv_000031","anchor_time":51}
{"id":"TSS_iv_000031_clinical_summary_51_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 82), diastolic pressure rose from 61 to 69, and heart rate fell from 108 to 90. The lowest MAP was about 64 around hour 39, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 35.8-37.3 C, white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 84), diastolic pressure rose from 59 to 67, and heart rate fell from 110 to 88. The lowest MAP was about 62 around hour 41, and the lowest valid SpO2 was 83 around hour 0.4; respiratory rate rose as high as 26 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 38.0-39.5 C, white count stayed around 9.0, creatinine was roughly stable (0.6 to 0.6), lactate was not available, and urine output was roughly stable (120 to 190)\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (81 to 78), diastolic pressure rose from 65 to 73, and heart rate fell from 104 to 93. The lowest MAP was about 68 around hour 35, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 26 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 32.0-33.5 C, white count stayed around 10.0, creatinine stayed around 0.4, lactate was not available, and urine output was roughly stable (145 to 165)\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (72 to 86), diastolic pressure was roughly stable (56 to 66), and heart rate fell from 112 to 86. The lowest MAP was about 67 around hour 40, and the lowest valid SpO2 was 80 around hour 0.5; respiratory rate rose as high as 22 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 40.3-41.8 C, white count stayed around 8.7, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (90 to 110)","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 82), diastolic pressure rose from 61 to 69, and heart rate fell from 108 to 90. The lowest MAP was about 64 around hour 39, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature ranged from 96.4 to 99.2, white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)","episode_id":"iv_000031","anchor_time":51}
{"id":"TSS_iv_000031_clinical_summary_51_2","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 173 to 103, MAP was roughly stable (80 to 85), and heart rate fell from 105 to 93. SpO2 started at 93, ended at 100, and fell as low as 88 around hour 0.2; respiratory rate ranged 14-26. For labs and output, white count was roughly stable (9 to 8.6), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 153 to 123, MAP was roughly stable (77 to 82), and heart rate fell from 108 to 90. SpO2 started at 96, ended at 98, and fell as low as 85 around hour 0.3; respiratory rate ranged 13-24. For labs and output, white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 178 to 98, MAP was roughly stable (81 to 86), and heart rate fell from 104 to 94. SpO2 started at 92, ended at 100, and fell as low as 89 around hour 0.2; respiratory rate ranged 15-22. For labs and output, white count stayed around 8.8, creatinine was roughly stable (0.6 to 0.6), lactate was not available, and urine output was roughly stable (120 to 140)\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 123 to 119, MAP rose from 72 to 85, and heart rate fell from 112 to 86. SpO2 started at 100, ended at 94, and fell as low as 84 around hour 0.5; respiratory rate ranged 11-26. For labs and output, white count stayed around 10.2, creatinine stayed around 0.3, lactate was not available, and urine output was roughly stable (90 to 170)","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 153 to 123, MAP was roughly stable (77 to 82), and heart rate fell from 108 to 90. SpO2 started at 96, ended at 98, and fell as low as 85 around hour 0.3; respiratory rate ranged 13-24. For labs and output, white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)","episode_id":"iv_000031","anchor_time":51}
{"id":"TSS_iv_000031_clinical_summary_51_3","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Overall, the heart rate fell from 111 to 87, MAP was roughly stable (80 to 85), and diastolic pressure moved from 58 to 72. Systolic pressure ranged 106-215 and ended at 143, and SpO2 recovered to 95 after a low of 84 around hour 0.4. Respiratory rate ended at 22; the available labs showed white count was roughly stable (9 to 8.6), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (170 to 140)\nB. Overall, the heart rate fell from 106 to 93, MAP was roughly stable (75 to 80), and diastolic pressure moved from 63 to 66. Systolic pressure ranged 101-180 and ended at 108, and SpO2 recovered to 100 after a low of 83 around hour 0.2. Respiratory rate ended at 25; the available labs showed white count stayed around 9.0, creatinine stayed around 0.4, lactate was not available, and urine output was roughly stable (135 to 125)\nC. Overall, the heart rate fell from 108 to 90, MAP was roughly stable (77 to 82), and diastolic pressure moved from 61 to 69. Systolic pressure ranged 103-195 and ended at 123, and SpO2 recovered to 98 after a low of 85 around hour 0.3. Respiratory rate ended at 24; the available labs showed white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)\nD. Overall, the heart rate fell from 104 to 94, MAP rose from 72 to 85, and diastolic pressure moved from 66 to 64. Systolic pressure ranged 98-165 and ended at 119, and SpO2 recovered to 100 after a low of 80 around hour 1.3. Respiratory rate ended at 26; the available labs showed white count stayed around 8.7, creatinine stayed around 0.3, lactate was not available, and urine output was roughly stable (150 to 110)","answer":"C","answer_text":"Overall, the heart rate fell from 108 to 90, MAP was roughly stable (77 to 82), and diastolic pressure moved from 61 to 69. Systolic pressure ranged 103-195 and ended at 123, and SpO2 recovered to 98 after a low of 85 around hour 0.3. Respiratory rate ended at 24; the available labs showed white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)","episode_id":"iv_000031","anchor_time":51}
{"id":"TSS_iv_000032_clinical_summary_112_1","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (81 to 76), diastolic pressure rose from 61 to 68, and heart rate was roughly stable (76 to 75). The lowest MAP was about 59 around hour 7.0, and the lowest valid SpO2 was 91 around hour 0; respiratory rate rose as high as 41 but ended at 34. The lower-frequency data fit that summary: temperature stayed around 33.2-34.9 C, white count was roughly stable (13.9 to 10.4), creatinine stayed around 0.6, lactate fell from 1 to 0.2, and urine output rose from 53 to 270.\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (78 to 79), diastolic pressure rose from 58 to 65, and heart rate fell from 79 to 72. The lowest MAP was about 56 around hour 7.5, and the lowest valid SpO2 was 88 around hour 0.6; respiratory rate rose as high as 38 but ended at 31. The lower-frequency data fit that summary: temperature stayed around 36.2-37.9 C, white count was roughly stable (12.4 to 11.9), creatinine stayed around 0.5, lactate fell from 1 to 0.3, and urine output rose from 50 to 250.\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (82 to 75), diastolic pressure rose from 62 to 69, and heart rate fell from 75 to 72. The lowest MAP was about 60 around hour 6.9, and the lowest valid SpO2 was 92 around hour 0.5; respiratory rate rose as high as 40 but ended at 35. The lower-frequency data fit that summary: temperature stayed around 32.5-34.1 C, white count was roughly stable (14.3 to 10.0), creatinine was roughly stable (0.6 to 0.6), lactate fell from 1 to 0.3, and urine output rose from 50 to 300.\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (74 to 84), diastolic pressure was roughly stable (54 to 62), and heart rate fell from 84 to 68. The lowest MAP was about 59 around hour 8.5, and the lowest valid SpO2 was 84 around hour 0.8; respiratory rate rose as high as 34 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 40.7-42.4 C, white count was roughly stable (10.2 to 14.2), creatinine stayed around 0.3, lactate fell from 1 to 0.5, and urine output rose from 46 to 220.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (78 to 79), diastolic pressure rose from 58 to 65, and heart rate fell from 79 to 72. The lowest MAP was about 56 around hour 7.5, and the lowest valid SpO2 was 88 around hour 0.6; respiratory rate rose as high as 38 but ended at 31. The lower-frequency data fit that summary: temperature ranged from 37 to 100.3, white count was roughly stable (12.4 to 11.9), creatinine stayed around 0.5, lactate fell from 1 to 0.3, and urine output rose from 50 to 250.","episode_id":"iv_000032","anchor_time":112}
{"id":"TSS_iv_000032_clinical_summary_112_2","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 163 to 117, MAP was roughly stable (81 to 82), and heart rate fell from 76 to 75. SpO2 started at 94, ended at 98, and fell as low as 87 around hour 0.5; respiratory rate ranged 8-35. For labs and output, white count was roughly stable (10.9 to 13.4), creatinine stayed around 0.6, lactate fell from 1 to 0.4, and urine output rose from 53 to 230.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 128 to 108, MAP was roughly stable (76 to 77), and heart rate fell from 81 to 70. SpO2 started at 99, ended at 93, and fell as low as 86 around hour 0.7; respiratory rate ranged 8-40. For labs and output, white count was roughly stable (13.5 to 10.8), creatinine was roughly stable (0.4 to 0.6), lactate fell from 1.2 to 0.3, and urine output rose from 50 to 250.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 121, MAP was roughly stable (78 to 79), and heart rate fell from 79 to 72. SpO2 started at 97, ended at 95, and fell as low as 88 around hour 0.6; respiratory rate ranged 8-38. For labs and output, white count was roughly stable (12.4 to 11.9), creatinine stayed around 0.5, lactate fell from 1 to 0.3, and urine output rose from 50 to 250.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 93, MAP was roughly stable (74 to 74), and heart rate was roughly stable (84 to 75). SpO2 started at 100, ended at 90, and fell as low as 84 around hour 0.8; respiratory rate ranged 7-40. For labs and output, white count fell from 14.7 to 11.1, creatinine stayed around 0.3, lactate fell from 1 to 0.1, and urine output rose from 46 to 280.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 121, MAP was roughly stable (78 to 79), and heart rate fell from 79 to 72. SpO2 started at 97, ended at 95, and fell as low as 88 around hour 0.6; respiratory rate ranged 8-38. For labs and output, white count was roughly stable (12.4 to 11.9), creatinine stayed around 0.5, lactate fell from 1 to 0.3, and urine output rose from 50 to 250.","episode_id":"iv_000032","anchor_time":112}
{"id":"TSS_iv_000033_clinical_summary_43_1","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 98 to 82, diastolic pressure was roughly stable (78 to 75), and heart rate rose from 79 to 111. The lowest MAP was about 63 around hour 1.7, and the lowest valid SpO2 was 91 around hour 0; respiratory rate rose as high as 30 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 33.5-34.4 C, white count was roughly stable (13.0 to 10.4), creatinine stayed around 0.9, lactate rose from 4.8 to 325, and urine output fell from 400 to 50.\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 87, diastolic pressure fell from 73 to 69, and heart rate rose from 84 to 106. The lowest MAP was about 63 around hour 2.9, and the lowest valid SpO2 was 86 around hour 2; respiratory rate rose as high as 27 but ended at 11. The lower-frequency data fit that summary: temperature stayed around 38.8-39.6 C, white count was roughly stable (10.4 to 13.0), creatinine was roughly stable (0.7 to 0.6), lactate rose from 5.2 to 310, and urine output fell from 385 to 2.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 95 to 85, diastolic pressure was roughly stable (75 to 72), and heart rate rose from 82 to 108. The lowest MAP was about 60 around hour 1.9, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 28 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 36.5-37.4 C, white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 87, diastolic pressure was roughly stable (70 to 68), and heart rate rose from 86 to 111. The lowest MAP was about 56 around hour 2.2, and the lowest valid SpO2 was 84 around hour 3; respiratory rate rose as high as 26 but ended at 10. The lower-frequency data fit that summary: temperature stayed around 41.0-41.9 C, white count was roughly stable (9.2 to 14.2), creatinine was roughly stable (0.7 to 0.5), lactate rose from 5.5 to 295, and urine output fell from 370 to 3.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 95 to 85, diastolic pressure was roughly stable (75 to 72), and heart rate rose from 82 to 108. The lowest MAP was about 60 around hour 1.9, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 28 but ended at 12. The lower-frequency data fit that summary: temperature ranged from 97.7 to 99.3, white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.","episode_id":"iv_000033","anchor_time":43}
{"id":"TSS_iv_000033_clinical_summary_43_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (148 to 112), MAP fell from 98 to 88, and heart rate rose from 79 to 111. SpO2 started at 97, ended at 96, and fell as low as 91 around hour 0; respiratory rate ranged 6-30. For labs and output, white count was roughly stable (10.0 to 11.1), creatinine was roughly stable (0.9 to 0.6), lactate rose from 5.3 to 345, and urine output fell from 380 to 2.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 113, MAP fell from 95 to 88, and heart rate rose from 82 to 108. SpO2 started at 100, ended at 93, and fell as low as 87 around hour 0; respiratory rate ranged 6-28. For labs and output, white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (153 to 107), MAP fell from 99 to 89, and heart rate rose from 78 to 112. SpO2 started at 96, ended at 97, and fell as low as 92 around hour 0; respiratory rate ranged 7-30. For labs and output, white count was roughly stable (9.6 to 13.8), creatinine stayed around 0.9, lactate rose from 5 to 325, and urine output fell from 400 to 0.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (128 to 132), MAP fell from 95 to 85, and heart rate rose from 82 to 108. SpO2 started at 100, ended at 93, and fell as low as 88 around hour 0; respiratory rate ranged 6-28. For labs and output, white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (128 to 132), MAP fell from 95 to 85, and heart rate rose from 82 to 108. SpO2 started at 100, ended at 93, and fell as low as 88 around hour 0; respiratory rate ranged 6-28. For labs and output, white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.","episode_id":"iv_000033","anchor_time":43}
{"id":"TSS_iv_000033_clinical_summary_43_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. In broad terms, the heart rate rose from 82 to 108, MAP fell from 95 to 85, and diastolic pressure moved from 75 to 72. Systolic pressure ranged 79-159 and ended at 132, and SpO2 recovered to 93 after a low of 88 around hour 0. Respiratory rate ended at 12; the available labs showed white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.\nB. In broad terms, the heart rate rose from 80 to 110, MAP fell from 93 to 88, and diastolic pressure moved from 77 to 70. Systolic pressure ranged 77-144 and ended at 128, and SpO2 recovered to 95 after a low of 86 around hour 1. Respiratory rate ended at 13; the available labs showed white count was roughly stable (10.4 to 10.8), creatinine was roughly stable (0.9 to 0.6), lactate rose from 4.4 to 340, and urine output fell from 385 to 0.\nC. In broad terms, the heart rate rose from 86 to 111, MAP fell from 99 to 89, and diastolic pressure moved from 71 to 69. Systolic pressure ranged 83-184 and ended at 157, and SpO2 recovered to 89 after a low of 92 around hour 2. Respiratory rate ended at 10; the available labs showed white count was roughly stable (13.4 to 13.8), creatinine was roughly stable (0.7 to 0.8), lactate rose from 5.4 to 300, and urine output fell from 425 to 2.\nD. In broad terms, the heart rate rose from 78 to 112, MAP fell from 90 to 80, and diastolic pressure moved from 80 to 68. Systolic pressure ranged 74-129 and ended at 102, and SpO2 recovered to 98 after a low of 87 around hour 0. Respiratory rate ended at 14; the available labs showed white count was roughly stable (9.2 to 11.1), creatinine was roughly stable (1.0 to 0.5), lactate rose from 4.0 to 355, and urine output fell from 450 to 0.","answer":"A","answer_text":"In broad terms, the heart rate rose from 82 to 108, MAP fell from 95 to 85, and diastolic pressure moved from 75 to 72. Systolic pressure ranged 79-159 and ended at 132, and SpO2 recovered to 93 after a low of 88 around hour 0. Respiratory rate ended at 12; the available labs showed white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.","episode_id":"iv_000033","anchor_time":43}
{"id":"TSS_iv_000034_clinical_summary_212_0","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. In broad terms, the heart rate fell from 77 to 64, while MAP was roughly stable (81 to 80). Systolic pressure was labile, ranging 82-182, with the lowest value around hour 1.0. SpO2 briefly dipped to 88 around hour 1.3 before recovering to 94, while respiratory rate peaked at 36 and later settled at 28. The associated labs and urine output showed that white count rose from 13.3 to 17.5, creatinine fell from 1.9 to 1.5, lactate stayed broadly stable from 0.9 to 0.8, and urine output was roughly stable (120 to 97), with recorded outputs ranging 72-445.\nB. In broad terms, the heart rate fell from 72 to 69, while MAP was roughly stable (76 to 75). Systolic pressure was labile, ranging 89-217, with the lowest value around hour 0.8. SpO2 briefly dipped to 86 around hour 1.0 before recovering to 99, while respiratory rate peaked at 35 and later settled at 25. The associated labs and urine output showed that white count rose from 15.9 to 17.2, creatinine fell from 1.5 to 1.3, lactate stayed broadly stable from 0.7 to 0.6, and urine output was roughly stable (155 to 98), with recorded outputs ranging 21-410.\nC. In broad terms, the heart rate fell from 74 to 67, while MAP was roughly stable (78 to 77). Systolic pressure was labile, ranging 85-202, with the lowest value around hour 0.9. SpO2 briefly dipped to 85 around hour 1.1 before recovering to 97, while respiratory rate peaked at 33 and later settled at 26. The associated labs and urine output showed that white count rose from 14.8 to 18.3, creatinine fell from 1.7 to 1.4, lactate stayed broadly stable from 0.8 to 0.7, and urine output was roughly stable (140 to 100), with recorded outputs ranging 22-425.\nD. In broad terms, the heart rate fell from 70 to 67, while MAP was roughly stable (74 to 80). Systolic pressure was labile, ranging 90-232, with the lowest value around hour 0.8. SpO2 briefly dipped to 80 around hour 2.1 before recovering to 100, while respiratory rate peaked at 28 and later settled at 24. The associated labs and urine output showed that white count rose from 17.1 to 18.6, creatinine fell from 1.4 to 1.2, lactate stayed broadly stable from 0.7 to 0.5, and urine output fell from 170 to 50, with recorded outputs ranging 20-395.","answer":"C","answer_text":"In broad terms, the heart rate fell from 74 to 67, while MAP was roughly stable (78 to 77). Systolic pressure was labile, ranging 85-202, with the lowest value around hour 0.9. SpO2 briefly dipped to 85 around hour 1.1 before recovering to 97, while respiratory rate peaked at 33 and later settled at 26. The associated labs and urine output showed that white count rose from 14.8 to 18.3, creatinine fell from 1.7 to 1.4, lactate stayed broadly stable from 0.8 to 0.7, and urine output was roughly stable (140 to 100), with recorded outputs ranging 22-425.","episode_id":"iv_000034","anchor_time":212}
{"id":"TSS_iv_000034_clinical_summary_212_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 114 to 130, MAP was roughly stable (78 to 77), and heart rate fell from 74 to 67. SpO2 started at 98, ended at 97, and fell as low as 85 around hour 1.1; respiratory rate ranged 5-33. For labs and output, white count rose from 14.8 to 18.3, creatinine fell from 1.7 to 1.4, lactate stayed broadly stable from 0.8 to 0.7, and urine output was roughly stable (140 to 100)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 112 to 145, MAP was roughly stable (76 to 75), and heart rate was roughly stable (76 to 70). SpO2 started at 100, ended at 95, and fell as low as 83 around hour 1.2; respiratory rate ranged 5-35. For labs and output, white count rose from 15.9 to 17.5, creatinine fell from 1.5 to 1.3, lactate stayed broadly stable from 0.7 to 0.6, and urine output was roughly stable (155 to 98)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 118 to 121, MAP was roughly stable (82 to 81), and heart rate fell from 70 to 67. SpO2 started at 94, ended at 100, and fell as low as 89 around hour 0.9; respiratory rate ranged 6-29. For labs and output, white count rose from 12.9 to 20.2, creatinine fell from 1.9 to 1.5, lactate stayed broadly stable from 1 to 0.8, and urine output was roughly stable (115 to 96)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 110 to 126, MAP was roughly stable (74 to 80), and heart rate fell from 78 to 62. SpO2 started at 100, ended at 92, and fell as low as 84 around hour 1.4; respiratory rate ranged 4-38. For labs and output, white count rose from 17.1 to 18.6, creatinine fell from 1.4 to 1.2, lactate stayed broadly stable from 0.7 to 0.5, and urine output was roughly stable (170 to 96)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 114 to 130, MAP was roughly stable (78 to 77), and heart rate fell from 74 to 67. SpO2 started at 98, ended at 97, and fell as low as 85 around hour 1.1; respiratory rate ranged 5-33. For labs and output, white count rose from 14.8 to 18.3, creatinine fell from 1.7 to 1.4, lactate stayed broadly stable from 0.8 to 0.7, and urine output was roughly stable (140 to 100)","episode_id":"iv_000034","anchor_time":212}
{"id":"TSS_iv_000034_clinical_summary_212_3","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. For handoff, the heart rate was roughly stable (77 to 70), MAP was roughly stable (81 to 80), and diastolic pressure moved from 53 to 59. Systolic pressure ranged 88-222 and ended at 150, and SpO2 recovered to 94 after a low of 88 around hour 1.3. Respiratory rate ended at 24; the available labs showed white count rose from 16.3 to 19.8, creatinine fell from 1.5 to 1.3, lactate stayed broadly stable from 0.9 to 0.6, and urine output was roughly stable (160 to 97)\nB. For handoff, the heart rate fell from 74 to 67, MAP was roughly stable (78 to 77), and diastolic pressure moved from 56 to 62. Systolic pressure ranged 85-202 and ended at 130, and SpO2 recovered to 97 after a low of 85 around hour 1.1. Respiratory rate ended at 26; the available labs showed white count rose from 14.8 to 18.3, creatinine fell from 1.7 to 1.4, lactate stayed broadly stable from 0.8 to 0.7, and urine output was roughly stable (140 to 100)\nC. For handoff, the heart rate fell from 78 to 63, MAP was roughly stable (82 to 81), and diastolic pressure moved from 52 to 66. Systolic pressure ranged 89-227 and ended at 155, and SpO2 recovered to 93 after a low of 84 around hour 1.4. Respiratory rate ended at 24; the available labs showed white count rose from 16.7 to 17.5, creatinine fell from 1.4 to 1.2, lactate stayed broadly stable from 0.9 to 0.6, and urine output fell from 190 to 96.\nD. For handoff, the heart rate fell from 70 to 67, MAP was roughly stable (74 to 80), and diastolic pressure moved from 60 to 58. Systolic pressure ranged 80-172 and ended at 126, and SpO2 recovered to 100 after a low of 80 around hour 2.1. Respiratory rate ended at 28; the available labs showed white count rose from 12.6 to 16.1, creatinine fell from 2.0 to 1.1, lactate stayed broadly stable from 0.7 to 0.8, and urine output was roughly stable (110 to 96)","answer":"B","answer_text":"For handoff, the heart rate fell from 74 to 67, MAP was roughly stable (78 to 77), and diastolic pressure moved from 56 to 62. Systolic pressure ranged 85-202 and ended at 130, and SpO2 recovered to 97 after a low of 85 around hour 1.1. Respiratory rate ended at 26; the available labs showed white count rose from 14.8 to 18.3, creatinine fell from 1.7 to 1.4, lactate stayed broadly stable from 0.8 to 0.7, and urine output was roughly stable (140 to 100)","episode_id":"iv_000034","anchor_time":212}
{"id":"TSS_iv_000035_clinical_summary_74_2","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 30 to 118, MAP rose from 63 to 75, and heart rate fell from 85 to 78. SpO2 started at 96, ended at 96, and fell as low as 87 around hour 27.6; respiratory rate ranged 10-29. For labs and output, white count rose from 13.8 to 18.9, creatinine stayed around 1.1, lactate fell from 2.7 to 1.5, and urine output fell from 420 to 220.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 28 to 138, MAP rose from 60 to 72, and heart rate fell from 88 to 75. SpO2 started at 99, ended at 93, and fell as low as 84 around hour 29.1; respiratory rate ranged 9-32. For labs and output, white count rose from 15.3 to 17.4, creatinine stayed around 1, lactate fell from 2.5 to 1.3, and urine output fell from 400 to 240.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 30 to 134, MAP rose from 64 to 75, and heart rate fell from 84 to 79. SpO2 started at 95, ended at 97, and fell as low as 83 around hour 27.2; respiratory rate ranged 10-28. For labs and output, white count rose from 13.4 to 19.3, creatinine stayed around 1, lactate fell from 2.2 to 1.6, and urine output fell from 425 to 215.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 26 to 168, MAP rose from 56 to 68, and heart rate fell from 92 to 78. SpO2 started at 100, ended at 88, and fell as low as 80 around hour 31.4; respiratory rate ranged 8-34. For labs and output, white count rose from 17.6 to 19.1, creatinine stayed around 1, lactate fell from 2.8 to 1.0, and urine output fell from 370 to 270.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 28 to 138, MAP rose from 60 to 72, and heart rate fell from 88 to 75. SpO2 started at 99, ended at 93, and fell as low as 84 around hour 29.1; respiratory rate ranged 9-32. For labs and output, white count rose from 15.3 to 17.4, creatinine stayed around 1, lactate fell from 2.5 to 1.3, and urine output fell from 400 to 240.","episode_id":"iv_000035","anchor_time":74}
{"id":"TSS_iv_000036_clinical_summary_104_2","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 165 to 129, MAP was roughly stable (83 to 81), and heart rate was roughly stable (84 to 86). SpO2 started at 91, ended at 97, and fell as low as 81 around hour 33.6; respiratory rate ranged 14-31. For labs and output, white count rose from 11.7 to 17.0, creatinine fell from 1 to 0.7, lactate was checked once at 327, and urine output was roughly stable (83 to 97)\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 130 to 110, MAP was roughly stable (78 to 76), and heart rate was roughly stable (89 to 86). SpO2 started at 96, ended at 92, and fell as low as 80 around hour 38.9; respiratory rate ranged 12-36. For labs and output, white count rose from 14.3 to 14.7, creatinine fell from 1 to 0.9, lactate was checked once at 292, and urine output was roughly stable (78 to 98)\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 145 to 133, MAP was roughly stable (80 to 78), and heart rate was roughly stable (87 to 83). SpO2 started at 94, ended at 94, and fell as low as 82 around hour 36.6; respiratory rate ranged 13-34. For labs and output, white count rose from 13.2 to 15.5, creatinine fell from 1 to 0.8, lactate was checked once at 307, and urine output was roughly stable (80 to 100)\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 95, MAP was roughly stable (76 to 74), and heart rate was roughly stable (92 to 78). SpO2 started at 98, ended at 90, and fell as low as 78 around hour 41.1; respiratory rate ranged 11-38. For labs and output, white count rose from 15.4 to 16.9, creatinine was roughly stable (1 to 0.9), lactate was checked once at 307.2, and urine output was roughly stable (76 to 96)","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 145 to 133, MAP was roughly stable (80 to 78), and heart rate was roughly stable (87 to 83). SpO2 started at 94, ended at 94, and fell as low as 82 around hour 36.6; respiratory rate ranged 13-34. For labs and output, white count rose from 13.2 to 15.5, creatinine fell from 1 to 0.8, lactate was checked once at 307, and urine output was roughly stable (80 to 100)","episode_id":"iv_000036","anchor_time":104}
{"id":"TSS_iv_000037_clinical_summary_29_1","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (80 to 73), diastolic pressure rose from 18 to 59, and heart rate was roughly stable (77 to 88). The lowest MAP was about 65 around hour 7.2, and the lowest valid SpO2 was 88 around hour 1.0; respiratory rate rose as high as 24 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 32.5-35.4 C, white count rose from 4.8 to 8.1, creatinine rose from 1 to 1.4, lactate was checked once at 1.6, and urine output fell from 470 to 43.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 78), diastolic pressure rose from 16 to 60, and heart rate was roughly stable (82 to 83). The lowest MAP was about 60 around hour 6.6, and the lowest valid SpO2 was 83 around hour 1.4; respiratory rate rose as high as 25 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 37.8-40.6 C, white count rose from 3.9 to 9.0, creatinine rose from 1 to 1.3, lactate was checked once at 2.0, and urine output fell from 435 to 90.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 76), diastolic pressure rose from 17 to 62, and heart rate was roughly stable (80 to 85). The lowest MAP was about 62 around hour 6.2, and the lowest valid SpO2 was 85 around hour 1.2; respiratory rate rose as high as 23 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 35.5-38.4 C, white count rose from 4.3 to 8.6, creatinine rose from 1 to 1.2, lactate was checked once at 1.8, and urine output fell from 450 to 40.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (72 to 80), diastolic pressure rose from 15 to 58, and heart rate rose from 84 to 88. The lowest MAP was about 58 around hour 7.0, and the lowest valid SpO2 was 80 around hour 0.2; respiratory rate rose as high as 21 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 40.0-42.9 C, white count rose from 3.5 to 9.3, creatinine rose from 1 to 1.2, lactate was checked once at 2.1, and urine output fell from 420 to 36.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 76), diastolic pressure rose from 17 to 62, and heart rate was roughly stable (80 to 85). The lowest MAP was about 62 around hour 6.2, and the lowest valid SpO2 was 85 around hour 1.2; respiratory rate rose as high as 23 but ended at 14. The lower-frequency data fit that summary: temperature ranged from 35.5 to 98.9, white count rose from 4.3 to 8.6, creatinine rose from 1 to 1.2, lactate was checked once at 1.8, and urine output fell from 450 to 40.","episode_id":"iv_000037","anchor_time":29}
{"id":"TSS_iv_000037_clinical_summary_29_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 33 to 104, MAP was roughly stable (80 to 79), and heart rate rose from 77 to 88. SpO2 started at 97, ended at 97, and fell as low as 88 around hour 1.0; respiratory rate ranged 8-25. For labs and output, white count rose from 3.8 to 7.8, creatinine rose from 1 to 1.2, lactate was checked once at 2.0, and urine output fell from 470 to 37.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 28 to 139, MAP was roughly stable (75 to 74), and heart rate was roughly stable (82 to 83). SpO2 started at 98, ended at 92, and fell as low as 83 around hour 1.4; respiratory rate ranged 8-24. For labs and output, white count rose from 4.7 to 8.2, creatinine rose from 1 to 1.3, lactate was checked once at 2, and urine output fell from 435 to 42.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 34 to 120, MAP was roughly stable (81 to 79), and heart rate was roughly stable (76 to 89). SpO2 started at 96, ended at 98, and fell as low as 84 around hour 0.9; respiratory rate ranged 9-21. For labs and output, white count rose from 3.7 to 9.2, creatinine rose from 1 to 1.2, lactate was checked once at 2.0, and urine output fell from 475 to 36.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 30 to 124, MAP was roughly stable (77 to 76), and heart rate was roughly stable (80 to 85). SpO2 started at 100, ended at 94, and fell as low as 85 around hour 1.2; respiratory rate ranged 8-23. For labs and output, white count rose from 4.3 to 8.6, creatinine rose from 1 to 1.2, lactate was checked once at 1.8, and urine output fell from 450 to 40.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 30 to 124, MAP was roughly stable (77 to 76), and heart rate was roughly stable (80 to 85). SpO2 started at 100, ended at 94, and fell as low as 85 around hour 1.2; respiratory rate ranged 8-23. For labs and output, white count rose from 4.3 to 8.6, creatinine rose from 1 to 1.2, lactate was checked once at 1.8, and urine output fell from 450 to 40.","episode_id":"iv_000037","anchor_time":29}
{"id":"TSS_iv_000037_clinical_summary_29_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (80 to 85), MAP was roughly stable (77 to 76), and diastolic pressure moved from 17 to 62. Systolic pressure ranged 18-125 and ended at 124, and SpO2 recovered to 94 after a low of 85 around hour 1.2. Respiratory rate ended at 14; the available labs showed white count rose from 4.3 to 8.6, creatinine rose from 1 to 1.2, lactate was checked once at 1.8, and urine output fell from 450 to 40.\nB. Over the available measurements, the heart rate was roughly stable (78 to 87), MAP was roughly stable (75 to 79), and diastolic pressure moved from 18 to 60. Systolic pressure ranged 17-110 and ended at 120, and SpO2 recovered to 96 after a low of 83 around hour 2.2. Respiratory rate ended at 15; the available labs showed white count rose from 3.9 to 8.2, creatinine rose from 1 to 1.2, lactate was checked once at 1.6, and urine output fell from 465 to 38.\nC. Over the available measurements, the heart rate rose from 84 to 88, MAP was roughly stable (81 to 80), and diastolic pressure moved from 15 to 59. Systolic pressure ranged 20-150 and ended at 149, and SpO2 recovered to 90 after a low of 89 around hour 1.4. Respiratory rate ended at 12; the available labs showed white count rose from 4.9 to 9.2, creatinine rose from 1 to 1.4, lactate was checked once at 2.0, and urine output fell from 425 to 44.\nD. Over the available measurements, the heart rate was roughly stable (76 to 90), MAP was roughly stable (72 to 72), and diastolic pressure moved from 19 to 58. Systolic pressure ranged 16-95 and ended at 94, and SpO2 recovered to 98 after a low of 84 around hour 0.9. Respiratory rate ended at 16; the available labs showed white count rose from 3.5 to 7.8, creatinine rose from 1 to 1.2, lactate was checked once at 1.5, and urine output fell from 500 to 36.","answer":"A","answer_text":"Over the available measurements, the heart rate was roughly stable (80 to 85), MAP was roughly stable (77 to 76), and diastolic pressure moved from 17 to 62. Systolic pressure ranged 18-125 and ended at 124, and SpO2 recovered to 94 after a low of 85 around hour 1.2. Respiratory rate ended at 14; the available labs showed white count rose from 4.3 to 8.6, creatinine rose from 1 to 1.2, lactate was checked once at 1.8, and urine output fell from 450 to 40.","episode_id":"iv_000037","anchor_time":29}
{"id":"TSS_iv_000038_clinical_summary_27_0","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 83 to 97, while MAP fell from 85 to 74. Systolic pressure was labile, ranging 82-126, with the lowest value around hour 6.9. SpO2 briefly dipped to 88 around hour 4.5 before recovering to 90, while respiratory rate peaked at 42 and later settled at 20. The associated labs and urine output showed that white count fell from 11.4 to 8.8, creatinine fell from 1.0 to 0.6, lactate stayed broadly stable from 2.0 to 2, and urine output fell from 480 to 0, with recorded outputs ranging 0-520.\nB. Over the available measurements, the heart rate rose from 78 to 98, while MAP fell from 80 to 69. Systolic pressure was labile, ranging 87-161, with the lowest value around hour 6.0. SpO2 briefly dipped to 83 around hour 3.1 before recovering to 95, while respiratory rate peaked at 37 and later settled at 18. The associated labs and urine output showed that white count fell from 14.0 to 7.5, creatinine was roughly stable (0.8 to 0.8), lactate stayed broadly stable from 1.6 to 2, and urine output fell from 515 to 48, with recorded outputs ranging 50-485.\nC. Over the available measurements, the heart rate rose from 80 to 100, while MAP fell from 82 to 71. Systolic pressure was labile, ranging 85-146, with the lowest value around hour 6.4. SpO2 briefly dipped to 85 around hour 3.5 before recovering to 93, while respiratory rate peaked at 39 and later settled at 19. The associated labs and urine output showed that white count fell from 12.9 to 8.3, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 500 to 50, with recorded outputs ranging 30-500.\nD. Over the available measurements, the heart rate rose from 76 to 96, while MAP fell from 78 to 66. Systolic pressure was labile, ranging 89-176, with the lowest value around hour 5.7. SpO2 briefly dipped to 86 around hour 2.8 before recovering to 98, while respiratory rate peaked at 41 and later settled at 17. The associated labs and urine output showed that white count fell from 15.2 to 7.6, creatinine fell from 0.8 to 0.7, lactate stayed broadly stable from 1.5 to 2, and urine output fell from 530 to 46, with recorded outputs ranging 26-470.","answer":"C","answer_text":"Over the available measurements, the heart rate rose from 80 to 100, while MAP fell from 82 to 71. Systolic pressure was labile, ranging 85-146, with the lowest value around hour 6.4. SpO2 briefly dipped to 85 around hour 3.5 before recovering to 93, while respiratory rate peaked at 39 and later settled at 19. The associated labs and urine output showed that white count fell from 12.9 to 8.3, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 500 to 50, with recorded outputs ranging 30-500.","episode_id":"iv_000038","anchor_time":27}
{"id":"TSS_iv_000038_clinical_summary_27_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 85 to 68, diastolic pressure fell from 62 to 55, and heart rate rose from 77 to 97. The lowest MAP was about 55 around hour 5.9, and the lowest valid SpO2 was 88 around hour 3.0; respiratory rate rose as high as 41 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.7-34.8 C, white count fell from 14.4 to 7.8, creatinine was roughly stable (1.0 to 0.8), lactate stayed broadly stable from 1.6 to 2, and urine output fell from 520 to 100.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 80 to 73, diastolic pressure fell from 57 to 49, and heart rate rose from 82 to 98. The lowest MAP was about 55 around hour 7.4, and the lowest valid SpO2 was 83 around hour 3.9; respiratory rate rose as high as 37 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 39.0-40.0 C, white count fell from 11.8 to 8.7, creatinine fell from 0.8 to 0.6, lactate stayed broadly stable from 2.0 to 2, and urine output fell from 485 to 52.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 67, diastolic pressure fell from 63 to 56, and heart rate rose from 76 to 103. The lowest MAP was about 56 around hour 5.8, and the lowest valid SpO2 was 89 around hour 2.5; respiratory rate rose as high as 43 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 33.0-34.0 C, white count fell from 14.8 to 7.7, creatinine fell from 1.0 to 0.8, lactate stayed broadly stable from 1.6 to 2, and urine output fell from 525 to 46.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 82 to 71, diastolic pressure fell from 59 to 52, and heart rate rose from 80 to 100. The lowest MAP was about 52 around hour 6.4, and the lowest valid SpO2 was 85 around hour 3.5; respiratory rate rose as high as 39 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 36.7-37.8 C, white count fell from 12.9 to 8.3, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 500 to 50.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 82 to 71, diastolic pressure fell from 59 to 52, and heart rate rose from 80 to 100. The lowest MAP was about 52 around hour 6.4, and the lowest valid SpO2 was 85 around hour 3.5; respiratory rate rose as high as 39 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 98 to 100, white count fell from 12.9 to 8.3, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 500 to 50.","episode_id":"iv_000038","anchor_time":27}
{"id":"TSS_iv_000038_clinical_summary_27_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 141, MAP fell from 82 to 71, and heart rate rose from 80 to 100. SpO2 started at 99, ended at 93, and fell as low as 85 around hour 3.5; respiratory rate ranged 13-39. For labs and output, white count fell from 12.9 to 8.3, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 500 to 50.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 126, MAP fell from 84 to 69, and heart rate rose from 78 to 98. SpO2 started at 97, ended at 95, and fell as low as 83 around hour 3.1; respiratory rate ranged 14-41. For labs and output, white count fell from 11.8 to 8.7, creatinine was roughly stable (0.8 to 0.8), lactate stayed broadly stable from 2 to 2, and urine output fell from 485 to 52.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 166, MAP fell from 78 to 75, and heart rate rose from 84 to 103. SpO2 started at 100, ended at 89, and fell as low as 89 around hour 4.1; respiratory rate ranged 11-41. For labs and output, white count fell from 14.8 to 7.5, creatinine fell from 1.0 to 0.8, lactate stayed broadly stable from 1.6 to 2, and urine output fell from 525 to 46.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (111 to 137), MAP fell from 82 to 74, and heart rate rose from 80 to 100. SpO2 started at 99, ended at 93, and fell as low as 84 around hour 3.5; respiratory rate ranged 13-39. For labs and output, white count fell from 12.9 to 8.3, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 500 to 50.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 141, MAP fell from 82 to 71, and heart rate rose from 80 to 100. SpO2 started at 99, ended at 93, and fell as low as 85 around hour 3.5; respiratory rate ranged 13-39. For labs and output, white count fell from 12.9 to 8.3, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 500 to 50.","episode_id":"iv_000038","anchor_time":27}
{"id":"TSS_iv_000038_clinical_summary_27_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 83 to 97, MAP fell from 85 to 74, and diastolic pressure moved from 56 to 55. Systolic pressure ranged 88-166 and ended at 137, and SpO2 recovered to 90 after a low of 88 around hour 4.5. Respiratory rate ended at 18; the available labs showed white count fell from 14.4 to 8.8, creatinine fell from 0.8 to 0.7, lactate stayed broadly stable from 2.0 to 2, and urine output fell from 520 to 53.\nB. Viewed chronologically, the heart rate rose from 80 to 100, MAP fell from 82 to 71, and diastolic pressure moved from 59 to 52. Systolic pressure ranged 85-146 and ended at 141, and SpO2 recovered to 93 after a low of 85 around hour 3.5. Respiratory rate ended at 19; the available labs showed white count fell from 12.9 to 8.3, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 500 to 50.\nC. Viewed chronologically, the heart rate rose from 84 to 103, MAP fell from 86 to 75, and diastolic pressure moved from 55 to 49. Systolic pressure ranged 89-171 and ended at 166, and SpO2 recovered to 89 after a low of 89 around hour 4.1. Respiratory rate ended at 17; the available labs showed white count fell from 14.8 to 8.9, creatinine fell from 0.8 to 0.7, lactate stayed broadly stable from 2.0 to 2, and urine output fell from 525 to 54.\nD. Viewed chronologically, the heart rate rose from 76 to 96, MAP fell from 78 to 66, and diastolic pressure moved from 64 to 48. Systolic pressure ranged 80-116 and ended at 111, and SpO2 recovered to 98 after a low of 84 around hour 2.8. Respiratory rate ended at 21; the available labs showed white count fell from 10.7 to 7.5, creatinine fell from 1.1 to 0.5, lactate stayed broadly stable from 1.5 to 2, and urine output fell from 550 to 46.","answer":"B","answer_text":"Viewed chronologically, the heart rate rose from 80 to 100, MAP fell from 82 to 71, and diastolic pressure moved from 59 to 52. Systolic pressure ranged 85-146 and ended at 141, and SpO2 recovered to 93 after a low of 85 around hour 3.5. Respiratory rate ended at 19; the available labs showed white count fell from 12.9 to 8.3, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 500 to 50.","episode_id":"iv_000038","anchor_time":27}
{"id":"TSS_iv_000039_clinical_summary_53_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 83 to 90, while MAP rose from 53 to 64. Systolic pressure was labile, ranging 87-144, with the lowest value around hour 1.7. SpO2 briefly dipped to 88 around hour 30.5 before recovering to 94, while respiratory rate peaked at 42 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (13.4 to 16), creatinine fell from 4 to 2.2, lactate was checked once at 1.3, and urine output fell from 370 to 75, with recorded outputs ranging 58-390.\nB. Viewed chronologically, the heart rate rose from 78 to 95, while MAP rose from 48 to 59. Systolic pressure was labile, ranging 92-179, with the lowest value around hour 1.4. SpO2 briefly dipped to 83 around hour 28.4 before recovering to 99, while respiratory rate peaked at 37 and later settled at 19. The associated labs and urine output showed that white count fell from 16.0 to 13.2, creatinine fell from 3 to 2.5, lactate was checked once at 1.0, and urine output fell from 335 to 140, with recorded outputs ranging 105-425.\nC. Viewed chronologically, the heart rate rose from 84 to 89, while MAP rose from 54 to 65. Systolic pressure was labile, ranging 91-139, with the lowest value around hour 1.8. SpO2 briefly dipped to 86 around hour 31.4 before recovering to 93, while respiratory rate peaked at 41 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (13.0 to 16), creatinine fell from 4 to 2.1, lactate was checked once at 1.4, and urine output fell from 375 to 100, with recorded outputs ranging 59-385.\nD. Viewed chronologically, the heart rate rose from 80 to 93, while MAP rose from 50 to 61. Systolic pressure was labile, ranging 90-164, with the lowest value around hour 1.5. SpO2 briefly dipped to 85 around hour 29.5 before recovering to 97, while respiratory rate peaked at 39 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (14.9 to 14), creatinine fell from 3 to 2.4, lactate was checked once at 1.1, and urine output fell from 350 to 125, with recorded outputs ranging 55-410.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 80 to 93, while MAP rose from 50 to 61. Systolic pressure was labile, ranging 90-164, with the lowest value around hour 1.5. SpO2 briefly dipped to 85 around hour 29.5 before recovering to 97, while respiratory rate peaked at 39 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (14.9 to 14), creatinine fell from 3 to 2.4, lactate was checked once at 1.1, and urine output fell from 350 to 125, with recorded outputs ranging 55-410.","episode_id":"iv_000039","anchor_time":53}
{"id":"TSS_iv_000039_clinical_summary_53_3","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Overall, the heart rate rose from 83 to 90, MAP rose from 53 to 64, and diastolic pressure moved from 34 to 57. Systolic pressure ranged 88-184 and ended at 88, and SpO2 recovered to 94 after a low of 88 around hour 30.5. Respiratory rate ended at 18; the available labs showed white count was roughly stable (16.4 to 16), creatinine fell from 2 to 1.8, lactate was checked once at 1.3, and urine output fell from 330 to 145.\nB. Overall, the heart rate rose from 78 to 95, MAP rose from 48 to 59, and diastolic pressure moved from 39 to 52. Systolic pressure ranged 88-149 and ended at 90, and SpO2 recovered to 99 after a low of 84 around hour 28.4. Respiratory rate ended at 21; the available labs showed white count fell from 13.8 to 13.2, creatinine fell from 3 to 2.2, lactate was checked once at 1.0, and urine output fell from 400 to 110.\nC. Overall, the heart rate rose from 80 to 93, MAP rose from 50 to 61, and diastolic pressure moved from 37 to 54. Systolic pressure ranged 90-164 and ended at 92, and SpO2 recovered to 97 after a low of 85 around hour 29.5. Respiratory rate ended at 20; the available labs showed white count was roughly stable (14.9 to 14), creatinine fell from 3 to 2.4, lactate was checked once at 1.1, and urine output fell from 350 to 125.\nD. Overall, the heart rate rose from 76 to 96, MAP rose from 46 to 56, and diastolic pressure moved from 42 to 51. Systolic pressure ranged 86-134 and ended at 88, and SpO2 recovered to 100 after a low of 80 around hour 27.2. Respiratory rate ended at 22; the available labs showed white count was roughly stable (12.7 to 12), creatinine fell from 4 to 2.1, lactate was checked once at 0.8, and urine output fell from 380 to 95.","answer":"C","answer_text":"Overall, the heart rate rose from 80 to 93, MAP rose from 50 to 61, and diastolic pressure moved from 37 to 54. Systolic pressure ranged 90-164 and ended at 92, and SpO2 recovered to 97 after a low of 85 around hour 29.5. Respiratory rate ended at 20; the available labs showed white count was roughly stable (14.9 to 14), creatinine fell from 3 to 2.4, lactate was checked once at 1.1, and urine output fell from 350 to 125.","episode_id":"iv_000039","anchor_time":53}
{"id":"TSS_iv_000040_clinical_summary_43_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Overall, the heart rate was roughly stable (90 to 92), while MAP was roughly stable (93 to 91). Systolic pressure was labile, ranging 120-157, with the lowest value around hour 9.9. SpO2 briefly dipped to 88 around hour 0.6 before recovering to 98, while respiratory rate peaked at 26 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (19.3 to 18.7), creatinine rose from 0.6 to 0.8, lactate was not available, and urine output fell from 1135 to 1000, with recorded outputs ranging 1000-1900.\nB. Overall, the heart rate was roughly stable (88 to 94), while MAP was roughly stable (91 to 89). Systolic pressure was labile, ranging 121-172, with the lowest value around hour 9.5. SpO2 briefly dipped to 89 around hour 0.5 before recovering to 100, while respiratory rate peaked at 28 and later settled at 17. The associated labs and urine output showed that white count was roughly stable (20.4 to 17.6), creatinine rose from 0.5 to 0.9, lactate was not available, and urine output fell from 1075 to 940, with recorded outputs ranging 1060-1960.\nC. Overall, the heart rate was roughly stable (94 to 88), while MAP was roughly stable (97 to 94). Systolic pressure was labile, ranging 95-132, with the lowest value around hour 10.5. SpO2 briefly dipped to 92 around hour 1.6 before recovering to 94, while respiratory rate peaked at 28 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (17.4 to 20.6), creatinine rose from 0.7 to 0.8, lactate was not available, and urine output fell from 1235 to 950, with recorded outputs ranging 950-1800.\nD. Overall, the heart rate was roughly stable (86 to 96), while MAP was roughly stable (88 to 86). Systolic pressure was labile, ranging 150-187, with the lowest value around hour 9.2. SpO2 briefly dipped to 84 around hour 0.4 before recovering to 100, while respiratory rate peaked at 24 and later settled at 16. The associated labs and urine output showed that white count fell from 21.6 to 17.9, creatinine rose from 0.4 to 0.9, lactate was not available, and urine output fell from 1015 to 880, with recorded outputs ranging 1120-1950.","answer":"A","answer_text":"Overall, the heart rate was roughly stable (90 to 92), while MAP was roughly stable (93 to 91). Systolic pressure was labile, ranging 120-157, with the lowest value around hour 9.9. SpO2 briefly dipped to 88 around hour 0.6 before recovering to 98, while respiratory rate peaked at 26 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (19.3 to 18.7), creatinine rose from 0.6 to 0.8, lactate was not available, and urine output fell from 1135 to 1000, with recorded outputs ranging 1000-1900.","episode_id":"iv_000040","anchor_time":43}
{"id":"TSS_iv_000040_clinical_summary_43_2","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 151 to 101, MAP was roughly stable (96 to 94), and heart rate was roughly stable (87 to 95). SpO2 started at 96, ended at 100, and fell as low as 91 around hour 0.5; respiratory rate ranged 16-24. For labs and output, white count fell from 20.1 to 18.6, creatinine rose from 0.7 to 0.8, lactate was not available, and urine output fell from 1215 to 1080.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 116 to 96, MAP was roughly stable (91 to 89), and heart rate was roughly stable (92 to 95). SpO2 started at 100, ended at 96, and fell as low as 86 around hour 0.7; respiratory rate ranged 13-28. For labs and output, white count fell from 20.4 to 17.9, creatinine rose from 0.5 to 0.9, lactate was not available, and urine output fell from 1075 to 940.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 131 to 121, MAP was roughly stable (93 to 91), and heart rate was roughly stable (90 to 92). SpO2 started at 99, ended at 98, and fell as low as 88 around hour 0.6; respiratory rate ranged 14-26. For labs and output, white count was roughly stable (19.3 to 18.7), creatinine rose from 0.6 to 0.8, lactate was not available, and urine output fell from 1135 to 1000.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 101 to 98, MAP was roughly stable (88 to 94), and heart rate was roughly stable (94 to 88). SpO2 started at 100, ended at 94, and fell as low as 87 around hour 0.8; respiratory rate ranged 12-28. For labs and output, white count was roughly stable (21.6 to 16.4), creatinine rose from 0.4 to 1.0, lactate was not available, and urine output fell from 1015 to 880.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 131 to 121, MAP was roughly stable (93 to 91), and heart rate was roughly stable (90 to 92). SpO2 started at 99, ended at 98, and fell as low as 88 around hour 0.6; respiratory rate ranged 14-26. For labs and output, white count was roughly stable (19.3 to 18.7), creatinine rose from 0.6 to 0.8, lactate was not available, and urine output fell from 1135 to 1000.","episode_id":"iv_000040","anchor_time":43}
{"id":"TSS_iv_000041_clinical_summary_46_1","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (76 to 72), diastolic pressure was roughly stable (60 to 59), and heart rate was roughly stable (63 to 69). The lowest MAP was about 61 around hour 17.6, and the lowest valid SpO2 was 85 around hour 0.2; respiratory rate rose as high as 38 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 37-38.2 C, white count fell from 14.7 to 10.7, creatinine fell from 8.1 to 7.2, lactate stayed broadly stable from 1 to 1.2, and urine output was roughly stable (25 to 20)\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (71 to 77), diastolic pressure was roughly stable (55 to 53), and heart rate stayed around 68. The lowest MAP was about 64 around hour 18.6, and the lowest valid SpO2 was 83 around hour 1.0; respiratory rate rose as high as 40 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 35-36.0 C, white count fell from 13.6 to 9.6, creatinine fell from 8.5 to 6.8, lactate stayed broadly stable from 1 to 1.4, and urine output was roughly stable (24 to 19)\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (73 to 75), diastolic pressure was roughly stable (57 to 56), and heart rate stayed around 66. The lowest MAP was about 61 around hour 17.6, and the lowest valid SpO2 was 85 around hour 1.2; respiratory rate rose as high as 38 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 37-38.2 C, white count fell from 14.7 to 10.7, creatinine fell from 8.1 to 7.2, lactate stayed broadly stable from 1 to 1.2, and urine output was roughly stable (25 to 20)\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (68 to 80), diastolic pressure was roughly stable (52 to 52), and heart rate stayed around 70. The lowest MAP was about 56 around hour 15.4, and the lowest valid SpO2 was 80 around hour 0.9; respiratory rate rose as high as 40 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 32-33.7 C, white count fell from 12.4 to 8.4, creatinine fell from 8.8 to 7.3, lactate stayed broadly stable from 1 to 1.5, and urine output was roughly stable (23 to 70)","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (73 to 75), diastolic pressure was roughly stable (57 to 56), and heart rate stayed around 66. The lowest MAP was about 61 around hour 17.6, and the lowest valid SpO2 was 85 around hour 1.2; respiratory rate rose as high as 38 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 37 to 100.7, white count fell from 14.7 to 10.7, creatinine fell from 8.1 to 7.2, lactate stayed broadly stable from 1 to 1.2, and urine output was roughly stable (25 to 20)","episode_id":"iv_000041","anchor_time":46}
{"id":"TSS_iv_000041_clinical_summary_46_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 147 to 167, MAP was roughly stable (76 to 78), and heart rate was roughly stable (63 to 69). SpO2 started at 93, ended at 100, and fell as low as 85 around hour 1.2; respiratory rate ranged 16-40. For labs and output, white count fell from 14.7 to 9.9, creatinine fell from 8.1 to 7.2, lactate stayed broadly stable from 1 to 1.2, and urine output was roughly stable (25 to 20)\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 112 to 151, MAP was roughly stable (71 to 73), and heart rate stayed around 68. SpO2 started at 91, ended at 98, and fell as low as 83 around hour 1.0; respiratory rate ranged 17-40. For labs and output, white count fell from 13.6 to 11.8, creatinine fell from 7.7 to 7.3, lactate stayed broadly stable from 1.2 to 1.0, and urine output was roughly stable (24 to 21)\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (152 to 132), MAP was roughly stable (77 to 78), and heart rate stayed around 62. SpO2 started at 97, ended at 96, and fell as low as 84 around hour 1.4; respiratory rate ranged 14-34. For labs and output, white count fell from 16.6 to 8.8, creatinine fell from 8.7 to 7.8, lactate stayed broadly stable from 1 to 1.4, and urine output was roughly stable (27 to 18)\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 127 to 136, MAP was roughly stable (73 to 75), and heart rate stayed around 66. SpO2 started at 93, ended at 100, and fell as low as 85 around hour 1.2; respiratory rate ranged 16-38. For labs and output, white count fell from 14.7 to 10.7, creatinine fell from 8.1 to 7.2, lactate stayed broadly stable from 1 to 1.2, and urine output was roughly stable (25 to 20)","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 127 to 136, MAP was roughly stable (73 to 75), and heart rate stayed around 66. SpO2 started at 93, ended at 100, and fell as low as 85 around hour 1.2; respiratory rate ranged 16-38. For labs and output, white count fell from 14.7 to 10.7, creatinine fell from 8.1 to 7.2, lactate stayed broadly stable from 1 to 1.2, and urine output was roughly stable (25 to 20)","episode_id":"iv_000041","anchor_time":46}
{"id":"TSS_iv_000041_clinical_summary_46_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. In broad terms, the heart rate stayed around 66, MAP was roughly stable (73 to 75), and diastolic pressure moved from 57 to 56. Systolic pressure ranged 93-147 and ended at 136, and SpO2 recovered to 100 after a low of 85 around hour 1.2. Respiratory rate ended at 19; the available labs showed white count fell from 14.7 to 10.7, creatinine fell from 8.1 to 7.2, lactate stayed broadly stable from 1 to 1.2, and urine output was roughly stable (25 to 20)\nB. In broad terms, the heart rate stayed around 64, MAP was roughly stable (75 to 78), and diastolic pressure moved from 55 to 58. Systolic pressure ranged 91-162 and ended at 132, and SpO2 recovered to 98 after a low of 87 around hour 2.2. Respiratory rate ended at 18; the available labs showed white count fell from 15.8 to 9.6, creatinine fell from 7.7 to 7.6, lactate stayed broadly stable from 1 to 1.0, and urine output was roughly stable (26 to 19)\nC. In broad terms, the heart rate stayed around 70, MAP was roughly stable (69 to 79), and diastolic pressure moved from 61 to 52. Systolic pressure ranged 97-122 and ended at 111, and SpO2 recovered to 96 after a low of 84 around hour 1.4. Respiratory rate ended at 21; the available labs showed white count fell from 12.8 to 9.9, creatinine fell from 8.7 to 6.6, lactate stayed broadly stable from 1 to 1.4, and urine output was roughly stable (75 to 22)\nD. In broad terms, the heart rate was roughly stable (62 to 69), MAP was roughly stable (73 to 75), and diastolic pressure moved from 57 to 53. Systolic pressure ranged 93-147 and ended at 136, and SpO2 recovered to 100 after a low of 85 around hour 1.2. Respiratory rate ended at 19; the available labs showed white count fell from 14.7 to 10.7, creatinine fell from 8.1 to 7.2, lactate stayed broadly stable from 1 to 1.2, and urine output was roughly stable (25 to 20)","answer":"A","answer_text":"In broad terms, the heart rate stayed around 66, MAP was roughly stable (73 to 75), and diastolic pressure moved from 57 to 56. Systolic pressure ranged 93-147 and ended at 136, and SpO2 recovered to 100 after a low of 85 around hour 1.2. Respiratory rate ended at 19; the available labs showed white count fell from 14.7 to 10.7, creatinine fell from 8.1 to 7.2, lactate stayed broadly stable from 1 to 1.2, and urine output was roughly stable (25 to 20)","episode_id":"iv_000041","anchor_time":46}
{"id":"TSS_iv_000042_clinical_summary_30_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (84 to 77), diastolic pressure rose from 62 to 67, and heart rate fell from 65 to 58. The lowest MAP was about 67 around hour 3.2, and the lowest valid SpO2 was 88 around hour 0.3; respiratory rate rose as high as 30 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.7-33.9 C, white count was roughly stable (21.2 to 19.2), creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (320 to 280)\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (79 to 82), diastolic pressure rose from 57 to 68, and heart rate fell from 70 to 53. The lowest MAP was about 62 around hour 2.4, and the lowest valid SpO2 was 83 around hour 0.5; respiratory rate rose as high as 31 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 39.0-39.1 C, white count was roughly stable (18.6 to 21.8), creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (285 to 350)\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (85 to 76), diastolic pressure rose from 63 to 74, and heart rate fell from 64 to 58. The lowest MAP was about 68 around hour 2.0, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 31 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.0-33.1 C, white count was roughly stable (21.6 to 18.8), creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (325 to 275)\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (81 to 80), diastolic pressure rose from 59 to 70, and heart rate fell from 68 to 55. The lowest MAP was about 64 around hour 2.2, and the lowest valid SpO2 was 85 around hour 0.4; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.7-36.9 C, white count was roughly stable (19.7 to 20.7), creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (81 to 80), diastolic pressure rose from 59 to 70, and heart rate fell from 68 to 55. The lowest MAP was about 64 around hour 2.2, and the lowest valid SpO2 was 85 around hour 0.4; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 98 to 98.4, white count was roughly stable (19.7 to 20.7), creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)","episode_id":"iv_000042","anchor_time":30}
{"id":"TSS_iv_000042_clinical_summary_30_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (131 to 125), MAP was roughly stable (81 to 80), and heart rate fell from 68 to 55. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 0.4; respiratory rate ranged 13-29. For labs and output, white count was roughly stable (19.7 to 20.7), creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (116 to 140), MAP was roughly stable (79 to 78), and heart rate fell from 70 to 53. SpO2 started at 98, ended at 99, and fell as low as 83 around hour 0.5; respiratory rate ranged 12-30. For labs and output, white count was roughly stable (20.8 to 19.6), creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (315 to 285)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 156 to 121, MAP was roughly stable (85 to 83), and heart rate fell from 64 to 59. SpO2 started at 96, ended at 100, and fell as low as 84 around hour 0.3; respiratory rate ranged 15-27. For labs and output, white count was roughly stable (17.8 to 22.6), creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (275 to 325)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (101 to 155), MAP was roughly stable (76 to 76), and heart rate fell from 72 to 58. SpO2 started at 96, ended at 94, and fell as low as 80 around hour 0.6; respiratory rate ranged 11-31. For labs and output, white count was roughly stable (21.9 to 19.9), creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (330 to 270)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (131 to 125), MAP was roughly stable (81 to 80), and heart rate fell from 68 to 55. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 0.4; respiratory rate ranged 13-29. For labs and output, white count was roughly stable (19.7 to 20.7), creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)","episode_id":"iv_000042","anchor_time":30}
{"id":"TSS_iv_000042_clinical_summary_30_3","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. For handoff, the heart rate fell from 71 to 52, MAP was roughly stable (84 to 83), and diastolic pressure moved from 56 to 73. Systolic pressure ranged 99-170 and ended at 121, and SpO2 recovered to 95 after a low of 88 around hour 1.4. Respiratory rate ended at 16; the available labs showed white count was roughly stable (21.2 to 22.2), creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (320 to 320)\nB. For handoff, the heart rate fell from 68 to 55, MAP was roughly stable (81 to 80), and diastolic pressure moved from 59 to 70. Systolic pressure ranged 96-150 and ended at 125, and SpO2 recovered to 98 after a low of 85 around hour 0.4. Respiratory rate ended at 18; the available labs showed white count was roughly stable (19.7 to 20.7), creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)\nC. For handoff, the heart rate fell from 72 to 58, MAP was roughly stable (85 to 84), and diastolic pressure moved from 55 to 67. Systolic pressure ranged 100-175 and ended at 150, and SpO2 recovered to 94 after a low of 89 around hour 0.5. Respiratory rate ended at 16; the available labs showed white count was roughly stable (21.6 to 22.6), creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (325 to 325)\nD. For handoff, the heart rate fell from 64 to 60, MAP was roughly stable (76 to 76), and diastolic pressure moved from 64 to 66. Systolic pressure ranged 92-120 and ended at 95, and SpO2 recovered to 100 after a low of 84 around hour 0.2. Respiratory rate ended at 20; the available labs showed white count was roughly stable (17.4 to 19.9), creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (350 to 270)","answer":"B","answer_text":"For handoff, the heart rate fell from 68 to 55, MAP was roughly stable (81 to 80), and diastolic pressure moved from 59 to 70. Systolic pressure ranged 96-150 and ended at 125, and SpO2 recovered to 98 after a low of 85 around hour 0.4. Respiratory rate ended at 18; the available labs showed white count was roughly stable (19.7 to 20.7), creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)","episode_id":"iv_000042","anchor_time":30}
{"id":"TSS_iv_000044_clinical_summary_23_1","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (71 to 69), diastolic pressure was roughly stable (54 to 54), and heart rate was roughly stable (57 to 66). The lowest MAP was about 62 around hour 6.1, and the lowest valid SpO2 was 88 around hour 3.4; respiratory rate rose as high as 24 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.3-34.1 C, white count fell from 9.8 to 8, creatinine was roughly stable (1.4 to 1.3), lactate rose from 1.5 to 3.0, and urine output fell from 490 to 105.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (68 to 72), diastolic pressure rose from 51 to 57, and heart rate was roughly stable (60 to 63). The lowest MAP was about 59 around hour 5.1, and the lowest valid SpO2 was 85 around hour 3.9; respiratory rate rose as high as 22 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.3-37.1 C, white count fell from 9.3 to 8, creatinine was roughly stable (1.2 to 1.1), lactate rose from 1.7 to 2.8, and urine output fell from 470 to 125.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (72 to 68), diastolic pressure rose from 55 to 61, and heart rate rose from 56 to 66. The lowest MAP was about 63 around hour 4.5, and the lowest valid SpO2 was 89 around hour 2.9; respiratory rate rose as high as 24 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 32.5-33.4 C, white count fell from 9.9 to 7, creatinine was roughly stable (1.4 to 1.4), lactate rose from 1.4 to 3.0, and urine output fell from 495 to 100.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (64 to 76), diastolic pressure rose from 46 to 52, and heart rate was roughly stable (64 to 58). The lowest MAP was about 54 around hour 5.8, and the lowest valid SpO2 was 80 around hour 4.7; respiratory rate rose as high as 24 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 40.8-41.6 C, white count fell from 8.6 to 8, creatinine stayed around 0.9, lactate rose from 1.7 to 2.8, and urine output fell from 470 to 175.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (68 to 72), diastolic pressure rose from 51 to 57, and heart rate was roughly stable (60 to 63). The lowest MAP was about 59 around hour 5.1, and the lowest valid SpO2 was 85 around hour 3.9; respiratory rate rose as high as 22 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 97.4 to 98.8, white count fell from 9.3 to 8, creatinine was roughly stable (1.2 to 1.1), lactate rose from 1.7 to 2.8, and urine output fell from 470 to 125.","episode_id":"iv_000044","anchor_time":23}
{"id":"TSS_iv_000044_clinical_summary_23_2","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 97 to 113, MAP was roughly stable (71 to 75), and heart rate was roughly stable (57 to 66). SpO2 started at 82, ended at 97, and fell as low as 88 around hour 3.4; respiratory rate ranged 12-20. For labs and output, white count fell from 8.8 to 8, creatinine stayed around 1.4, lactate rose from 1.9 to 2.8, and urine output fell from 470 to 125.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 98 to 118, MAP was roughly stable (66 to 70), and heart rate rose from 62 to 66. SpO2 started at 87, ended at 98, and fell as low as 83 around hour 4.3; respiratory rate ranged 10-24. For labs and output, white count fell from 9.7 to 7.2, creatinine was roughly stable (1.0 to 1.2), lactate rose from 1.5 to 2.6, and urine output fell from 485 to 110.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 116, MAP was roughly stable (68 to 72), and heart rate was roughly stable (60 to 63). SpO2 started at 85, ended at 100, and fell as low as 85 around hour 3.9; respiratory rate ranged 11-22. For labs and output, white count fell from 9.3 to 8, creatinine was roughly stable (1.2 to 1.1), lactate rose from 1.7 to 2.8, and urine output fell from 470 to 125.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 112, MAP rose from 64 to 75, and heart rate was roughly stable (64 to 58). SpO2 started at 90, ended at 96, and fell as low as 84 around hour 4.7; respiratory rate ranged 9-24. For labs and output, white count fell from 10.1 to 7, creatinine was roughly stable (0.9 to 1.4), lactate rose from 1.4 to 2.5, and urine output fell from 500 to 95.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 116, MAP was roughly stable (68 to 72), and heart rate was roughly stable (60 to 63). SpO2 started at 85, ended at 100, and fell as low as 85 around hour 3.9; respiratory rate ranged 11-22. For labs and output, white count fell from 9.3 to 8, creatinine was roughly stable (1.2 to 1.1), lactate rose from 1.7 to 2.8, and urine output fell from 470 to 125.","episode_id":"iv_000044","anchor_time":23}
{"id":"TSS_iv_000045_clinical_summary_276_1","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (109 to 106), diastolic pressure was roughly stable (90 to 92), and heart rate rose from 47 to 90. The lowest MAP was about 61 around hour 95.4, and the lowest valid SpO2 was 88 around hour 0.8; respiratory rate rose as high as 32 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 33.4-35.4 C, white count rose from 7.6 to 11.8, creatinine was roughly stable (0.6 to 2.2), lactate was checked once at 1.1, and urine output was roughly stable (145 to 100)\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (104 to 111), diastolic pressure was roughly stable (85 to 87), and heart rate rose from 52 to 90. The lowest MAP was about 56 around hour 100.7, and the lowest valid SpO2 was 83 around hour 0; respiratory rate rose as high as 28 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 38.6-40.6 C, white count rose from 6.7 to 14.4, creatinine was roughly stable (0.4 to 2.0), lactate was checked once at 1.5, and urine output was roughly stable (110 to 48)\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (106 to 109), diastolic pressure was roughly stable (87 to 89), and heart rate rose from 50 to 87. The lowest MAP was about 58 around hour 98.4, and the lowest valid SpO2 was 85 around hour 0.9; respiratory rate rose as high as 30 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 36.4-38.4 C, white count rose from 7.1 to 13.3, creatinine was roughly stable (0.5 to 2.1), lactate was checked once at 1.3, and urine output was roughly stable (125 to 50)\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (102 to 114), diastolic pressure was roughly stable (82 to 86), and heart rate rose from 54 to 82. The lowest MAP was about 61 around hour 99.4, and the lowest valid SpO2 was 80 around hour 1.1; respiratory rate rose as high as 26 but ended at 11. The lower-frequency data fit that summary: temperature stayed around 40.9-42.9 C, white count rose from 6.3 to 15.6, creatinine was roughly stable (0.3 to 1.8), lactate was checked once at 1.6, and urine output was roughly stable (95 to 46)","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (106 to 109), diastolic pressure was roughly stable (87 to 89), and heart rate rose from 50 to 87. The lowest MAP was about 58 around hour 98.4, and the lowest valid SpO2 was 85 around hour 0.9; respiratory rate rose as high as 30 but ended at 13. The lower-frequency data fit that summary: temperature ranged from 97.5 to 101.1, white count rose from 7.1 to 13.3, creatinine was roughly stable (0.5 to 2.1), lactate was checked once at 1.3, and urine output was roughly stable (125 to 50)","episode_id":"iv_000045","anchor_time":276}
{"id":"TSS_iv_000046_clinical_summary_95_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (107 to 102), MAP was roughly stable (64 to 65), and heart rate rose from 50 to 65. SpO2 started at 88, ended at 98, and fell as low as 88 around hour 0.1; respiratory rate ranged 12-27. For labs and output, white count fell from 16.5 to 13.5, creatinine fell from 1.9 to 1.7, lactate stayed broadly stable from 1.3 to 1.5, and urine output was roughly stable (220 to 250)\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (105 to 104), MAP was roughly stable (62 to 63), and heart rate rose from 52 to 63. SpO2 started at 90, ended at 96, and fell as low as 86 around hour 0.2; respiratory rate ranged 11-28. For labs and output, white count fell from 17.6 to 12.4, creatinine was roughly stable (1.8 to 1.8), lactate stayed broadly stable from 1.5 to 1.4, and urine output was roughly stable (235 to 235)\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (111 to 98), MAP was roughly stable (68 to 69), and heart rate rose from 46 to 68. SpO2 started at 84, ended at 100, and fell as low as 92 around hour 0.0; respiratory rate ranged 14-29. For labs and output, white count fell from 14.6 to 12.7, creatinine fell from 2.1 to 1.4, lactate stayed broadly stable from 1.6 to 1.8, and urine output was roughly stable (195 to 275)\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 102 to 98, MAP was roughly stable (60 to 68), and heart rate rose from 54 to 60. SpO2 started at 92, ended at 94, and fell as low as 87 around hour 0.2; respiratory rate ranged 10-29. For labs and output, white count fell from 18.8 to 11.2, creatinine fell from 1.6 to 1.4, lactate stayed broadly stable from 1.0 to 1.2, and urine output was roughly stable (250 to 220)","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (107 to 102), MAP was roughly stable (64 to 65), and heart rate rose from 50 to 65. SpO2 started at 88, ended at 98, and fell as low as 88 around hour 0.1; respiratory rate ranged 12-27. For labs and output, white count fell from 16.5 to 13.5, creatinine fell from 1.9 to 1.7, lactate stayed broadly stable from 1.3 to 1.5, and urine output was roughly stable (220 to 250)","episode_id":"iv_000046","anchor_time":95}
{"id":"TSS_iv_000048_clinical_summary_124_2","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 176 to 144, MAP was roughly stable (100 to 95), and heart rate rose from 47 to 63. SpO2 started at 85, ended at 100, and fell as low as 84 around hour 80.9; respiratory rate ranged 14-37. For labs and output, white count rose from 2 to 7.6, creatinine was roughly stable (3.9 to 3.0), lactate was not available, and urine output rose from 53 to 520.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 141 to 121, MAP was roughly stable (95 to 90), and heart rate rose from 52 to 58. SpO2 started at 90, ended at 95, and fell as low as 83 around hour 86.2; respiratory rate ranged 11-42. For labs and output, white count rose from 3 to 6.7, creatinine was roughly stable (3.5 to 3.6), lactate was not available, and urine output rose from 48 to 485.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 156 to 148, MAP was roughly stable (97 to 92), and heart rate rose from 50 to 60. SpO2 started at 88, ended at 97, and fell as low as 85 around hour 83.9; respiratory rate ranged 12-40. For labs and output, white count rose from 3 to 7.1, creatinine was roughly stable (3.4 to 3.5), lactate was not available, and urine output rose from 50 to 500.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 126 to 106, MAP was roughly stable (92 to 88), and heart rate rose from 54 to 63. SpO2 started at 92, ended at 92, and fell as low as 80 around hour 88.4; respiratory rate ranged 10-42. For labs and output, white count rose from 4 to 6.3, creatinine was roughly stable (2.6 to 4.2), lactate was not available, and urine output rose from 46 to 470.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 156 to 148, MAP was roughly stable (97 to 92), and heart rate rose from 50 to 60. SpO2 started at 88, ended at 97, and fell as low as 85 around hour 83.9; respiratory rate ranged 12-40. For labs and output, white count rose from 3 to 7.1, creatinine was roughly stable (3.4 to 3.5), lactate was not available, and urine output rose from 50 to 500.","episode_id":"iv_000048","anchor_time":124}
{"id":"TSS_iv_000049_clinical_summary_58_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 140 to 160, MAP rose from 90 to 110, and heart rate rose from 47 to 76. SpO2 started at 85, ended at 95, and fell as low as 87 around hour 0; respiratory rate ranged 12-35. For labs and output, white count fell from 10.3 to 8.2, creatinine fell from 1.5 to 1, lactate was not available, and urine output fell from 3780 to 420.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 153, MAP rose from 85 to 105, and heart rate rose from 52 to 76. SpO2 started at 90, ended at 90, and fell as low as 86 around hour 2; respiratory rate ranged 10-40. For labs and output, white count fell from 12.9 to 6.9, creatinine fell from 1.1 to 1, lactate was not available, and urine output fell from 3640 to 385.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 145 to 165, MAP rose from 91 to 111, and heart rate rose from 46 to 77. SpO2 started at 84, ended at 96, and fell as low as 92 around hour 0; respiratory rate ranged 13-34. For labs and output, white count fell from 9.9 to 8.3, creatinine was roughly stable (1.2 to 1.1), lactate was not available, and urine output fell from 3800 to 425.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 120 to 138, MAP rose from 87 to 107, and heart rate rose from 50 to 73. SpO2 started at 88, ended at 92, and fell as low as 88 around hour 0; respiratory rate ranged 11-38. For labs and output, white count fell from 11.8 to 7.7, creatinine fell from 1.3 to 1, lactate was not available, and urine output fell from 3700 to 400.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 120 to 138, MAP rose from 87 to 107, and heart rate rose from 50 to 73. SpO2 started at 88, ended at 92, and fell as low as 88 around hour 0; respiratory rate ranged 11-38. For labs and output, white count fell from 11.8 to 7.7, creatinine fell from 1.3 to 1, lactate was not available, and urine output fell from 3700 to 400.","episode_id":"iv_000049","anchor_time":58}
{"id":"TSS_iv_000049_clinical_summary_58_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. In broad terms, the heart rate rose from 50 to 73, MAP rose from 87 to 107, and diastolic pressure moved from 74 to 92. Systolic pressure ranged 101-142 and ended at 138, and SpO2 recovered to 92 after a low of 88 around hour 0. Respiratory rate ended at 18; the available labs showed white count fell from 11.8 to 7.7, creatinine fell from 1.3 to 1, lactate was not available, and urine output fell from 3700 to 400.\nB. In broad terms, the heart rate rose from 48 to 75, MAP rose from 85 to 110, and diastolic pressure moved from 76 to 90. Systolic pressure ranged 99-127 and ended at 134, and SpO2 recovered to 94 after a low of 86 around hour 1. Respiratory rate ended at 19; the available labs showed white count fell from 10.7 to 7.3, creatinine fell from 1.5 to 1, lactate was not available, and urine output fell from 3640 to 415.\nC. In broad terms, the heart rate rose from 54 to 69, MAP rose from 91 to 111, and diastolic pressure moved from 70 to 96. Systolic pressure ranged 105-167 and ended at 163, and SpO2 recovered to 88 after a low of 87 around hour 2. Respiratory rate ended at 16; the available labs showed white count fell from 13.7 to 6.9, creatinine fell from 1.1 to 1, lactate was not available, and urine output fell from 3750 to 375.\nD. In broad terms, the heart rate rose from 46 to 76, MAP rose from 82 to 102, and diastolic pressure moved from 78 to 89. Systolic pressure ranged 96-112 and ended at 108, and SpO2 recovered to 96 after a low of 84 around hour 0. Respiratory rate ended at 20; the available labs showed white count fell from 9.6 to 7.0, creatinine fell from 1.6 to 1, lactate was not available, and urine output fell from 3580 to 430.","answer":"A","answer_text":"In broad terms, the heart rate rose from 50 to 73, MAP rose from 87 to 107, and diastolic pressure moved from 74 to 92. Systolic pressure ranged 101-142 and ended at 138, and SpO2 recovered to 92 after a low of 88 around hour 0. Respiratory rate ended at 18; the available labs showed white count fell from 11.8 to 7.7, creatinine fell from 1.3 to 1, lactate was not available, and urine output fell from 3700 to 400.","episode_id":"iv_000049","anchor_time":58}
{"id":"TSS_iv_000050_clinical_summary_31_0","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. In broad terms, the heart rate rose from 63 to 68, while MAP was roughly stable (73 to 75). Systolic pressure was labile, ranging 91-178, with the lowest value around hour 7.6. SpO2 briefly dipped to 88 around hour 4.6 before recovering to 92, while respiratory rate peaked at 51 and later settled at 24. The associated labs and urine output showed that white count rose from 9.4 to 17.1, creatinine stayed around 0.9, lactate rose from 1.3 to 2, and urine output was roughly stable (113 to 105), with recorded outputs ranging 48-546.\nB. In broad terms, the heart rate rose from 58 to 73, while MAP was roughly stable (68 to 70). Systolic pressure was labile, ranging 89-213, with the lowest value around hour 6.7. SpO2 briefly dipped to 83 around hour 3.7 before recovering to 97, while respiratory rate peaked at 47 and later settled at 21. The associated labs and urine output showed that white count rose from 10.3 to 14.8, creatinine was roughly stable (0.7 to 0.9), lactate rose from 1.5 to 2, and urine output was roughly stable (110 to 125), with recorded outputs ranging 95-566.\nC. In broad terms, the heart rate rose from 60 to 71, while MAP was roughly stable (70 to 72). Systolic pressure was labile, ranging 87-198, with the lowest value around hour 7.1. SpO2 briefly dipped to 85 around hour 4.1 before recovering to 95, while respiratory rate peaked at 49 and later settled at 22. The associated labs and urine output showed that white count rose from 9.9 to 15.6, creatinine stayed around 0.8, lactate rose from 1.5 to 2, and urine output was roughly stable (110 to 125), with recorded outputs ranging 45-566.\nD. In broad terms, the heart rate rose from 56 to 76, while MAP was roughly stable (66 to 75). Systolic pressure was labile, ranging 92-228, with the lowest value around hour 6.3. SpO2 briefly dipped to 80 around hour 5.1 before recovering to 100, while respiratory rate peaked at 44 and later settled at 20. The associated labs and urine output showed that white count rose from 10.7 to 13.3, creatinine stayed around 0.7, lactate rose from 1.8 to 2, and urine output was roughly stable (106 to 75), with recorded outputs ranging 40-596.","answer":"C","answer_text":"In broad terms, the heart rate rose from 60 to 71, while MAP was roughly stable (70 to 72). Systolic pressure was labile, ranging 87-198, with the lowest value around hour 7.1. SpO2 briefly dipped to 85 around hour 4.1 before recovering to 95, while respiratory rate peaked at 49 and later settled at 22. The associated labs and urine output showed that white count rose from 9.9 to 15.6, creatinine stayed around 0.8, lactate rose from 1.5 to 2, and urine output was roughly stable (110 to 125), with recorded outputs ranging 45-566.","episode_id":"iv_000050","anchor_time":31}
{"id":"TSS_iv_000050_clinical_summary_31_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 110, MAP was roughly stable (70 to 72), and heart rate rose from 60 to 71. SpO2 started at 85, ended at 95, and fell as low as 85 around hour 4.1; respiratory rate ranged 7-49. For labs and output, white count rose from 9.9 to 15.6, creatinine stayed around 0.8, lactate rose from 1.5 to 2, and urine output was roughly stable (110 to 125)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (98 to 106), MAP was roughly stable (68 to 75), and heart rate rose from 62 to 69. SpO2 started at 87, ended at 93, and fell as low as 84 around hour 4.5; respiratory rate ranged 7-51. For labs and output, white count rose from 10.3 to 14.5, creatinine stayed around 0.7, lactate rose from 1.6 to 2, and urine output was roughly stable (108 to 140)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 106, MAP was roughly stable (74 to 76), and heart rate rose from 56 to 75. SpO2 started at 81, ended at 99, and fell as low as 89 around hour 3.5; respiratory rate ranged 8-45. For labs and output, white count rose from 9.3 to 17.5, creatinine was roughly stable (0.9 to 0.9), lactate rose from 1.7 to 2, and urine output was roughly stable (110 to 125)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 114, MAP was roughly stable (66 to 68), and heart rate rose from 64 to 74. SpO2 started at 90, ended at 90, and fell as low as 80 around hour 4.8; respiratory rate ranged 6-51. For labs and output, white count rose from 10.7 to 14.8, creatinine stayed around 0.7, lactate rose from 1.8 to 2, and urine output was roughly stable (106 to 155)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 110, MAP was roughly stable (70 to 72), and heart rate rose from 60 to 71. SpO2 started at 85, ended at 95, and fell as low as 85 around hour 4.1; respiratory rate ranged 7-49. For labs and output, white count rose from 9.9 to 15.6, creatinine stayed around 0.8, lactate rose from 1.5 to 2, and urine output was roughly stable (110 to 125)","episode_id":"iv_000050","anchor_time":31}
{"id":"TSS_iv_000051_clinical_summary_182_3","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 53 to 101, MAP fell from 159 to 93, and diastolic pressure moved from 113 to 84. Systolic pressure ranged 76-215 and ended at 125, and SpO2 recovered to 92 after a low of 88 around hour 4.6. Respiratory rate ended at 28; the available labs showed white count rose from 9.1 to 33.4, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 9.3 to 0.8, and urine output fell from 370 to 73.\nB. Across the recorded window, the heart rate rose from 48 to 106, MAP fell from 124 to 88, and diastolic pressure moved from 118 to 79. Systolic pressure ranged 71-180 and ended at 114, and SpO2 recovered to 97 after a low of 84 around hour 3.2. Respiratory rate ended at 30; the available labs showed white count rose from 8.2 to 29.6, creatinine fell from 1.2 to 0.8, lactate stayed broadly stable from 8.4 to 1.0, and urine output fell from 400 to 68.\nC. Across the recorded window, the heart rate rose from 50 to 104, MAP fell from 139 to 90, and diastolic pressure moved from 116 to 81. Systolic pressure ranged 73-195 and ended at 129, and SpO2 recovered to 95 after a low of 85 around hour 3.6. Respiratory rate ended at 29; the available labs showed white count rose from 8.6 to 30.4, creatinine fell from 1.1 to 0.9, lactate stayed broadly stable from 8.8 to 0.9, and urine output fell from 350 to 70.\nD. Across the recorded window, the heart rate rose from 46 to 107, MAP fell from 109 to 86, and diastolic pressure moved from 120 to 78. Systolic pressure ranged 68-165 and ended at 99, and SpO2 recovered to 100 after a low of 80 around hour 2.9. Respiratory rate ended at 31; the available labs showed white count rose from 7.8 to 25.9, creatinine fell from 1.4 to 0.8, lactate stayed broadly stable from 8.1 to 1.1, and urine output fell from 320 to 66.","answer":"C","answer_text":"Across the recorded window, the heart rate rose from 50 to 104, MAP fell from 139 to 90, and diastolic pressure moved from 116 to 81. Systolic pressure ranged 73-195 and ended at 129, and SpO2 recovered to 95 after a low of 85 around hour 3.6. Respiratory rate ended at 29; the available labs showed white count rose from 8.6 to 30.4, creatinine fell from 1.1 to 0.9, lactate stayed broadly stable from 8.8 to 0.9, and urine output fell from 350 to 70.","episode_id":"iv_000051","anchor_time":182}
{"id":"TSS_iv_000054_clinical_summary_46_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 105 to 72, diastolic pressure fell from 96 to 66, and heart rate rose from 37 to 147. The lowest MAP was about 70 around hour 40.5, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 41 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 33.4-34.4 C, white count fell from 13.8 to 9.1, creatinine stayed around 1.3, lactate stayed broadly stable from 1.5 to 1.0, and urine output rose from 26 to 245.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 77, diastolic pressure fell from 91 to 67, and heart rate rose from 42 to 112. The lowest MAP was about 65 around hour 41.8, and the lowest valid SpO2 was 83 around hour 2; respiratory rate rose as high as 40 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 38.6-39.6 C, white count fell from 11.2 to 10.0, creatinine rose from 1 to 1.2, lactate stayed broadly stable from 1.3 to 1.2, and urine output rose from 25 to 275.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 106 to 71, diastolic pressure fell from 97 to 73, and heart rate rose from 36 to 130. The lowest MAP was about 71 around hour 35.8, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 42 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 32.6-33.6 C, white count fell from 14.2 to 9.0, creatinine stayed around 1.4, lactate stayed broadly stable from 1.6 to 0.9, and urine output rose from 27 to 250.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 102 to 75, diastolic pressure fell from 93 to 69, and heart rate rose from 40 to 127. The lowest MAP was about 67 around hour 39.5, and the lowest valid SpO2 was 85 around hour 0; respiratory rate rose as high as 38 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 36.4-37.4 C, white count fell from 12.3 to 9.6, creatinine stayed around 1.1, lactate stayed broadly stable from 1.3 to 1.2, and urine output rose from 25 to 225.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 102 to 75, diastolic pressure fell from 93 to 69, and heart rate rose from 40 to 127. The lowest MAP was about 67 around hour 39.5, and the lowest valid SpO2 was 85 around hour 0; respiratory rate rose as high as 38 but ended at 23. The lower-frequency data fit that summary: temperature ranged from 97.5 to 99.3, white count fell from 12.3 to 9.6, creatinine stayed around 1.1, lactate stayed broadly stable from 1.3 to 1.2, and urine output rose from 25 to 225.","episode_id":"iv_000054","anchor_time":46}
{"id":"TSS_iv_000054_clinical_summary_46_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 97, MAP fell from 102 to 75, and heart rate rose from 40 to 127. SpO2 started at 85, ended at 95, and fell as low as 85 around hour 0; respiratory rate ranged 14-38. For labs and output, white count fell from 12.3 to 9.6, creatinine stayed around 1.1, lactate stayed broadly stable from 1.3 to 1.2, and urine output rose from 25 to 225.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 99, MAP fell from 100 to 73, and heart rate rose from 42 to 112. SpO2 started at 87, ended at 93, and fell as low as 83 around hour 2; respiratory rate ranged 13-40. For labs and output, white count fell from 13.4 to 9.2, creatinine rose from 1 to 1.2, lactate fell from 1.5 to 1.2, and urine output rose from 25 to 225.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 119 to 93, MAP fell from 106 to 79, and heart rate rose from 36 to 130. SpO2 started at 81, ended at 99, and fell as low as 89 around hour 0; respiratory rate ranged 16-40. For labs and output, white count fell from 10.4 to 8.8, creatinine stayed around 1.4, lactate stayed broadly stable from 1.1 to 1.4, and urine output rose from 27 to 200.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 110 to 93, MAP fell from 98 to 78, and heart rate rose from 44 to 97. SpO2 started at 90, ended at 90, and fell as low as 84 around hour 3; respiratory rate ranged 12-42. For labs and output, white count fell from 14.6 to 8.8, creatinine stayed around 0.8, lactate stayed broadly stable from 1.6 to 0.9, and urine output rose from 23 to 255.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 97, MAP fell from 102 to 75, and heart rate rose from 40 to 127. SpO2 started at 85, ended at 95, and fell as low as 85 around hour 0; respiratory rate ranged 14-38. For labs and output, white count fell from 12.3 to 9.6, creatinine stayed around 1.1, lactate stayed broadly stable from 1.3 to 1.2, and urine output rose from 25 to 225.","episode_id":"iv_000054","anchor_time":46}
{"id":"TSS_iv_000056_clinical_summary_42_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Overall, the heart rate rose from 50 to 98, while MAP rose from 70 to 98. Systolic pressure was labile, ranging 108-178, with the lowest value around hour 23.1. SpO2 briefly dipped to 85 around hour 2.1 before recovering to 98, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count fell from 15.3 to 11.9, creatinine was roughly stable (0.9 to 0.8), lactate fell from 215 to 0.8, and urine output rose from 13 to 200, with recorded outputs ranging 10-220.\nB. Overall, the heart rate rose from 48 to 100, while MAP rose from 68 to 96. Systolic pressure was labile, ranging 110-193, with the lowest value around hour 22.0. SpO2 briefly dipped to 83 around hour 2.0 before recovering to 100, while respiratory rate peaked at 21 and later settled at 17. The associated labs and urine output showed that white count fell from 16.4 to 11.1, creatinine stayed around 0.8, lactate fell from 215 to 0.8, and urine output rose from 13 to 200, with recorded outputs ranging 13-220.\nC. Overall, the heart rate rose from 54 to 94, while MAP rose from 74 to 100. Systolic pressure was labile, ranging 112-153, with the lowest value around hour 25.0. SpO2 briefly dipped to 86 around hour 2.4 before recovering to 94, while respiratory rate peaked at 24 and later settled at 20. The associated labs and urine output showed that white count fell from 13.4 to 11.9, creatinine was roughly stable (1.0 to 0.7), lactate fell from 240 to 0.9, and urine output rose from 11 to 225, with recorded outputs ranging 12-245.\nD. Overall, the heart rate rose from 46 to 100, while MAP rose from 66 to 101. Systolic pressure was labile, ranging 112-208, with the lowest value around hour 20.9. SpO2 briefly dipped to 80 around hour 3.1 before recovering to 100, while respiratory rate peaked at 20 and later settled at 16. The associated labs and urine output showed that white count fell from 17.6 to 9.7, creatinine was roughly stable (0.8 to 1.0), lactate fell from 185 to 0.7, and urine output rose from 15 to 150, with recorded outputs ranging 8-190.","answer":"A","answer_text":"Overall, the heart rate rose from 50 to 98, while MAP rose from 70 to 98. Systolic pressure was labile, ranging 108-178, with the lowest value around hour 23.1. SpO2 briefly dipped to 85 around hour 2.1 before recovering to 98, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count fell from 15.3 to 11.9, creatinine was roughly stable (0.9 to 0.8), lactate fell from 215 to 0.8, and urine output rose from 13 to 200, with recorded outputs ranging 10-220.","episode_id":"iv_000056","anchor_time":42}
{"id":"TSS_iv_000056_clinical_summary_42_2","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (170 to 136), MAP rose from 73 to 100, and heart rate rose from 47 to 100. SpO2 started at 87, ended at 100, and fell as low as 88 around hour 1.9; respiratory rate ranged 14-20. For labs and output, white count fell from 13.8 to 13.4, creatinine stayed around 1.0, lactate fell from 215.2 to 0.8, and urine output rose from 13 to 200.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (135 to 171), MAP rose from 68 to 96, and heart rate rose from 52 to 101. SpO2 started at 92, ended at 96, and fell as low as 83 around hour 2.2; respiratory rate ranged 11-24. For labs and output, white count fell from 16.4 to 11.1, creatinine was roughly stable (0.8 to 0.9), lactate fell from 200 to 0.7, and urine output rose from 14 to 185.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (150 to 156), MAP rose from 70 to 98, and heart rate rose from 50 to 98. SpO2 started at 90, ended at 98, and fell as low as 85 around hour 2.1; respiratory rate ranged 12-22. For labs and output, white count fell from 15.3 to 11.9, creatinine was roughly stable (0.9 to 0.8), lactate fell from 215 to 0.8, and urine output rose from 13 to 200.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (120 to 152), MAP rose from 66 to 101, and heart rate rose from 54 to 94. SpO2 started at 94, ended at 94, and fell as low as 84 around hour 2.4; respiratory rate ranged 10-24. For labs and output, white count fell from 17.6 to 9.7, creatinine was roughly stable (0.8 to 1.0), lactate fell from 185 to 0.7, and urine output rose from 15 to 170.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (150 to 156), MAP rose from 70 to 98, and heart rate rose from 50 to 98. SpO2 started at 90, ended at 98, and fell as low as 85 around hour 2.1; respiratory rate ranged 12-22. For labs and output, white count fell from 15.3 to 11.9, creatinine was roughly stable (0.9 to 0.8), lactate fell from 215 to 0.8, and urine output rose from 13 to 200.","episode_id":"iv_000056","anchor_time":42}
{"id":"TSS_iv_000057_clinical_summary_79_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. In broad terms, the heart rate was roughly stable (88 to 87), MAP rose from 64 to 87, and diastolic pressure moved from 18 to 76. Systolic pressure ranged 21-142 and ended at 108, and SpO2 recovered to 95 after a low of 84 around hour 9.9. Respiratory rate ended at 30; the available labs showed white count fell from 24.8 to 14.1, creatinine stayed around 1.1, lactate fell from 2.7 to 1.5, and urine output fell from 300 to 50.\nB. In broad terms, the heart rate was roughly stable (86 to 89), MAP rose from 62 to 90, and diastolic pressure moved from 19 to 74. Systolic pressure ranged 20-127 and ended at 104, and SpO2 recovered to 97 after a low of 82 around hour 10.9. Respiratory rate ended at 32; the available labs showed white count fell from 23.7 to 13.0, creatinine stayed around 1.2, lactate fell from 2.6 to 1.4, and urine output fell from 315 to 48.\nC. In broad terms, the heart rate was roughly stable (92 to 83), MAP rose from 68 to 91, and diastolic pressure moved from 16 to 80. Systolic pressure ranged 23-167 and ended at 112, and SpO2 recovered to 91 after a low of 83 around hour 10.5. Respiratory rate ended at 26; the available labs showed white count fell from 26.7 to 13.3, creatinine stayed around 0.9, lactate fell from 3.0 to 1.8, and urine output fell from 350 to 54.\nD. In broad terms, the heart rate was roughly stable (84 to 90), MAP rose from 60 to 82, and diastolic pressure moved from 20 to 73. Systolic pressure ranged 19-112 and ended at 104, and SpO2 recovered to 100 after a low of 80 around hour 9.2. Respiratory rate ended at 34; the available labs showed white count fell from 22.6 to 11.8, creatinine stayed around 1.4, lactate fell from 2.4 to 1.2, and urine output fell from 330 to 46.","answer":"A","answer_text":"In broad terms, the heart rate was roughly stable (88 to 87), MAP rose from 64 to 87, and diastolic pressure moved from 18 to 76. Systolic pressure ranged 21-142 and ended at 108, and SpO2 recovered to 95 after a low of 84 around hour 9.9. Respiratory rate ended at 30; the available labs showed white count fell from 24.8 to 14.1, creatinine stayed around 1.1, lactate fell from 2.7 to 1.5, and urine output fell from 300 to 50.","episode_id":"iv_000057","anchor_time":79}
{"id":"TSS_iv_000058_clinical_summary_27_0","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. In broad terms, the heart rate fell from 83 to 65, while MAP fell from 70 to 64. Systolic pressure was labile, ranging 22-121, with the lowest value around hour 20.9. SpO2 briefly dipped to 88 around hour 4.3 before recovering to 95, while respiratory rate peaked at 26 and later settled at 24. The associated labs and urine output showed that white count fell from 17.6 to 12.2, creatinine was roughly stable (1.0 to 1), lactate was checked once at 1.8, and urine output fell from 265 to 50, with recorded outputs ranging 50-600.\nB. In broad terms, the heart rate fell from 78 to 70, while MAP was roughly stable (65 to 64). Systolic pressure was labile, ranging 24-156, with the lowest value around hour 18.3. SpO2 briefly dipped to 83 around hour 4.8 before recovering to 100, while respiratory rate peaked at 24 and later settled at 21. The associated labs and urine output showed that white count fell from 20.2 to 12, creatinine stayed around 0.8, lactate was checked once at 2.0, and urine output fell from 250 to 0, with recorded outputs ranging 0-615.\nC. In broad terms, the heart rate fell from 80 to 68, while MAP fell from 67 to 61. Systolic pressure was labile, ranging 23-141, with the lowest value around hour 19.4. SpO2 briefly dipped to 85 around hour 3.8 before recovering to 98, while respiratory rate peaked at 25 and later settled at 22. The associated labs and urine output showed that white count fell from 19.1 to 13, creatinine stayed around 0.9, lactate was checked once at 1.8, and urine output fell from 265 to 50, with recorded outputs ranging 35-600.\nD. In broad terms, the heart rate fell from 76 to 72, while MAP fell from 62 to 56. Systolic pressure was labile, ranging 25-171, with the lowest value around hour 17.1. SpO2 briefly dipped to 86 around hour 3.0 before recovering to 100, while respiratory rate peaked at 27 and later settled at 20. The associated labs and urine output showed that white count fell from 21.4 to 11, creatinine stayed around 0.8, lactate was checked once at 2.1, and urine output fell from 235 to 46, with recorded outputs ranging 40-630.","answer":"C","answer_text":"In broad terms, the heart rate fell from 80 to 68, while MAP fell from 67 to 61. Systolic pressure was labile, ranging 23-141, with the lowest value around hour 19.4. SpO2 briefly dipped to 85 around hour 3.8 before recovering to 98, while respiratory rate peaked at 25 and later settled at 22. The associated labs and urine output showed that white count fell from 19.1 to 13, creatinine stayed around 0.9, lactate was checked once at 1.8, and urine output fell from 265 to 50, with recorded outputs ranging 35-600.","episode_id":"iv_000058","anchor_time":27}
{"id":"TSS_iv_000058_clinical_summary_27_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. For handoff, the heart rate fell from 83 to 71, MAP fell from 70 to 64, and diastolic pressure moved from 10 to 46. Systolic pressure ranged 24-161 and ended at 100, and SpO2 recovered to 95 after a low of 88 around hour 4.3. Respiratory rate ended at 20; the available labs showed white count fell from 20.6 to 14, creatinine stayed around 0.8, lactate was checked once at 2.0, and urine output fell from 285 to 47.\nB. For handoff, the heart rate fell from 80 to 68, MAP fell from 67 to 61, and diastolic pressure moved from 11 to 49. Systolic pressure ranged 23-141 and ended at 97, and SpO2 recovered to 98 after a low of 85 around hour 3.8. Respiratory rate ended at 22; the available labs showed white count fell from 19.1 to 13, creatinine stayed around 0.9, lactate was checked once at 1.8, and urine output fell from 265 to 50.\nC. For handoff, the heart rate fell from 84 to 64, MAP was roughly stable (71 to 64), and diastolic pressure moved from 9 to 53. Systolic pressure ranged 25-166 and ended at 93, and SpO2 recovered to 94 after a low of 89 around hour 4.8. Respiratory rate ended at 20; the available labs showed white count fell from 21.0 to 15, creatinine stayed around 0.8, lactate was checked once at 2.0, and urine output fell from 290 to 46.\nD. For handoff, the heart rate fell from 76 to 72, MAP fell from 62 to 56, and diastolic pressure moved from 13 to 44. Systolic pressure ranged 21-111 and ended at 92, and SpO2 recovered to 100 after a low of 84 around hour 3.0. Respiratory rate ended at 24; the available labs showed white count fell from 16.9 to 12.2, creatinine stayed around 1.1, lactate was checked once at 1.5, and urine output fell from 315 to 54.","answer":"B","answer_text":"For handoff, the heart rate fell from 80 to 68, MAP fell from 67 to 61, and diastolic pressure moved from 11 to 49. Systolic pressure ranged 23-141 and ended at 97, and SpO2 recovered to 98 after a low of 85 around hour 3.8. Respiratory rate ended at 22; the available labs showed white count fell from 19.1 to 13, creatinine stayed around 0.9, lactate was checked once at 1.8, and urine output fell from 265 to 50.","episode_id":"iv_000058","anchor_time":27}
{"id":"TSS_iv_000060_clinical_summary_36_1","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 94, diastolic pressure was roughly stable (67 to 77), and heart rate was roughly stable (107 to 109). The lowest MAP was about 71 around hour 12.4, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 22 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 40.2-41.4 C, white count was 14.4 on its only check, creatinine fell from 1.7 to 0.9, lactate was checked once at 2.4, and urine output was roughly stable (97 to 97)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 91, diastolic pressure was roughly stable (70 to 74), and heart rate was roughly stable (104 to 106). The lowest MAP was about 68 around hour 10.9, and the lowest valid SpO2 was 85 around hour 0.2; respiratory rate rose as high as 24 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 37.2-38.4 C, white count was 12.9 on its only check, creatinine fell from 1.5 to 1.1, lactate was checked once at 2.2, and urine output was roughly stable (100 to 100)\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 95, diastolic pressure was roughly stable (66 to 78), and heart rate was roughly stable (108 to 102). The lowest MAP was about 72 around hour 12.8, and the lowest valid SpO2 was 89 around hour 0.3; respiratory rate rose as high as 26 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 41.0-42.1 C, white count was 14.8 on its only check, creatinine fell from 1.8 to 1.2, lactate was checked once at 2.5, and urine output was roughly stable (96 to 150)\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 86, diastolic pressure was roughly stable (74 to 71), and heart rate was roughly stable (100 to 110). The lowest MAP was about 71 around hour 11.9, and the lowest valid SpO2 was 80 around hour 0.0; respiratory rate rose as high as 26 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 32.7-33.9 C, white count was 10.7 on its only check, creatinine fell from 1.2 to 1.0, lactate was checked once at 1.9, and urine output was roughly stable (96 to 96)","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 91, diastolic pressure was roughly stable (70 to 74), and heart rate was roughly stable (104 to 106). The lowest MAP was about 68 around hour 10.9, and the lowest valid SpO2 was 85 around hour 0.2; respiratory rate rose as high as 24 but ended at 15. The lower-frequency data fit that summary: temperature ranged from 98.9 to 101.2, white count was 12.9 on its only check, creatinine fell from 1.5 to 1.1, lactate was checked once at 2.2, and urine output was roughly stable (100 to 100)","episode_id":"iv_000060","anchor_time":36}
{"id":"TSS_iv_000061_clinical_summary_53_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (75 to 74), MAP fell from 116 to 75, and diastolic pressure moved from 109 to 68. Systolic pressure ranged 91-150 and ended at 92, and SpO2 recovered to 88 after a low of 88 around hour 0.3. Respiratory rate ended at 37; the available labs showed white count fell from 15.4 to 14.1, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 0.9, and urine output rose from 40 to 350.\nB. Over the available measurements, the heart rate was roughly stable (73 to 76), MAP fell from 114 to 78, and diastolic pressure moved from 111 to 66. Systolic pressure ranged 88-135 and ended at 88, and SpO2 recovered to 90 after a low of 86 around hour 1.3. Respiratory rate ended at 39; the available labs showed white count fell from 14.3 to 13.0, creatinine was roughly stable (1.0 to 0.7), lactate was checked once at 0.8, and urine output rose from 42 to 335.\nC. Over the available measurements, the heart rate was roughly stable (79 to 70), MAP fell from 120 to 79, and diastolic pressure moved from 105 to 72. Systolic pressure ranged 95-175 and ended at 96, and SpO2 recovered to 84 after a low of 87 around hour 0.4. Respiratory rate ended at 33; the available labs showed white count fell from 17.3 to 13.3, creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 1.0, and urine output rose from 90 to 375.\nD. Over the available measurements, the heart rate was roughly stable (70 to 77), MAP fell from 112 to 70, and diastolic pressure moved from 114 to 65. Systolic pressure ranged 86-120 and ended at 88, and SpO2 recovered to 92 after a low of 84 around hour 0.1. Respiratory rate ended at 42; the available labs showed white count fell from 13.2 to 11.8, creatinine was roughly stable (1.1 to 0.7), lactate was checked once at 0.8, and urine output rose from 44 to 320.","answer":"A","answer_text":"Over the available measurements, the heart rate was roughly stable (75 to 74), MAP fell from 116 to 75, and diastolic pressure moved from 109 to 68. Systolic pressure ranged 91-150 and ended at 92, and SpO2 recovered to 88 after a low of 88 around hour 0.3. Respiratory rate ended at 37; the available labs showed white count fell from 15.4 to 14.1, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 0.9, and urine output rose from 40 to 350.","episode_id":"iv_000061","anchor_time":53}
{"id":"TSS_iv_000062_clinical_summary_21_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 88 to 66, diastolic pressure fell from 70 to 49, and heart rate rose from 70 to 169. The lowest MAP was about 69 around hour 8.6, and the lowest valid SpO2 was 51 around hour 19.1; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.9-36.4 C, white count was 16.6 on its only check, creatinine was 0.7 on its only check, lactate stayed broadly stable from 1.5 to 1.3, and urine output fell from 755 to 53.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 83 to 71, diastolic pressure fell from 65 to 50, and heart rate rose from 75 to 152. The lowest MAP was about 66 around hour 8.0, and the lowest valid SpO2 was 46 around hour 19.6; respiratory rate rose as high as 26 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 39.1-41.6 C, white count was 14.0 on its only check, creatinine was 0.9 on its only check, lactate stayed broadly stable from 1.1 to 1.0, and urine output fell from 790 to 48.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 89 to 65, diastolic pressure fell from 71 to 56, and heart rate rose from 69 to 174. The lowest MAP was about 72 around hour 7.0, and the lowest valid SpO2 was 52 around hour 18.7; respiratory rate rose as high as 29 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 33.1-35.6 C, white count was 17.0 on its only check, creatinine was 0.7 on its only check, lactate stayed broadly stable from 1.6 to 1.4, and urine output fell from 750 to 100.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 85 to 69, diastolic pressure fell from 67 to 52, and heart rate rose from 73 to 149. The lowest MAP was about 68 around hour 7.6, and the lowest valid SpO2 was 48 around hour 20.6; respiratory rate rose as high as 27 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.9-39.4 C, white count was 15.1 on its only check, creatinine was 0.8 on its only check, lactate stayed broadly stable from 1.3 to 1.1, and urine output fell from 775 to 50.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 85 to 69, diastolic pressure fell from 67 to 52, and heart rate rose from 73 to 149. The lowest MAP was about 68 around hour 7.6, and the lowest valid SpO2 was 48 around hour 20.6; respiratory rate rose as high as 27 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 98.4 to 102.9, white count was 15.1 on its only check, creatinine was 0.8 on its only check, lactate stayed broadly stable from 1.3 to 1.1, and urine output fell from 775 to 50.","episode_id":"iv_000062","anchor_time":21}
{"id":"TSS_iv_000062_clinical_summary_21_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 112, MAP fell from 85 to 69, and heart rate rose from 73 to 149. SpO2 started at 100, ended at 51, and fell as low as 48 around hour 20.6; respiratory rate ranged 14-27. For labs and output, white count was 15.1 on its only check, creatinine was 0.8 on its only check, lactate stayed broadly stable from 1.3 to 1.1, and urine output fell from 775 to 50.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 128 to 114, MAP fell from 83 to 67, and heart rate rose from 75 to 134. SpO2 started at 98, ended at 49, and fell as low as 46 around hour 21.7; respiratory rate ranged 13-28. For labs and output, white count was 16.2 on its only check, creatinine was 0.7 on its only check, lactate fell from 1.5 to 1.2, and urine output fell from 760 to 48.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 168 to 108, MAP fell from 89 to 73, and heart rate rose from 69 to 152. SpO2 started at 96, ended at 55, and fell as low as 52 around hour 18.7; respiratory rate ranged 16-29. For labs and output, white count was 13.2 on its only check, creatinine was 0.9 on its only check, lactate stayed broadly stable from 1.6 to 0.9, and urine output fell from 800 to 54.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 108, MAP fell from 80 to 72, and heart rate rose from 78 to 119. SpO2 started at 96, ended at 46, and fell as low as 47 around hour 22.9; respiratory rate ranged 12-29. For labs and output, white count was 17.4 on its only check, creatinine was 0.7 on its only check, lactate stayed broadly stable from 1.0 to 1.4, and urine output fell from 745 to 46.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 112, MAP fell from 85 to 69, and heart rate rose from 73 to 149. SpO2 started at 100, ended at 51, and fell as low as 48 around hour 20.6; respiratory rate ranged 14-27. For labs and output, white count was 15.1 on its only check, creatinine was 0.8 on its only check, lactate stayed broadly stable from 1.3 to 1.1, and urine output fell from 775 to 50.","episode_id":"iv_000062","anchor_time":21}
{"id":"TSS_iv_000064_clinical_summary_79_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Overall, the heart rate rose from 70 to 90, while MAP was roughly stable (69 to 67). Systolic pressure was labile, ranging 85-176, with the lowest value around hour 13.4. SpO2 briefly dipped to 85 around hour 3.5 before recovering to 95, while respiratory rate peaked at 30 and later settled at 15. The associated labs and urine output showed that white count was roughly stable (6.8 to 7.8), creatinine was roughly stable (1.2 to 1.3), lactate was checked once at 1.5, and urine output was roughly stable (200 to 125), with recorded outputs ranging 0-470.\nB. Overall, the heart rate rose from 68 to 92, while MAP was roughly stable (67 to 70). Systolic pressure was labile, ranging 87-191, with the lowest value around hour 12.3. SpO2 briefly dipped to 83 around hour 4.5 before recovering to 97, while respiratory rate peaked at 28 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (7.2 to 7.4), creatinine was roughly stable (1.0 to 1.5), lactate was checked once at 1.4, and urine output fell from 185 to 75, with recorded outputs ranging 0-485.\nC. Overall, the heart rate rose from 74 to 86, while MAP was roughly stable (73 to 71). Systolic pressure was labile, ranging 89-151, with the lowest value around hour 15.3. SpO2 briefly dipped to 86 around hour 4.1 before recovering to 91, while respiratory rate peaked at 32 and later settled at 17. The associated labs and urine output showed that white count was roughly stable (6.2 to 8.4), creatinine was roughly stable (1.4 to 1.1), lactate was checked once at 1.8, and urine output was roughly stable (225 to 100), with recorded outputs ranging 2-445.\nD. Overall, the heart rate rose from 66 to 94, while MAP was roughly stable (64 to 62). Systolic pressure was labile, ranging 90-206, with the lowest value around hour 11.2. SpO2 briefly dipped to 80 around hour 2.8 before recovering to 100, while respiratory rate peaked at 26 and later settled at 13. The associated labs and urine output showed that white count was roughly stable (7.5 to 7), creatinine rose from 0.9 to 1.4, lactate was checked once at 1.2, and urine output was roughly stable (170 to 155), with recorded outputs ranging 50-500.","answer":"A","answer_text":"Overall, the heart rate rose from 70 to 90, while MAP was roughly stable (69 to 67). Systolic pressure was labile, ranging 85-176, with the lowest value around hour 13.4. SpO2 briefly dipped to 85 around hour 3.5 before recovering to 95, while respiratory rate peaked at 30 and later settled at 15. The associated labs and urine output showed that white count was roughly stable (6.8 to 7.8), creatinine was roughly stable (1.2 to 1.3), lactate was checked once at 1.5, and urine output was roughly stable (200 to 125), with recorded outputs ranging 0-470.","episode_id":"iv_000064","anchor_time":79}
{"id":"TSS_iv_000066_clinical_summary_65_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 71 to 53, diastolic pressure rose from 48 to 71, and heart rate was roughly stable (67 to 72). The lowest MAP was about 52 around hour 52.9, and the lowest valid SpO2 was 88 around hour 8.2; respiratory rate rose as high as 37 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.1-34.9 C, white count fell from 17.2 to 11.2, creatinine stayed around 1.7, lactate was checked once at 464, and urine output was roughly stable (180 to 220)\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 66 to 58, diastolic pressure rose from 43 to 66, and heart rate was roughly stable (72 to 67). The lowest MAP was about 47 around hour 58.1, and the lowest valid SpO2 was 83 around hour 9.6; respiratory rate rose as high as 36 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 38.4-40.1 C, white count fell from 14.6 to 13.8, creatinine was roughly stable (1.4 to 1.6), lactate was checked once at 444, and urine output was roughly stable (185 to 250)\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 72 to 52, diastolic pressure rose from 49 to 65, and heart rate was roughly stable (66 to 73). The lowest MAP was about 52 around hour 56.9, and the lowest valid SpO2 was 89 around hour 8.6; respiratory rate rose as high as 38 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 32.4-34.1 C, white count fell from 17.6 to 10.8, creatinine stayed around 1.8, lactate was checked once at 469, and urine output was roughly stable (175 to 225)\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 68 to 56, diastolic pressure rose from 45 to 68, and heart rate was roughly stable (70 to 69). The lowest MAP was about 49 around hour 55.9, and the lowest valid SpO2 was 85 around hour 9.2; respiratory rate rose as high as 34 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 36.1-37.9 C, white count fell from 15.7 to 12.7, creatinine stayed around 1.5, lactate was checked once at 444, and urine output was roughly stable (200 to 200)","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 68 to 56, diastolic pressure rose from 45 to 68, and heart rate was roughly stable (70 to 69). The lowest MAP was about 49 around hour 55.9, and the lowest valid SpO2 was 85 around hour 9.2; respiratory rate rose as high as 34 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 97 to 100.3, white count fell from 15.7 to 12.7, creatinine stayed around 1.5, lactate was checked once at 444, and urine output was roughly stable (200 to 200)","episode_id":"iv_000066","anchor_time":65}
{"id":"TSS_iv_000067_clinical_summary_47_3","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 99 to 77, MAP was roughly stable (71 to 70), and diastolic pressure moved from 58 to 56. Systolic pressure ranged 60-193 and ended at 114, and SpO2 recovered to 93 after a low of 83 around hour 38. Respiratory rate ended at 20; the available labs showed white count fell from 22.1 to 14, creatinine was roughly stable (1.1 to 1.4), lactate fell from 291 to 1.2, and urine output rose from 200 to 300.\nB. Across the recorded window, the heart rate fell from 94 to 83, MAP was roughly stable (66 to 65), and diastolic pressure moved from 63 to 50. Systolic pressure ranged 55-158 and ended at 109, and SpO2 recovered to 98 after a low of 82 around hour 33. Respiratory rate ended at 22; the available labs showed white count fell from 19.5 to 13.7, creatinine was roughly stable (1.5 to 1.0), lactate fell from 256 to 1.5, and urine output rose from 135 to 265.\nC. Across the recorded window, the heart rate fell from 96 to 80, MAP was roughly stable (68 to 67), and diastolic pressure moved from 61 to 53. Systolic pressure ranged 57-173 and ended at 111, and SpO2 recovered to 96 after a low of 84 around hour 35. Respiratory rate ended at 21; the available labs showed white count fell from 20.6 to 14.8, creatinine was roughly stable (1.3 to 1.2), lactate fell from 271 to 1.4, and urine output rose from 150 to 280.\nD. Across the recorded window, the heart rate fell from 92 to 84, MAP was roughly stable (64 to 70), and diastolic pressure moved from 66 to 48. Systolic pressure ranged 52-143 and ended at 107, and SpO2 recovered to 100 after a low of 80 around hour 36. Respiratory rate ended at 23; the available labs showed white count fell from 18.4 to 12.6, creatinine was roughly stable (1.6 to 0.9), lactate fell from 241 to 1.7, and urine output rose from 120 to 250.","answer":"C","answer_text":"Across the recorded window, the heart rate fell from 96 to 80, MAP was roughly stable (68 to 67), and diastolic pressure moved from 61 to 53. Systolic pressure ranged 57-173 and ended at 111, and SpO2 recovered to 96 after a low of 84 around hour 35. Respiratory rate ended at 21; the available labs showed white count fell from 20.6 to 14.8, creatinine was roughly stable (1.3 to 1.2), lactate fell from 271 to 1.4, and urine output rose from 150 to 280.","episode_id":"iv_000067","anchor_time":47}
{"id":"TSS_iv_000068_clinical_summary_66_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Clinically, the heart rate was roughly stable (64 to 53), MAP fell from 91 to 69, and diastolic pressure moved from 48 to 58. Systolic pressure ranged 100-151 and ended at 107, and SpO2 recovered to 90 after a low of 84 around hour 3.8. Respiratory rate ended at 14; the available labs showed white count fell from 14 to 9, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 550 to 280.\nB. Clinically, the heart rate was roughly stable (59 to 58), MAP fell from 86 to 69, and diastolic pressure moved from 53 to 53. Systolic pressure ranged 96-116 and ended at 100, and SpO2 recovered to 95 after a low of 83 around hour 4.3. Respiratory rate ended at 16; the available labs showed white count fell from 11 to 9.4, creatinine was roughly stable (0.9 to 0.6), lactate was not available, and urine output fell from 485 to 315.\nC. Clinically, the heart rate was roughly stable (65 to 59), MAP fell from 92 to 70, and diastolic pressure moved from 47 to 52. Systolic pressure ranged 100-156 and ended at 108, and SpO2 recovered to 89 after a low of 89 around hour 3.9. Respiratory rate ended at 13; the available labs showed white count fell from 14 to 10.4, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 525 to 275.\nD. Clinically, the heart rate was roughly stable (61 to 56), MAP fell from 88 to 66, and diastolic pressure moved from 51 to 55. Systolic pressure ranged 98-131 and ended at 104, and SpO2 recovered to 93 after a low of 85 around hour 3.3. Respiratory rate ended at 15; the available labs showed white count fell from 12 to 9.8, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output fell from 500 to 300.","answer":"D","answer_text":"Clinically, the heart rate was roughly stable (61 to 56), MAP fell from 88 to 66, and diastolic pressure moved from 51 to 55. Systolic pressure ranged 98-131 and ended at 104, and SpO2 recovered to 93 after a low of 85 around hour 3.3. Respiratory rate ended at 15; the available labs showed white count fell from 12 to 9.8, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output fell from 500 to 300.","episode_id":"iv_000068","anchor_time":66}
{"id":"TSS_iv_000069_clinical_summary_107_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (86 to 88), MAP was roughly stable (95 to 93), and diastolic pressure moved from 75 to 83. Systolic pressure ranged 24-156 and ended at 126, and SpO2 recovered to 94 after a low of 85 around hour 7.7. Respiratory rate ended at 19; the available labs showed white count fell from 13.9 to 6, creatinine was roughly stable (0.8 to 0.9), lactate stayed broadly stable from 0.9 to 1, and urine output fell from 525 to 350.\nB. Over the available measurements, the heart rate was roughly stable (84 to 90), MAP was roughly stable (93 to 96), and diastolic pressure moved from 77 to 81. Systolic pressure ranged 23-141 and ended at 122, and SpO2 recovered to 96 after a low of 83 around hour 8.7. Respiratory rate ended at 20; the available labs showed white count fell from 12.8 to 6, creatinine was roughly stable (0.9 to 0.8), lactate stayed broadly stable from 0.8 to 1, and urine output fell from 510 to 335.\nC. Over the available measurements, the heart rate was roughly stable (90 to 84), MAP was roughly stable (99 to 97), and diastolic pressure moved from 71 to 87. Systolic pressure ranged 26-181 and ended at 151, and SpO2 recovered to 90 after a low of 84 around hour 8.3. Respiratory rate ended at 17; the available labs showed white count fell from 15.8 to 5.2, creatinine was roughly stable (0.7 to 1.0), lactate stayed broadly stable from 1.0 to 1, and urine output fell from 575 to 375.\nD. Over the available measurements, the heart rate was roughly stable (82 to 91), MAP was roughly stable (90 to 88), and diastolic pressure moved from 80 to 80. Systolic pressure ranged 22-126 and ended at 96, and SpO2 recovered to 98 after a low of 80 around hour 7.0. Respiratory rate ended at 21; the available labs showed white count fell from 11.7 to 5, creatinine was roughly stable (1.0 to 0.8), lactate stayed broadly stable from 0.8 to 1, and urine output fell from 495 to 320.","answer":"A","answer_text":"Over the available measurements, the heart rate was roughly stable (86 to 88), MAP was roughly stable (95 to 93), and diastolic pressure moved from 75 to 83. Systolic pressure ranged 24-156 and ended at 126, and SpO2 recovered to 94 after a low of 85 around hour 7.7. Respiratory rate ended at 19; the available labs showed white count fell from 13.9 to 6, creatinine was roughly stable (0.8 to 0.9), lactate stayed broadly stable from 0.9 to 1, and urine output fell from 525 to 350.","episode_id":"iv_000069","anchor_time":107}
{"id":"TSS_iv_000070_clinical_summary_71_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 114 to 100, MAP fell from 80 to 73, and heart rate fell from 122 to 63. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 7.6; respiratory rate ranged 12-39. For labs and output, white count was roughly stable (0.1 to 0), creatinine rose from 5.1 to 6.4, lactate stayed broadly stable from 726 to 697, and urine output fell from 200 to 75.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 112 to 98, MAP fell from 78 to 71, and heart rate fell from 137 to 61. SpO2 started at 98, ended at 96, and fell as low as 83 around hour 8.0; respiratory rate ranged 11-41. For labs and output, white count was roughly stable (0.2 to 0), creatinine rose from 4.7 to 6.5, lactate fell from 726.2 to 682, and urine output fell from 215 to 73.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 118 to 96, MAP fell from 84 to 77, and heart rate fell from 97 to 66. SpO2 started at 96, ended at 100, and fell as low as 86 around hour 7.0; respiratory rate ranged 14-41. For labs and output, white count was roughly stable (0.0 to 2), creatinine rose from 5.7 to 5.8, lactate stayed broadly stable from 751 to 722, and urine output fell from 175 to 79.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 110 to 96, MAP was roughly stable (76 to 76), and heart rate fell from 152 to 58. SpO2 started at 96, ended at 94, and fell as low as 84 around hour 8.3; respiratory rate ranged 10-44. For labs and output, white count was roughly stable (0.2 to 0), creatinine rose from 4.3 to 7.2, lactate stayed broadly stable from 696 to 667, and urine output fell from 230 to 70.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 114 to 100, MAP fell from 80 to 73, and heart rate fell from 122 to 63. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 7.6; respiratory rate ranged 12-39. For labs and output, white count was roughly stable (0.1 to 0), creatinine rose from 5.1 to 6.4, lactate stayed broadly stable from 726 to 697, and urine output fell from 200 to 75.","episode_id":"iv_000070","anchor_time":71}
{"id":"TSS_iv_000071_clinical_summary_53_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Viewed chronologically, the heart rate stayed around 91, while MAP fell from 77 to 64. Systolic pressure was labile, ranging 95-189, with the lowest value around hour 53.6. SpO2 briefly dipped to 82 around hour 30.6 before recovering to 98, while respiratory rate peaked at 18 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (14 to 10), creatinine was roughly stable (1.9 to 1.7), lactate stayed broadly stable from 1.4 to 1.8, and urine output fell from 620 to 130, with recorded outputs ranging 22-580.\nB. Viewed chronologically, the heart rate stayed around 86, while MAP fell from 82 to 59. Systolic pressure was labile, ranging 90-154, with the lowest value around hour 48.4. SpO2 briefly dipped to 87 around hour 28.5 before recovering to 93, while respiratory rate peaked at 21 and later settled at 18. The associated labs and urine output showed that white count fell from 11 to 10.2, creatinine was roughly stable (1.5 to 1.6), lactate stayed broadly stable from 1.8 to 1.5, and urine output fell from 585 to 195, with recorded outputs ranging 70-615.\nC. Viewed chronologically, the heart rate stayed around 92, while MAP fell from 76 to 65. Systolic pressure was labile, ranging 96-194, with the lowest value around hour 54.4. SpO2 briefly dipped to 86 around hour 31.5 before recovering to 99, while respiratory rate peaked at 22 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (14 to 9), creatinine was roughly stable (1.9 to 1.8), lactate stayed broadly stable from 1.4 to 1.9, and urine output fell from 625 to 155, with recorded outputs ranging 22-575.\nD. Viewed chronologically, the heart rate stayed around 88, while MAP fell from 80 to 61. Systolic pressure was labile, ranging 92-169, with the lowest value around hour 50.6. SpO2 briefly dipped to 85 around hour 29.6 before recovering to 95, while respiratory rate peaked at 20 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (12 to 11), creatinine was roughly stable (1.7 to 1.5), lactate stayed broadly stable from 1.6 to 1.6, and urine output fell from 600 to 180, with recorded outputs ranging 20-600.","answer":"D","answer_text":"Viewed chronologically, the heart rate stayed around 88, while MAP fell from 80 to 61. Systolic pressure was labile, ranging 92-169, with the lowest value around hour 50.6. SpO2 briefly dipped to 85 around hour 29.6 before recovering to 95, while respiratory rate peaked at 20 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (12 to 11), creatinine was roughly stable (1.7 to 1.5), lactate stayed broadly stable from 1.6 to 1.6, and urine output fell from 600 to 180, with recorded outputs ranging 20-600.","episode_id":"iv_000071","anchor_time":53}
{"id":"TSS_iv_000071_clinical_summary_53_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 80 to 61, diastolic pressure fell from 58 to 45, and heart rate stayed around 88. The lowest MAP was about 48 around hour 25.6, and the lowest valid SpO2 was 85 around hour 29.6; respiratory rate rose as high as 20 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 35.5-37 C, white count was roughly stable (12 to 11), creatinine was roughly stable (1.7 to 1.5), lactate stayed broadly stable from 1.6 to 1.6, and urine output fell from 600 to 180.\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 78 to 63, diastolic pressure fell from 56 to 43, and heart rate stayed around 90. The lowest MAP was about 46 around hour 24.5, and the lowest valid SpO2 was 83 around hour 28.5; respiratory rate rose as high as 22 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.2-35 C, white count was roughly stable (11 to 10), creatinine was roughly stable (1.9 to 1.6), lactate stayed broadly stable from 1.5 to 1.8, and urine output fell from 585 to 230.\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 84 to 57, diastolic pressure fell from 62 to 49, and heart rate was roughly stable (84 to 91). The lowest MAP was about 48 around hour 25.6, and the lowest valid SpO2 was 85 around hour 28.6; respiratory rate rose as high as 20 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 35.5-37 C, white count was roughly stable (12 to 11), creatinine was roughly stable (1.7 to 1.5), lactate stayed broadly stable from 1.4 to 1.6, and urine output fell from 600 to 180.\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 76 to 66, diastolic pressure fell from 54 to 42, and heart rate stayed around 92. The lowest MAP was about 51 around hour 26.6, and the lowest valid SpO2 was 80 around hour 27.4; respiratory rate rose as high as 22 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 31.0-32 C, white count was roughly stable (10 to 9), creatinine was roughly stable (2.0 to 1.2), lactate stayed broadly stable from 1.3 to 1.9, and urine output fell from 570 to 150.","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 80 to 61, diastolic pressure fell from 58 to 45, and heart rate stayed around 88. The lowest MAP was about 48 around hour 25.6, and the lowest valid SpO2 was 85 around hour 29.6; respiratory rate rose as high as 20 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 95.9 to 98.6, white count was roughly stable (12 to 11), creatinine was roughly stable (1.7 to 1.5), lactate stayed broadly stable from 1.6 to 1.6, and urine output fell from 600 to 180.","episode_id":"iv_000071","anchor_time":53}
{"id":"TSS_iv_000072_clinical_summary_141_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Taken together, the heart rate was roughly stable (106 to 105), MAP fell from 113 to 81, and diastolic pressure moved from 92 to 60. Systolic pressure ranged 90-173 and ended at 142, and SpO2 recovered to 87 after a low of 81 around hour 95.3. Respiratory rate ended at 24; the available labs showed white count fell from 13.9 to 7.1, creatinine stayed around 0.5, lactate stayed broadly stable from 1.4 to 1.3, and urine output fell from 580 to 320.\nB. Taken together, the heart rate was roughly stable (101 to 104), MAP fell from 108 to 76, and diastolic pressure moved from 97 to 61. Systolic pressure ranged 85-138 and ended at 107, and SpO2 recovered to 92 after a low of 77 around hour 90.0. Respiratory rate ended at 26; the available labs showed white count fell from 11.3 to 5.8, creatinine stayed around 0.7, lactate stayed broadly stable from 1.0 to 1.0, and urine output fell from 650 to 285.\nC. Taken together, the heart rate was roughly stable (107 to 98), MAP fell from 114 to 81, and diastolic pressure moved from 91 to 67. Systolic pressure ranged 91-178 and ended at 118, and SpO2 recovered to 86 after a low of 82 around hour 93.3. Respiratory rate ended at 23; the available labs showed white count fell from 14.3 to 7.2, creatinine stayed around 0.5, lactate stayed broadly stable from 1.4 to 1.4, and urine output fell from 575 to 325.\nD. Taken together, the heart rate was roughly stable (103 to 102), MAP fell from 110 to 78, and diastolic pressure moved from 95 to 63. Systolic pressure ranged 87-153 and ended at 122, and SpO2 recovered to 90 after a low of 78 around hour 92.3. Respiratory rate ended at 25; the available labs showed white count fell from 12.4 to 6.6, creatinine stayed around 0.6, lactate stayed broadly stable from 1.2 to 1.1, and urine output fell from 600 to 300.","answer":"D","answer_text":"Taken together, the heart rate was roughly stable (103 to 102), MAP fell from 110 to 78, and diastolic pressure moved from 95 to 63. Systolic pressure ranged 87-153 and ended at 122, and SpO2 recovered to 90 after a low of 78 around hour 92.3. Respiratory rate ended at 25; the available labs showed white count fell from 12.4 to 6.6, creatinine stayed around 0.6, lactate stayed broadly stable from 1.2 to 1.1, and urine output fell from 600 to 300.","episode_id":"iv_000072","anchor_time":141}
{"id":"TSS_iv_000073_clinical_summary_40_0","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Taken together, the heart rate fell from 116 to 100, while MAP fell from 90 to 76. Systolic pressure was labile, ranging 75-112, with the lowest value around hour 12.3. SpO2 briefly dipped to 82 around hour 1.1 before recovering to 92, while respiratory rate peaked at 52 and later settled at 28. The associated labs and urine output showed that white count fell from 10.3 to 8.8, creatinine rose from 2.6 to 2.8, lactate was checked once at 2.0, and urine output fell from 720 to 0, with recorded outputs ranging 0-680.\nB. Taken together, the heart rate fell from 113 to 103, while MAP fell from 87 to 73. Systolic pressure was labile, ranging 78-132, with the lowest value around hour 10.8. SpO2 briefly dipped to 79 around hour 0.1 before recovering to 95, while respiratory rate peaked at 49 and later settled at 26. The associated labs and urine output showed that white count fell from 11.8 to 9.9, creatinine rose from 2.4 to 2.7, lactate was checked once at 1.8, and urine output fell from 700 to 50, with recorded outputs ranging 50-700.\nC. Taken together, the heart rate fell from 117 to 99, while MAP fell from 91 to 77. Systolic pressure was labile, ranging 82-107, with the lowest value around hour 12.7. SpO2 briefly dipped to 83 around hour 0.2 before recovering to 91, while respiratory rate peaked at 53 and later settled at 28. The associated labs and urine output showed that white count fell from 9.9 to 9.1, creatinine rose from 2.6 to 2.8, lactate was checked once at 2.0, and urine output fell from 725 to 46, with recorded outputs ranging 54-675.\nD. Taken together, the heart rate fell from 108 to 105, while MAP fell from 82 to 68. Systolic pressure was labile, ranging 82-162, with the lowest value around hour 8.6. SpO2 briefly dipped to 74 around hour 0.0 before recovering to 100, while respiratory rate peaked at 51 and later settled at 24. The associated labs and urine output showed that white count fell from 14.1 to 9.2, creatinine rose from 2.1 to 3.0, lactate was checked once at 1.5, and urine output fell from 670 to 54, with recorded outputs ranging 46-730.","answer":"B","answer_text":"Taken together, the heart rate fell from 113 to 103, while MAP fell from 87 to 73. Systolic pressure was labile, ranging 78-132, with the lowest value around hour 10.8. SpO2 briefly dipped to 79 around hour 0.1 before recovering to 95, while respiratory rate peaked at 49 and later settled at 26. The associated labs and urine output showed that white count fell from 11.8 to 9.9, creatinine rose from 2.4 to 2.7, lactate was checked once at 1.8, and urine output fell from 700 to 50, with recorded outputs ranging 50-700.","episode_id":"iv_000073","anchor_time":40}
{"id":"TSS_iv_000073_clinical_summary_40_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 150 to 89, MAP fell from 90 to 76, and heart rate fell from 110 to 106. SpO2 started at 76, ended at 98, and fell as low as 82 around hour 0.0; respiratory rate ranged 18-46. For labs and output, white count fell from 10.3 to 8.8, creatinine rose from 2.6 to 2.8, lactate was checked once at 2, and urine output fell from 720 to 47.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 94, MAP fell from 85 to 71, and heart rate fell from 115 to 106. SpO2 started at 81, ended at 93, and fell as low as 77 around hour 0.2; respiratory rate ranged 15-51. For labs and output, white count fell from 12.9 to 9.1, creatinine rose from 2.2 to 2.9, lactate was checked once at 1.6, and urine output fell from 685 to 52.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 155 to 88, MAP fell from 91 to 76, and heart rate fell from 109 to 107. SpO2 started at 75, ended at 99, and fell as low as 78 around hour 0.0; respiratory rate ranged 18-45. For labs and output, white count fell from 9.9 to 8.4, creatinine rose from 2.6 to 2.8, lactate was checked once at 2.0, and urine output fell from 725 to 46.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 130 to 92, MAP fell from 87 to 73, and heart rate fell from 113 to 103. SpO2 started at 79, ended at 95, and fell as low as 79 around hour 0.1; respiratory rate ranged 16-49. For labs and output, white count fell from 11.8 to 9.9, creatinine rose from 2.4 to 2.7, lactate was checked once at 1.8, and urine output fell from 700 to 50.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 130 to 92, MAP fell from 87 to 73, and heart rate fell from 113 to 103. SpO2 started at 79, ended at 95, and fell as low as 79 around hour 0.1; respiratory rate ranged 16-49. For labs and output, white count fell from 11.8 to 9.9, creatinine rose from 2.4 to 2.7, lactate was checked once at 1.8, and urine output fell from 700 to 50.","episode_id":"iv_000073","anchor_time":40}
{"id":"TSS_iv_000073_clinical_summary_40_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. In broad terms, the heart rate fell from 113 to 103, MAP fell from 87 to 73, and diastolic pressure moved from 69 to 64. Systolic pressure ranged 78-132 and ended at 92, and SpO2 recovered to 95 after a low of 79 around hour 0.1. Respiratory rate ended at 26; the available labs showed white count fell from 11.8 to 9.9, creatinine rose from 2.4 to 2.7, lactate was checked once at 1.8, and urine output fell from 700 to 50.\nB. In broad terms, the heart rate fell from 111 to 106, MAP fell from 85 to 71, and diastolic pressure moved from 71 to 61. Systolic pressure ranged 76-117 and ended at 90, and SpO2 recovered to 97 after a low of 77 around hour 0.0. Respiratory rate ended at 27; the available labs showed white count fell from 10.7 to 9.5, creatinine rose from 2.5 to 2.6, lactate was checked once at 1.6, and urine output fell from 715 to 48.\nC. In broad terms, the heart rate fell from 117 to 99, MAP fell from 91 to 77, and diastolic pressure moved from 65 to 68. Systolic pressure ranged 82-157 and ended at 96, and SpO2 recovered to 91 after a low of 78 around hour 0.2. Respiratory rate ended at 24; the available labs showed white count fell from 13.7 to 9.1, creatinine rose from 2.1 to 3.0, lactate was checked once at 2.0, and urine output fell from 750 to 54.\nD. In broad terms, the heart rate fell from 108 to 105, MAP fell from 82 to 76, and diastolic pressure moved from 74 to 60. Systolic pressure ranged 74-102 and ended at 88, and SpO2 recovered to 100 after a low of 74 around hour 1.1. Respiratory rate ended at 28; the available labs showed white count fell from 9.6 to 9.2, creatinine rose from 2.7 to 2.9, lactate was checked once at 1.5, and urine output fell from 730 to 46.","answer":"A","answer_text":"In broad terms, the heart rate fell from 113 to 103, MAP fell from 87 to 73, and diastolic pressure moved from 69 to 64. Systolic pressure ranged 78-132 and ended at 92, and SpO2 recovered to 95 after a low of 79 around hour 0.1. Respiratory rate ended at 26; the available labs showed white count fell from 11.8 to 9.9, creatinine rose from 2.4 to 2.7, lactate was checked once at 1.8, and urine output fell from 700 to 50.","episode_id":"iv_000073","anchor_time":40}
{"id":"TSS_iv_000074_clinical_summary_71_0","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. In broad terms, the heart rate fell from 97 to 82, while MAP stayed around 74. Systolic pressure was labile, ranging 74-114, with the lowest value around hour 8. SpO2 briefly dipped to 82 around hour 15.8 before recovering to 97, while respiratory rate peaked at 26 and later settled at 16. The associated labs and urine output showed that white count fell from 51.5 to 40.3, creatinine was roughly stable (1.6 to 1), lactate fell from 296 to 276, and urine output fell from 520 to 280, with recorded outputs ranging 80-480.\nB. In broad terms, the heart rate fell from 92 to 87, while MAP stayed around 69. Systolic pressure was labile, ranging 75-109, with the lowest value around hour 7. SpO2 briefly dipped to 86 around hour 13.2 before recovering to 98, while respiratory rate peaked at 30 and later settled at 13. The associated labs and urine output showed that white count fell from 46.2 to 43.4, creatinine was roughly stable (1.2 to 0.8), lactate fell from 331 to 277, and urine output fell from 485 to 315, with recorded outputs ranging 28-515.\nC. In broad terms, the heart rate fell from 94 to 85, while MAP stayed around 71. Systolic pressure was labile, ranging 71-111, with the lowest value around hour 7. SpO2 briefly dipped to 85 around hour 14.3 before recovering to 100, while respiratory rate peaked at 28 and later settled at 14. The associated labs and urine output showed that white count fell from 48.5 to 41.1, creatinine was roughly stable (1.4 to 0.9), lactate fell from 316 to 292, and urine output fell from 500 to 300, with recorded outputs ranging 30-500.\nD. In broad terms, the heart rate fell from 90 to 87, while MAP was roughly stable (66 to 74). Systolic pressure was labile, ranging 71-111, with the lowest value around hour 7. SpO2 briefly dipped to 85 around hour 15.3 before recovering to 100, while respiratory rate peaked at 28 and later settled at 14. The associated labs and urine output showed that white count fell from 48.5 to 41.1, creatinine was roughly stable (1.4 to 0.9), lactate fell from 316 to 292, and urine output fell from 500 to 250, with recorded outputs ranging 30-500.","answer":"C","answer_text":"In broad terms, the heart rate fell from 94 to 85, while MAP stayed around 71. Systolic pressure was labile, ranging 71-111, with the lowest value around hour 7. SpO2 briefly dipped to 85 around hour 14.3 before recovering to 100, while respiratory rate peaked at 28 and later settled at 14. The associated labs and urine output showed that white count fell from 48.5 to 41.1, creatinine was roughly stable (1.4 to 0.9), lactate fell from 316 to 292, and urine output fell from 500 to 300, with recorded outputs ranging 30-500.","episode_id":"iv_000074","anchor_time":71}
{"id":"TSS_iv_000074_clinical_summary_71_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (97 to 95), MAP stayed around 71, and heart rate fell from 94 to 85. SpO2 started at 96, ended at 100, and fell as low as 85 around hour 14.3; respiratory rate ranged 10-28. For labs and output, white count fell from 48.5 to 41.1, creatinine was roughly stable (1.4 to 0.9), lactate fell from 316 to 292, and urine output fell from 500 to 300.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (95 to 97), MAP stayed around 69, and heart rate fell from 92 to 87. SpO2 started at 94, ended at 98, and fell as low as 83 around hour 13.2; respiratory rate ranged 11-29. For labs and output, white count fell from 46.2 to 43.4, creatinine was roughly stable (1.2 to 1), lactate fell from 316.2 to 277, and urine output fell from 485 to 315.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (100 to 91), MAP stayed around 75, and heart rate fell from 98 to 88. SpO2 started at 100, ended at 96, and fell as low as 89 around hour 16.2; respiratory rate ranged 8-30. For labs and output, white count fell from 52.2 to 40.3, creatinine was roughly stable (1.6 to 1.0), lactate fell from 291 to 271, and urine output fell from 525 to 275.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (92 to 91), MAP was roughly stable (66 to 74), and heart rate fell from 94 to 85. SpO2 started at 96, ended at 100, and fell as low as 84 around hour 14.3; respiratory rate ranged 10-28. For labs and output, white count fell from 48.5 to 41.1, creatinine was roughly stable (1.4 to 0.9), lactate fell from 316 to 292, and urine output fell from 500 to 300.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (97 to 95), MAP stayed around 71, and heart rate fell from 94 to 85. SpO2 started at 96, ended at 100, and fell as low as 85 around hour 14.3; respiratory rate ranged 10-28. For labs and output, white count fell from 48.5 to 41.1, creatinine was roughly stable (1.4 to 0.9), lactate fell from 316 to 292, and urine output fell from 500 to 300.","episode_id":"iv_000074","anchor_time":71}
{"id":"TSS_iv_000075_clinical_summary_41_0","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. For handoff, the heart rate fell from 105 to 83, while MAP rose from 59 to 66. Systolic pressure was labile, ranging 88-116, with the lowest value around hour 30.7. SpO2 briefly dipped to 91 around hour 1.7 before recovering to 93, while respiratory rate peaked at 24 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (8 to 9.6), creatinine was roughly stable (1.7 to 1.4), lactate was checked once at 1, and urine output was roughly stable (26 to 10), with recorded outputs ranging 4-160.\nB. For handoff, the heart rate fell from 100 to 88, while MAP rose from 54 to 61. Systolic pressure was labile, ranging 93-151, with the lowest value around hour 28.1. SpO2 briefly dipped to 86 around hour 0.6 before recovering to 98, while respiratory rate peaked at 21 and later settled at 18. The associated labs and urine output showed that white count fell from 11 to 8.3, creatinine rose from 1.4 to 1.7, lactate was checked once at 1, and urine output was roughly stable (24 to 62), with recorded outputs ranging 25-195.\nC. For handoff, the heart rate fell from 106 to 82, while MAP was roughly stable (59 to 67). Systolic pressure was labile, ranging 95-111, with the lowest value around hour 31.1. SpO2 briefly dipped to 92 around hour 0.8 before recovering to 92, while respiratory rate peaked at 24 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (8 to 9.7), creatinine was roughly stable (1.8 to 1.4), lactate was checked once at 1, and urine output was roughly stable (27 to 56), with recorded outputs ranging 4-155.\nD. For handoff, the heart rate fell from 102 to 86, while MAP rose from 56 to 63. Systolic pressure was labile, ranging 91-136, with the lowest value around hour 29.2. SpO2 briefly dipped to 88 around hour 0.7 before recovering to 96, while respiratory rate peaked at 22 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (10 to 9.1), creatinine was roughly stable (1.5 to 1.6), lactate was checked once at 1, and urine output was roughly stable (25 to 60), with recorded outputs ranging 3-180.","answer":"D","answer_text":"For handoff, the heart rate fell from 102 to 86, while MAP rose from 56 to 63. Systolic pressure was labile, ranging 91-136, with the lowest value around hour 29.2. SpO2 briefly dipped to 88 around hour 0.7 before recovering to 96, while respiratory rate peaked at 22 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (10 to 9.1), creatinine was roughly stable (1.5 to 1.6), lactate was checked once at 1, and urine output was roughly stable (25 to 60), with recorded outputs ranging 3-180.","episode_id":"iv_000075","anchor_time":41}
{"id":"TSS_iv_000077_clinical_summary_32_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 18 to 113, MAP was roughly stable (83 to 79), and heart rate fell from 97 to 83. SpO2 started at 97, ended at 96, and fell as low as 95 around hour 27.4; respiratory rate ranged 12-26. For labs and output, white count rose from 8.8 to 13.3, creatinine rose from 0.9 to 1.1, lactate fell from 2.5 to 1.9, and urine output fell from 280 to 78.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 16 to 118, MAP was roughly stable (78 to 74), and heart rate fell from 98 to 83. SpO2 started at 98, ended at 91, and fell as low as 90 around hour 32.6; respiratory rate ranged 10-30. For labs and output, white count was roughly stable (11.4 to 11), creatinine rose from 0.7 to 1, lactate fell from 2.1 to 1.5, and urine output fell from 315 to 73.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 19 to 112, MAP was roughly stable (84 to 79), and heart rate fell from 96 to 84. SpO2 started at 96, ended at 97, and fell as low as 91 around hour 26.6; respiratory rate ranged 13-26. For labs and output, white count rose from 8.4 to 13.7, creatinine rose from 0.9 to 1, lactate fell from 2.5 to 1.9, and urine output fell from 275 to 79.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 17 to 116, MAP was roughly stable (80 to 76), and heart rate fell from 100 to 80. SpO2 started at 100, ended at 93, and fell as low as 92 around hour 30.4; respiratory rate ranged 11-28. For labs and output, white count rose from 10.3 to 11.8, creatinine rose from 0.8 to 1, lactate fell from 2.3 to 1.7, and urine output fell from 300 to 75.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 17 to 116, MAP was roughly stable (80 to 76), and heart rate fell from 100 to 80. SpO2 started at 100, ended at 93, and fell as low as 92 around hour 30.4; respiratory rate ranged 11-28. For labs and output, white count rose from 10.3 to 11.8, creatinine rose from 0.8 to 1, lactate fell from 2.3 to 1.7, and urine output fell from 300 to 75.","episode_id":"iv_000077","anchor_time":32}
{"id":"TSS_iv_000077_clinical_summary_32_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 100 to 80, MAP was roughly stable (80 to 76), and diastolic pressure moved from 7 to 65. Systolic pressure ranged 17-152 and ended at 116, and SpO2 recovered to 93 after a low of 92 around hour 30.4. Respiratory rate ended at 28; the available labs showed white count rose from 10.3 to 11.8, creatinine rose from 0.8 to 1, lactate fell from 2.3 to 1.7, and urine output fell from 300 to 75.\nB. Over the available measurements, the heart rate fell from 98 to 83, MAP was roughly stable (78 to 74), and diastolic pressure moved from 7 to 62. Systolic pressure ranged 16-137 and ended at 114, and SpO2 recovered to 95 after a low of 90 around hour 28.1. Respiratory rate ended at 29; the available labs showed white count rose from 9.2 to 10.7, creatinine rose from 0.9 to 1, lactate fell from 2.1 to 1.9, and urine output fell from 285 to 73.\nC. Over the available measurements, the heart rate fell from 96 to 76, MAP was roughly stable (84 to 79), and diastolic pressure moved from 6 to 69. Systolic pressure ranged 19-177 and ended at 112, and SpO2 recovered to 89 after a low of 96 around hour 31.4. Respiratory rate ended at 26; the available labs showed white count rose from 12.2 to 13.7, creatinine rose from 0.7 to 1, lactate fell from 2.5 to 1.4, and urine output fell from 325 to 79.\nD. Over the available measurements, the heart rate fell from 96 to 84, MAP was roughly stable (76 to 72), and diastolic pressure moved from 8 to 60. Systolic pressure ranged 15-122 and ended at 112, and SpO2 recovered to 98 after a low of 91 around hour 25.9. Respiratory rate ended at 30; the available labs showed white count was roughly stable (8.1 to 11), creatinine rose from 1.0 to 1.2, lactate fell from 2.0 to 1.8, and urine output fell from 350 to 70.","answer":"A","answer_text":"Over the available measurements, the heart rate fell from 100 to 80, MAP was roughly stable (80 to 76), and diastolic pressure moved from 7 to 65. Systolic pressure ranged 17-152 and ended at 116, and SpO2 recovered to 93 after a low of 92 around hour 30.4. Respiratory rate ended at 28; the available labs showed white count rose from 10.3 to 11.8, creatinine rose from 0.8 to 1, lactate fell from 2.3 to 1.7, and urine output fell from 300 to 75.","episode_id":"iv_000077","anchor_time":32}
{"id":"TSS_iv_000078_clinical_summary_36_0","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (66 to 61), while MAP was roughly stable (80 to 81). Systolic pressure was labile, ranging 87-123, with the lowest value around hour 12.7. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 97, while respiratory rate peaked at 24 and later settled at 14. The associated labs and urine output showed that white count was 5.1 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output was roughly stable (320 to 350), with recorded outputs ranging 63-480.\nB. Over the available measurements, the heart rate was roughly stable (61 to 66), while MAP was roughly stable (75 to 76). Systolic pressure was labile, ranging 92-158, with the lowest value around hour 10.1. SpO2 briefly dipped to 83 around hour 0.5 before recovering to 98, while respiratory rate peaked at 21 and later settled at 11. The associated labs and urine output showed that white count was 6.0 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 285 to 415, with recorded outputs ranging 110-515.\nC. Over the available measurements, the heart rate was roughly stable (63 to 64), while MAP was roughly stable (77 to 78). Systolic pressure was labile, ranging 90-143, with the lowest value around hour 11.2. SpO2 briefly dipped to 85 around hour 0.6 before recovering to 100, while respiratory rate peaked at 22 and later settled at 12. The associated labs and urine output showed that white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400, with recorded outputs ranging 60-500.\nD. Over the available measurements, the heart rate was roughly stable (58 to 68), while MAP was roughly stable (72 to 74). Systolic pressure was labile, ranging 94-173, with the lowest value around hour 8.9. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 96, while respiratory rate peaked at 24 and later settled at 10. The associated labs and urine output showed that white count was 6.3 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 270 to 430, with recorded outputs ranging 56-530.","answer":"C","answer_text":"Over the available measurements, the heart rate was roughly stable (63 to 64), while MAP was roughly stable (77 to 78). Systolic pressure was labile, ranging 90-143, with the lowest value around hour 11.2. SpO2 briefly dipped to 85 around hour 0.6 before recovering to 100, while respiratory rate peaked at 22 and later settled at 12. The associated labs and urine output showed that white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400, with recorded outputs ranging 60-500.","episode_id":"iv_000078","anchor_time":36}
{"id":"TSS_iv_000078_clinical_summary_36_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (80 to 75), diastolic pressure was roughly stable (60 to 64), and heart rate was roughly stable (60 to 67). The lowest MAP was about 58 around hour 25.8, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 24 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 33.7-34.6 C, white count was 6.1 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 320 to 420.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 80), diastolic pressure was roughly stable (55 to 59), and heart rate was roughly stable (65 to 62). The lowest MAP was about 53 around hour 28.4, and the lowest valid SpO2 was 83 around hour 0.7; respiratory rate rose as high as 24 but ended at 11. The lower-frequency data fit that summary: temperature stayed around 39.0-39.9 C, white count was 5.2 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 285 to 450.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (81 to 74), diastolic pressure was roughly stable (61 to 58), and heart rate was roughly stable (59 to 68). The lowest MAP was about 58 around hour 28.3, and the lowest valid SpO2 was 89 around hour 0.5; respiratory rate rose as high as 24 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 33.0-33.9 C, white count was 6.2 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 325 to 425.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 78), diastolic pressure was roughly stable (57 to 61), and heart rate was roughly stable (63 to 64). The lowest MAP was about 55 around hour 27.3, and the lowest valid SpO2 was 85 around hour 0.6; respiratory rate rose as high as 22 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 36.7-37.6 C, white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 78), diastolic pressure was roughly stable (57 to 61), and heart rate was roughly stable (63 to 64). The lowest MAP was about 55 around hour 27.3, and the lowest valid SpO2 was 85 around hour 0.6; respiratory rate rose as high as 22 but ended at 12. The lower-frequency data fit that summary: temperature ranged from 0 to 99.7, white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.","episode_id":"iv_000078","anchor_time":36}
{"id":"TSS_iv_000078_clinical_summary_36_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 143, MAP was roughly stable (77 to 78), and heart rate was roughly stable (63 to 64). SpO2 started at 100, ended at 100, and fell as low as 85 around hour 0.6; respiratory rate ranged 7-22. For labs and output, white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 128, MAP was roughly stable (79 to 76), and heart rate was roughly stable (61 to 67). SpO2 started at 98, ended at 98, and fell as low as 83 around hour 0.5; respiratory rate ranged 7-24. For labs and output, white count was 5.2 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 285 to 385.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 168, MAP was roughly stable (73 to 82), and heart rate was roughly stable (60 to 60). SpO2 started at 96, ended at 96, and fell as low as 89 around hour 0.7; respiratory rate ranged 6-20. For labs and output, white count was 6.2 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (350 to 425)\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (113 to 139), MAP was roughly stable (77 to 81), and heart rate was roughly stable (63 to 64). SpO2 started at 96, ended at 100, and fell as low as 84 around hour 0.6; respiratory rate ranged 7-22. For labs and output, white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 143, MAP was roughly stable (77 to 78), and heart rate was roughly stable (63 to 64). SpO2 started at 100, ended at 100, and fell as low as 85 around hour 0.6; respiratory rate ranged 7-22. For labs and output, white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.","episode_id":"iv_000078","anchor_time":36}
{"id":"TSS_iv_000078_clinical_summary_36_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Viewed chronologically, the heart rate was roughly stable (66 to 67), MAP was roughly stable (80 to 81), and diastolic pressure moved from 54 to 58. Systolic pressure ranged 93-163 and ended at 163, and SpO2 recovered to 97 after a low of 88 around hour 0.7. Respiratory rate ended at 10; the available labs showed white count was 6.1 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 280 to 420.\nB. Viewed chronologically, the heart rate was roughly stable (63 to 64), MAP was roughly stable (77 to 78), and diastolic pressure moved from 57 to 61. Systolic pressure ranged 90-143 and ended at 143, and SpO2 recovered to 100 after a low of 85 around hour 0.6. Respiratory rate ended at 12; the available labs showed white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.\nC. Viewed chronologically, the heart rate was roughly stable (67 to 60), MAP was roughly stable (81 to 82), and diastolic pressure moved from 53 to 65. Systolic pressure ranged 94-168 and ended at 168, and SpO2 recovered to 96 after a low of 84 around hour 0.7. Respiratory rate ended at 10; the available labs showed white count was 6.2 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output was roughly stable (350 to 425)\nD. Viewed chronologically, the heart rate was roughly stable (58 to 68), MAP was roughly stable (72 to 81), and diastolic pressure moved from 62 to 56. Systolic pressure ranged 86-113 and ended at 139, and SpO2 recovered to 96 after a low of 80 around hour 1.6. Respiratory rate ended at 14; the available labs showed white count was 4.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 330 to 370.","answer":"B","answer_text":"Viewed chronologically, the heart rate was roughly stable (63 to 64), MAP was roughly stable (77 to 78), and diastolic pressure moved from 57 to 61. Systolic pressure ranged 90-143 and ended at 143, and SpO2 recovered to 100 after a low of 85 around hour 0.6. Respiratory rate ended at 12; the available labs showed white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.","episode_id":"iv_000078","anchor_time":36}
{"id":"TSS_iv_000079_clinical_summary_53_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 63 to 67, while MAP fell from 164 to 81. Systolic pressure was labile, ranging 107-172, with the lowest value around hour 36.2. SpO2 briefly dipped to 88 around hour 0.3 before recovering to 92, while respiratory rate peaked at 30 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (8.2 to 8.8), creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 255 to 150, with recorded outputs ranging 26-370.\nB. Viewed chronologically, the heart rate rose from 58 to 72, while MAP fell from 129 to 81. Systolic pressure was labile, ranging 105-207, with the lowest value around hour 31.0. SpO2 briefly dipped to 83 around hour 1.2 before recovering to 97, while respiratory rate peaked at 27 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (9.1 to 7.9), creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 290 to 80, with recorded outputs ranging 24-335.\nC. Viewed chronologically, the heart rate rose from 64 to 66, while MAP fell from 169 to 82. Systolic pressure was labile, ranging 99-167, with the lowest value around hour 37.0. SpO2 briefly dipped to 89 around hour 0.3 before recovering to 91, while respiratory rate peaked at 30 and later settled at 21. The associated labs and urine output showed that white count fell from 8.1 to 7.5, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 250 to 155, with recorded outputs ranging 75-375.\nD. Viewed chronologically, the heart rate rose from 60 to 70, while MAP fell from 144 to 78. Systolic pressure was labile, ranging 103-192, with the lowest value around hour 33.2. SpO2 briefly dipped to 85 around hour 0.2 before recovering to 95, while respiratory rate peaked at 28 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (8.7 to 8.3), creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 275 to 130, with recorded outputs ranging 25-350.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 60 to 70, while MAP fell from 144 to 78. Systolic pressure was labile, ranging 103-192, with the lowest value around hour 33.2. SpO2 briefly dipped to 85 around hour 0.2 before recovering to 95, while respiratory rate peaked at 28 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (8.7 to 8.3), creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 275 to 130, with recorded outputs ranging 25-350.","episode_id":"iv_000079","anchor_time":53}
{"id":"TSS_iv_000080_clinical_summary_63_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Overall, the heart rate was roughly stable (50 to 48), while MAP fell from 89 to 31. Systolic pressure was labile, ranging 44-155, with the lowest value around hour 62. SpO2 briefly dipped to 69 around hour 61.9 before recovering to 69, while respiratory rate peaked at 34 and later settled at 24. The associated labs and urine output showed that white count rose from 6 to 20.5, creatinine fell from 5.5 to 2.8, lactate stayed broadly stable from 5.4 to 5.5, and urine output was roughly stable (50 to 5), with recorded outputs ranging 0-75.\nB. Overall, the heart rate was roughly stable (48 to 50), while MAP fell from 87 to 34. Systolic pressure was labile, ranging 46-170, with the lowest value around hour 60. SpO2 briefly dipped to 67 around hour 62.9 before recovering to 71, while respiratory rate peaked at 32 and later settled at 23. The associated labs and urine output showed that white count rose from 6 to 19.4, creatinine fell from 5.1 to 2.9, lactate stayed broadly stable from 5.0 to 5.1, and urine output was roughly stable (52 to 0), with recorded outputs ranging 0-73.\nC. Overall, the heart rate was roughly stable (54 to 44), while MAP fell from 93 to 35. Systolic pressure was labile, ranging 40-130, with the lowest value around hour 66. SpO2 briefly dipped to 73 around hour 65.7 before recovering to 65, while respiratory rate peaked at 38 and later settled at 26. The associated labs and urine output showed that white count rose from 5 to 19.7, creatinine fell from 6.1 to 2.9, lactate stayed broadly stable from 6.0 to 6.1, and urine output was roughly stable (46 to 6), with recorded outputs ranging 5-79.\nD. Overall, the heart rate was roughly stable (46 to 52), while MAP fell from 84 to 26. Systolic pressure was labile, ranging 48-185, with the lowest value around hour 58. SpO2 briefly dipped to 64 around hour 57.4 before recovering to 74, while respiratory rate peaked at 30 and later settled at 22. The associated labs and urine output showed that white count rose from 7 to 18.2, creatinine fell from 4.8 to 3.1, lactate stayed broadly stable from 4.7 to 4.8, and urine output was roughly stable (54 to 0), with recorded outputs ranging 0-70.","answer":"A","answer_text":"Overall, the heart rate was roughly stable (50 to 48), while MAP fell from 89 to 31. Systolic pressure was labile, ranging 44-155, with the lowest value around hour 62. SpO2 briefly dipped to 69 around hour 61.9 before recovering to 69, while respiratory rate peaked at 34 and later settled at 24. The associated labs and urine output showed that white count rose from 6 to 20.5, creatinine fell from 5.5 to 2.8, lactate stayed broadly stable from 5.4 to 5.5, and urine output was roughly stable (50 to 5), with recorded outputs ranging 0-75.","episode_id":"iv_000080","anchor_time":63}
{"id":"TSS_iv_000080_clinical_summary_63_2","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 142 to 41, MAP fell from 92 to 34, and heart rate was roughly stable (47 to 51). SpO2 started at 85, ended at 72, and fell as low as 72 around hour 58.9; respiratory rate ranged 18-31. For labs and output, white count rose from 6 to 22.0, creatinine fell from 6.0 to 2.9, lactate stayed broadly stable from 5.6 to 6.0, and urine output was roughly stable (47 to 6)\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 107 to 46, MAP fell from 87 to 29, and heart rate was roughly stable (52 to 51). SpO2 started at 90, ended at 67, and fell as low as 67 around hour 64.2; respiratory rate ranged 15-36. For labs and output, white count rose from 6 to 19.7, creatinine fell from 5.1 to 2.9, lactate stayed broadly stable from 5.0 to 5.1, and urine output was roughly stable (52 to 5)\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 122 to 44, MAP fell from 89 to 31, and heart rate was roughly stable (50 to 48). SpO2 started at 88, ended at 69, and fell as low as 69 around hour 61.9; respiratory rate ranged 16-34. For labs and output, white count rose from 6 to 20.5, creatinine fell from 5.5 to 2.8, lactate stayed broadly stable from 5.4 to 5.5, and urine output was roughly stable (50 to 5)\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 92 to 40, MAP fell from 84 to 34, and heart rate was roughly stable (54 to 44). SpO2 started at 92, ended at 64, and fell as low as 68 around hour 66.4; respiratory rate ranged 14-38. For labs and output, white count rose from 7 to 18.2, creatinine fell from 4.8 to 3.1, lactate stayed broadly stable from 4.7 to 4.8, and urine output was roughly stable (54 to 4)","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 122 to 44, MAP fell from 89 to 31, and heart rate was roughly stable (50 to 48). SpO2 started at 88, ended at 69, and fell as low as 69 around hour 61.9; respiratory rate ranged 16-34. For labs and output, white count rose from 6 to 20.5, creatinine fell from 5.5 to 2.8, lactate stayed broadly stable from 5.4 to 5.5, and urine output was roughly stable (50 to 5)","episode_id":"iv_000080","anchor_time":63}
{"id":"TSS_iv_000083_clinical_summary_91_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. For handoff, the heart rate rose from 60 to 102, while MAP was roughly stable (90 to 86). Systolic pressure was labile, ranging 108-180, with the lowest value around hour 57.5. SpO2 briefly dipped to 88 around hour 1.3 before recovering to 92, while respiratory rate peaked at 28 and later settled at 18. The associated labs and urine output showed that white count fell from 24 to 16.3, creatinine rose from 1.3 to 49, lactate fell from 203 to 1.3, and urine output fell from 92 to 0, with recorded outputs ranging 0-320.\nB. For handoff, the heart rate rose from 55 to 107, while MAP was roughly stable (85 to 81). Systolic pressure was labile, ranging 113-215, with the lowest value around hour 52.2. SpO2 briefly dipped to 83 around hour 0.2 before recovering to 97, while respiratory rate peaked at 25 and later settled at 16. The associated labs and urine output showed that white count fell from 27 to 14, creatinine rose from 1.0 to 52.1, lactate fell from 168 to 1.0, and urine output was roughly stable (97 to 28), with recorded outputs ranging 30-285.\nC. For handoff, the heart rate rose from 61 to 101, while MAP was roughly stable (91 to 87). Systolic pressure was labile, ranging 115-175, with the lowest value around hour 58.2. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 91, while respiratory rate peaked at 28 and later settled at 19. The associated labs and urine output showed that white count fell from 24 to 16.7, creatinine rose from 1.4 to 48, lactate fell from 208 to 1.4, and urine output was roughly stable (91 to 34), with recorded outputs ranging 12-325.\nD. For handoff, the heart rate rose from 57 to 105, while MAP was roughly stable (87 to 83). Systolic pressure was labile, ranging 111-200, with the lowest value around hour 54.5. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 95, while respiratory rate peaked at 26 and later settled at 17. The associated labs and urine output showed that white count fell from 26 to 14.8, creatinine rose from 1.1 to 52, lactate fell from 183 to 1.1, and urine output was roughly stable (95 to 30), with recorded outputs ranging 10-300.","answer":"D","answer_text":"For handoff, the heart rate rose from 57 to 105, while MAP was roughly stable (87 to 83). Systolic pressure was labile, ranging 111-200, with the lowest value around hour 54.5. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 95, while respiratory rate peaked at 26 and later settled at 17. The associated labs and urine output showed that white count fell from 26 to 14.8, creatinine rose from 1.1 to 52, lactate fell from 183 to 1.1, and urine output was roughly stable (95 to 30), with recorded outputs ranging 10-300.","episode_id":"iv_000083","anchor_time":91}
{"id":"TSS_iv_000083_clinical_summary_91_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 60 to 108, MAP was roughly stable (90 to 86), and diastolic pressure moved from 63 to 56. Systolic pressure ranged 114-220 and ended at 168, and SpO2 recovered to 92 after a low of 88 around hour 0.4. Respiratory rate ended at 16; the available labs showed white count fell from 28 to 16.3, creatinine rose from 0.9 to 55, lactate fell from 203 to 0.9, and urine output was roughly stable (98 to 33)\nB. Across the recorded window, the heart rate rose from 55 to 107, MAP was roughly stable (85 to 86), and diastolic pressure moved from 68 to 57. Systolic pressure ranged 109-185 and ended at 144, and SpO2 recovered to 97 after a low of 83 around hour 1.3. Respiratory rate ended at 18; the available labs showed white count fell from 25 to 13.7, creatinine rose from 1.2 to 50, lactate fell from 168 to 1.2, and urine output was roughly stable (93 to 28)\nC. Across the recorded window, the heart rate rose from 57 to 105, MAP was roughly stable (87 to 83), and diastolic pressure moved from 66 to 59. Systolic pressure ranged 111-200 and ended at 148, and SpO2 recovered to 95 after a low of 85 around hour 0.3. Respiratory rate ended at 17; the available labs showed white count fell from 26 to 14.8, creatinine rose from 1.1 to 52, lactate fell from 183 to 1.1, and urine output was roughly stable (95 to 30)\nD. Across the recorded window, the heart rate rose from 52 to 110, MAP was roughly stable (82 to 78), and diastolic pressure moved from 70 to 54. Systolic pressure ranged 106-170 and ended at 118, and SpO2 recovered to 100 after a low of 84 around hour 0.1. Respiratory rate ended at 19; the available labs showed white count fell from 24 to 14, creatinine rose from 1.4 to 48, lactate fell from 153 to 1.4, and urine output fell from 145 to 26.","answer":"C","answer_text":"Across the recorded window, the heart rate rose from 57 to 105, MAP was roughly stable (87 to 83), and diastolic pressure moved from 66 to 59. Systolic pressure ranged 111-200 and ended at 148, and SpO2 recovered to 95 after a low of 85 around hour 0.3. Respiratory rate ended at 17; the available labs showed white count fell from 26 to 14.8, creatinine rose from 1.1 to 52, lactate fell from 183 to 1.1, and urine output was roughly stable (95 to 30)","episode_id":"iv_000083","anchor_time":91}
{"id":"TSS_iv_000085_clinical_summary_80_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 60 to 87, MAP rose from 61 to 89, and diastolic pressure moved from 20 to 74. Systolic pressure ranged 25-158 and ended at 140, and SpO2 recovered to 92 after a low of 77 around hour 60.8. Respiratory rate ended at 13; the available labs showed white count rose from 7.1 to 8.7, creatinine stayed around 0.8, lactate stayed broadly stable from 1.5 to 0.9, and urine output rose from 100 to 300.\nB. Over the available measurements, the heart rate rose from 58 to 90, MAP rose from 59 to 87, and diastolic pressure moved from 21 to 71. Systolic pressure ranged 24-143 and ended at 125, and SpO2 recovered to 94 after a low of 75 around hour 58.5. Respiratory rate ended at 14; the available labs showed white count rose from 6.7 to 8.3, creatinine stayed around 0.9, lactate stayed broadly stable from 1.4 to 0.8, and urine output rose from 98 to 285.\nC. Over the available measurements, the heart rate rose from 64 to 83, MAP rose from 65 to 92, and diastolic pressure moved from 18 to 78. Systolic pressure ranged 27-183 and ended at 136, and SpO2 recovered to 88 after a low of 81 around hour 61.8. Respiratory rate ended at 11; the available labs showed white count rose from 7.7 to 9.3, creatinine stayed around 0.7, lactate stayed broadly stable from 1.8 to 1.0, and urine output rose from 96 to 325.\nD. Over the available measurements, the heart rate rose from 56 to 92, MAP rose from 56 to 84, and diastolic pressure moved from 22 to 70. Systolic pressure ranged 23-128 and ended at 110, and SpO2 recovered to 96 after a low of 76 around hour 56.3. Respiratory rate ended at 15; the available labs showed white count was roughly stable (6.3 to 7.9), creatinine stayed around 1.0, lactate stayed broadly stable from 1.2 to 0.8, and urine output rose from 150 to 270.","answer":"A","answer_text":"Over the available measurements, the heart rate rose from 60 to 87, MAP rose from 61 to 89, and diastolic pressure moved from 20 to 74. Systolic pressure ranged 25-158 and ended at 140, and SpO2 recovered to 92 after a low of 77 around hour 60.8. Respiratory rate ended at 13; the available labs showed white count rose from 7.1 to 8.7, creatinine stayed around 0.8, lactate stayed broadly stable from 1.5 to 0.9, and urine output rose from 100 to 300.","episode_id":"iv_000085","anchor_time":80}
{"id":"TSS_iv_000086_clinical_summary_49_0","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 83 to 99, while MAP rose from 60 to 89. Systolic pressure was labile, ranging 66-102, with the lowest value around hour 4. SpO2 briefly dipped to 86 around hour 12.8 before recovering to 97, while respiratory rate peaked at 31 and later settled at 18. The associated labs and urine output showed that white count stayed around 6.6, creatinine was roughly stable (2.3 to 1.4), lactate fell from 229 to 208, and urine output rose from 53 to 205, with recorded outputs ranging 53-230.\nB. Over the available measurements, the heart rate rose from 78 to 104, while MAP rose from 55 to 89. Systolic pressure was labile, ranging 64-137, with the lowest value around hour 4. SpO2 briefly dipped to 83 around hour 12.3 before recovering to 98, while respiratory rate peaked at 28 and later settled at 15. The associated labs and urine output showed that white count stayed around 7.5, creatinine was roughly stable (2.0 to 1.0), lactate fell from 264 to 173, and urine output rose from 48 to 175, with recorded outputs ranging 48-265.\nC. Over the available measurements, the heart rate rose from 80 to 102, while MAP rose from 57 to 86. Systolic pressure was labile, ranging 62-122, with the lowest value around hour 4. SpO2 briefly dipped to 85 around hour 11.3 before recovering to 100, while respiratory rate peaked at 29 and later settled at 16. The associated labs and urine output showed that white count stayed around 7.1, creatinine was roughly stable (2.1 to 1.2), lactate fell from 249 to 188, and urine output rose from 50 to 225, with recorded outputs ranging 50-250.\nD. Over the available measurements, the heart rate rose from 76 to 106, while MAP rose from 52 to 82. Systolic pressure was labile, ranging 66-152, with the lowest value around hour 3. SpO2 briefly dipped to 80 around hour 9.1 before recovering to 96, while respiratory rate peaked at 27 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (7.8 to 6.3), creatinine was roughly stable (2.1 to 1.3), lactate fell from 249 to 188, and urine output rose from 50 to 225, with recorded outputs ranging 50-250.","answer":"C","answer_text":"Over the available measurements, the heart rate rose from 80 to 102, while MAP rose from 57 to 86. Systolic pressure was labile, ranging 62-122, with the lowest value around hour 4. SpO2 briefly dipped to 85 around hour 11.3 before recovering to 100, while respiratory rate peaked at 29 and later settled at 16. The associated labs and urine output showed that white count stayed around 7.1, creatinine was roughly stable (2.1 to 1.2), lactate fell from 249 to 188, and urine output rose from 50 to 225, with recorded outputs ranging 50-250.","episode_id":"iv_000086","anchor_time":49}
{"id":"TSS_iv_000087_clinical_summary_26_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 42 to 73, while MAP rose from 62 to 67. Systolic pressure was labile, ranging 26-131, with the lowest value around hour 6.6. SpO2 briefly dipped to 88 around hour 2.3 before recovering to 94, while respiratory rate peaked at 26 and later settled at 24. The associated labs and urine output showed that white count rose from 17.2 to 22.7, creatinine fell from 1 to 0.7, lactate was checked once at 4, and urine output was roughly stable (33 to 0), with recorded outputs ranging 0-430.\nB. Viewed chronologically, the heart rate rose from 37 to 78, while MAP was roughly stable (57 to 62). Systolic pressure was labile, ranging 32-166, with the lowest value around hour 5.7. SpO2 briefly dipped to 86 around hour 1.1 before recovering to 99, while respiratory rate peaked at 26 and later settled at 22. The associated labs and urine output showed that white count rose from 19.8 to 20.1, creatinine fell from 1 to 0.9, lactate was checked once at 4, and urine output was roughly stable (28 to 26), with recorded outputs ranging 24-465.\nC. Viewed chronologically, the heart rate rose from 43 to 72, while MAP was roughly stable (63 to 68). Systolic pressure was labile, ranging 26-126, with the lowest value around hour 6.7. SpO2 briefly dipped to 89 around hour 1.6 before recovering to 93, while respiratory rate peaked at 26 and later settled at 25. The associated labs and urine output showed that white count rose from 16.8 to 20.4, creatinine was roughly stable (1 to 0.9), lactate was checked once at 5, and urine output was roughly stable (34 to 23), with recorded outputs ranging 27-425.\nD. Viewed chronologically, the heart rate rose from 39 to 76, while MAP was roughly stable (59 to 64). Systolic pressure was labile, ranging 28-151, with the lowest value around hour 6.1. SpO2 briefly dipped to 85 around hour 1.3 before recovering to 97, while respiratory rate peaked at 24 and later settled at 23. The associated labs and urine output showed that white count rose from 18.7 to 21.2, creatinine fell from 1 to 0.8, lactate was checked once at 4, and urine output was roughly stable (30 to 25), with recorded outputs ranging 25-450.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 39 to 76, while MAP was roughly stable (59 to 64). Systolic pressure was labile, ranging 28-151, with the lowest value around hour 6.1. SpO2 briefly dipped to 85 around hour 1.3 before recovering to 97, while respiratory rate peaked at 24 and later settled at 23. The associated labs and urine output showed that white count rose from 18.7 to 21.2, creatinine fell from 1 to 0.8, lactate was checked once at 4, and urine output was roughly stable (30 to 25), with recorded outputs ranging 25-450.","episode_id":"iv_000087","anchor_time":26}
{"id":"TSS_iv_000087_clinical_summary_26_2","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 41 to 126, MAP rose from 62 to 67, and heart rate rose from 36 to 79. SpO2 started at 91, ended at 100, and fell as low as 84 around hour 1.1; respiratory rate ranged 16-22. For labs and output, white count rose from 17.2 to 22.7, creatinine fell from 1 to 0.7, lactate was checked once at 4, and urine output was roughly stable (33 to 24)\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 38 to 130, MAP was roughly stable (59 to 64), and heart rate rose from 39 to 76. SpO2 started at 94, ended at 97, and fell as low as 85 around hour 1.3; respiratory rate ranged 14-24. For labs and output, white count rose from 18.7 to 21.2, creatinine fell from 1 to 0.8, lactate was checked once at 4, and urine output was roughly stable (30 to 25)\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 42 to 105, MAP was roughly stable (63 to 68), and heart rate rose from 35 to 80. SpO2 started at 90, ended at 100, and fell as low as 89 around hour 1.1; respiratory rate ranged 16-22. For labs and output, white count rose from 16.8 to 23.1, creatinine was roughly stable (1 to 0.9), lactate was checked once at 4.2, and urine output was roughly stable (34 to 23)\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 34 to 160, MAP was roughly stable (54 to 60), and heart rate rose from 44 to 79. SpO2 started at 98, ended at 92, and fell as low as 80 around hour 1.6; respiratory rate ranged 12-26. For labs and output, white count rose from 20.9 to 22.4, creatinine fell from 1 to 0.8, lactate was checked once at 3, and urine output was roughly stable (26 to 27)","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 38 to 130, MAP was roughly stable (59 to 64), and heart rate rose from 39 to 76. SpO2 started at 94, ended at 97, and fell as low as 85 around hour 1.3; respiratory rate ranged 14-24. For labs and output, white count rose from 18.7 to 21.2, creatinine fell from 1 to 0.8, lactate was checked once at 4, and urine output was roughly stable (30 to 25)","episode_id":"iv_000087","anchor_time":26}
{"id":"TSS_iv_000087_clinical_summary_26_3","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Overall, the heart rate rose from 42 to 73, MAP was roughly stable (62 to 67), and diastolic pressure moved from 18 to 54. Systolic pressure ranged 30-171 and ended at 150, and SpO2 recovered to 94 after a low of 84 around hour 1.5. Respiratory rate ended at 22; the available labs showed white count rose from 20.2 to 20.4, creatinine fell from 1 to 0.9, lactate was checked once at 4, and urine output was roughly stable (80 to 26)\nB. Overall, the heart rate rose from 37 to 79, MAP was roughly stable (57 to 62), and diastolic pressure moved from 21 to 48. Systolic pressure ranged 27-136 and ended at 115, and SpO2 recovered to 99 after a low of 83 around hour 1.1. Respiratory rate ended at 24; the available labs showed white count rose from 17.6 to 20.1, creatinine fell from 1 to 0.7, lactate was checked once at 4, and urine output was roughly stable (32 to 24)\nC. Overall, the heart rate rose from 39 to 76, MAP was roughly stable (59 to 64), and diastolic pressure moved from 20 to 51. Systolic pressure ranged 28-151 and ended at 130, and SpO2 recovered to 97 after a low of 85 around hour 1.3. Respiratory rate ended at 23; the available labs showed white count rose from 18.7 to 21.2, creatinine fell from 1 to 0.8, lactate was checked once at 4, and urine output was roughly stable (30 to 25)\nD. Overall, the heart rate rose from 34 to 80, MAP rose from 54 to 67, and diastolic pressure moved from 22 to 46. Systolic pressure ranged 26-121 and ended at 126, and SpO2 recovered to 100 after a low of 80 around hour 2.3. Respiratory rate ended at 25; the available labs showed white count rose from 16.4 to 18.9, creatinine fell from 1 to 0.7, lactate was checked once at 3, and urine output was roughly stable (34 to 23)","answer":"C","answer_text":"Overall, the heart rate rose from 39 to 76, MAP was roughly stable (59 to 64), and diastolic pressure moved from 20 to 51. Systolic pressure ranged 28-151 and ended at 130, and SpO2 recovered to 97 after a low of 85 around hour 1.3. Respiratory rate ended at 23; the available labs showed white count rose from 18.7 to 21.2, creatinine fell from 1 to 0.8, lactate was checked once at 4, and urine output was roughly stable (30 to 25)","episode_id":"iv_000087","anchor_time":26}
{"id":"TSS_iv_000088_clinical_summary_27_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Taken together, the heart rate fell from 143 to 94, MAP fell from 88 to 74, and diastolic pressure moved from 65 to 57. Systolic pressure ranged 115-176 and ended at 122, and SpO2 recovered to 87 after a low of 84 around hour 2. Respiratory rate ended at 22; the available labs showed white count fell from 10.4 to 6.3, creatinine stayed around 0.6, lactate fell from 1.4 to 0.9, and urine output fell from 210 to 43.\nB. Taken together, the heart rate fell from 108 to 100, MAP fell from 83 to 69, and diastolic pressure moved from 70 to 51. Systolic pressure ranged 110-141 and ended at 117, and SpO2 recovered to 92 after a low of 83 around hour 0. Respiratory rate ended at 25; the available labs showed white count fell from 9.5 to 6.7, creatinine stayed around 0.8, lactate fell from 1.0 to 0.7, and urine output fell from 175 to 38.\nC. Taken together, the heart rate fell from 148 to 93, MAP fell from 89 to 74, and diastolic pressure moved from 64 to 58. Systolic pressure ranged 116-181 and ended at 115, and SpO2 recovered to 86 after a low of 89 around hour 1. Respiratory rate ended at 22; the available labs showed white count fell from 10.5 to 7.7, creatinine stayed around 0.6, lactate fell from 1.4 to 0.9, and urine output fell from 135 to 44.\nD. Taken together, the heart rate fell from 123 to 97, MAP fell from 85 to 71, and diastolic pressure moved from 68 to 54. Systolic pressure ranged 112-156 and ended at 119, and SpO2 recovered to 90 after a low of 85 around hour 0. Respiratory rate ended at 24; the available labs showed white count fell from 9.9 to 7.1, creatinine stayed around 0.7, lactate fell from 1.2 to 0.8, and urine output fell from 160 to 40.","answer":"D","answer_text":"Taken together, the heart rate fell from 123 to 97, MAP fell from 85 to 71, and diastolic pressure moved from 68 to 54. Systolic pressure ranged 112-156 and ended at 119, and SpO2 recovered to 90 after a low of 85 around hour 0. Respiratory rate ended at 24; the available labs showed white count fell from 9.9 to 7.1, creatinine stayed around 0.7, lactate fell from 1.2 to 0.8, and urine output fell from 160 to 40.","episode_id":"iv_000088","anchor_time":27}
{"id":"TSS_iv_000089_clinical_summary_26_0","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Taken together, the heart rate fell from 108 to 91, while MAP fell from 110 to 86. Systolic pressure was labile, ranging 106-148, with the lowest value around hour 22.9. SpO2 briefly dipped to 88 around hour 4.5 before recovering to 96, while respiratory rate peaked at 26 and later settled at 16. The associated labs and urine output showed that white count fell from 5.7 to 5.1, creatinine was roughly stable (1.3 to 1.0), lactate was checked once at 212, and urine output fell from 220 to 75, with recorded outputs ranging 75-330.\nB. Taken together, the heart rate fell from 105 to 94, while MAP fell from 107 to 83. Systolic pressure was labile, ranging 109-168, with the lowest value around hour 21.4. SpO2 briefly dipped to 85 around hour 3.5 before recovering to 99, while respiratory rate peaked at 25 and later settled at 15. The associated labs and urine output showed that white count fell from 6.2 to 4.6, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 192, and urine output was roughly stable (200 to 125), with recorded outputs ranging 85-350.\nC. Taken together, the heart rate fell from 109 to 90, while MAP fell from 111 to 87. Systolic pressure was labile, ranging 113-143, with the lowest value around hour 23.3. SpO2 briefly dipped to 86 around hour 4.1 before recovering to 95, while respiratory rate peaked at 27 and later settled at 17. The associated labs and urine output showed that white count fell from 5.6 to 5.2, creatinine was roughly stable (1.4 to 0.9), lactate was checked once at 217, and urine output was roughly stable (225 to 100), with recorded outputs ranging 89-325.\nD. Taken together, the heart rate fell from 100 to 98, while MAP fell from 102 to 78. Systolic pressure was labile, ranging 114-198, with the lowest value around hour 19.1. SpO2 briefly dipped to 80 around hour 2.8 before recovering to 100, while respiratory rate peaked at 23 and later settled at 13. The associated labs and urine output showed that white count fell from 7.0 to 3.8, creatinine rose from 0.8 to 1.3, lactate was checked once at 162, and urine output was roughly stable (170 to 155), with recorded outputs ranging 125-380.","answer":"B","answer_text":"Taken together, the heart rate fell from 105 to 94, while MAP fell from 107 to 83. Systolic pressure was labile, ranging 109-168, with the lowest value around hour 21.4. SpO2 briefly dipped to 85 around hour 3.5 before recovering to 99, while respiratory rate peaked at 25 and later settled at 15. The associated labs and urine output showed that white count fell from 6.2 to 4.6, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 192, and urine output was roughly stable (200 to 125), with recorded outputs ranging 85-350.","episode_id":"iv_000089","anchor_time":26}
{"id":"TSS_iv_000089_clinical_summary_26_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 188 to 123, MAP fell from 110 to 86, and heart rate fell from 102 to 97. SpO2 started at 97, ended at 100, and fell as low as 84 around hour 3.0; respiratory rate ranged 12-24. For labs and output, white count fell from 5.7 to 5.1, creatinine was roughly stable (1.3 to 1.0), lactate was checked once at 212, and urine output was roughly stable (220 to 105)\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 153 to 142, MAP fell from 105 to 81, and heart rate fell from 107 to 97. SpO2 started at 98, ended at 97, and fell as low as 83 around hour 3.9; respiratory rate ranged 10-27. For labs and output, white count fell from 6.6 to 3.8, creatinine was roughly stable (1.0 to 1.4), lactate was checked once at 177, and urine output was roughly stable (185 to 140)\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 193 to 102, MAP fell from 111 to 87, and heart rate fell from 101 to 98. SpO2 started at 96, ended at 100, and fell as low as 89 around hour 2.9; respiratory rate ranged 13-23. For labs and output, white count fell from 7 to 5.2, creatinine rose from 1.4 to 1.6, lactate was checked once at 192.2, and urine output was roughly stable (225 to 100)\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 168 to 127, MAP fell from 107 to 83, and heart rate fell from 105 to 94. SpO2 started at 100, ended at 99, and fell as low as 85 around hour 3.5; respiratory rate ranged 11-25. For labs and output, white count fell from 6.2 to 4.6, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 192, and urine output was roughly stable (200 to 125)","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 168 to 127, MAP fell from 107 to 83, and heart rate fell from 105 to 94. SpO2 started at 100, ended at 99, and fell as low as 85 around hour 3.5; respiratory rate ranged 11-25. For labs and output, white count fell from 6.2 to 4.6, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 192, and urine output was roughly stable (200 to 125)","episode_id":"iv_000089","anchor_time":26}
{"id":"TSS_iv_000089_clinical_summary_26_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. In broad terms, the heart rate fell from 105 to 94, MAP fell from 107 to 83, and diastolic pressure moved from 86 to 68. Systolic pressure ranged 109-168 and ended at 127, and SpO2 recovered to 99 after a low of 85 around hour 3.5. Respiratory rate ended at 15; the available labs showed white count fell from 6.2 to 4.6, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 192, and urine output was roughly stable (200 to 125)\nB. In broad terms, the heart rate fell from 103 to 96, MAP fell from 105 to 81, and diastolic pressure moved from 88 to 66. Systolic pressure ranged 107-153 and ended at 112, and SpO2 recovered to 100 after a low of 84 around hour 3.1. Respiratory rate ended at 16; the available labs showed white count fell from 5.8 to 3.8, creatinine was roughly stable (1.2 to 1.0), lactate was checked once at 177, and urine output fell from 250 to 110.\nC. In broad terms, the heart rate fell from 109 to 90, MAP fell from 111 to 86, and diastolic pressure moved from 82 to 72. Systolic pressure ranged 113-193 and ended at 123, and SpO2 recovered to 95 after a low of 89 around hour 4.5. Respiratory rate ended at 13; the available labs showed white count fell from 6.8 to 5.2, creatinine was roughly stable (0.9 to 1.4), lactate was checked once at 217, and urine output was roughly stable (175 to 150)\nD. In broad terms, the heart rate fell from 100 to 97, MAP fell from 102 to 78, and diastolic pressure moved from 90 to 65. Systolic pressure ranged 104-138 and ended at 97, and SpO2 recovered to 100 after a low of 80 around hour 2.8. Respiratory rate ended at 17; the available labs showed white count fell from 5.5 to 3.8, creatinine was roughly stable (1.4 to 0.9), lactate was checked once at 162, and urine output was roughly stable (230 to 95)","answer":"A","answer_text":"In broad terms, the heart rate fell from 105 to 94, MAP fell from 107 to 83, and diastolic pressure moved from 86 to 68. Systolic pressure ranged 109-168 and ended at 127, and SpO2 recovered to 99 after a low of 85 around hour 3.5. Respiratory rate ended at 15; the available labs showed white count fell from 6.2 to 4.6, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 192, and urine output was roughly stable (200 to 125)","episode_id":"iv_000089","anchor_time":26}
{"id":"TSS_iv_000090_clinical_summary_71_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 118 to 148, MAP rose from 57 to 66, and heart rate rose from 50 to 70. SpO2 started at 88, ended at 97, and fell as low as 85 around hour 11; respiratory rate ranged 13-32. For labs and output, white count fell from 15.3 to 10.6, creatinine was roughly stable (1.2 to 1.1), lactate was not available, and urine output was roughly stable (120 to 120)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 116 to 163, MAP rose from 55 to 64, and heart rate rose from 52 to 68. SpO2 started at 90, ended at 95, and fell as low as 83 around hour 12; respiratory rate ranged 12-34. For labs and output, white count fell from 16.4 to 9.5, creatinine stayed around 1.0, lactate was not available, and urine output was roughly stable (120 to 70)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 122 to 123, MAP rose from 61 to 70, and heart rate rose from 46 to 73. SpO2 started at 84, ended at 100, and fell as low as 89 around hour 9; respiratory rate ranged 15-34. For labs and output, white count fell from 13.4 to 9.8, creatinine was roughly stable (1.4 to 0.9), lactate was not available, and urine output was roughly stable (145 to 145)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 114 to 144, MAP rose from 52 to 69, and heart rate rose from 54 to 66. SpO2 started at 92, ended at 92, and fell as low as 84 around hour 13; respiratory rate ranged 11-36. For labs and output, white count fell from 17.6 to 8.3, creatinine was roughly stable (0.9 to 1.4), lactate was not available, and urine output was roughly stable (90 to 90)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 118 to 148, MAP rose from 57 to 66, and heart rate rose from 50 to 70. SpO2 started at 88, ended at 97, and fell as low as 85 around hour 11; respiratory rate ranged 13-32. For labs and output, white count fell from 15.3 to 10.6, creatinine was roughly stable (1.2 to 1.1), lactate was not available, and urine output was roughly stable (120 to 120)","episode_id":"iv_000090","anchor_time":71}
{"id":"TSS_iv_000092_clinical_summary_30_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Clinically, the heart rate rose from 58 to 70, MAP rose from 62 to 68, and diastolic pressure moved from 53 to 61. Systolic pressure ranged 76-122 and ended at 87, and SpO2 recovered to 94 after a low of 88 around hour 5.6. Respiratory rate ended at 22; the available labs showed white count rose from 18 to 21.6, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (320 to 395)\nB. Clinically, the heart rate rose from 53 to 75, MAP rose from 57 to 63, and diastolic pressure moved from 58 to 56. Systolic pressure ranged 71-117 and ended at 89, and SpO2 recovered to 99 after a low of 84 around hour 4.2. Respiratory rate ended at 24; the available labs showed white count rose from 16 to 19.3, creatinine stayed around 0.9, lactate was not available, and urine output was roughly stable (350 to 360)\nC. Clinically, the heart rate rose from 59 to 76, MAP rose from 63 to 69, and diastolic pressure moved from 52 to 55. Systolic pressure ranged 77-123 and ended at 95, and SpO2 recovered to 93 after a low of 89 around hour 5.2. Respiratory rate ended at 21; the available labs showed white count rose from 19 to 22.0, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (325 to 400)\nD. Clinically, the heart rate rose from 55 to 73, MAP rose from 59 to 65, and diastolic pressure moved from 56 to 58. Systolic pressure ranged 73-119 and ended at 91, and SpO2 recovered to 97 after a low of 85 around hour 4.6. Respiratory rate ended at 23; the available labs showed white count rose from 17 to 20.1, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (300 to 375)","answer":"D","answer_text":"Clinically, the heart rate rose from 55 to 73, MAP rose from 59 to 65, and diastolic pressure moved from 56 to 58. Systolic pressure ranged 73-119 and ended at 91, and SpO2 recovered to 97 after a low of 85 around hour 4.6. Respiratory rate ended at 23; the available labs showed white count rose from 17 to 20.1, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (300 to 375)","episode_id":"iv_000092","anchor_time":30}
{"id":"TSS_iv_000095_clinical_summary_24_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 54, diastolic pressure rose from 9 to 43, and heart rate stayed around 75. The lowest MAP was about 43 around hour 14.1, and the lowest valid SpO2 was 85 around hour 1.7; respiratory rate rose as high as 24 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 35.3-38 C, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 52, diastolic pressure rose from 9 to 40, and heart rate stayed around 73. The lowest MAP was about 46 around hour 15.1, and the lowest valid SpO2 was 87 around hour 1.5; respiratory rate rose as high as 23 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 33.0-40 C, white count was roughly stable (13.7 to 10.5), creatinine was roughly stable (0.6 to 0.7), lactate was not available, and urine output was roughly stable (43 to 58)\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 58, diastolic pressure rose from 8 to 47, and heart rate was roughly stable (79 to 78). The lowest MAP was about 43 around hour 14.1, and the lowest valid SpO2 was 85 around hour 0.7; respiratory rate rose as high as 24 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 35.3-38 C, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 50, diastolic pressure rose from 10 to 38, and heart rate stayed around 70. The lowest MAP was about 48 around hour 11.8, and the lowest valid SpO2 was 90 around hour 1.4; respiratory rate rose as high as 26 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 30.8-42 C, white count was roughly stable (14.8 to 9.3), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (45 to 110)","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 54, diastolic pressure rose from 9 to 43, and heart rate stayed around 75. The lowest MAP was about 43 around hour 14.1, and the lowest valid SpO2 was 85 around hour 1.7; respiratory rate rose as high as 24 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 35.3 to 98, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)","episode_id":"iv_000095","anchor_time":24}
{"id":"TSS_iv_000095_clinical_summary_24_2","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 24 to 84, MAP was roughly stable (57 to 57), and heart rate stayed around 75. SpO2 started at 100, ended at 97, and fell as low as 84 around hour 1.7; respiratory rate ranged 10-24. For labs and output, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 22 to 88, MAP stayed around 54, and heart rate stayed around 75. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 1.7; respiratory rate ranged 10-24. For labs and output, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 24 to 84, MAP stayed around 58, and heart rate was roughly stable (79 to 78). SpO2 started at 100, ended at 97, and fell as low as 85 around hour 1.7; respiratory rate ranged 10-26. For labs and output, white count fell from 12.6 to 10.8, creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 20 to 92, MAP stayed around 50, and heart rate stayed around 70. SpO2 started at 96, ended at 92, and fell as low as 90 around hour 1.4; respiratory rate ranged 8-26. For labs and output, white count was roughly stable (10.3 to 9.3), creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (45 to 60)","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 22 to 88, MAP stayed around 54, and heart rate stayed around 75. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 1.7; respiratory rate ranged 10-24. For labs and output, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)","episode_id":"iv_000095","anchor_time":24}
{"id":"TSS_iv_000097_clinical_summary_33_0","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Taken together, the heart rate was roughly stable (95 to 85), while MAP rose from 77 to 100. Systolic pressure was labile, ranging 108-135, with the lowest value around hour 9.9. SpO2 briefly dipped to 86 around hour 21.4 before recovering to 96, while respiratory rate peaked at 24 and later settled at 18. The associated labs and urine output showed that white count fell from 4.9 to 3.9, creatinine was 1 on its only check, lactate was not available, and urine output fell from 330 to 180, with recorded outputs ranging 78-420.\nB. Taken together, the heart rate was roughly stable (92 to 88), while MAP rose from 74 to 97. Systolic pressure was labile, ranging 104-155, with the lowest value around hour 9.4. SpO2 briefly dipped to 85 around hour 19.9 before recovering to 99, while respiratory rate peaked at 22 and later settled at 17. The associated labs and urine output showed that white count fell from 5.4 to 3.4, creatinine was 1 on its only check, lactate was not available, and urine output fell from 350 to 160, with recorded outputs ranging 75-400.\nC. Taken together, the heart rate was roughly stable (96 to 84), while MAP rose from 78 to 100. Systolic pressure was labile, ranging 100-130, with the lowest value around hour 10.0. SpO2 briefly dipped to 89 around hour 20.9 before recovering to 95, while respiratory rate peaked at 24 and later settled at 19. The associated labs and urine output showed that white count fell from 4.8 to 4.0, creatinine was 1 on its only check, lactate was not available, and urine output fell from 325 to 110, with recorded outputs ranging 79-425.\nD. Taken together, the heart rate was roughly stable (88 to 92), while MAP rose from 70 to 92. Systolic pressure was labile, ranging 108-185, with the lowest value around hour 8.7. SpO2 briefly dipped to 80 around hour 17.6 before recovering to 100, while respiratory rate peaked at 20 and later settled at 15. The associated labs and urine output showed that white count fell from 6.2 to 2.6, creatinine was 1 on its only check, lactate was not available, and urine output fell from 380 to 130, with recorded outputs ranging 125-370.","answer":"B","answer_text":"Taken together, the heart rate was roughly stable (92 to 88), while MAP rose from 74 to 97. Systolic pressure was labile, ranging 104-155, with the lowest value around hour 9.4. SpO2 briefly dipped to 85 around hour 19.9 before recovering to 99, while respiratory rate peaked at 22 and later settled at 17. The associated labs and urine output showed that white count fell from 5.4 to 3.4, creatinine was 1 on its only check, lactate was not available, and urine output fell from 350 to 160, with recorded outputs ranging 75-400.","episode_id":"iv_000097","anchor_time":33}
{"id":"TSS_iv_000097_clinical_summary_33_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (113 to 113), MAP rose from 77 to 100, and heart rate was roughly stable (89 to 91). SpO2 started at 96, ended at 100, and fell as low as 88 around hour 18.4; respiratory rate ranged 10-20. For labs and output, white count fell from 4.9 to 3.9, creatinine was 1 on its only check, lactate was not available, and urine output fell from 400 to 180.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (108 to 118), MAP rose from 72 to 95, and heart rate was roughly stable (94 to 91). SpO2 started at 100, ended at 97, and fell as low as 83 around hour 21.0; respiratory rate ranged 9-24. For labs and output, white count fell from 5.8 to 2.6, creatinine was 1 on its only check, lactate was not available, and urine output fell from 365 to 145.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (114 to 112), MAP rose from 78 to 100, and heart rate was roughly stable (88 to 92). SpO2 started at 95, ended at 100, and fell as low as 84 around hour 18.0; respiratory rate ranged 10-20. For labs and output, white count fell from 4.8 to 4.0, creatinine was 1 on its only check, lactate was not available, and urine output fell from 325 to 185.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (110 to 116), MAP rose from 74 to 97, and heart rate was roughly stable (92 to 88). SpO2 started at 99, ended at 99, and fell as low as 85 around hour 19.9; respiratory rate ranged 9-22. For labs and output, white count fell from 5.4 to 3.4, creatinine was 1 on its only check, lactate was not available, and urine output fell from 350 to 160.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (110 to 116), MAP rose from 74 to 97, and heart rate was roughly stable (92 to 88). SpO2 started at 99, ended at 99, and fell as low as 85 around hour 19.9; respiratory rate ranged 9-22. For labs and output, white count fell from 5.4 to 3.4, creatinine was 1 on its only check, lactate was not available, and urine output fell from 350 to 160.","episode_id":"iv_000097","anchor_time":33}
{"id":"TSS_iv_000097_clinical_summary_33_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. In broad terms, the heart rate was roughly stable (92 to 88), MAP rose from 74 to 97, and diastolic pressure moved from 62 to 91. Systolic pressure ranged 104-155 and ended at 116, and SpO2 recovered to 99 after a low of 85 around hour 19.9. Respiratory rate ended at 17; the available labs showed white count fell from 5.4 to 3.4, creatinine was 1 on its only check, lactate was not available, and urine output fell from 350 to 160.\nB. In broad terms, the heart rate was roughly stable (90 to 91), MAP rose from 72 to 95, and diastolic pressure moved from 64 to 88. Systolic pressure ranged 102-140 and ended at 114, and SpO2 recovered to 100 after a low of 83 around hour 18.8. Respiratory rate ended at 18; the available labs showed white count fell from 5.0 to 3.0, creatinine was 1 on its only check, lactate was not available, and urine output fell from 335 to 145.\nC. In broad terms, the heart rate was roughly stable (96 to 84), MAP rose from 78 to 100, and diastolic pressure moved from 58 to 95. Systolic pressure ranged 108-180 and ended at 120, and SpO2 recovered to 95 after a low of 84 around hour 21.8. Respiratory rate ended at 15; the available labs showed white count fell from 6.0 to 2.6, creatinine was 1 on its only check, lactate was not available, and urine output fell from 400 to 185.\nD. In broad terms, the heart rate was roughly stable (88 to 92), MAP rose from 70 to 100, and diastolic pressure moved from 66 to 86. Systolic pressure ranged 100-125 and ended at 112, and SpO2 recovered to 100 after a low of 80 around hour 20.9. Respiratory rate ended at 19; the available labs showed white count fell from 4.7 to 2.6, creatinine was 1 on its only check, lactate was not available, and urine output fell from 320 to 130.","answer":"A","answer_text":"In broad terms, the heart rate was roughly stable (92 to 88), MAP rose from 74 to 97, and diastolic pressure moved from 62 to 91. Systolic pressure ranged 104-155 and ended at 116, and SpO2 recovered to 99 after a low of 85 around hour 19.9. Respiratory rate ended at 17; the available labs showed white count fell from 5.4 to 3.4, creatinine was 1 on its only check, lactate was not available, and urine output fell from 350 to 160.","episode_id":"iv_000097","anchor_time":33}
{"id":"TSS_iv_000098_clinical_summary_29_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 74 to 60, diastolic pressure was roughly stable (54 to 56), and heart rate rose from 69 to 89. The lowest MAP was about 66 around hour 28, and the lowest valid SpO2 was 88 around hour 2.7; respiratory rate rose as high as 34 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 33.5-34.4 C, white count fell from 15.4 to 11.3, creatinine rose from 0.8 to 1, lactate was checked once at 2.1, and urine output fell from 315 to 80.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 69 to 65, diastolic pressure was roughly stable (49 to 51), and heart rate rose from 74 to 89. The lowest MAP was about 61 around hour 30, and the lowest valid SpO2 was 83 around hour 2.2; respiratory rate rose as high as 30 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 38.8-39.6 C, white count fell from 12.8 to 11.3, creatinine rose from 0.6 to 0.8, lactate was checked once at 2.4, and urine output fell from 280 to 28.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 75 to 59, diastolic pressure was roughly stable (55 to 50), and heart rate rose from 68 to 90. The lowest MAP was about 67 around hour 27, and the lowest valid SpO2 was 89 around hour 2.6; respiratory rate rose as high as 36 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 32.8-33.6 C, white count fell from 15.8 to 10.9, creatinine rose from 0.8 to 1.0, lactate was checked once at 2.1, and urine output fell from 320 to 34.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 71 to 63, diastolic pressure was roughly stable (51 to 53), and heart rate rose from 72 to 86. The lowest MAP was about 63 around hour 29, and the lowest valid SpO2 was 85 around hour 3.2; respiratory rate rose as high as 32 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 36.5-37.4 C, white count fell from 13.9 to 12.8, creatinine rose from 0.7 to 0.9, lactate was checked once at 2.3, and urine output fell from 295 to 30.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 71 to 63, diastolic pressure was roughly stable (51 to 53), and heart rate rose from 72 to 86. The lowest MAP was about 63 around hour 29, and the lowest valid SpO2 was 85 around hour 3.2; respiratory rate rose as high as 32 but ended at 14. The lower-frequency data fit that summary: temperature ranged from 97.7 to 99.4, white count fell from 13.9 to 12.8, creatinine rose from 0.7 to 0.9, lactate was checked once at 2.3, and urine output fell from 295 to 30.","episode_id":"iv_000098","anchor_time":29}
{"id":"TSS_iv_000098_clinical_summary_29_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (104 to 103), MAP fell from 71 to 63, and heart rate rose from 72 to 86. SpO2 started at 100, ended at 95, and fell as low as 85 around hour 3.2; respiratory rate ranged 10-32. For labs and output, white count fell from 13.9 to 12.8, creatinine rose from 0.7 to 0.9, lactate was checked once at 2.3, and urine output fell from 295 to 30.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (102 to 105), MAP fell from 69 to 61, and heart rate rose from 74 to 84. SpO2 started at 98, ended at 93, and fell as low as 83 around hour 3.6; respiratory rate ranged 9-34. For labs and output, white count fell from 15.0 to 11.7, creatinine rose from 0.6 to 1, lactate was checked once at 2.5, and urine output fell from 280 to 32.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (108 to 99), MAP fell from 75 to 67, and heart rate rose from 68 to 89. SpO2 started at 96, ended at 99, and fell as low as 89 around hour 2.6; respiratory rate ranged 12-34. For labs and output, white count fell from 12.0 to 10, creatinine rose from 0.8 to 0.9, lactate was checked once at 2.5, and urine output fell from 320 to 26.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (100 to 99), MAP was roughly stable (66 to 66), and heart rate rose from 76 to 82. SpO2 started at 96, ended at 90, and fell as low as 84 around hour 4.0; respiratory rate ranged 8-36. For labs and output, white count fell from 16.1 to 10.6, creatinine rose from 0.5 to 1.1, lactate was checked once at 2.0, and urine output fell from 265 to 34.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (104 to 103), MAP fell from 71 to 63, and heart rate rose from 72 to 86. SpO2 started at 100, ended at 95, and fell as low as 85 around hour 3.2; respiratory rate ranged 10-32. For labs and output, white count fell from 13.9 to 12.8, creatinine rose from 0.7 to 0.9, lactate was checked once at 2.3, and urine output fell from 295 to 30.","episode_id":"iv_000098","anchor_time":29}
{"id":"TSS_iv_000098_clinical_summary_29_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. For handoff, the heart rate rose from 75 to 83, MAP was roughly stable (74 to 66), and diastolic pressure moved from 48 to 56. Systolic pressure ranged 100-202 and ended at 99, and SpO2 recovered to 92 after a low of 88 around hour 4.2. Respiratory rate ended at 12; the available labs showed white count fell from 15.4 to 14.3, creatinine rose from 0.6 to 1.0, lactate was checked once at 2.5, and urine output fell from 275 to 33.\nB. For handoff, the heart rate rose from 72 to 86, MAP fell from 71 to 63, and diastolic pressure moved from 51 to 53. Systolic pressure ranged 97-182 and ended at 103, and SpO2 recovered to 95 after a low of 85 around hour 3.2. Respiratory rate ended at 14; the available labs showed white count fell from 13.9 to 12.8, creatinine rose from 0.7 to 0.9, lactate was checked once at 2.3, and urine output fell from 295 to 30.\nC. For handoff, the heart rate rose from 76 to 89, MAP fell from 75 to 67, and diastolic pressure moved from 47 to 50. Systolic pressure ranged 100-207 and ended at 107, and SpO2 recovered to 91 after a low of 89 around hour 3.8. Respiratory rate ended at 12; the available labs showed white count fell from 15.8 to 14.7, creatinine rose from 0.6 to 1.0, lactate was checked once at 2.5, and urine output fell from 270 to 34.\nD. For handoff, the heart rate rose from 68 to 90, MAP fell from 66 to 58, and diastolic pressure moved from 56 to 48. Systolic pressure ranged 92-152 and ended at 98, and SpO2 recovered to 100 after a low of 84 around hour 2.5. Respiratory rate ended at 16; the available labs showed white count fell from 11.7 to 10, creatinine rose from 0.8 to 0.9, lactate was checked once at 2.0, and urine output fell from 345 to 26.","answer":"B","answer_text":"For handoff, the heart rate rose from 72 to 86, MAP fell from 71 to 63, and diastolic pressure moved from 51 to 53. Systolic pressure ranged 97-182 and ended at 103, and SpO2 recovered to 95 after a low of 85 around hour 3.2. Respiratory rate ended at 14; the available labs showed white count fell from 13.9 to 12.8, creatinine rose from 0.7 to 0.9, lactate was checked once at 2.3, and urine output fell from 295 to 30.","episode_id":"iv_000098","anchor_time":29}
{"id":"TSS_iv_000100_clinical_summary_69_1","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 180 to 54, diastolic pressure fell from 69 to 57, and heart rate fell from 79 to 75. The lowest MAP was about 52 around hour 57.8, and the lowest valid SpO2 was 88 around hour 2.6; respiratory rate rose as high as 36 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 33.4-34.8 C, white count rose from 7.2 to 7.8, creatinine rose from 0.9 to 1, lactate was checked once at 1.3, and urine output fell from 620 to 270.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 160 to 57, diastolic pressure fell from 66 to 54, and heart rate fell from 82 to 72. The lowest MAP was about 49 around hour 60.8, and the lowest valid SpO2 was 85 around hour 3.1; respiratory rate rose as high as 34 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 36.4-37.8 C, white count rose from 6.7 to 8.3, creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 1.5, and urine output fell from 600 to 220.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 185 to 53, diastolic pressure fell from 70 to 58, and heart rate fell from 78 to 75. The lowest MAP was about 53 around hour 57.0, and the lowest valid SpO2 was 89 around hour 2.1; respiratory rate rose as high as 38 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 32.6-34.0 C, white count rose from 7.3 to 7.7, creatinine was roughly stable (0.9 to 1.0), lactate was checked once at 1.2, and urine output fell from 625 to 245.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 130 to 62, diastolic pressure fell from 62 to 51, and heart rate fell from 86 to 68. The lowest MAP was about 52 around hour 61.8, and the lowest valid SpO2 was 80 around hour 3.9; respiratory rate rose as high as 30 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 40.9-42.3 C, white count rose from 6.0 to 9.1, creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 1.8, and urine output fell from 570 to 190.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 160 to 57, diastolic pressure fell from 66 to 54, and heart rate fell from 82 to 72. The lowest MAP was about 49 around hour 60.8, and the lowest valid SpO2 was 85 around hour 3.1; respiratory rate rose as high as 34 but ended at 24. The lower-frequency data fit that summary: temperature ranged from 97.5 to 100, white count rose from 6.7 to 8.3, creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 1.5, and urine output fell from 600 to 220.","episode_id":"iv_000100","anchor_time":69}
{"id":"TSS_iv_000101_clinical_summary_72_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 110 to 50, MAP rose from 115 to 137, and diastolic pressure moved from 95 to 109. Systolic pressure ranged 100-195 and ended at 195, and SpO2 recovered to 92 after a low of 91 around hour 16.2. Respiratory rate ended at 23; the available labs showed white count was roughly stable (11.2 to 11.1), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output fell from 650 to 450.\nB. Over the available measurements, the heart rate fell from 108 to 52, MAP rose from 113 to 122, and diastolic pressure moved from 97 to 107. Systolic pressure ranged 98-180 and ended at 180, and SpO2 recovered to 94 after a low of 90 around hour 15.1. Respiratory rate ended at 24; the available labs showed white count was roughly stable (10.1 to 10.3), creatinine was roughly stable (0.8 to 0.5), lactate was not available, and urine output fell from 700 to 465.\nC. Over the available measurements, the heart rate fell from 114 to 46, MAP rose from 119 to 140, and diastolic pressure moved from 91 to 113. Systolic pressure ranged 96-220 and ended at 191, and SpO2 recovered to 88 after a low of 95 around hour 17.2. Respiratory rate ended at 21; the available labs showed white count was roughly stable (13.1 to 13.0), creatinine was roughly stable (0.6 to 0.7), lactate was not available, and urine output fell from 675 to 425.\nD. Over the available measurements, the heart rate fell from 106 to 53, MAP rose from 110 to 113, and diastolic pressure moved from 100 to 106. Systolic pressure ranged 96-165 and ended at 165, and SpO2 recovered to 96 after a low of 86 around hour 13.9. Respiratory rate ended at 25; the available labs showed white count was roughly stable (8.9 to 8.8), creatinine was roughly stable (0.8 to 0.4), lactate was not available, and urine output fell from 620 to 480.","answer":"A","answer_text":"Over the available measurements, the heart rate fell from 110 to 50, MAP rose from 115 to 137, and diastolic pressure moved from 95 to 109. Systolic pressure ranged 100-195 and ended at 195, and SpO2 recovered to 92 after a low of 91 around hour 16.2. Respiratory rate ended at 23; the available labs showed white count was roughly stable (11.2 to 11.1), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output fell from 650 to 450.","episode_id":"iv_000101","anchor_time":72}
{"id":"TSS_iv_000102_clinical_summary_32_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 79 to 64, diastolic pressure stayed around 65, and heart rate rose from 109 to 144. The lowest MAP was about 62 around hour 20.4, and the lowest valid SpO2 was 88 around hour 18.4; respiratory rate rose as high as 45 but ended at 33. The lower-frequency data fit that summary: temperature stayed around 39.7-40.9 C, white count rose from 13.9 to 17.4, creatinine rose from 1.0 to 1.7, lactate stayed broadly stable from 1.7 to 5.6, and urine output fell from 195 to 55.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 74 to 69, diastolic pressure was roughly stable (60 to 59), and heart rate rose from 106 to 164. The lowest MAP was about 62 around hour 19.9, and the lowest valid SpO2 was 85 around hour 16.9; respiratory rate rose as high as 43 but ended at 30. The lower-frequency data fit that summary: temperature stayed around 36.7-37.9 C, white count rose from 12.4 to 15.9, creatinine rose from 1.2 to 1.6, lactate stayed broadly stable from 1.5 to 6.1, and urine output fell from 175 to 5.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 80 to 63, diastolic pressure stayed around 66, and heart rate rose from 110 to 167. The lowest MAP was about 63 around hour 20.8, and the lowest valid SpO2 was 89 around hour 15.9; respiratory rate rose as high as 39 but ended at 34. The lower-frequency data fit that summary: temperature stayed around 40.5-41.6 C, white count rose from 14.3 to 17.8, creatinine rose from 0.9 to 1.9, lactate stayed broadly stable from 1.8 to 5.5, and urine output fell from 200 to 6.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 76 to 67, diastolic pressure stayed around 62, and heart rate rose from 106 to 164. The lowest MAP was about 59 around hour 18.9, and the lowest valid SpO2 was 85 around hour 16.9; respiratory rate rose as high as 43 but ended at 30. The lower-frequency data fit that summary: temperature stayed around 36.7-37.9 C, white count rose from 12.4 to 15.9, creatinine rose from 1.2 to 1.6, lactate stayed broadly stable from 1.5 to 6.1, and urine output fell from 175 to 5.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 76 to 67, diastolic pressure stayed around 62, and heart rate rose from 106 to 164. The lowest MAP was about 59 around hour 18.9, and the lowest valid SpO2 was 85 around hour 16.9; respiratory rate rose as high as 43 but ended at 30. The lower-frequency data fit that summary: temperature ranged from 37 to 100.3, white count rose from 12.4 to 15.9, creatinine rose from 1.2 to 1.6, lactate stayed broadly stable from 1.5 to 6.1, and urine output fell from 175 to 5.","episode_id":"iv_000102","anchor_time":32}
{"id":"TSS_iv_000102_clinical_summary_32_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 93, MAP fell from 76 to 67, and heart rate rose from 106 to 164. SpO2 started at 100, ended at 93, and fell as low as 85 around hour 16.9; respiratory rate ranged 17-43. For labs and output, white count rose from 12.4 to 15.9, creatinine rose from 1.2 to 1.6, lactate stayed broadly stable from 1.5 to 6.1, and urine output fell from 175 to 5.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 95, MAP fell from 74 to 65, and heart rate rose from 108 to 167. SpO2 started at 98, ended at 91, and fell as low as 83 around hour 18.0; respiratory rate ranged 16-45. For labs and output, white count rose from 13.5 to 15.1, creatinine rose from 1.0 to 1.8, lactate stayed broadly stable from 1.4 to 5.7, and urine output fell from 190 to 5.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 119 to 89, MAP fell from 80 to 70, and heart rate rose from 102 to 189. SpO2 started at 96, ended at 97, and fell as low as 84 around hour 15.0; respiratory rate ranged 19-39. For labs and output, white count rose from 10.5 to 17.8, creatinine rose from 1.4 to 1.6, lactate stayed broadly stable from 1.8 to 6.7, and urine output fell from 150 to 6.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 110 to 98, MAP fell from 72 to 62, and heart rate rose from 110 to 134. SpO2 started at 96, ended at 88, and fell as low as 80 around hour 19.1; respiratory rate ranged 15-48. For labs and output, white count rose from 14.7 to 16.2, creatinine rose from 0.9 to 1.7, lactate stayed broadly stable from 1.7 to 5.3, and urine output fell from 205 to 4.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 93, MAP fell from 76 to 67, and heart rate rose from 106 to 164. SpO2 started at 100, ended at 93, and fell as low as 85 around hour 16.9; respiratory rate ranged 17-43. For labs and output, white count rose from 12.4 to 15.9, creatinine rose from 1.2 to 1.6, lactate stayed broadly stable from 1.5 to 6.1, and urine output fell from 175 to 5.","episode_id":"iv_000102","anchor_time":32}
{"id":"TSS_iv_000103_clinical_summary_81_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Viewed chronologically, the heart rate stayed around 75, while MAP rose from 57 to 79. Systolic pressure was labile, ranging 92-174, with the lowest value around hour 2.3. SpO2 briefly dipped to 82 around hour 3.6 before recovering to 99, while respiratory rate peaked at 26 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (2.8 to 3.4), creatinine was roughly stable (0.7 to 0.7), lactate was checked once at 2, and urine output was roughly stable (125 to 100), with recorded outputs ranging 70-350.\nB. Viewed chronologically, the heart rate stayed around 70, while MAP rose from 62 to 74. Systolic pressure was labile, ranging 87-139, with the lowest value around hour 2.0. SpO2 briefly dipped to 86 around hour 2.7 before recovering to 94, while respiratory rate peaked at 29 and later settled at 22. The associated labs and urine output showed that white count rose from 2.5 to 4.6, creatinine stayed around 0.5, lactate was checked once at 2, and urine output was roughly stable (140 to 98), with recorded outputs ranging 19-335.\nC. Viewed chronologically, the heart rate stayed around 76, while MAP rose from 56 to 79. Systolic pressure was labile, ranging 93-179, with the lowest value around hour 2.4. SpO2 briefly dipped to 81 around hour 4.1 before recovering to 100, while respiratory rate peaked at 25 and later settled at 25. The associated labs and urine output showed that white count rose from 2.9 to 3.6, creatinine stayed around 0.7, lactate was checked once at 2, and urine output was roughly stable (100 to 50), with recorded outputs ranging 22-375.\nD. Viewed chronologically, the heart rate stayed around 72, while MAP rose from 60 to 76. Systolic pressure was labile, ranging 89-154, with the lowest value around hour 2.1. SpO2 briefly dipped to 85 around hour 3.1 before recovering to 96, while respiratory rate peaked at 27 and later settled at 23. The associated labs and urine output showed that white count rose from 2.6 to 4.2, creatinine stayed around 0.6, lactate was checked once at 2, and urine output was roughly stable (125 to 100), with recorded outputs ranging 20-350.","answer":"D","answer_text":"Viewed chronologically, the heart rate stayed around 72, while MAP rose from 60 to 76. Systolic pressure was labile, ranging 89-154, with the lowest value around hour 2.1. SpO2 briefly dipped to 85 around hour 3.1 before recovering to 96, while respiratory rate peaked at 27 and later settled at 23. The associated labs and urine output showed that white count rose from 2.6 to 4.2, creatinine stayed around 0.6, lactate was checked once at 2, and urine output was roughly stable (125 to 100), with recorded outputs ranging 20-350.","episode_id":"iv_000103","anchor_time":81}
{"id":"TSS_iv_000103_clinical_summary_81_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 60 to 76, diastolic pressure rose from 43 to 62, and heart rate stayed around 72. The lowest MAP was about 60 around hour 2.1, and the lowest valid SpO2 was 85 around hour 3.1; respiratory rate rose as high as 27 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 36.2-37.1 C, white count rose from 2.6 to 4.2, creatinine stayed around 0.6, lactate was checked once at 2, and urine output was roughly stable (125 to 100)\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 58 to 78, diastolic pressure rose from 41 to 60, and heart rate was roughly stable (74 to 75). The lowest MAP was about 60 around hour 2.1, and the lowest valid SpO2 was 85 around hour 2.1; respiratory rate rose as high as 27 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 36.2-37.1 C, white count rose from 2.6 to 4.2, creatinine stayed around 0.6, lactate was checked once at 2, and urine output was roughly stable (125 to 100)\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 64 to 72, diastolic pressure rose from 47 to 59, and heart rate stayed around 68. The lowest MAP was about 64 around hour 3.1, and the lowest valid SpO2 was 89 around hour 3.7; respiratory rate rose as high as 25 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 40.0-40.9 C, white count was roughly stable (3.4 to 4.8), creatinine stayed around 0.5, lactate was checked once at 2, and urine output was roughly stable (150 to 96)\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 56 to 80, diastolic pressure rose from 38 to 58, and heart rate stayed around 76. The lowest MAP was about 56 around hour 1.8, and the lowest valid SpO2 was 80 around hour 2.4; respiratory rate rose as high as 29 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 31.7-32.6 C, white count rose from 2.3 to 3.5, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 2, and urine output was roughly stable (125 to 150)","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 60 to 76, diastolic pressure rose from 43 to 62, and heart rate stayed around 72. The lowest MAP was about 60 around hour 2.1, and the lowest valid SpO2 was 85 around hour 3.1; respiratory rate rose as high as 27 but ended at 23. The lower-frequency data fit that summary: temperature ranged from 97.1 to 98.7, white count rose from 2.6 to 4.2, creatinine stayed around 0.6, lactate was checked once at 2, and urine output was roughly stable (125 to 100)","episode_id":"iv_000103","anchor_time":81}
{"id":"TSS_iv_000104_clinical_summary_24_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Overall, the heart rate rose from 50 to 86, while MAP fell from 84 to 65. Systolic pressure was labile, ranging 92-165, with the lowest value around hour 19.4. SpO2 briefly dipped to 85 around hour 0.4 before recovering to 95, while respiratory rate peaked at 27 and later settled at 27. The associated labs and urine output showed that white count fell from 12.8 to 10.7, creatinine stayed around 0.6, lactate was not available, and urine output fell from 350 to 60, with recorded outputs ranging 15-350.\nB. Overall, the heart rate rose from 48 to 89, while MAP fell from 82 to 63. Systolic pressure was labile, ranging 96-180, with the lowest value around hour 18.3. SpO2 briefly dipped to 83 around hour 0.3 before recovering to 97, while respiratory rate peaked at 29 and later settled at 26. The associated labs and urine output showed that white count fell from 13.9 to 9.6, creatinine stayed around 0.5, lactate was not available, and urine output fell from 365 to 58, with recorded outputs ranging 14-335.\nC. Overall, the heart rate rose from 54 to 82, while MAP fell from 88 to 68. Systolic pressure was labile, ranging 88-140, with the lowest value around hour 21.3. SpO2 briefly dipped to 89 around hour 1.4 before recovering to 91, while respiratory rate peaked at 29 and later settled at 29. The associated labs and urine output showed that white count fell from 10.9 to 9.4, creatinine stayed around 0.7, lactate was not available, and urine output fell from 325 to 10, with recorded outputs ranging 10-375.\nD. Overall, the heart rate rose from 46 to 90, while MAP fell from 80 to 60. Systolic pressure was labile, ranging 96-195, with the lowest value around hour 17.1. SpO2 briefly dipped to 80 around hour 0.2 before recovering to 100, while respiratory rate peaked at 25 and later settled at 25. The associated labs and urine output showed that white count fell from 15.1 to 9.9, creatinine was roughly stable (0.4 to 0.7), lactate was not available, and urine output fell from 350 to 60, with recorded outputs ranging 60-350.","answer":"A","answer_text":"Overall, the heart rate rose from 50 to 86, while MAP fell from 84 to 65. Systolic pressure was labile, ranging 92-165, with the lowest value around hour 19.4. SpO2 briefly dipped to 85 around hour 0.4 before recovering to 95, while respiratory rate peaked at 27 and later settled at 27. The associated labs and urine output showed that white count fell from 12.8 to 10.7, creatinine stayed around 0.6, lactate was not available, and urine output fell from 350 to 60, with recorded outputs ranging 15-350.","episode_id":"iv_000104","anchor_time":24}
{"id":"TSS_iv_000104_clinical_summary_24_2","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (147 to 101), MAP fell from 87 to 68, and heart rate rose from 47 to 89. SpO2 started at 82, ended at 98, and fell as low as 88 around hour 0.3; respiratory rate ranged 8-29. For labs and output, white count fell from 11.3 to 9.9, creatinine stayed around 0.7, lactate was not available, and urine output fell from 330 to 63.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (112 to 136), MAP fell from 87 to 63, and heart rate rose from 52 to 84. SpO2 started at 87, ended at 93, and fell as low as 83 around hour 0.5; respiratory rate ranged 8-28. For labs and output, white count fell from 13.9 to 9.6, creatinine was roughly stable (0.5 to 0.7), lactate was not available, and urine output fell from 350 to 60.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (127 to 121), MAP fell from 84 to 65, and heart rate rose from 50 to 86. SpO2 started at 85, ended at 95, and fell as low as 85 around hour 0.4; respiratory rate ranged 8-27. For labs and output, white count fell from 12.8 to 10.7, creatinine stayed around 0.6, lactate was not available, and urine output fell from 350 to 60.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 97 to 94, MAP fell from 80 to 68, and heart rate rose from 54 to 82. SpO2 started at 90, ended at 90, and fell as low as 84 around hour 0.6; respiratory rate ranged 7-29. For labs and output, white count fell from 15.1 to 8.4, creatinine stayed around 0.4, lactate was not available, and urine output fell from 380 to 56.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (127 to 121), MAP fell from 84 to 65, and heart rate rose from 50 to 86. SpO2 started at 85, ended at 95, and fell as low as 85 around hour 0.4; respiratory rate ranged 8-27. For labs and output, white count fell from 12.8 to 10.7, creatinine stayed around 0.6, lactate was not available, and urine output fell from 350 to 60.","episode_id":"iv_000104","anchor_time":24}
{"id":"TSS_iv_000105_clinical_summary_90_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. In broad terms, the heart rate rose from 85 to 94, MAP rose from 74 to 97, and diastolic pressure moved from 67 to 85. Systolic pressure ranged 68-156 and ended at 132, and SpO2 recovered to 91 after a low of 85 around hour 1.2. Respiratory rate ended at 26; the available labs showed white count fell from 20.1 to 6.7, creatinine fell from 1.2 to 0.9, lactate stayed broadly stable from 2.8 to 0.9, and urine output fell from 800 to 500.\nB. In broad terms, the heart rate rose from 83 to 97, MAP rose from 72 to 95, and diastolic pressure moved from 69 to 82. Systolic pressure ranged 66-141 and ended at 117, and SpO2 recovered to 93 after a low of 83 around hour 1.0. Respiratory rate ended at 27; the available labs showed white count fell from 19.0 to 6.3, creatinine fell from 1.4 to 0.8, lactate stayed broadly stable from 2.6 to 1.0, and urine output fell from 785 to 485.\nC. In broad terms, the heart rate rose from 89 to 90, MAP rose from 78 to 100, and diastolic pressure moved from 63 to 89. Systolic pressure ranged 72-181 and ended at 157, and SpO2 recovered to 87 after a low of 84 around hour 1.4. Respiratory rate ended at 24; the available labs showed white count fell from 22.0 to 5.9, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 3.0 to 0.8, and urine output fell from 850 to 525.\nD. In broad terms, the heart rate rose from 80 to 98, MAP rose from 70 to 100, and diastolic pressure moved from 72 to 80. Systolic pressure ranged 64-126 and ended at 128, and SpO2 recovered to 96 after a low of 80 around hour 2.2. Respiratory rate ended at 28; the available labs showed white count fell from 17.9 to 6.0, creatinine fell from 1.5 to 0.8, lactate stayed broadly stable from 2.5 to 1.1, and urine output fell from 770 to 470.","answer":"A","answer_text":"In broad terms, the heart rate rose from 85 to 94, MAP rose from 74 to 97, and diastolic pressure moved from 67 to 85. Systolic pressure ranged 68-156 and ended at 132, and SpO2 recovered to 91 after a low of 85 around hour 1.2. Respiratory rate ended at 26; the available labs showed white count fell from 20.1 to 6.7, creatinine fell from 1.2 to 0.9, lactate stayed broadly stable from 2.8 to 0.9, and urine output fell from 800 to 500.","episode_id":"iv_000105","anchor_time":90}
{"id":"TSS_iv_000106_clinical_summary_33_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 91 to 93, diastolic pressure rose from 73 to 82, and heart rate fell from 95 to 94. The lowest MAP was about 65 around hour 20, and the lowest valid SpO2 was 91 around hour 0.3; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 33.6-34.4 C, white count was 13.7 on its only check, creatinine was 1.1 on its only check, lactate was not available, and urine output was roughly stable (145 to 220)\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 86 to 98, diastolic pressure rose from 68 to 83, and heart rate was roughly stable (100 to 94). The lowest MAP was about 60 around hour 20, and the lowest valid SpO2 was 86 around hour 0; respiratory rate rose as high as 22 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 38.9-39.6 C, white count was 11.1 on its only check, creatinine was 1.5 on its only check, lactate was not available, and urine output was roughly stable (110 to 185)\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 92 to 95, diastolic pressure rose from 74 to 89, and heart rate fell from 94 to 91. The lowest MAP was about 66 around hour 17, and the lowest valid SpO2 was 92 around hour 0.3; respiratory rate rose as high as 25 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 32.9-33.6 C, white count was 14.1 on its only check, creatinine was 1.1 on its only check, lactate was not available, and urine output rose from 150 to 250.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 88 to 96, diastolic pressure rose from 70 to 85, and heart rate fell from 98 to 91. The lowest MAP was about 62 around hour 19, and the lowest valid SpO2 was 88 around hour 0.4; respiratory rate rose as high as 23 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 36.6-37.4 C, white count was 12.2 on its only check, creatinine was 1.3 on its only check, lactate was not available, and urine output was roughly stable (125 to 200)","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 88 to 96, diastolic pressure rose from 70 to 85, and heart rate fell from 98 to 91. The lowest MAP was about 62 around hour 19, and the lowest valid SpO2 was 88 around hour 0.4; respiratory rate rose as high as 23 but ended at 23. The lower-frequency data fit that summary: temperature ranged from 97.8 to 99.4, white count was 12.2 on its only check, creatinine was 1.3 on its only check, lactate was not available, and urine output was roughly stable (125 to 200)","episode_id":"iv_000106","anchor_time":33}
{"id":"TSS_iv_000106_clinical_summary_33_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 134, MAP rose from 88 to 96, and heart rate fell from 98 to 91. SpO2 started at 96, ended at 96, and fell as low as 88 around hour 0.4; respiratory rate ranged 15-23. For labs and output, white count was 12.2 on its only check, creatinine was 1.3 on its only check, lactate was not available, and urine output was roughly stable (125 to 200)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 128 to 108, MAP rose from 86 to 94, and heart rate was roughly stable (100 to 94). SpO2 started at 98, ended at 94, and fell as low as 86 around hour 0.5; respiratory rate ranged 14-25. For labs and output, white count was 13.3 on its only check, creatinine was 1.1 on its only check, lactate was not available, and urine output was roughly stable (110 to 215)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 168 to 130, MAP rose from 92 to 99, and heart rate fell from 94 to 91. SpO2 started at 92, ended at 100, and fell as low as 87 around hour 0.3; respiratory rate ranged 17-21. For labs and output, white count was 10.3 on its only check, creatinine was 1.6 on its only check, lactate was not available, and urine output was roughly stable (150 to 175)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 93, MAP rose from 84 to 92, and heart rate fell from 100 to 86. SpO2 started at 100, ended at 92, and fell as low as 84 around hour 0.6; respiratory rate ranged 13-25. For labs and output, white count was 14.4 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output was roughly stable (95 to 230)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 134, MAP rose from 88 to 96, and heart rate fell from 98 to 91. SpO2 started at 96, ended at 96, and fell as low as 88 around hour 0.4; respiratory rate ranged 15-23. For labs and output, white count was 12.2 on its only check, creatinine was 1.3 on its only check, lactate was not available, and urine output was roughly stable (125 to 200)","episode_id":"iv_000106","anchor_time":33}
{"id":"TSS_iv_000107_clinical_summary_35_2","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (141 to 114), MAP fell from 84 to 75, and heart rate fell from 86 to 63. SpO2 started at 96, ended at 88, and fell as low as 88 around hour 9.6; respiratory rate ranged 16-28. For labs and output, white count fell from 17.9 to 16.4, creatinine stayed around 0.9, lactate fell from 2.6 to 1.2, and urine output fell from 300 to 50.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (121 to 117), MAP fell from 81 to 72, and heart rate fell from 89 to 60. SpO2 started at 99, ended at 85, and fell as low as 85 around hour 11.1; respiratory rate ranged 14-29. For labs and output, white count fell from 19.4 to 17.9, creatinine was roughly stable (0.8 to 0.7), lactate fell from 2.4 to 1.2, and urine output fell from 300 to 50.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (146 to 113), MAP fell from 85 to 76, and heart rate fell from 85 to 63. SpO2 started at 95, ended at 89, and fell as low as 89 around hour 9.2; respiratory rate ranged 16-31. For labs and output, white count fell from 17.5 to 17.1, creatinine was roughly stable (0.9 to 0.6), lactate fell from 2.6 to 1.4, and urine output fell from 275 to 54.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 91 to 88, MAP fell from 76 to 75, and heart rate fell from 94 to 56. SpO2 started at 100, ended at 80, and fell as low as 84 around hour 13.3; respiratory rate ranged 12-31. For labs and output, white count fell from 21.6 to 15.6, creatinine was roughly stable (0.7 to 0.8), lactate fell from 2.1 to 0.9, and urine output fell from 330 to 46.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (121 to 117), MAP fell from 81 to 72, and heart rate fell from 89 to 60. SpO2 started at 99, ended at 85, and fell as low as 85 around hour 11.1; respiratory rate ranged 14-29. For labs and output, white count fell from 19.4 to 17.9, creatinine was roughly stable (0.8 to 0.7), lactate fell from 2.4 to 1.2, and urine output fell from 300 to 50.","episode_id":"iv_000107","anchor_time":35}
{"id":"TSS_iv_000108_clinical_summary_79_0","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 60 to 79, while MAP fell from 75 to 69. Systolic pressure was labile, ranging 84-143, with the lowest value around hour 36.6. SpO2 briefly dipped to 85 around hour 3.9 before recovering to 95, while respiratory rate peaked at 29 and later settled at 28. The associated labs and urine output showed that white count fell from 15.9 to 12.7, creatinine was roughly stable (0.7 to 0.6), lactate fell from 2.5 to 1.4, and urine output fell from 495 to 30, with recorded outputs ranging 20-800.\nB. Across the recorded window, the heart rate rose from 58 to 81, while MAP fell from 73 to 67. Systolic pressure was labile, ranging 88-158, with the lowest value around hour 34.4. SpO2 briefly dipped to 83 around hour 3.5 before recovering to 97, while respiratory rate peaked at 31 and later settled at 27. The associated labs and urine output showed that white count fell from 17.0 to 11.6, creatinine was roughly stable (0.6 to 0.7), lactate fell from 2.4 to 1.2, and urine output fell from 510 to 28, with recorded outputs ranging 19-785.\nC. Across the recorded window, the heart rate rose from 64 to 75, while MAP was roughly stable (79 to 72). Systolic pressure was labile, ranging 80-118, with the lowest value around hour 40.4. SpO2 briefly dipped to 89 around hour 4.9 before recovering to 91, while respiratory rate peaked at 31 and later settled at 30. The associated labs and urine output showed that white count fell from 14.0 to 12.5, creatinine was roughly stable (0.8 to 0.5), lactate fell from 2.8 to 1.6, and urine output fell from 470 to 0, with recorded outputs ranging 0-825.\nD. Across the recorded window, the heart rate rose from 56 to 84, while MAP fell from 70 to 64. Systolic pressure was labile, ranging 88-173, with the lowest value around hour 32.1. SpO2 briefly dipped to 80 around hour 3.1 before recovering to 100, while respiratory rate peaked at 27 and later settled at 26. The associated labs and urine output showed that white count fell from 18.1 to 11.9, creatinine stayed around 0.5, lactate fell from 2.5 to 1.4, and urine output fell from 495 to 30, with recorded outputs ranging 26-800.","answer":"A","answer_text":"Across the recorded window, the heart rate rose from 60 to 79, while MAP fell from 75 to 69. Systolic pressure was labile, ranging 84-143, with the lowest value around hour 36.6. SpO2 briefly dipped to 85 around hour 3.9 before recovering to 95, while respiratory rate peaked at 29 and later settled at 28. The associated labs and urine output showed that white count fell from 15.9 to 12.7, creatinine was roughly stable (0.7 to 0.6), lactate fell from 2.5 to 1.4, and urine output fell from 495 to 30, with recorded outputs ranging 20-800.","episode_id":"iv_000108","anchor_time":79}
{"id":"TSS_iv_000109_clinical_summary_35_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 39 to 104, MAP was roughly stable (79 to 82), and heart rate fell from 81 to 72. SpO2 started at 97, ended at 100, and fell as low as 88 around hour 6.2; respiratory rate ranged 12-29. For labs and output, white count fell from 12.8 to 9.9, creatinine rose from 0.9 to 1, lactate was checked once at 2, and urine output fell from 1250 to 180.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 34 to 120, MAP rose from 74 to 82, and heart rate fell from 86 to 67. SpO2 started at 98, ended at 95, and fell as low as 84 around hour 7.1; respiratory rate ranged 9-28. For labs and output, white count fell from 15.4 to 9.6, creatinine rose from 0.7 to 1, lactate was checked once at 2, and urine output fell from 1110 to 215.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 40 to 99, MAP was roughly stable (80 to 83), and heart rate fell from 80 to 73. SpO2 started at 96, ended at 100, and fell as low as 89 around hour 6.1; respiratory rate ranged 12-25. For labs and output, white count fell from 12.4 to 10.9, creatinine rose from 0.9 to 1.1, lactate was checked once at 2.2, and urine output fell from 1270 to 175.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 36 to 124, MAP was roughly stable (76 to 79), and heart rate fell from 84 to 69. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 6.7; respiratory rate ranged 10-27. For labs and output, white count fell from 14.3 to 10.7, creatinine rose from 0.8 to 1, lactate was checked once at 2, and urine output fell from 1170 to 200.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 36 to 124, MAP was roughly stable (76 to 79), and heart rate fell from 84 to 69. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 6.7; respiratory rate ranged 10-27. For labs and output, white count fell from 14.3 to 10.7, creatinine rose from 0.8 to 1, lactate was checked once at 2, and urine output fell from 1170 to 200.","episode_id":"iv_000109","anchor_time":35}
{"id":"TSS_iv_000109_clinical_summary_35_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 84 to 69, MAP was roughly stable (76 to 79), and diastolic pressure moved from 20 to 71. Systolic pressure ranged 22-138 and ended at 124, and SpO2 recovered to 97 after a low of 85 around hour 6.7. Respiratory rate ended at 25; the available labs showed white count fell from 14.3 to 10.7, creatinine rose from 0.8 to 1, lactate was checked once at 2, and urine output fell from 1170 to 200.\nB. Over the available measurements, the heart rate fell from 82 to 71, MAP was roughly stable (74 to 77), and diastolic pressure moved from 21 to 69. Systolic pressure ranged 21-123 and ended at 109, and SpO2 recovered to 99 after a low of 84 around hour 6.3. Respiratory rate ended at 26; the available labs showed white count fell from 13.2 to 9.9, creatinine rose from 0.9 to 1, lactate was checked once at 2, and urine output fell from 1220 to 185.\nC. Over the available measurements, the heart rate fell from 88 to 72, MAP was roughly stable (80 to 83), and diastolic pressure moved from 18 to 68. Systolic pressure ranged 24-163 and ended at 149, and SpO2 recovered to 93 after a low of 89 around hour 7.3. Respiratory rate ended at 23; the available labs showed white count fell from 16.2 to 12.6, creatinine rose from 0.7 to 1, lactate was checked once at 2, and urine output fell from 1070 to 225.\nD. Over the available measurements, the heart rate fell from 80 to 74, MAP rose from 72 to 82, and diastolic pressure moved from 22 to 66. Systolic pressure ranged 20-108 and ended at 120, and SpO2 recovered to 100 after a low of 80 around hour 7.7. Respiratory rate ended at 27; the available labs showed white count fell from 12.1 to 8.4, creatinine rose from 1.0 to 1.2, lactate was checked once at 2, and urine output fell from 1290 to 170.","answer":"A","answer_text":"Over the available measurements, the heart rate fell from 84 to 69, MAP was roughly stable (76 to 79), and diastolic pressure moved from 20 to 71. Systolic pressure ranged 22-138 and ended at 124, and SpO2 recovered to 97 after a low of 85 around hour 6.7. Respiratory rate ended at 25; the available labs showed white count fell from 14.3 to 10.7, creatinine rose from 0.8 to 1, lactate was checked once at 2, and urine output fell from 1170 to 200.","episode_id":"iv_000109","anchor_time":35}
{"id":"TSS_iv_000110_clinical_summary_49_0","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 61 to 78, while MAP fell from 110 to 92. Systolic pressure was labile, ranging 102-136, with the lowest value around hour 14.2. SpO2 briefly dipped to 86 around hour 44.7 before recovering to 96, while respiratory rate peaked at 25 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (17.0 to 19.9), creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (655 to 720), with recorded outputs ranging 140-1480.\nB. Over the available measurements, the heart rate rose from 56 to 83, while MAP fell from 105 to 92. Systolic pressure was labile, ranging 100-171, with the lowest value around hour 11.6. SpO2 briefly dipped to 83 around hour 42.7 before recovering to 100, while respiratory rate peaked at 22 and later settled at 17. The associated labs and urine output showed that white count was roughly stable (19.6 to 17.3), creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (690 to 650), with recorded outputs ranging 105-1340.\nC. Over the available measurements, the heart rate rose from 58 to 81, while MAP fell from 107 to 89. Systolic pressure was labile, ranging 98-156, with the lowest value around hour 12.7. SpO2 briefly dipped to 85 around hour 41.7 before recovering to 99, while respiratory rate peaked at 23 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (18.5 to 18.4), creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (675 to 700), with recorded outputs ranging 120-1400.\nD. Over the available measurements, the heart rate rose from 54 to 86, while MAP fell from 102 to 84. Systolic pressure was labile, ranging 100-186, with the lowest value around hour 10.4. SpO2 briefly dipped to 80 around hour 37.2 before recovering to 100, while respiratory rate peaked at 21 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (20.8 to 17.6), creatinine was roughly stable (0.5 to 0.8), lactate was not available, and urine output was roughly stable (675 to 700), with recorded outputs ranging 170-1400.","answer":"C","answer_text":"Over the available measurements, the heart rate rose from 58 to 81, while MAP fell from 107 to 89. Systolic pressure was labile, ranging 98-156, with the lowest value around hour 12.7. SpO2 briefly dipped to 85 around hour 41.7 before recovering to 99, while respiratory rate peaked at 23 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (18.5 to 18.4), creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (675 to 700), with recorded outputs ranging 120-1400.","episode_id":"iv_000110","anchor_time":49}
{"id":"TSS_iv_000110_clinical_summary_49_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 110 to 86, diastolic pressure was roughly stable (84 to 89), and heart rate rose from 55 to 84. The lowest MAP was about 82 around hour 9.2, and the lowest valid SpO2 was 88 around hour 38.7; respiratory rate rose as high as 25 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.7-34.7 C, white count was roughly stable (20.0 to 16.9), creatinine was roughly stable (0.8 to 0.8), lactate was not available, and urine output was roughly stable (675 to 750)\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 105 to 91, diastolic pressure was roughly stable (79 to 83), and heart rate rose from 60 to 79. The lowest MAP was about 82 around hour 11.7, and the lowest valid SpO2 was 83 around hour 44.0; respiratory rate rose as high as 22 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 39.0-40.0 C, white count was roughly stable (17.4 to 19.5), creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (660 to 715)\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 111 to 85, diastolic pressure was roughly stable (85 to 90), and heart rate rose from 54 to 84. The lowest MAP was about 83 around hour 8.8, and the lowest valid SpO2 was 89 around hour 40.7; respiratory rate rose as high as 25 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.0-34.0 C, white count was roughly stable (20.4 to 16.5), creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (700 to 675)\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 107 to 89, diastolic pressure was roughly stable (81 to 86), and heart rate rose from 58 to 81. The lowest MAP was about 79 around hour 10.7, and the lowest valid SpO2 was 85 around hour 41.7; respiratory rate rose as high as 23 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.7-37.7 C, white count was roughly stable (18.5 to 18.4), creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (675 to 700)","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 107 to 89, diastolic pressure was roughly stable (81 to 86), and heart rate rose from 58 to 81. The lowest MAP was about 79 around hour 10.7, and the lowest valid SpO2 was 85 around hour 41.7; respiratory rate rose as high as 23 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 98 to 99.8, white count was roughly stable (18.5 to 18.4), creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (675 to 700)","episode_id":"iv_000110","anchor_time":49}
{"id":"TSS_iv_000110_clinical_summary_49_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (147 to 144), MAP fell from 107 to 89, and heart rate rose from 58 to 81. SpO2 started at 96, ended at 99, and fell as low as 85 around hour 41.7; respiratory rate ranged 13-23. For labs and output, white count was roughly stable (18.5 to 18.4), creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (675 to 700)\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (132 to 159), MAP fell from 105 to 87, and heart rate rose from 60 to 79. SpO2 started at 98, ended at 97, and fell as low as 83 around hour 44.0; respiratory rate ranged 12-24. For labs and output, white count was roughly stable (19.6 to 17.3), creatinine was roughly stable (0.6 to 0.8), lactate was not available, and urine output was roughly stable (675 to 700)\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (172 to 119), MAP fell from 111 to 93, and heart rate rose from 54 to 84. SpO2 started at 92, ended at 100, and fell as low as 89 around hour 38.0; respiratory rate ranged 15-25. For labs and output, white count was roughly stable (16.6 to 17.6), creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (650 to 725)\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 117 to 97, MAP fell from 102 to 92, and heart rate rose from 62 to 76. SpO2 started at 100, ended at 94, and fell as low as 84 around hour 46.2; respiratory rate ranged 11-25. For labs and output, white count was roughly stable (20.8 to 16.1), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (705 to 670)","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (147 to 144), MAP fell from 107 to 89, and heart rate rose from 58 to 81. SpO2 started at 96, ended at 99, and fell as low as 85 around hour 41.7; respiratory rate ranged 13-23. For labs and output, white count was roughly stable (18.5 to 18.4), creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (675 to 700)","episode_id":"iv_000110","anchor_time":49}
{"id":"TSS_iv_000111_clinical_summary_43_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 100 to 78, while MAP fell from 97 to 84. Systolic pressure was labile, ranging 87-114, with the lowest value around hour 36.6. SpO2 briefly dipped to 86 around hour 12.1 before recovering to 94, while respiratory rate peaked at 24 and later settled at 18. The associated labs and urine output showed that white count rose from 9.9 to 14.8, creatinine rose from 0.8 to 0.9, lactate was checked once at 1542, and urine output fell from 720 to 280, with recorded outputs ranging 97-680.\nB. Viewed chronologically, the heart rate fell from 95 to 83, while MAP fell from 92 to 84. Systolic pressure was labile, ranging 85-149, with the lowest value around hour 31.4. SpO2 briefly dipped to 83 around hour 11.6 before recovering to 99, while respiratory rate peaked at 21 and later settled at 15. The associated labs and urine output showed that white count rose from 12.5 to 14.0, creatinine rose from 0.6 to 1.0, lactate was checked once at 1402, and urine output fell from 685 to 250, with recorded outputs ranging 98-715.\nC. Viewed chronologically, the heart rate fell from 100 to 77, while MAP fell from 98 to 85. Systolic pressure was labile, ranging 79-109, with the lowest value around hour 37.4. SpO2 briefly dipped to 89 around hour 12.5 before recovering to 93, while respiratory rate peaked at 24 and later settled at 18. The associated labs and urine output showed that white count rose from 9.5 to 12.5, creatinine rose from 0.8 to 1, lactate was checked once at 1562, and urine output fell from 725 to 275, with recorded outputs ranging 150-675.\nD. Viewed chronologically, the heart rate fell from 97 to 81, while MAP fell from 94 to 81. Systolic pressure was labile, ranging 83-134, with the lowest value around hour 33.6. SpO2 briefly dipped to 85 around hour 10.6 before recovering to 97, while respiratory rate peaked at 22 and later settled at 16. The associated labs and urine output showed that white count rose from 11.4 to 13.3, creatinine rose from 0.7 to 0.9, lactate was checked once at 1462, and urine output fell from 700 to 300, with recorded outputs ranging 100-700.","answer":"D","answer_text":"Viewed chronologically, the heart rate fell from 97 to 81, while MAP fell from 94 to 81. Systolic pressure was labile, ranging 83-134, with the lowest value around hour 33.6. SpO2 briefly dipped to 85 around hour 10.6 before recovering to 97, while respiratory rate peaked at 22 and later settled at 16. The associated labs and urine output showed that white count rose from 11.4 to 13.3, creatinine rose from 0.7 to 0.9, lactate was checked once at 1462, and urine output fell from 700 to 300, with recorded outputs ranging 100-700.","episode_id":"iv_000111","anchor_time":43}
{"id":"TSS_iv_000111_clinical_summary_43_3","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Overall, the heart rate fell from 100 to 84, MAP fell from 97 to 84, and diastolic pressure moved from 77 to 69. Systolic pressure ranged 86-154 and ended at 98, and SpO2 recovered to 94 after a low of 88 around hour 12.1. Respiratory rate ended at 14; the available labs showed white count rose from 12.9 to 14.8, creatinine rose from 0.6 to 1.0, lactate was checked once at 1542, and urine output fell from 680 to 320.\nB. Overall, the heart rate fell from 95 to 83, MAP fell from 92 to 84, and diastolic pressure moved from 82 to 70. Systolic pressure ranged 81-119 and ended at 91, and SpO2 recovered to 99 after a low of 83 around hour 11.6. Respiratory rate ended at 17; the available labs showed white count rose from 10.3 to 12.2, creatinine rose from 0.8 to 0.9, lactate was checked once at 1402, and urine output fell from 715 to 285.\nC. Overall, the heart rate fell from 97 to 81, MAP fell from 94 to 81, and diastolic pressure moved from 80 to 72. Systolic pressure ranged 83-134 and ended at 95, and SpO2 recovered to 97 after a low of 85 around hour 10.6. Respiratory rate ended at 16; the available labs showed white count rose from 11.4 to 13.3, creatinine rose from 0.7 to 0.9, lactate was checked once at 1462, and urine output fell from 700 to 300.\nD. Overall, the heart rate fell from 92 to 86, MAP fell from 90 to 76, and diastolic pressure moved from 84 to 68. Systolic pressure ranged 78-104 and ended at 90, and SpO2 recovered to 100 after a low of 84 around hour 8.3. Respiratory rate ended at 18; the available labs showed white count rose from 9.2 to 12.5, creatinine rose from 0.8 to 0.9, lactate was checked once at 1342, and urine output fell from 750 to 270.","answer":"C","answer_text":"Overall, the heart rate fell from 97 to 81, MAP fell from 94 to 81, and diastolic pressure moved from 80 to 72. Systolic pressure ranged 83-134 and ended at 95, and SpO2 recovered to 97 after a low of 85 around hour 10.6. Respiratory rate ended at 16; the available labs showed white count rose from 11.4 to 13.3, creatinine rose from 0.7 to 0.9, lactate was checked once at 1462, and urine output fell from 700 to 300.","episode_id":"iv_000111","anchor_time":43}
{"id":"TSS_iv_000112_clinical_summary_119_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Overall, the heart rate rose from 50 to 95, while MAP fell from 102 to 84. Systolic pressure was labile, ranging 88-168, with the lowest value around hour 31.4. SpO2 briefly dipped to 85 around hour 3.4 before recovering to 93, while respiratory rate peaked at 34 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (7.2 to 7.5), creatinine stayed around 0.5, lactate was not available, and urine output rose from 400 to 700, with recorded outputs ranging 100-700.\nB. Overall, the heart rate rose from 48 to 97, while MAP fell from 100 to 82. Systolic pressure was labile, ranging 92-183, with the lowest value around hour 29.1. SpO2 briefly dipped to 83 around hour 3.0 before recovering to 95, while respiratory rate peaked at 36 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (7.6 to 7.1), creatinine stayed around 0.4, lactate was not available, and urine output rose from 415 to 685, with recorded outputs ranging 98-685.\nC. Overall, the heart rate rose from 54 to 91, while MAP fell from 106 to 88. Systolic pressure was labile, ranging 84-143, with the lowest value around hour 35.1. SpO2 briefly dipped to 89 around hour 4.0 before recovering to 89, while respiratory rate peaked at 38 and later settled at 26. The associated labs and urine output showed that white count was roughly stable (6.6 to 6.7), creatinine was roughly stable (0.6 to 0.6), lactate was not available, and urine output rose from 400 to 700, with recorded outputs ranging 150-700.\nD. Overall, the heart rate rose from 46 to 100, while MAP fell from 98 to 87. Systolic pressure was labile, ranging 92-198, with the lowest value around hour 26.9. SpO2 briefly dipped to 80 around hour 4.4 before recovering to 98, while respiratory rate peaked at 30 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (8.0 to 6.8), creatinine stayed around 0.3, lactate was not available, and urine output rose from 430 to 650, with recorded outputs ranging 96-670.","answer":"A","answer_text":"Overall, the heart rate rose from 50 to 95, while MAP fell from 102 to 84. Systolic pressure was labile, ranging 88-168, with the lowest value around hour 31.4. SpO2 briefly dipped to 85 around hour 3.4 before recovering to 93, while respiratory rate peaked at 34 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (7.2 to 7.5), creatinine stayed around 0.5, lactate was not available, and urine output rose from 400 to 700, with recorded outputs ranging 100-700.","episode_id":"iv_000112","anchor_time":119}
{"id":"TSS_iv_000113_clinical_summary_85_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. In broad terms, the heart rate fell from 76 to 70, MAP rose from 75 to 90, and diastolic pressure moved from 51 to 70. Systolic pressure ranged 98-159 and ended at 149, and SpO2 recovered to 98 after a low of 85 around hour 77.7. Respiratory rate ended at 16; the available labs showed white count fell from 9.1 to 7, creatinine fell from 0.7 to 0.5, lactate was not available, and urine output was roughly stable (350 to 400)\nB. In broad terms, the heart rate fell from 74 to 72, MAP rose from 73 to 88, and diastolic pressure moved from 53 to 68. Systolic pressure ranged 96-144 and ended at 134, and SpO2 recovered to 100 after a low of 84 around hour 75.5. Respiratory rate ended at 17; the available labs showed white count fell from 8.7 to 6.2, creatinine fell from 0.8 to 0.4, lactate was not available, and urine output was roughly stable (400 to 415)\nC. In broad terms, the heart rate fell from 80 to 66, MAP rose from 79 to 93, and diastolic pressure moved from 47 to 74. Systolic pressure ranged 100-184 and ended at 145, and SpO2 recovered to 94 after a low of 89 around hour 78.7. Respiratory rate ended at 14; the available labs showed white count fell from 9.7 to 8, creatinine fell from 0.6 to 0.5, lactate was not available, and urine output was roughly stable (375 to 375)\nD. In broad terms, the heart rate was roughly stable (72 to 73), MAP rose from 70 to 86, and diastolic pressure moved from 56 to 67. Systolic pressure ranged 94-129 and ended at 119, and SpO2 recovered to 100 after a low of 80 around hour 73.2. Respiratory rate ended at 18; the available labs showed white count fell from 8.3 to 6, creatinine fell from 0.8 to 0.3, lactate was not available, and urine output was roughly stable (320 to 430)","answer":"A","answer_text":"In broad terms, the heart rate fell from 76 to 70, MAP rose from 75 to 90, and diastolic pressure moved from 51 to 70. Systolic pressure ranged 98-159 and ended at 149, and SpO2 recovered to 98 after a low of 85 around hour 77.7. Respiratory rate ended at 16; the available labs showed white count fell from 9.1 to 7, creatinine fell from 0.7 to 0.5, lactate was not available, and urine output was roughly stable (350 to 400)","episode_id":"iv_000113","anchor_time":85}
{"id":"TSS_iv_000114_clinical_summary_27_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (80 to 75), diastolic pressure was roughly stable (65 to 60), and heart rate rose from 72 to 84. The lowest MAP was about 61 around hour 16.5, and the lowest valid SpO2 was 88 around hour 2; respiratory rate rose as high as 36 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 33.6-34.5 C, white count was roughly stable (16.4 to 13.2), creatinine was roughly stable (1 to 1.0), lactate was checked once at 1.7, and urine output fell from 320 to 43.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 80), diastolic pressure was roughly stable (60 to 61), and heart rate rose from 77 to 84. The lowest MAP was about 56 around hour 16.6, and the lowest valid SpO2 was 83 around hour 2; respiratory rate rose as high as 31 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 38.9-39.8 C, white count was roughly stable (13.8 to 15.8), creatinine was roughly stable (1 to 0.8), lactate was checked once at 2.0, and urine output fell from 285 to 38.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (81 to 74), diastolic pressure was roughly stable (66 to 67), and heart rate rose from 71 to 85. The lowest MAP was about 62 around hour 13.6, and the lowest valid SpO2 was 89 around hour 2; respiratory rate rose as high as 35 but ended at 27. The lower-frequency data fit that summary: temperature stayed around 32.9-33.8 C, white count was roughly stable (16.8 to 12.8), creatinine stayed around 1, lactate was checked once at 1.9, and urine output fell from 300 to 90.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 78), diastolic pressure was roughly stable (62 to 63), and heart rate rose from 75 to 81. The lowest MAP was about 58 around hour 15.5, and the lowest valid SpO2 was 85 around hour 3; respiratory rate rose as high as 33 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 36.6-37.5 C, white count was roughly stable (14.9 to 14.7), creatinine was roughly stable (1 to 0.9), lactate was checked once at 1.9, and urine output fell from 300 to 40.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 78), diastolic pressure was roughly stable (62 to 63), and heart rate rose from 75 to 81. The lowest MAP was about 58 around hour 15.5, and the lowest valid SpO2 was 85 around hour 3; respiratory rate rose as high as 33 but ended at 25. The lower-frequency data fit that summary: temperature ranged from 97.9 to 99.5, white count was roughly stable (14.9 to 14.7), creatinine was roughly stable (1 to 0.9), lactate was checked once at 1.9, and urine output fell from 300 to 40.","episode_id":"iv_000114","anchor_time":27}
{"id":"TSS_iv_000114_clinical_summary_27_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (110 to 111), MAP was roughly stable (77 to 78), and heart rate rose from 75 to 81. SpO2 started at 99, ended at 94, and fell as low as 85 around hour 3; respiratory rate ranged 8-33. For labs and output, white count was roughly stable (14.9 to 14.7), creatinine was roughly stable (1 to 0.9), lactate was checked once at 1.9, and urine output fell from 300 to 40.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (108 to 107), MAP was roughly stable (75 to 81), and heart rate rose from 77 to 79. SpO2 started at 100, ended at 92, and fell as low as 84 around hour 3; respiratory rate ranged 8-35. For labs and output, white count was roughly stable (16.0 to 13.6), creatinine was roughly stable (1 to 1.0), lactate was checked once at 1.8, and urine output fell from 285 to 42.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (114 to 107), MAP was roughly stable (81 to 82), and heart rate rose from 71 to 84. SpO2 started at 95, ended at 98, and fell as low as 89 around hour 2; respiratory rate ranged 9-35. For labs and output, white count was roughly stable (13.0 to 13.9), creatinine was roughly stable (1 to 0.8), lactate was checked once at 2.1, and urine output fell from 325 to 36.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (106 to 116), MAP was roughly stable (72 to 74), and heart rate rose from 80 to 83. SpO2 started at 100, ended at 90, and fell as low as 80 around hour 4; respiratory rate ranged 7-35. For labs and output, white count was roughly stable (17.1 to 12.4), creatinine stayed around 1, lactate was checked once at 2.1, and urine output fell from 300 to 40.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (110 to 111), MAP was roughly stable (77 to 78), and heart rate rose from 75 to 81. SpO2 started at 99, ended at 94, and fell as low as 85 around hour 3; respiratory rate ranged 8-33. For labs and output, white count was roughly stable (14.9 to 14.7), creatinine was roughly stable (1 to 0.9), lactate was checked once at 1.9, and urine output fell from 300 to 40.","episode_id":"iv_000114","anchor_time":27}
{"id":"TSS_iv_000115_clinical_summary_81_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (74 to 71), diastolic pressure was roughly stable (64 to 62), and heart rate was roughly stable (100 to 98). The lowest MAP was about 57 around hour 72.5, and the lowest valid SpO2 was 85 around hour 0.7; respiratory rate rose as high as 25 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 36.4-38.2 C, white count rose from 9.1 to 10.6, creatinine was roughly stable (0.9 to 1), lactate stayed broadly stable from 497 to 510, and urine output fell from 200 to 120.\nB. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (72 to 73), diastolic pressure was roughly stable (62 to 59), and heart rate was roughly stable (98 to 96). The lowest MAP was about 60 around hour 73.5, and the lowest valid SpO2 was 83 around hour 0.8; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 38.6-40.5 C, white count rose from 8.7 to 11.7, creatinine was roughly stable (0.8 to 1), lactate stayed broadly stable from 512 to 495, and urine output fell from 185 to 135.\nC. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (78 to 67), diastolic pressure was roughly stable (68 to 66), and heart rate was roughly stable (96 to 100). The lowest MAP was about 61 around hour 68.8, and the lowest valid SpO2 was 89 around hour 0.6; respiratory rate rose as high as 27 but ended at 27. The lower-frequency data fit that summary: temperature stayed around 32.6-34.5 C, white count rose from 9.7 to 10.2, creatinine rose from 1.0 to 1.1, lactate stayed broadly stable from 472 to 535, and urine output was roughly stable (225 to 170)\nD. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (70 to 76), diastolic pressure was roughly stable (60 to 58), and heart rate was roughly stable (96 to 101). The lowest MAP was about 52 around hour 77.0, and the lowest valid SpO2 was 80 around hour 0; respiratory rate rose as high as 23 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 40.9-42.7 C, white count rose from 8.3 to 12.8, creatinine was roughly stable (0.8 to 1), lactate stayed broadly stable from 527 to 480, and urine output fell from 170 to 150.","answer":"A","answer_text":"Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (74 to 71), diastolic pressure was roughly stable (64 to 62), and heart rate was roughly stable (100 to 98). The lowest MAP was about 57 around hour 72.5, and the lowest valid SpO2 was 85 around hour 0.7; respiratory rate rose as high as 25 but ended at 25. The lower-frequency data fit that summary: temperature ranged from 97.6 to 100.8, white count rose from 9.1 to 10.6, creatinine was roughly stable (0.9 to 1), lactate stayed broadly stable from 497 to 510, and urine output fell from 200 to 120.","episode_id":"iv_000115","anchor_time":81}
{"id":"TSS_iv_000116_clinical_summary_137_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 63 to 71, while MAP rose from 75 to 98. Systolic pressure was labile, ranging 83-173, with the lowest value around hour 44.8. SpO2 briefly dipped to 85 around hour 50.8 before recovering to 97, while respiratory rate peaked at 34 and later settled at 11. The associated labs and urine output showed that white count was roughly stable (6.1 to 5.7), creatinine stayed around 0.9, lactate fell from 240 to 1, and urine output rose from 150 to 500, with recorded outputs ranging 25-700.\nB. Across the recorded window, the heart rate rose from 61 to 73, while MAP rose from 73 to 96. Systolic pressure was labile, ranging 87-188, with the lowest value around hour 42.5. SpO2 briefly dipped to 86 around hour 48.5 before recovering to 99, while respiratory rate peaked at 36 and later settled at 10. The associated labs and urine output showed that white count was roughly stable (6.5 to 5.3), creatinine stayed around 0.8, lactate fell from 255 to 1, and urine output rose from 135 to 515, with recorded outputs ranging 24-715.\nC. Across the recorded window, the heart rate rose from 67 to 70, while MAP rose from 79 to 100. Systolic pressure was labile, ranging 79-148, with the lowest value around hour 48.5. SpO2 briefly dipped to 89 around hour 54.5 before recovering to 93, while respiratory rate peaked at 38 and later settled at 13. The associated labs and urine output showed that white count fell from 5.5 to 4.9, creatinine was roughly stable (1.0 to 1), lactate fell from 240 to 1, and urine output rose from 150 to 500, with recorded outputs ranging 75-700.\nD. Across the recorded window, the heart rate rose from 58 to 76, while MAP rose from 70 to 101. Systolic pressure was labile, ranging 88-203, with the lowest value around hour 40.3. SpO2 briefly dipped to 80 around hour 51.8 before recovering to 100, while respiratory rate peaked at 30 and later settled at 9. The associated labs and urine output showed that white count was roughly stable (6.8 to 5.0), creatinine stayed around 0.8, lactate fell from 270 to 1, and urine output rose from 120 to 450, with recorded outputs ranging 23-730.","answer":"A","answer_text":"Across the recorded window, the heart rate rose from 63 to 71, while MAP rose from 75 to 98. Systolic pressure was labile, ranging 83-173, with the lowest value around hour 44.8. SpO2 briefly dipped to 85 around hour 50.8 before recovering to 97, while respiratory rate peaked at 34 and later settled at 11. The associated labs and urine output showed that white count was roughly stable (6.1 to 5.7), creatinine stayed around 0.9, lactate fell from 240 to 1, and urine output rose from 150 to 500, with recorded outputs ranging 25-700.","episode_id":"iv_000116","anchor_time":137}
{"id":"TSS_iv_000117_clinical_summary_66_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 162 to 115, MAP was roughly stable (94 to 95), and heart rate fell from 87 to 62. SpO2 started at 97, ended at 93, and fell as low as 91 around hour 0.7; respiratory rate ranged 18-29. For labs and output, white count fell from 8.6 to 5.7, creatinine fell from 1.5 to 1, lactate was checked once at 1.7, and urine output rose from 43 to 330.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 127 to 114, MAP was roughly stable (89 to 95), and heart rate fell from 92 to 57. SpO2 started at 98, ended at 88, and fell as low as 87 around hour 0.9; respiratory rate ranged 15-28. For labs and output, white count fell from 9.5 to 6.1, creatinine fell from 1.1 to 1, lactate was checked once at 1.4, and urine output rose from 38 to 365.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 167 to 114, MAP was roughly stable (95 to 96), and heart rate fell from 86 to 63. SpO2 started at 96, ended at 94, and fell as low as 92 around hour 0.7; respiratory rate ranged 18-25. For labs and output, white count fell from 8.5 to 7.1, creatinine fell from 1.6 to 1.1, lactate was checked once at 1.7, and urine output rose from 44 to 325.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 142 to 118, MAP was roughly stable (91 to 92), and heart rate fell from 90 to 59. SpO2 started at 100, ended at 90, and fell as low as 88 around hour 0.8; respiratory rate ranged 16-27. For labs and output, white count fell from 9.1 to 6.5, creatinine fell from 1.3 to 1, lactate was checked once at 1.5, and urine output rose from 40 to 350.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 142 to 118, MAP was roughly stable (91 to 92), and heart rate fell from 90 to 59. SpO2 started at 100, ended at 90, and fell as low as 88 around hour 0.8; respiratory rate ranged 16-27. For labs and output, white count fell from 9.1 to 6.5, creatinine fell from 1.3 to 1, lactate was checked once at 1.5, and urine output rose from 40 to 350.","episode_id":"iv_000117","anchor_time":66}
{"id":"TSS_iv_000117_clinical_summary_66_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 90 to 59, MAP was roughly stable (91 to 92), and diastolic pressure moved from 75 to 83. Systolic pressure ranged 92-142 and ended at 118, and SpO2 recovered to 90 after a low of 88 around hour 0.8. Respiratory rate ended at 16; the available labs showed white count fell from 9.1 to 6.5, creatinine fell from 1.3 to 1, lactate was checked once at 1.5, and urine output rose from 40 to 350.\nB. Over the available measurements, the heart rate fell from 88 to 61, MAP was roughly stable (89 to 90), and diastolic pressure moved from 77 to 81. Systolic pressure ranged 90-127 and ended at 116, and SpO2 recovered to 92 after a low of 87 around hour 0.7. Respiratory rate ended at 17; the available labs showed white count fell from 8.7 to 5.7, creatinine fell from 1.5 to 1, lactate was checked once at 1.4, and urine output rose from 90 to 335.\nC. Over the available measurements, the heart rate fell from 94 to 62, MAP was roughly stable (95 to 96), and diastolic pressure moved from 71 to 80. Systolic pressure ranged 96-167 and ended at 122, and SpO2 recovered to 86 after a low of 92 around hour 0.9. Respiratory rate ended at 14; the available labs showed white count fell from 9.7 to 7.1, creatinine fell from 1.1 to 1, lactate was checked once at 1.8, and urine output rose from 36 to 375.\nD. Over the available measurements, the heart rate fell from 86 to 64, MAP was roughly stable (86 to 95), and diastolic pressure moved from 80 to 78. Systolic pressure ranged 88-112 and ended at 114, and SpO2 recovered to 94 after a low of 84 around hour 1.8. Respiratory rate ended at 18; the available labs showed white count fell from 8.3 to 5.8, creatinine fell from 1.6 to 1, lactate was checked once at 1.2, and urine output rose from 44 to 320.","answer":"A","answer_text":"Over the available measurements, the heart rate fell from 90 to 59, MAP was roughly stable (91 to 92), and diastolic pressure moved from 75 to 83. Systolic pressure ranged 92-142 and ended at 118, and SpO2 recovered to 90 after a low of 88 around hour 0.8. Respiratory rate ended at 16; the available labs showed white count fell from 9.1 to 6.5, creatinine fell from 1.3 to 1, lactate was checked once at 1.5, and urine output rose from 40 to 350.","episode_id":"iv_000117","anchor_time":66}
{"id":"TSS_iv_000118_clinical_summary_139_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (120 to 121), MAP rose from 72 to 85, and heart rate was roughly stable (109 to 106). SpO2 started at 94, ended at 97, and fell as low as 85 around hour 0.1; respiratory rate ranged 12-40. For labs and output, white count fell from 19.6 to 11.1, creatinine fell from 0.8 to 0.5, lactate was checked once at 170, and urine output fell from 1500 to 85.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (105 to 136), MAP rose from 70 to 83, and heart rate was roughly stable (111 to 104). SpO2 started at 96, ended at 95, and fell as low as 83 around hour 0.2; respiratory rate ranged 11-42. For labs and output, white count fell from 20.7 to 10.0, creatinine fell from 0.7 to 0.6, lactate was checked once at 170.2, and urine output fell from 1440 to 87.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (145 to 96), MAP rose from 76 to 89, and heart rate stayed around 105. SpO2 started at 94, ended at 97, and fell as low as 85 around hour 0.1; respiratory rate ranged 12-42. For labs and output, white count fell from 19.6 to 10.3, creatinine fell from 0.8 to 0.5, lactate was checked once at 170, and urine output fell from 1500 to 85.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (90 to 117), MAP rose from 68 to 88, and heart rate was roughly stable (114 to 102). SpO2 started at 98, ended at 92, and fell as low as 84 around hour 0.2; respiratory rate ranged 10-44. For labs and output, white count fell from 21.9 to 8.8, creatinine fell from 0.7 to 0.6, lactate was checked once at 140, and urine output fell from 1380 to 90.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (120 to 121), MAP rose from 72 to 85, and heart rate was roughly stable (109 to 106). SpO2 started at 94, ended at 97, and fell as low as 85 around hour 0.1; respiratory rate ranged 12-40. For labs and output, white count fell from 19.6 to 11.1, creatinine fell from 0.8 to 0.5, lactate was checked once at 170, and urine output fell from 1500 to 85.","episode_id":"iv_000118","anchor_time":139}
{"id":"TSS_iv_000118_clinical_summary_139_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Viewed chronologically, the heart rate stayed around 112, MAP rose from 72 to 85, and diastolic pressure moved from 57 to 69. Systolic pressure ranged 97-173 and ended at 121, and SpO2 recovered to 97 after a low of 85 around hour 0.1. Respiratory rate ended at 20; the available labs showed white count fell from 19.6 to 11.1, creatinine fell from 0.8 to 0.5, lactate was checked once at 170, and urine output fell from 1500 to 85.\nB. Viewed chronologically, the heart rate was roughly stable (109 to 106), MAP rose from 72 to 85, and diastolic pressure moved from 57 to 72. Systolic pressure ranged 97-173 and ended at 121, and SpO2 recovered to 97 after a low of 85 around hour 0.1. Respiratory rate ended at 18; the available labs showed white count fell from 19.6 to 11.1, creatinine fell from 0.8 to 0.5, lactate was checked once at 170, and urine output fell from 1500 to 85.\nC. Viewed chronologically, the heart rate was roughly stable (113 to 102), MAP rose from 76 to 88, and diastolic pressure moved from 53 to 76. Systolic pressure ranged 100-198 and ended at 117, and SpO2 recovered to 93 after a low of 89 around hour 1.1. Respiratory rate ended at 16; the available labs showed white count fell from 21.5 to 13.0, creatinine fell from 0.7 to 0.6, lactate was checked once at 195, and urine output fell from 1400 to 89.\nD. Viewed chronologically, the heart rate was roughly stable (104 to 110), MAP rose from 68 to 80, and diastolic pressure moved from 62 to 68. Systolic pressure ranged 92-143 and ended at 91, and SpO2 recovered to 100 after a low of 84 around hour 0.0. Respiratory rate ended at 20; the available labs showed white count fell from 17.4 to 10.3, creatinine fell from 1.0 to 0.3, lactate was checked once at 140, and urine output fell from 1550 to 80.","answer":"B","answer_text":"Viewed chronologically, the heart rate was roughly stable (109 to 106), MAP rose from 72 to 85, and diastolic pressure moved from 57 to 72. Systolic pressure ranged 97-173 and ended at 121, and SpO2 recovered to 97 after a low of 85 around hour 0.1. Respiratory rate ended at 18; the available labs showed white count fell from 19.6 to 11.1, creatinine fell from 0.8 to 0.5, lactate was checked once at 170, and urine output fell from 1500 to 85.","episode_id":"iv_000118","anchor_time":139}
{"id":"TSS_iv_000119_clinical_summary_24_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 69 to 93, while MAP was roughly stable (86 to 84). Systolic pressure was labile, ranging 26-100, with the lowest value around hour 2.3. SpO2 briefly dipped to 88 around hour 3.0 before recovering to 99, while respiratory rate peaked at 30 and later settled at 30. The associated labs and urine output showed that white count fell from 12.4 to 10.2, creatinine rose from 0.9 to 1, lactate stayed broadly stable from 2.9 to 2.9, and urine output was roughly stable (24 to 53), with recorded outputs ranging 26-540.\nB. Viewed chronologically, the heart rate rose from 64 to 98, while MAP was roughly stable (81 to 84). Systolic pressure was labile, ranging 28-135, with the lowest value around hour 2.0. SpO2 briefly dipped to 83 around hour 3.8 before recovering to 100, while respiratory rate peaked at 28 and later settled at 28. The associated labs and urine output showed that white count fell from 15.0 to 10, creatinine was roughly stable (0.7 to 1.0), lactate stayed broadly stable from 2.6 to 2.6, and urine output was roughly stable (26 to 0), with recorded outputs ranging 0-505.\nC. Viewed chronologically, the heart rate rose from 70 to 92, while MAP was roughly stable (87 to 85). Systolic pressure was labile, ranging 25-95, with the lowest value around hour 2.4. SpO2 briefly dipped to 86 around hour 3.0 before recovering to 94, while respiratory rate peaked at 31 and later settled at 31. The associated labs and urine output showed that white count fell from 12.0 to 10, creatinine was roughly stable (0.9 to 0.8), lactate stayed broadly stable from 3.0 to 3.0, and urine output was roughly stable (23 to 100), with recorded outputs ranging 27-545.\nD. Viewed chronologically, the heart rate rose from 66 to 96, while MAP was roughly stable (83 to 81). Systolic pressure was labile, ranging 27-120, with the lowest value around hour 2.1. SpO2 briefly dipped to 85 around hour 2.8 before recovering to 98, while respiratory rate peaked at 29 and later settled at 29. The associated labs and urine output showed that white count fell from 13.9 to 11, creatinine was roughly stable (0.8 to 0.9), lactate stayed broadly stable from 2.7 to 2.7, and urine output was roughly stable (25 to 50), with recorded outputs ranging 25-520.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 66 to 96, while MAP was roughly stable (83 to 81). Systolic pressure was labile, ranging 27-120, with the lowest value around hour 2.1. SpO2 briefly dipped to 85 around hour 2.8 before recovering to 98, while respiratory rate peaked at 29 and later settled at 29. The associated labs and urine output showed that white count fell from 13.9 to 11, creatinine was roughly stable (0.8 to 0.9), lactate stayed broadly stable from 2.7 to 2.7, and urine output was roughly stable (25 to 50), with recorded outputs ranging 25-520.","episode_id":"iv_000119","anchor_time":24}
{"id":"TSS_iv_000120_clinical_summary_94_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Overall, the heart rate fell from 101 to 64, while MAP rose from 62 to 76. Systolic pressure was labile, ranging 26-166, with the lowest value around hour 0.1. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 98, while respiratory rate peaked at 27 and later settled at 11. The associated labs and urine output showed that white count fell from 11.7 to 10.3, creatinine was roughly stable (5.6 to 2.2), lactate stayed broadly stable from 1.8 to 1, and urine output fell from 175 to 55, with recorded outputs ranging 25-300.\nB. Overall, the heart rate fell from 99 to 66, while MAP rose from 60 to 74. Systolic pressure was labile, ranging 27-181, with the lowest value around hour 0.0. SpO2 briefly dipped to 83 around hour 0.2 before recovering to 100, while respiratory rate peaked at 26 and later settled at 10. The associated labs and urine output showed that white count fell from 12.8 to 9.5, creatinine was roughly stable (5.2 to 2.3), lactate stayed broadly stable from 1.6 to 1, and urine output fell from 190 to 53, with recorded outputs ranging 55-285.\nC. Overall, the heart rate fell from 105 to 60, while MAP rose from 66 to 80. Systolic pressure was labile, ranging 30-141, with the lowest value around hour 0.2. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 94, while respiratory rate peaked at 29 and later settled at 13. The associated labs and urine output showed that white count fell from 9.8 to 8.3, creatinine was roughly stable (6.2 to 2.0), lactate stayed broadly stable from 2.0 to 1, and urine output fell from 150 to 59, with recorded outputs ranging 27-325.\nD. Overall, the heart rate fell from 96 to 68, while MAP rose from 58 to 79. Systolic pressure was labile, ranging 28-196, with the lowest value around hour 0.0. SpO2 briefly dipped to 80 around hour 1.3 before recovering to 100, while respiratory rate peaked at 25 and later settled at 9. The associated labs and urine output showed that white count fell from 13.9 to 8.1, creatinine was roughly stable (4.8 to 2.5), lactate stayed broadly stable from 1.5 to 1, and urine output fell from 205 to 5, with recorded outputs ranging 5-270.","answer":"A","answer_text":"Overall, the heart rate fell from 101 to 64, while MAP rose from 62 to 76. Systolic pressure was labile, ranging 26-166, with the lowest value around hour 0.1. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 98, while respiratory rate peaked at 27 and later settled at 11. The associated labs and urine output showed that white count fell from 11.7 to 10.3, creatinine was roughly stable (5.6 to 2.2), lactate stayed broadly stable from 1.8 to 1, and urine output fell from 175 to 55, with recorded outputs ranging 25-300.","episode_id":"iv_000120","anchor_time":94}
{"id":"TSS_iv_000122_clinical_summary_49_0","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. In broad terms, the heart rate was roughly stable (83 to 75), while MAP rose from 68 to 116. Systolic pressure was labile, ranging 72-113, with the lowest value around hour 0.2. SpO2 briefly dipped to 91 around hour 0.4 before recovering to 91, while respiratory rate peaked at 30 and later settled at 18. The associated labs and urine output showed that white count fell from 15.7 to 9.6, creatinine fell from 46 to 0.9, lactate was checked once at 1.7, and urine output rose from 53 to 180, with recorded outputs ranging 53-780.\nB. In broad terms, the heart rate was roughly stable (78 to 80), while MAP rose from 63 to 111. Systolic pressure was labile, ranging 77-148, with the lowest value around hour 0.0. SpO2 briefly dipped to 89 around hour 0.2 before recovering to 96, while respiratory rate peaked at 30 and later settled at 16. The associated labs and urine output showed that white count fell from 18.3 to 9.3, creatinine fell from 41 to 0.9, lactate was checked once at 1.7, and urine output rose from 48 to 215, with recorded outputs ranging 48-815.\nC. In broad terms, the heart rate was roughly stable (80 to 78), while MAP rose from 65 to 113. Systolic pressure was labile, ranging 75-133, with the lowest value around hour 0.1. SpO2 briefly dipped to 88 around hour 0.3 before recovering to 94, while respiratory rate peaked at 28 and later settled at 17. The associated labs and urine output showed that white count fell from 17.2 to 10.4, creatinine fell from 43 to 0.8, lactate was checked once at 1.5, and urine output rose from 50 to 200, with recorded outputs ranging 50-800.\nD. In broad terms, the heart rate was roughly stable (76 to 82), while MAP rose from 60 to 116. Systolic pressure was labile, ranging 80-163, with the lowest value around hour 0.0. SpO2 briefly dipped to 84 around hour 1.3 before recovering to 98, while respiratory rate peaked at 26 and later settled at 15. The associated labs and urine output showed that white count fell from 19.4 to 8.2, creatinine fell from 38 to 1.0, lactate was checked once at 1.2, and urine output rose from 46 to 150, with recorded outputs ranging 46-830.","answer":"C","answer_text":"In broad terms, the heart rate was roughly stable (80 to 78), while MAP rose from 65 to 113. Systolic pressure was labile, ranging 75-133, with the lowest value around hour 0.1. SpO2 briefly dipped to 88 around hour 0.3 before recovering to 94, while respiratory rate peaked at 28 and later settled at 17. The associated labs and urine output showed that white count fell from 17.2 to 10.4, creatinine fell from 43 to 0.8, lactate was checked once at 1.5, and urine output rose from 50 to 200, with recorded outputs ranging 50-800.","episode_id":"iv_000122","anchor_time":49}
{"id":"TSS_iv_000123_clinical_summary_29_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. For handoff, the heart rate fell from 97 to 81, while MAP fell from 148 to 76. Systolic pressure was labile, ranging 113-167, with the lowest value around hour 29.0. SpO2 briefly dipped to 88 around hour 22 before recovering to 97, while respiratory rate peaked at 24 and later settled at 18. The associated labs and urine output showed that white count was 26.3 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 2430 to 180, with recorded outputs ranging 80-2270.\nB. For handoff, the heart rate fell from 92 to 86, while MAP fell from 113 to 71. Systolic pressure was labile, ranging 118-202, with the lowest value around hour 26.4. SpO2 briefly dipped to 86 around hour 20 before recovering to 98, while respiratory rate peaked at 25 and later settled at 16. The associated labs and urine output showed that white count was 28.9 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 2300 to 215, with recorded outputs ranging 28-2410.\nC. For handoff, the heart rate fell from 98 to 80, while MAP fell from 153 to 76. Systolic pressure was labile, ranging 112-162, with the lowest value around hour 29.4. SpO2 briefly dipped to 89 around hour 22 before recovering to 96, while respiratory rate peaked at 25 and later settled at 19. The associated labs and urine output showed that white count was 25.9 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 2450 to 150, with recorded outputs ranging 34-2250.\nD. For handoff, the heart rate fell from 94 to 84, while MAP fell from 128 to 73. Systolic pressure was labile, ranging 116-187, with the lowest value around hour 27.5. SpO2 briefly dipped to 85 around hour 21 before recovering to 100, while respiratory rate peaked at 23 and later settled at 17. The associated labs and urine output showed that white count was 27.8 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 2350 to 200, with recorded outputs ranging 30-2350.","answer":"D","answer_text":"For handoff, the heart rate fell from 94 to 84, while MAP fell from 128 to 73. Systolic pressure was labile, ranging 116-187, with the lowest value around hour 27.5. SpO2 briefly dipped to 85 around hour 21 before recovering to 100, while respiratory rate peaked at 23 and later settled at 17. The associated labs and urine output showed that white count was 27.8 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 2350 to 200, with recorded outputs ranging 30-2350.","episode_id":"iv_000123","anchor_time":29}
{"id":"TSS_iv_000123_clinical_summary_29_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 128 to 73, diastolic pressure fell from 98 to 60, and heart rate fell from 94 to 84. The lowest MAP was about 73 around hour 29.1, and the lowest valid SpO2 was 85 around hour 21; respiratory rate rose as high as 23 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.9-37.1 C, white count was 27.8 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 2350 to 200.\nB. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 113 to 75, diastolic pressure fell from 96 to 58, and heart rate fell from 96 to 82. The lowest MAP was about 71 around hour 30.2, and the lowest valid SpO2 was 83 around hour 22; respiratory rate rose as high as 25 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 39.1-39.4 C, white count was 26.7 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 2290 to 250.\nC. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 153 to 69, diastolic pressure fell from 100 to 64, and heart rate fell from 90 to 87. The lowest MAP was about 77 around hour 27.2, and the lowest valid SpO2 was 89 around hour 20; respiratory rate rose as high as 25 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 33.1-33.4 C, white count was 29.7 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 2450 to 225.\nD. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 98 to 78, diastolic pressure fell from 94 to 57, and heart rate fell from 98 to 80. The lowest MAP was about 68 around hour 29, and the lowest valid SpO2 was 80 around hour 23; respiratory rate rose as high as 21 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 41.4-41.6 C, white count was 25.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 2230 to 250.","answer":"A","answer_text":"Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 128 to 73, diastolic pressure fell from 98 to 60, and heart rate fell from 94 to 84. The lowest MAP was about 73 around hour 29.1, and the lowest valid SpO2 was 85 around hour 21; respiratory rate rose as high as 23 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 98.4 to 98.8, white count was 27.8 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 2350 to 200.","episode_id":"iv_000123","anchor_time":29}
{"id":"TSS_iv_000124_clinical_summary_30_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 88 to 97, while MAP rose from 81 to 88. Systolic pressure was labile, ranging 115-152, with the lowest value around hour 0.1. SpO2 briefly dipped to 85 around hour 0.2 before recovering to 94, while respiratory rate peaked at 27 and later settled at 26. The associated labs and urine output showed that white count fell from 17.5 to 9.3, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 100, and urine output stayed around 350, with recorded outputs ranging 300-450.\nB. Across the recorded window, the heart rate rose from 86 to 99, while MAP rose from 79 to 86. Systolic pressure was labile, ranging 117-167, with the lowest value around hour 0.0. SpO2 briefly dipped to 83 around hour 0.1 before recovering to 96, while respiratory rate peaked at 26 and later settled at 25. The associated labs and urine output showed that white count fell from 18.6 to 8.5, creatinine stayed around 0.7, lactate was checked once at 100, and urine output stayed around 350, with recorded outputs ranging 335-450.\nC. Across the recorded window, the heart rate rose from 92 to 93, while MAP rose from 85 to 92. Systolic pressure was labile, ranging 111-127, with the lowest value around hour 0.2. SpO2 briefly dipped to 86 around hour 0.3 before recovering to 90, while respiratory rate peaked at 29 and later settled at 28. The associated labs and urine output showed that white count fell from 15.6 to 10.1, creatinine was roughly stable (0.9 to 0.6), lactate was checked once at 96, and urine output stayed around 375, with recorded outputs ranging 275-425.\nD. Across the recorded window, the heart rate rose from 84 to 100, while MAP rose from 76 to 91. Systolic pressure was labile, ranging 120-182, with the lowest value around hour 0.0. SpO2 briefly dipped to 80 around hour 1.2 before recovering to 98, while respiratory rate peaked at 25 and later settled at 24. The associated labs and urine output showed that white count fell from 19.8 to 8.6, creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 96, and urine output was roughly stable (320 to 330), with recorded outputs ranging 300-450.","answer":"A","answer_text":"Across the recorded window, the heart rate rose from 88 to 97, while MAP rose from 81 to 88. Systolic pressure was labile, ranging 115-152, with the lowest value around hour 0.1. SpO2 briefly dipped to 85 around hour 0.2 before recovering to 94, while respiratory rate peaked at 27 and later settled at 26. The associated labs and urine output showed that white count fell from 17.5 to 9.3, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 100, and urine output stayed around 350, with recorded outputs ranging 300-450.","episode_id":"iv_000124","anchor_time":30}
{"id":"TSS_iv_000124_clinical_summary_30_1","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 84 to 85, diastolic pressure was roughly stable (74 to 78), and heart rate rose from 85 to 100. The lowest MAP was about 75 around hour 21.8, and the lowest valid SpO2 was 88 around hour 0.1; respiratory rate rose as high as 29 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 33.7-35.2 C, white count fell from 19.0 to 8.8, creatinine stayed around 0.9, lactate was checked once at 100, and urine output was roughly stable (350 to 400)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 81 to 88, diastolic pressure was roughly stable (71 to 75), and heart rate rose from 88 to 97. The lowest MAP was about 72 around hour 23.3, and the lowest valid SpO2 was 85 around hour 0.2; respiratory rate rose as high as 27 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 36.7-38.2 C, white count fell from 17.5 to 9.3, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 100, and urine output was roughly stable (350 to 350)\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 85 to 88, diastolic pressure was roughly stable (75 to 72), and heart rate rose from 84 to 100. The lowest MAP was about 75 around hour 24.3, and the lowest valid SpO2 was 89 around hour 0.1; respiratory rate rose as high as 29 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 33.0-34.5 C, white count fell from 19.4 to 8.7, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 96, and urine output was roughly stable (375 to 375)\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 76 to 92, diastolic pressure was roughly stable (66 to 70), and heart rate rose from 92 to 100. The lowest MAP was about 68 around hour 25.6, and the lowest valid SpO2 was 80 around hour 0; respiratory rate rose as high as 25 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 41.2-42.7 C, white count fell from 15.2 to 10.1, creatinine was roughly stable (0.7 to 0.5), lactate was checked once at 96, and urine output was roughly stable (320 to 320)","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 81 to 88, diastolic pressure was roughly stable (71 to 75), and heart rate rose from 88 to 97. The lowest MAP was about 72 around hour 23.3, and the lowest valid SpO2 was 85 around hour 0.2; respiratory rate rose as high as 27 but ended at 26. The lower-frequency data fit that summary: temperature ranged from 98 to 100.8, white count fell from 17.5 to 9.3, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 100, and urine output was roughly stable (350 to 350)","episode_id":"iv_000124","anchor_time":30}
{"id":"TSS_iv_000124_clinical_summary_30_2","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 118 to 123, MAP rose from 84 to 91, and heart rate rose from 85 to 100. SpO2 started at 93, ended at 97, and fell as low as 88 around hour 0.1; respiratory rate ranged 16-29. For labs and output, white count fell from 16.0 to 9.8, creatinine stayed around 0.9, lactate was checked once at 100.2, and urine output was roughly stable (350 to 370)\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 113 to 158, MAP rose from 79 to 86, and heart rate rose from 90 to 100. SpO2 started at 98, ended at 92, and fell as low as 83 around hour 0.3; respiratory rate ranged 13-29. For labs and output, white count fell from 18.6 to 8.5, creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 98, and urine output was roughly stable (335 to 365)\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 115 to 143, MAP rose from 81 to 88, and heart rate rose from 88 to 97. SpO2 started at 96, ended at 94, and fell as low as 85 around hour 0.2; respiratory rate ranged 14-27. For labs and output, white count fell from 17.5 to 9.3, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 100, and urine output was roughly stable (350 to 350)\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 110 to 139, MAP rose from 76 to 91, and heart rate rose from 92 to 95. SpO2 started at 100, ended at 90, and fell as low as 84 around hour 0.4; respiratory rate ranged 12-29. For labs and output, white count fell from 19.8 to 8.6, creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 96, and urine output was roughly stable (320 to 380)","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 115 to 143, MAP rose from 81 to 88, and heart rate rose from 88 to 97. SpO2 started at 96, ended at 94, and fell as low as 85 around hour 0.2; respiratory rate ranged 14-27. For labs and output, white count fell from 17.5 to 9.3, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 100, and urine output was roughly stable (350 to 350)","episode_id":"iv_000124","anchor_time":30}
{"id":"TSS_iv_000126_clinical_summary_49_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (122 to 113), diastolic pressure rose from 97 to 109, and heart rate rose from 47 to 94. The lowest MAP was about 68 around hour 27.4, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 28 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33-34.1 C, white count rose from 10.0 to 11.8, creatinine fell from 1.5 to 1.3, lactate was not available, and urine output rose from 115 to 420.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (117 to 118), diastolic pressure rose from 98 to 104, and heart rate rose from 52 to 89. The lowest MAP was about 63 around hour 32.6, and the lowest valid SpO2 was 83 around hour 0.5; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 38-39.4 C, white count rose from 9.1 to 14.4, creatinine was roughly stable (1.1 to 1.2), lactate was not available, and urine output rose from 150 to 450.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (123 to 112), diastolic pressure was roughly stable (96 to 103), and heart rate rose from 46 to 95. The lowest MAP was about 68 around hour 31.4, and the lowest valid SpO2 was 89 around hour 0.3; respiratory rate rose as high as 28 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 32-33.4 C, white count rose from 10.1 to 11.4, creatinine fell from 1.6 to 1.4, lactate was not available, and urine output rose from 110 to 425.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (119 to 116), diastolic pressure rose from 100 to 106, and heart rate rose from 50 to 91. The lowest MAP was about 65 around hour 30.4, and the lowest valid SpO2 was 85 around hour 0.4; respiratory rate rose as high as 26 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 36-37.1 C, white count rose from 9.5 to 13.3, creatinine fell from 1.3 to 1.1, lactate was not available, and urine output rose from 135 to 400.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (119 to 116), diastolic pressure rose from 100 to 106, and heart rate rose from 50 to 91. The lowest MAP was about 65 around hour 30.4, and the lowest valid SpO2 was 85 around hour 0.4; respiratory rate rose as high as 26 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 96.8 to 98.7, white count rose from 9.5 to 13.3, creatinine fell from 1.3 to 1.1, lactate was not available, and urine output rose from 135 to 400.","episode_id":"iv_000126","anchor_time":49}
{"id":"TSS_iv_000126_clinical_summary_49_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 158 to 151, MAP was roughly stable (119 to 116), and heart rate rose from 50 to 91. SpO2 started at 85, ended at 95, and fell as low as 85 around hour 0.4; respiratory rate ranged 12-26. For labs and output, white count rose from 9.5 to 13.3, creatinine fell from 1.3 to 1.1, lactate was not available, and urine output rose from 135 to 400.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 123, MAP was roughly stable (117 to 114), and heart rate rose from 52 to 94. SpO2 started at 87, ended at 93, and fell as low as 83 around hour 0.5; respiratory rate ranged 11-28. For labs and output, white count rose from 9.9 to 12.5, creatinine fell from 1.1 to 0.9, lactate was not available, and urine output rose from 120 to 385.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 183 to 147, MAP stayed around 123, and heart rate rose from 50 to 91. SpO2 started at 85, ended at 95, and fell as low as 84 around hour 0.4; respiratory rate ranged 12-26. For labs and output, white count rose from 9.5 to 13.3, creatinine fell from 1.3 to 1.1, lactate was not available, and urine output rose from 135 to 400.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 128 to 108, MAP was roughly stable (114 to 112), and heart rate rose from 54 to 86. SpO2 started at 90, ended at 90, and fell as low as 80 around hour 0.6; respiratory rate ranged 10-28. For labs and output, white count rose from 10.2 to 11.1, creatinine was roughly stable (1.0 to 1.2), lactate was not available, and urine output rose from 105 to 370.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 158 to 151, MAP was roughly stable (119 to 116), and heart rate rose from 50 to 91. SpO2 started at 85, ended at 95, and fell as low as 85 around hour 0.4; respiratory rate ranged 12-26. For labs and output, white count rose from 9.5 to 13.3, creatinine fell from 1.3 to 1.1, lactate was not available, and urine output rose from 135 to 400.","episode_id":"iv_000126","anchor_time":49}
{"id":"TSS_iv_000127_clinical_summary_49_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 53 to 60, while MAP rose from 71 to 77. Systolic pressure was labile, ranging 80-146, with the lowest value around hour 2.8. SpO2 briefly dipped to 88 around hour 44.6 before recovering to 96, while respiratory rate peaked at 26 and later settled at 20. The associated labs and urine output showed that white count fell from 7.7 to 5.8, creatinine stayed around 1.0, lactate was checked once at 0.9, and urine output was roughly stable (200 to 225), with recorded outputs ranging 100-350.\nB. Viewed chronologically, the heart rate rose from 48 to 65, while MAP rose from 66 to 77. Systolic pressure was labile, ranging 85-181, with the lowest value around hour 2.5. SpO2 briefly dipped to 83 around hour 42.6 before recovering to 100, while respiratory rate peaked at 24 and later settled at 17. The associated labs and urine output showed that white count fell from 8.6 to 6.2, creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 0.8, and urine output was roughly stable (185 to 175), with recorded outputs ranging 48-365.\nC. Viewed chronologically, the heart rate rose from 54 to 59, while MAP rose from 72 to 78. Systolic pressure was labile, ranging 87-141, with the lowest value around hour 2.9. SpO2 briefly dipped to 86 around hour 45.4 before recovering to 95, while respiratory rate peaked at 27 and later settled at 20. The associated labs and urine output showed that white count fell from 7.6 to 7.2, creatinine was roughly stable (1.0 to 0.7), lactate was checked once at 1.0, and urine output was roughly stable (225 to 200), with recorded outputs ranging 54-325.\nD. Viewed chronologically, the heart rate rose from 50 to 63, while MAP rose from 68 to 74. Systolic pressure was labile, ranging 83-166, with the lowest value around hour 2.6. SpO2 briefly dipped to 85 around hour 41.6 before recovering to 99, while respiratory rate peaked at 25 and later settled at 18. The associated labs and urine output showed that white count fell from 8.2 to 6.6, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 0.9, and urine output was roughly stable (200 to 225), with recorded outputs ranging 50-350.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 50 to 63, while MAP rose from 68 to 74. Systolic pressure was labile, ranging 83-166, with the lowest value around hour 2.6. SpO2 briefly dipped to 85 around hour 41.6 before recovering to 99, while respiratory rate peaked at 25 and later settled at 18. The associated labs and urine output showed that white count fell from 8.2 to 6.6, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 0.9, and urine output was roughly stable (200 to 225), with recorded outputs ranging 50-350.","episode_id":"iv_000127","anchor_time":49}
{"id":"TSS_iv_000129_clinical_summary_235_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. In broad terms, the heart rate fell from 133 to 50, MAP rose from 71 to 79, and diastolic pressure moved from 67 to 54. Systolic pressure ranged 82-259 and ended at 156, and SpO2 recovered to 85 after a low of 77 around hour 1.9. Respiratory rate ended at 25; the available labs showed white count rose from 7 to 16.1, creatinine was roughly stable (1.2 to 1.4), lactate stayed broadly stable from 7.3 to 1.2, and urine output rose from 0 to 125.\nB. In broad terms, the heart rate fell from 118 to 52, MAP rose from 69 to 77, and diastolic pressure moved from 69 to 52. Systolic pressure ranged 80-244 and ended at 141, and SpO2 recovered to 87 after a low of 76 around hour 1.8. Respiratory rate ended at 26; the available labs showed white count rose from 7 to 15.3, creatinine was roughly stable (1.4 to 1.2), lactate stayed broadly stable from 6.9 to 1.4, and urine output was roughly stable (50 to 110)\nC. In broad terms, the heart rate fell from 158 to 53, MAP rose from 75 to 83, and diastolic pressure moved from 63 to 51. Systolic pressure ranged 86-284 and ended at 181, and SpO2 recovered to 81 after a low of 81 around hour 2.1. Respiratory rate ended at 23; the available labs showed white count rose from 8 to 18.0, creatinine was roughly stable (0.9 to 1.6), lactate stayed broadly stable from 7.9 to 0.9, and urine output rose from 2 to 150.\nD. In broad terms, the heart rate fell from 103 to 54, MAP rose from 66 to 82, and diastolic pressure moved from 72 to 50. Systolic pressure ranged 78-229 and ended at 152, and SpO2 recovered to 90 after a low of 72 around hour 2.9. Respiratory rate ended at 27; the available labs showed white count rose from 6 to 13.9, creatinine was roughly stable (1.5 to 1.1), lactate stayed broadly stable from 6.5 to 1.5, and urine output rose from 0 to 95.","answer":"A","answer_text":"In broad terms, the heart rate fell from 133 to 50, MAP rose from 71 to 79, and diastolic pressure moved from 67 to 54. Systolic pressure ranged 82-259 and ended at 156, and SpO2 recovered to 85 after a low of 77 around hour 1.9. Respiratory rate ended at 25; the available labs showed white count rose from 7 to 16.1, creatinine was roughly stable (1.2 to 1.4), lactate stayed broadly stable from 7.3 to 1.2, and urine output rose from 0 to 125.","episode_id":"iv_000129","anchor_time":235}
{"id":"TSS_iv_000130_clinical_summary_41_0","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. In broad terms, the heart rate rose from 93 to 96, while MAP rose from 57 to 73. Systolic pressure was labile, ranging 80-151, with the lowest value around hour 4.7. SpO2 briefly dipped to 88 around hour 9.7 before recovering to 89, while respiratory rate peaked at 40 and later settled at 26. The associated labs and urine output showed that white count fell from 18.9 to 16.3, creatinine fell from 75 to 2.3, lactate was checked once at 3.0, and urine output rose from 22 to 100, with recorded outputs ranging 20-1020.\nB. In broad terms, the heart rate rose from 88 to 98, while MAP rose from 52 to 73. Systolic pressure was labile, ranging 85-186, with the lowest value around hour 3.8. SpO2 briefly dipped to 83 around hour 10.2 before recovering to 94, while respiratory rate peaked at 35 and later settled at 23. The associated labs and urine output showed that white count fell from 21.5 to 16.0, creatinine fell from 70 to 2.4, lactate was checked once at 2.6, and urine output was roughly stable (19 to 70), with recorded outputs ranging 0-1160.\nC. In broad terms, the heart rate rose from 90 to 96, while MAP rose from 54 to 70. Systolic pressure was labile, ranging 83-171, with the lowest value around hour 4.2. SpO2 briefly dipped to 85 around hour 9.2 before recovering to 92, while respiratory rate peaked at 37 and later settled at 24. The associated labs and urine output showed that white count fell from 20.4 to 17.1, creatinine fell from 72 to 2.2, lactate was checked once at 2.8, and urine output rose from 20 to 120, with recorded outputs ranging 0-1100.\nD. In broad terms, the heart rate rose from 86 to 100, while MAP rose from 50 to 66. Systolic pressure was labile, ranging 87-201, with the lowest value around hour 3.5. SpO2 briefly dipped to 86 around hour 8.4 before recovering to 96, while respiratory rate peaked at 39 and later settled at 22. The associated labs and urine output showed that white count fell from 22.6 to 14.9, creatinine fell from 68 to 2.5, lactate was checked once at 2.5, and urine output rose from 18 to 150, with recorded outputs ranging 0-1220.","answer":"C","answer_text":"In broad terms, the heart rate rose from 90 to 96, while MAP rose from 54 to 70. Systolic pressure was labile, ranging 83-171, with the lowest value around hour 4.2. SpO2 briefly dipped to 85 around hour 9.2 before recovering to 92, while respiratory rate peaked at 37 and later settled at 24. The associated labs and urine output showed that white count fell from 20.4 to 17.1, creatinine fell from 72 to 2.2, lactate was checked once at 2.8, and urine output rose from 20 to 120, with recorded outputs ranging 0-1100.","episode_id":"iv_000130","anchor_time":41}
{"id":"TSS_iv_000130_clinical_summary_41_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 57 to 67, diastolic pressure rose from 47 to 58, and heart rate rose from 87 to 99. The lowest MAP was about 47 around hour 4.4, and the lowest valid SpO2 was 88 around hour 8.2; respiratory rate rose as high as 40 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 30.3-34 C, white count fell from 21.9 to 15.6, creatinine fell from 75 to 2.4, lactate was checked once at 2.6, and urine output rose from 22 to 140.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 52 to 72, diastolic pressure rose from 42 to 52, and heart rate rose from 92 to 94. The lowest MAP was about 47 around hour 5.9, and the lowest valid SpO2 was 83 around hour 9.6; respiratory rate rose as high as 35 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 35.5-39 C, white count fell from 19.3 to 18.2, creatinine fell from 70 to 2.1, lactate was checked once at 2.9, and urine output rose from 19 to 105.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 58 to 66, diastolic pressure rose from 48 to 59, and heart rate rose from 86 to 100. The lowest MAP was about 48 around hour 4.3, and the lowest valid SpO2 was 89 around hour 8.6; respiratory rate rose as high as 39 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 29.5-33 C, white count fell from 22.3 to 15.2, creatinine fell from 76 to 2.3, lactate was checked once at 2.5, and urine output rose from 22 to 170.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 54 to 70, diastolic pressure rose from 44 to 55, and heart rate rose from 90 to 96. The lowest MAP was about 44 around hour 4.9, and the lowest valid SpO2 was 85 around hour 9.2; respiratory rate rose as high as 37 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 33.3-37 C, white count fell from 20.4 to 17.1, creatinine fell from 72 to 2.2, lactate was checked once at 2.8, and urine output rose from 20 to 120.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 54 to 70, diastolic pressure rose from 44 to 55, and heart rate rose from 90 to 96. The lowest MAP was about 44 around hour 4.9, and the lowest valid SpO2 was 85 around hour 9.2; respiratory rate rose as high as 37 but ended at 24. The lower-frequency data fit that summary: temperature ranged from 91.9 to 98.6, white count fell from 20.4 to 17.1, creatinine fell from 72 to 2.2, lactate was checked once at 2.8, and urine output rose from 20 to 120.","episode_id":"iv_000130","anchor_time":41}
{"id":"TSS_iv_000130_clinical_summary_41_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 94 to 112, MAP rose from 54 to 70, and heart rate rose from 90 to 96. SpO2 started at 91, ended at 92, and fell as low as 85 around hour 9.2; respiratory rate ranged 19-37. For labs and output, white count fell from 20.4 to 17.1, creatinine fell from 72 to 2.2, lactate was checked once at 2.8, and urine output rose from 20 to 120.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 92 to 114, MAP rose from 52 to 68, and heart rate rose from 92 to 99. SpO2 started at 93, ended at 90, and fell as low as 83 around hour 9.6; respiratory rate ranged 18-39. For labs and output, white count fell from 21.5 to 16.3, creatinine fell from 70 to 2.4, lactate was checked once at 2.6, and urine output rose from 19 to 135.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 98 to 108, MAP rose from 58 to 74, and heart rate rose from 86 to 100. SpO2 started at 87, ended at 96, and fell as low as 89 around hour 8.6; respiratory rate ranged 21-33. For labs and output, white count fell from 18.5 to 17.0, creatinine fell from 76 to 2.3, lactate was checked once at 3, and urine output rose from 22 to 95.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 90 to 108, MAP rose from 50 to 73, and heart rate rose from 94 to 97. SpO2 started at 96, ended at 88, and fell as low as 84 around hour 9.9; respiratory rate ranged 17-42. For labs and output, white count fell from 22.6 to 14.9, creatinine fell from 68 to 2.5, lactate was checked once at 2.5, and urine output rose from 18 to 150.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 94 to 112, MAP rose from 54 to 70, and heart rate rose from 90 to 96. SpO2 started at 91, ended at 92, and fell as low as 85 around hour 9.2; respiratory rate ranged 19-37. For labs and output, white count fell from 20.4 to 17.1, creatinine fell from 72 to 2.2, lactate was checked once at 2.8, and urine output rose from 20 to 120.","episode_id":"iv_000130","anchor_time":41}
{"id":"TSS_iv_000130_clinical_summary_41_3","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. For handoff, the heart rate rose from 93 to 96, MAP rose from 57 to 73, and diastolic pressure moved from 41 to 58. Systolic pressure ranged 86-191 and ended at 108, and SpO2 recovered to 89 after a low of 88 around hour 10.2. Respiratory rate ended at 22; the available labs showed white count fell from 21.9 to 18.6, creatinine fell from 69 to 2.4, lactate was checked once at 3.0, and urine output rose from 18 to 140.\nB. For handoff, the heart rate rose from 90 to 96, MAP rose from 54 to 70, and diastolic pressure moved from 44 to 55. Systolic pressure ranged 83-171 and ended at 112, and SpO2 recovered to 92 after a low of 85 around hour 9.2. Respiratory rate ended at 24; the available labs showed white count fell from 20.4 to 17.1, creatinine fell from 72 to 2.2, lactate was checked once at 2.8, and urine output rose from 20 to 120.\nC. For handoff, the heart rate rose from 94 to 97, MAP rose from 58 to 74, and diastolic pressure moved from 40 to 59. Systolic pressure ranged 87-196 and ended at 116, and SpO2 recovered to 88 after a low of 84 around hour 9.8. Respiratory rate ended at 22; the available labs showed white count fell from 22.3 to 16.3, creatinine fell from 68 to 2.5, lactate was checked once at 3.0, and urine output was roughly stable (70 to 145)\nD. For handoff, the heart rate rose from 86 to 99, MAP rose from 50 to 66, and diastolic pressure moved from 48 to 52. Systolic pressure ranged 78-141 and ended at 108, and SpO2 recovered to 96 after a low of 80 around hour 8.4. Respiratory rate ended at 26; the available labs showed white count fell from 18.1 to 14.9, creatinine fell from 76 to 1.9, lactate was checked once at 2.5, and urine output rose from 22 to 90.","answer":"B","answer_text":"For handoff, the heart rate rose from 90 to 96, MAP rose from 54 to 70, and diastolic pressure moved from 44 to 55. Systolic pressure ranged 83-171 and ended at 112, and SpO2 recovered to 92 after a low of 85 around hour 9.2. Respiratory rate ended at 24; the available labs showed white count fell from 20.4 to 17.1, creatinine fell from 72 to 2.2, lactate was checked once at 2.8, and urine output rose from 20 to 120.","episode_id":"iv_000130","anchor_time":41}
{"id":"TSS_iv_000131_clinical_summary_45_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. For handoff, the heart rate fell from 115 to 78, while MAP fell from 76 to 69. Systolic pressure was labile, ranging 73-116, with the lowest value around hour 6.0. SpO2 briefly dipped to 88 around hour 0.2 before recovering to 97, while respiratory rate peaked at 24 and later settled at 22. The associated labs and urine output showed that white count fell from 8.8 to 5.1, creatinine fell from 4.9 to 1.2, lactate was checked once at 186, and urine output rose from 185 to 230, with recorded outputs ranging 80-355.\nB. For handoff, the heart rate fell from 110 to 83, while MAP was roughly stable (71 to 69). Systolic pressure was labile, ranging 78-151, with the lowest value around hour 5.1. SpO2 briefly dipped to 83 around hour 1.1 before recovering to 98, while respiratory rate peaked at 21 and later settled at 19. The associated labs and urine output showed that white count fell from 11.4 to 5.5, creatinine fell from 4.0 to 1.2, lactate was checked once at 151, and urine output was roughly stable (150 to 200), with recorded outputs ranging 28-390.\nC. For handoff, the heart rate fell from 116 to 77, while MAP fell from 77 to 70. Systolic pressure was labile, ranging 80-111, with the lowest value around hour 6.1. SpO2 briefly dipped to 89 around hour 0.2 before recovering to 96, while respiratory rate peaked at 24 and later settled at 22. The associated labs and urine output showed that white count fell from 8.4 to 6.5, creatinine fell from 5.0 to 0.9, lactate was checked once at 191, and urine output rose from 190 to 225, with recorded outputs ranging 34-350.\nD. For handoff, the heart rate fell from 112 to 81, while MAP fell from 73 to 66. Systolic pressure was labile, ranging 76-136, with the lowest value around hour 5.5. SpO2 briefly dipped to 85 around hour 0.1 before recovering to 100, while respiratory rate peaked at 22 and later settled at 20. The associated labs and urine output showed that white count fell from 10.3 to 5.9, creatinine fell from 4.4 to 1.1, lactate was checked once at 166, and urine output rose from 165 to 250, with recorded outputs ranging 30-375.","answer":"D","answer_text":"For handoff, the heart rate fell from 112 to 81, while MAP fell from 73 to 66. Systolic pressure was labile, ranging 76-136, with the lowest value around hour 5.5. SpO2 briefly dipped to 85 around hour 0.1 before recovering to 100, while respiratory rate peaked at 22 and later settled at 20. The associated labs and urine output showed that white count fell from 10.3 to 5.9, creatinine fell from 4.4 to 1.1, lactate was checked once at 166, and urine output rose from 165 to 250, with recorded outputs ranging 30-375.","episode_id":"iv_000131","anchor_time":45}
{"id":"TSS_iv_000131_clinical_summary_45_2","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 94 to 105, MAP fell from 76 to 69, and heart rate fell from 109 to 84. SpO2 started at 82, ended at 97, and fell as low as 88 around hour 0.0; respiratory rate ranged 12-24. For labs and output, white count fell from 8.8 to 5.1, creatinine fell from 4.9 to 0.9, lactate was checked once at 186, and urine output rose from 185 to 230.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 91 to 108, MAP fell from 73 to 66, and heart rate fell from 112 to 81. SpO2 started at 85, ended at 100, and fell as low as 85 around hour 0.1; respiratory rate ranged 10-22. For labs and output, white count fell from 10.3 to 5.9, creatinine fell from 4.4 to 1.1, lactate was checked once at 166, and urine output rose from 165 to 250.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 95 to 104, MAP was roughly stable (77 to 69), and heart rate fell from 108 to 85. SpO2 started at 81, ended at 96, and fell as low as 84 around hour 0.0; respiratory rate ranged 12-20. For labs and output, white count fell from 8.4 to 6.5, creatinine fell from 5.0 to 0.9, lactate was checked once at 191, and urine output rose from 190 to 225.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 86 to 112, MAP fell from 68 to 62, and heart rate fell from 116 to 76. SpO2 started at 90, ended at 96, and fell as low as 80 around hour 0.2; respiratory rate ranged 8-24. For labs and output, white count fell from 12.6 to 5.2, creatinine fell from 3.7 to 1.2, lactate was checked once at 166.2, and urine output rose from 135 to 280.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 91 to 108, MAP fell from 73 to 66, and heart rate fell from 112 to 81. SpO2 started at 85, ended at 100, and fell as low as 85 around hour 0.1; respiratory rate ranged 10-22. For labs and output, white count fell from 10.3 to 5.9, creatinine fell from 4.4 to 1.1, lactate was checked once at 166, and urine output rose from 165 to 250.","episode_id":"iv_000131","anchor_time":45}
{"id":"TSS_iv_000131_clinical_summary_45_3","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 115 to 78, MAP fell from 76 to 69, and diastolic pressure moved from 63 to 55. Systolic pressure ranged 79-156 and ended at 111, and SpO2 recovered to 97 after a low of 84 around hour 0.2. Respiratory rate ended at 18; the available labs showed white count fell from 11.8 to 5.1, creatinine fell from 3.9 to 1.3, lactate was checked once at 186, and urine output was roughly stable (215 to 270)\nB. Across the recorded window, the heart rate fell from 110 to 84, MAP fell from 71 to 64, and diastolic pressure moved from 68 to 49. Systolic pressure ranged 74-121 and ended at 106, and SpO2 recovered to 98 after a low of 83 around hour 0.0. Respiratory rate ended at 21; the available labs showed white count fell from 9.2 to 5.5, creatinine fell from 4.8 to 1.0, lactate was checked once at 151, and urine output rose from 180 to 235.\nC. Across the recorded window, the heart rate fell from 112 to 81, MAP fell from 73 to 66, and diastolic pressure moved from 66 to 52. Systolic pressure ranged 76-136 and ended at 108, and SpO2 recovered to 100 after a low of 85 around hour 0.1. Respiratory rate ended at 20; the available labs showed white count fell from 10.3 to 5.9, creatinine fell from 4.4 to 1.1, lactate was checked once at 166, and urine output rose from 165 to 250.\nD. Across the recorded window, the heart rate fell from 108 to 86, MAP was roughly stable (68 to 69), and diastolic pressure moved from 70 to 48. Systolic pressure ranged 72-106 and ended at 104, and SpO2 recovered to 96 after a low of 80 around hour 1.1. Respiratory rate ended at 22; the available labs showed white count fell from 8.1 to 5.2, creatinine fell from 5.2 to 0.8, lactate was checked once at 136, and urine output rose from 195 to 220.","answer":"C","answer_text":"Across the recorded window, the heart rate fell from 112 to 81, MAP fell from 73 to 66, and diastolic pressure moved from 66 to 52. Systolic pressure ranged 76-136 and ended at 108, and SpO2 recovered to 100 after a low of 85 around hour 0.1. Respiratory rate ended at 20; the available labs showed white count fell from 10.3 to 5.9, creatinine fell from 4.4 to 1.1, lactate was checked once at 166, and urine output rose from 165 to 250.","episode_id":"iv_000131","anchor_time":45}
{"id":"TSS_iv_000132_clinical_summary_35_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 89 to 44, while MAP fell from 58 to 34. Systolic pressure was labile, ranging 54-158, with the lowest value around hour 35.5. SpO2 briefly dipped to 88 around hour 2.5 before recovering to 99, while respiratory rate peaked at 34 and later settled at 28. The associated labs and urine output showed that white count rose from 4.8 to 18.3, creatinine was roughly stable (0.9 to 1), lactate fell from 532 to 3.4, and urine output fell from 250 to 7, with recorded outputs ranging 7-250.\nB. Across the recorded window, the heart rate fell from 87 to 46, while MAP fell from 56 to 32. Systolic pressure was labile, ranging 56-173, with the lowest value around hour 33.2. SpO2 briefly dipped to 86 around hour 2.4 before recovering to 100, while respiratory rate peaked at 32 and later settled at 27. The associated labs and urine output showed that white count rose from 5.2 to 17.5, creatinine rose from 0.8 to 1.1, lactate fell from 517 to 3.0, and urine output fell from 265 to 7, with recorded outputs ranging 7-235.\nC. Across the recorded window, the heart rate fell from 93 to 40, while MAP fell from 62 to 37. Systolic pressure was labile, ranging 50-133, with the lowest value around hour 39.2. SpO2 briefly dipped to 92 around hour 3.5 before recovering to 95, while respiratory rate peaked at 38 and later settled at 30. The associated labs and urine output showed that white count rose from 4.2 to 20.2, creatinine was roughly stable (1.0 to 1), lactate fell from 557 to 4.0, and urine output fell from 225 to 0, with recorded outputs ranging 0-275.\nD. Across the recorded window, the heart rate fell from 84 to 48, while MAP fell from 54 to 30. Systolic pressure was labile, ranging 58-188, with the lowest value around hour 31.0. SpO2 briefly dipped to 89 around hour 2.2 before recovering to 100, while respiratory rate peaked at 36 and later settled at 26. The associated labs and urine output showed that white count rose from 5.5 to 16.1, creatinine stayed around 1, lactate fell from 532 to 3.4, and urine output fell from 250 to 7, with recorded outputs ranging 6-250.","answer":"A","answer_text":"Across the recorded window, the heart rate fell from 89 to 44, while MAP fell from 58 to 34. Systolic pressure was labile, ranging 54-158, with the lowest value around hour 35.5. SpO2 briefly dipped to 88 around hour 2.5 before recovering to 99, while respiratory rate peaked at 34 and later settled at 28. The associated labs and urine output showed that white count rose from 4.8 to 18.3, creatinine was roughly stable (0.9 to 1), lactate fell from 532 to 3.4, and urine output fell from 250 to 7, with recorded outputs ranging 7-250.","episode_id":"iv_000132","anchor_time":35}
{"id":"TSS_iv_000132_clinical_summary_35_2","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 83 to 51, MAP fell from 61 to 37, and heart rate fell from 86 to 47. SpO2 started at 96, ended at 100, and fell as low as 91 around hour 2.3; respiratory rate ranged 18-36. For labs and output, white count rose from 4.3 to 17.5, creatinine was roughly stable (1.0 to 1), lactate fell from 552 to 3.9, and urine output fell from 230 to 8.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 78 to 56, MAP fell from 56 to 32, and heart rate fell from 91 to 42. SpO2 started at 100, ended at 97, and fell as low as 86 around hour 2.6; respiratory rate ranged 16-36. For labs and output, white count rose from 5.2 to 17.2, creatinine rose from 0.8 to 1.1, lactate fell from 532.2 to 3.0, and urine output fell from 265 to 7.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 80 to 54, MAP fell from 58 to 34, and heart rate fell from 89 to 44. SpO2 started at 99, ended at 99, and fell as low as 88 around hour 2.5; respiratory rate ranged 17-34. For labs and output, white count rose from 4.8 to 18.3, creatinine was roughly stable (0.9 to 1), lactate fell from 532 to 3.4, and urine output fell from 250 to 7.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 76 to 50, MAP fell from 54 to 37, and heart rate fell from 94 to 40. SpO2 started at 100, ended at 94, and fell as low as 87 around hour 2.8; respiratory rate ranged 15-38. For labs and output, white count rose from 5.5 to 16.1, creatinine was roughly stable (0.8 to 1), lactate fell from 502 to 2.6, and urine output fell from 280 to 6.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 80 to 54, MAP fell from 58 to 34, and heart rate fell from 89 to 44. SpO2 started at 99, ended at 99, and fell as low as 88 around hour 2.5; respiratory rate ranged 17-34. For labs and output, white count rose from 4.8 to 18.3, creatinine was roughly stable (0.9 to 1), lactate fell from 532 to 3.4, and urine output fell from 250 to 7.","episode_id":"iv_000132","anchor_time":35}
{"id":"TSS_iv_000133_clinical_summary_171_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 92 to 101, MAP rose from 73 to 79, and diastolic pressure moved from 64 to 68. Systolic pressure ranged 62-151 and ended at 115, and SpO2 recovered to 95 after a low of 85 around hour 0.1. Respiratory rate ended at 23; the available labs showed white count fell from 13.1 to 12, creatinine fell from 1.1 to 0.8, lactate fell from 211 to 0.8, and urine output fell from 300 to 30.\nB. Over the available measurements, the heart rate rose from 90 to 104, MAP rose from 71 to 77, and diastolic pressure moved from 66 to 65. Systolic pressure ranged 60-136 and ended at 113, and SpO2 recovered to 97 after a low of 83 around hour 0.0. Respiratory rate ended at 24; the available labs showed white count fell from 12.0 to 11, creatinine fell from 1.2 to 0.7, lactate fell from 196 to 0.9, and urine output fell from 285 to 28.\nC. Over the available measurements, the heart rate rose from 96 to 97, MAP rose from 77 to 83, and diastolic pressure moved from 60 to 72. Systolic pressure ranged 66-176 and ended at 119, and SpO2 recovered to 91 after a low of 84 around hour 0.2. Respiratory rate ended at 21; the available labs showed white count fell from 15.0 to 11.2, creatinine fell from 0.9 to 0.8, lactate fell from 236 to 0.7, and urine output fell from 350 to 34.\nD. Over the available measurements, the heart rate rose from 88 to 106, MAP rose from 68 to 82, and diastolic pressure moved from 68 to 64. Systolic pressure ranged 58-121 and ended at 111, and SpO2 recovered to 100 after a low of 80 around hour 1.1. Respiratory rate ended at 25; the available labs showed white count fell from 10.8 to 10, creatinine fell from 1.4 to 0.7, lactate fell from 181 to 1.0, and urine output fell from 270 to 26.","answer":"A","answer_text":"Over the available measurements, the heart rate rose from 92 to 101, MAP rose from 73 to 79, and diastolic pressure moved from 64 to 68. Systolic pressure ranged 62-151 and ended at 115, and SpO2 recovered to 95 after a low of 85 around hour 0.1. Respiratory rate ended at 23; the available labs showed white count fell from 13.1 to 12, creatinine fell from 1.1 to 0.8, lactate fell from 211 to 0.8, and urine output fell from 300 to 30.","episode_id":"iv_000133","anchor_time":171}
{"id":"TSS_iv_000134_clinical_summary_61_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 115 to 100, diastolic pressure fell from 108 to 86, and heart rate fell from 114 to 97. The lowest MAP was about 73 around hour 35, and the lowest valid SpO2 was 91 around hour 10; respiratory rate rose as high as 37 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.4-34.6 C, white count was roughly stable (12.7 to 10.3), creatinine fell from 1.4 to 1.0, lactate fell from 3.8 to 2.8, and urine output rose from 760 to 1010.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 110 to 105, diastolic pressure fell from 103 to 87, and heart rate fell from 149 to 103. The lowest MAP was about 68 around hour 36, and the lowest valid SpO2 was 86 around hour 10; respiratory rate rose as high as 32 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 38.6-39.9 C, white count was roughly stable (10.1 to 12.9), creatinine fell from 1.0 to 0.8, lactate fell from 4.7 to 2.5, and urine output rose from 725 to 1150.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 116 to 99, diastolic pressure fell from 109 to 93, and heart rate fell from 109 to 96. The lowest MAP was about 74 around hour 30, and the lowest valid SpO2 was 92 around hour 9; respiratory rate rose as high as 36 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 32.6-33.9 C, white count was roughly stable (13.1 to 9.9), creatinine fell from 1.4 to 1, lactate fell from 3.7 to 2.9, and urine output rose from 765 to 1140.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 112 to 103, diastolic pressure fell from 105 to 89, and heart rate fell from 134 to 100. The lowest MAP was about 70 around hour 34, and the lowest valid SpO2 was 88 around hour 11; respiratory rate rose as high as 34 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.4-37.6 C, white count was roughly stable (11.2 to 11.8), creatinine fell from 1.2 to 0.9, lactate fell from 4.3 to 2.6, and urine output rose from 740 to 1090.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 112 to 103, diastolic pressure fell from 105 to 89, and heart rate fell from 134 to 100. The lowest MAP was about 70 around hour 34, and the lowest valid SpO2 was 88 around hour 11; respiratory rate rose as high as 34 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 97.5 to 99.7, white count was roughly stable (11.2 to 11.8), creatinine fell from 1.2 to 0.9, lactate fell from 4.3 to 2.6, and urine output rose from 740 to 1090.","episode_id":"iv_000134","anchor_time":61}
{"id":"TSS_iv_000134_clinical_summary_61_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 137 to 149, MAP fell from 112 to 103, and heart rate fell from 134 to 100. SpO2 started at 100, ended at 95, and fell as low as 88 around hour 11; respiratory rate ranged 6-34. For labs and output, white count was roughly stable (11.2 to 11.8), creatinine fell from 1.2 to 0.9, lactate fell from 4.3 to 2.6, and urine output rose from 740 to 1090.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 122 to 164, MAP fell from 110 to 101, and heart rate fell from 149 to 103. SpO2 started at 98, ended at 93, and fell as low as 86 around hour 12; respiratory rate ranged 6-36. For labs and output, white count was roughly stable (12.3 to 11), creatinine fell from 1.0 to 0.8, lactate fell from 3.9 to 2.5, and urine output rose from 755 to 1030.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 162 to 182, MAP fell from 116 to 107, and heart rate fell from 109 to 96. SpO2 started at 96, ended at 99, and fell as low as 92 around hour 9; respiratory rate ranged 7-30. For labs and output, white count was roughly stable (9.3 to 13.7), creatinine fell from 1.4 to 1, lactate fell from 4.5 to 2.9, and urine output rose from 715 to 1190.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 107 to 145, MAP fell from 108 to 106, and heart rate fell from 164 to 96. SpO2 started at 96, ended at 90, and fell as low as 87 around hour 13; respiratory rate ranged 5-38. For labs and output, white count was roughly stable (13.4 to 9.6), creatinine fell from 0.9 to 0.7, lactate fell from 3.5 to 2.3, and urine output rose from 770 to 970.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 137 to 149, MAP fell from 112 to 103, and heart rate fell from 134 to 100. SpO2 started at 100, ended at 95, and fell as low as 88 around hour 11; respiratory rate ranged 6-34. For labs and output, white count was roughly stable (11.2 to 11.8), creatinine fell from 1.2 to 0.9, lactate fell from 4.3 to 2.6, and urine output rose from 740 to 1090.","episode_id":"iv_000134","anchor_time":61}
{"id":"TSS_iv_000137_clinical_summary_49_0","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Taken together, the heart rate rose from 68 to 74, while MAP was roughly stable (91 to 93). Systolic pressure was labile, ranging 92-130, with the lowest value around hour 17.9. SpO2 briefly dipped to 88 around hour 3 before recovering to 92, while respiratory rate peaked at 28 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (8.6 to 10.2), creatinine stayed around 1.0, lactate was not available, and urine output fell from 380 to 200, with recorded outputs ranging 220-520.\nB. Taken together, the heart rate rose from 65 to 77, while MAP was roughly stable (88 to 90). Systolic pressure was labile, ranging 95-150, with the lowest value around hour 16.4. SpO2 briefly dipped to 85 around hour 2 before recovering to 95, while respiratory rate peaked at 26 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (9.1 to 9.7), creatinine stayed around 0.9, lactate was not available, and urine output fell from 400 to 250, with recorded outputs ranging 200-500.\nC. Taken together, the heart rate rose from 69 to 73, while MAP was roughly stable (92 to 94). Systolic pressure was labile, ranging 91-125, with the lowest value around hour 18.3. SpO2 briefly dipped to 89 around hour 2 before recovering to 91, while respiratory rate peaked at 28 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (8.5 to 8.9), creatinine was roughly stable (1.0 to 1), lactate was not available, and urine output fell from 400 to 250, with recorded outputs ranging 250-500.\nD. Taken together, the heart rate rose from 60 to 82, while MAP was roughly stable (84 to 86). Systolic pressure was labile, ranging 99-180, with the lowest value around hour 14.1. SpO2 briefly dipped to 86 around hour 2 before recovering to 100, while respiratory rate peaked at 28 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (9.8 to 8.9), creatinine stayed around 0.8, lactate was not available, and urine output fell from 430 to 220, with recorded outputs ranging 170-470.","answer":"B","answer_text":"Taken together, the heart rate rose from 65 to 77, while MAP was roughly stable (88 to 90). Systolic pressure was labile, ranging 95-150, with the lowest value around hour 16.4. SpO2 briefly dipped to 85 around hour 2 before recovering to 95, while respiratory rate peaked at 26 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (9.1 to 9.7), creatinine stayed around 0.9, lactate was not available, and urine output fell from 400 to 250, with recorded outputs ranging 200-500.","episode_id":"iv_000137","anchor_time":49}
{"id":"TSS_iv_000137_clinical_summary_49_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (142 to 115), MAP was roughly stable (91 to 93), and heart rate rose from 62 to 80. SpO2 started at 95, ended at 96, and fell as low as 88 around hour 2; respiratory rate ranged 14-24. For labs and output, white count was roughly stable (8.6 to 10.2), creatinine was roughly stable (1.0 to 1), lactate was not available, and urine output fell from 400 to 250.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (107 to 120), MAP was roughly stable (86 to 88), and heart rate rose from 67 to 80. SpO2 started at 100, ended at 93, and fell as low as 83 around hour 2; respiratory rate ranged 12-28. For labs and output, white count was roughly stable (9.5 to 8.9), creatinine stayed around 0.8, lactate was not available, and urine output fell from 415 to 235.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 147 to 114, MAP was roughly stable (92 to 93), and heart rate rose from 61 to 81. SpO2 started at 94, ended at 99, and fell as low as 84 around hour 2; respiratory rate ranged 15-24. For labs and output, white count was roughly stable (8.5 to 10.3), creatinine stayed around 1.0, lactate was not available, and urine output fell from 375 to 275.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (122 to 118), MAP was roughly stable (88 to 90), and heart rate rose from 65 to 77. SpO2 started at 98, ended at 95, and fell as low as 85 around hour 2; respiratory rate ranged 13-26. For labs and output, white count was roughly stable (9.1 to 9.7), creatinine stayed around 0.9, lactate was not available, and urine output fell from 400 to 250.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (122 to 118), MAP was roughly stable (88 to 90), and heart rate rose from 65 to 77. SpO2 started at 98, ended at 95, and fell as low as 85 around hour 2; respiratory rate ranged 13-26. For labs and output, white count was roughly stable (9.1 to 9.7), creatinine stayed around 0.9, lactate was not available, and urine output fell from 400 to 250.","episode_id":"iv_000137","anchor_time":49}
{"id":"TSS_iv_000137_clinical_summary_49_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. In broad terms, the heart rate rose from 65 to 77, MAP was roughly stable (88 to 90), and diastolic pressure moved from 81 to 84. Systolic pressure ranged 95-150 and ended at 118, and SpO2 recovered to 95 after a low of 85 around hour 2. Respiratory rate ended at 21; the available labs showed white count was roughly stable (9.1 to 9.7), creatinine stayed around 0.9, lactate was not available, and urine output fell from 400 to 250.\nB. In broad terms, the heart rate rose from 63 to 79, MAP was roughly stable (86 to 93), and diastolic pressure moved from 83 to 82. Systolic pressure ranged 93-135 and ended at 114, and SpO2 recovered to 97 after a low of 83 around hour 3. Respiratory rate ended at 22; the available labs showed white count was roughly stable (8.7 to 9.3), creatinine stayed around 1.0, lactate was not available, and urine output fell from 385 to 235.\nC. In broad terms, the heart rate rose from 69 to 73, MAP was roughly stable (92 to 94), and diastolic pressure moved from 77 to 88. Systolic pressure ranged 99-175 and ended at 122, and SpO2 recovered to 91 after a low of 84 around hour 2. Respiratory rate ended at 19; the available labs showed white count was roughly stable (9.7 to 8.9), creatinine stayed around 0.8, lactate was not available, and urine output fell from 450 to 275.\nD. In broad terms, the heart rate rose from 60 to 80, MAP was roughly stable (84 to 86), and diastolic pressure moved from 86 to 81. Systolic pressure ranged 90-120 and ended at 114, and SpO2 recovered to 100 after a low of 80 around hour 2. Respiratory rate ended at 23; the available labs showed white count was roughly stable (8.3 to 8.9), creatinine stayed around 1.1, lactate was not available, and urine output fell from 370 to 220.","answer":"A","answer_text":"In broad terms, the heart rate rose from 65 to 77, MAP was roughly stable (88 to 90), and diastolic pressure moved from 81 to 84. Systolic pressure ranged 95-150 and ended at 118, and SpO2 recovered to 95 after a low of 85 around hour 2. Respiratory rate ended at 21; the available labs showed white count was roughly stable (9.1 to 9.7), creatinine stayed around 0.9, lactate was not available, and urine output fell from 400 to 250.","episode_id":"iv_000137","anchor_time":49}
{"id":"TSS_iv_000138_clinical_summary_78_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (104 to 107), MAP stayed around 82, and heart rate fell from 94 to 67. SpO2 started at 100, ended at 99, and fell as low as 88 around hour 3.6; respiratory rate ranged 8-27. For labs and output, white count fell from 19.2 to 12.2, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 200 to 500.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (102 to 103), MAP was roughly stable (80 to 85), and heart rate fell from 94 to 67. SpO2 started at 100, ended at 99, and fell as low as 87 around hour 3.6; respiratory rate ranged 8-27. For labs and output, white count fell from 19.2 to 12.2, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 200 to 500.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (108 to 103), MAP stayed around 86, and heart rate fell from 98 to 63. SpO2 started at 96, ended at 95, and fell as low as 92 around hour 4.2; respiratory rate ranged 7-29. For labs and output, white count fell from 21.1 to 10.3, creatinine stayed around 0.6, lactate was not available, and urine output rose from 200 to 500.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (100 to 112), MAP stayed around 78, and heart rate fell from 90 to 70. SpO2 started at 96, ended at 100, and fell as low as 84 around hour 2.9; respiratory rate ranged 9-29. For labs and output, white count fell from 16.9 to 11.4, creatinine was roughly stable (0.3 to 0.2), lactate was not available, and urine output rose from 230 to 470.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (104 to 107), MAP stayed around 82, and heart rate fell from 94 to 67. SpO2 started at 100, ended at 99, and fell as low as 88 around hour 3.6; respiratory rate ranged 8-27. For labs and output, white count fell from 19.2 to 12.2, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 200 to 500.","episode_id":"iv_000138","anchor_time":78}
{"id":"TSS_iv_000138_clinical_summary_78_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. For handoff, the heart rate fell from 97 to 64, MAP stayed around 85, and diastolic pressure moved from 69 to 68. Systolic pressure ranged 90-106 and ended at 104, and SpO2 recovered to 100 after a low of 87 around hour 4.1. Respiratory rate ended at 16; the available labs showed white count fell from 17.7 to 11.4, creatinine was roughly stable (0.6 to 0.3), lactate was not available, and urine output was roughly stable (250 to 520)\nB. For handoff, the heart rate fell from 94 to 67, MAP stayed around 82, and diastolic pressure moved from 66 to 71. Systolic pressure ranged 87-126 and ended at 107, and SpO2 recovered to 99 after a low of 88 around hour 3.6. Respiratory rate ended at 15; the available labs showed white count fell from 19.2 to 12.2, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 200 to 500.\nC. For handoff, the heart rate fell from 98 to 70, MAP stayed around 86, and diastolic pressure moved from 70 to 68. Systolic pressure ranged 91-101 and ended at 103, and SpO2 recovered to 100 after a low of 84 around hour 4.2. Respiratory rate ended at 17; the available labs showed white count fell from 17.3 to 14.1, creatinine was roughly stable (0.6 to 0.3), lactate was not available, and urine output rose from 225 to 525.\nD. For handoff, the heart rate fell from 90 to 72, MAP was roughly stable (78 to 85), and diastolic pressure moved from 66 to 71. Systolic pressure ranged 87-126 and ended at 103, and SpO2 recovered to 99 after a low of 88 around hour 4.6. Respiratory rate ended at 15; the available labs showed white count fell from 19.2 to 12.2, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 200 to 500.","answer":"B","answer_text":"For handoff, the heart rate fell from 94 to 67, MAP stayed around 82, and diastolic pressure moved from 66 to 71. Systolic pressure ranged 87-126 and ended at 107, and SpO2 recovered to 99 after a low of 88 around hour 3.6. Respiratory rate ended at 15; the available labs showed white count fell from 19.2 to 12.2, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 200 to 500.","episode_id":"iv_000138","anchor_time":78}
{"id":"TSS_iv_000139_clinical_summary_35_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. For handoff, the heart rate fell from 100 to 84, while MAP fell from 94 to 73. Systolic pressure was labile, ranging 91-135, with the lowest value around hour 28. SpO2 briefly dipped to 86 around hour 15.1 before recovering to 90, while respiratory rate peaked at 30 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (9.6 to 12.4), creatinine stayed around 1.0, lactate was checked once at 254, and urine output was roughly stable (220 to 250), with recorded outputs ranging 130-330.\nB. For handoff, the heart rate fell from 97 to 89, while MAP fell from 89 to 68. Systolic pressure was labile, ranging 98-170, with the lowest value around hour 25. SpO2 briefly dipped to 84 around hour 13.0 before recovering to 95, while respiratory rate peaked at 30 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (12.2 to 9.8), creatinine stayed around 0.8, lactate was checked once at 289, and urine output rose from 185 to 285, with recorded outputs ranging 165-365.\nC. For handoff, the heart rate fell from 100 to 83, while MAP fell from 95 to 74. Systolic pressure was labile, ranging 90-130, with the lowest value around hour 28. SpO2 briefly dipped to 87 around hour 16.0 before recovering to 89, while respiratory rate peaked at 30 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (9.2 to 10.1), creatinine was roughly stable (1.0 to 1), lactate was checked once at 274, and urine output rose from 200 to 300, with recorded outputs ranging 200-350.\nD. For handoff, the heart rate fell from 99 to 87, while MAP fell from 91 to 70. Systolic pressure was labile, ranging 94-155, with the lowest value around hour 26. SpO2 briefly dipped to 83 around hour 14.1 before recovering to 93, while respiratory rate peaked at 28 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (11.1 to 10.9), creatinine stayed around 0.9, lactate was checked once at 274, and urine output rose from 200 to 300, with recorded outputs ranging 150-350.","answer":"D","answer_text":"For handoff, the heart rate fell from 99 to 87, while MAP fell from 91 to 70. Systolic pressure was labile, ranging 94-155, with the lowest value around hour 26. SpO2 briefly dipped to 83 around hour 14.1 before recovering to 93, while respiratory rate peaked at 28 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (11.1 to 10.9), creatinine stayed around 0.9, lactate was checked once at 274, and urine output rose from 200 to 300, with recorded outputs ranging 150-350.","episode_id":"iv_000139","anchor_time":35}
{"id":"TSS_iv_000139_clinical_summary_35_3","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 100 to 84, MAP fell from 94 to 73, and diastolic pressure moved from 76 to 57. Systolic pressure ranged 97-175 and ended at 122, and SpO2 recovered to 90 after a low of 82 around hour 15.6. Respiratory rate ended at 18; the available labs showed white count was roughly stable (12.6 to 10.1), creatinine stayed around 0.8, lactate was checked once at 294, and urine output was roughly stable (250 to 280)\nB. Across the recorded window, the heart rate fell from 97 to 90, MAP fell from 89 to 68, and diastolic pressure moved from 81 to 51. Systolic pressure ranged 92-140 and ended at 117, and SpO2 recovered to 95 after a low of 81 around hour 13.0. Respiratory rate ended at 21; the available labs showed white count was roughly stable (10.0 to 9.8), creatinine stayed around 1.0, lactate was checked once at 259, and urine output rose from 185 to 315.\nC. Across the recorded window, the heart rate fell from 99 to 87, MAP fell from 91 to 70, and diastolic pressure moved from 79 to 54. Systolic pressure ranged 94-155 and ended at 119, and SpO2 recovered to 93 after a low of 83 around hour 14.1. Respiratory rate ended at 20; the available labs showed white count was roughly stable (11.1 to 10.9), creatinine stayed around 0.9, lactate was checked once at 274, and urine output rose from 200 to 300.\nD. Across the recorded window, the heart rate fell from 94 to 92, MAP fell from 86 to 73, and diastolic pressure moved from 84 to 50. Systolic pressure ranged 90-125 and ended at 115, and SpO2 recovered to 98 after a low of 78 around hour 15.1. Respiratory rate ended at 22; the available labs showed white count was roughly stable (8.8 to 8.7), creatinine stayed around 1.1, lactate was checked once at 244, and urine output rose from 170 to 330.","answer":"C","answer_text":"Across the recorded window, the heart rate fell from 99 to 87, MAP fell from 91 to 70, and diastolic pressure moved from 79 to 54. Systolic pressure ranged 94-155 and ended at 119, and SpO2 recovered to 93 after a low of 83 around hour 14.1. Respiratory rate ended at 20; the available labs showed white count was roughly stable (11.1 to 10.9), creatinine stayed around 0.9, lactate was checked once at 274, and urine output rose from 200 to 300.","episode_id":"iv_000139","anchor_time":35}
{"id":"TSS_iv_000141_clinical_summary_311_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 96 to 110, MAP rose from 51 to 74, and diastolic pressure moved from 43 to 50. Systolic pressure ranged 74-188 and ended at 141, and SpO2 recovered to 96 after a low of 85 around hour 2.1. Respiratory rate ended at 27; the available labs showed white count rose from 25 to 362, creatinine fell from 1.8 to 0.8, lactate rose from 1.6 to 288, and urine output rose from 20 to 100.\nB. Over the available measurements, the heart rate rose from 94 to 112, MAP rose from 49 to 77, and diastolic pressure moved from 45 to 48. Systolic pressure ranged 72-173 and ended at 137, and SpO2 recovered to 98 after a low of 83 around hour 3.1. Respiratory rate ended at 28; the available labs showed white count rose from 24 to 347, creatinine fell from 2.0 to 0.7, lactate rose from 1.5 to 303, and urine output rose from 19 to 98.\nC. Over the available measurements, the heart rate rose from 100 to 106, MAP rose from 55 to 78, and diastolic pressure moved from 39 to 54. Systolic pressure ranged 78-213 and ended at 166, and SpO2 recovered to 92 after a low of 84 around hour 2.4. Respiratory rate ended at 25; the available labs showed white count rose from 27 to 361.2, creatinine fell from 1.6 to 0.9, lactate rose from 1.9 to 263, and urine output was roughly stable (70 to 96)\nD. Over the available measurements, the heart rate rose from 92 to 113, MAP rose from 46 to 70, and diastolic pressure moved from 48 to 47. Systolic pressure ranged 70-158 and ended at 111, and SpO2 recovered to 100 after a low of 80 around hour 1.8. Respiratory rate ended at 29; the available labs showed white count rose from 23 to 332, creatinine fell from 2.1 to 0.7, lactate rose from 1.3 to 318, and urine output rose from 18 to 96.","answer":"A","answer_text":"Over the available measurements, the heart rate rose from 96 to 110, MAP rose from 51 to 74, and diastolic pressure moved from 43 to 50. Systolic pressure ranged 74-188 and ended at 141, and SpO2 recovered to 96 after a low of 85 around hour 2.1. Respiratory rate ended at 27; the available labs showed white count rose from 25 to 362, creatinine fell from 1.8 to 0.8, lactate rose from 1.6 to 288, and urine output rose from 20 to 100.","episode_id":"iv_000141","anchor_time":311}
{"id":"TSS_iv_000142_clinical_summary_424_0","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Over the available measurements, the heart rate stayed around 63, while MAP was roughly stable (69 to 75). Systolic pressure was labile, ranging 90-91, with the lowest value around hour 4.4. SpO2 briefly dipped to 93 around hour 238.4 before recovering to 98, while respiratory rate peaked at 14 and later settled at 16. The associated labs and urine output showed that white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.\nB. Over the available measurements, the heart rate was roughly stable (58 to 63), while MAP stayed around 72. Systolic pressure was labile, ranging 90-91, with the lowest value around hour 4.4. SpO2 briefly dipped to 93 around hour 237.4 before recovering to 98, while respiratory rate peaked at 17 and later settled at 16. The associated labs and urine output showed that white count rose from 6 to 8.2, creatinine was roughly stable (2.1 to 1.5), lactate rose from 2.4 to 490, and urine output was not recorded.\nC. Over the available measurements, the heart rate stayed around 60, while MAP stayed around 72. Systolic pressure was labile, ranging 90-91, with the lowest value around hour 4.4. SpO2 briefly dipped to 93 around hour 237.4 before recovering to 98, while respiratory rate peaked at 16 and later settled at 16. The associated labs and urine output showed that white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.\nD. Over the available measurements, the heart rate stayed around 56, while MAP stayed around 76. Systolic pressure was labile, ranging 86-94, with the lowest value around hour 5.2. SpO2 briefly dipped to 94 around hour 267.4 before recovering to 94, while respiratory rate peaked at 18 and later settled at 18. The associated labs and urine output showed that white count rose from 5 to 8, creatinine was roughly stable (2.4 to 1.1), lactate rose from 2.1 to 520, and urine output was not recorded.","answer":"C","answer_text":"Over the available measurements, the heart rate stayed around 60, while MAP stayed around 72. Systolic pressure was labile, ranging 90-91, with the lowest value around hour 4.4. SpO2 briefly dipped to 93 around hour 237.4 before recovering to 98, while respiratory rate peaked at 16 and later settled at 16. The associated labs and urine output showed that white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.","episode_id":"iv_000142","anchor_time":424}
{"id":"TSS_iv_000142_clinical_summary_424_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (90 to 91), MAP stayed around 72, and heart rate stayed around 60. SpO2 started at 99, ended at 98, and fell as low as 93 around hour 237.4; respiratory rate ranged 16-16. For labs and output, white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (88 to 93), MAP was roughly stable (75 to 72), and heart rate stayed around 60. SpO2 started at 99, ended at 98, and fell as low as 93 around hour 237.4; respiratory rate ranged 16-18. For labs and output, white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.5), lactate rose from 2.6 to 490, and urine output was not recorded.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (94 to 87), MAP was roughly stable (76 to 75), and heart rate stayed around 60. SpO2 started at 99, ended at 98, and fell as low as 92 around hour 237.4; respiratory rate ranged 16-18. For labs and output, white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (86 to 96), MAP stayed around 68, and heart rate was roughly stable (56 to 63). SpO2 started at 99, ended at 98, and fell as low as 93 around hour 237.4; respiratory rate ranged 16-18. For labs and output, white count rose from 6 to 8.2, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (90 to 91), MAP stayed around 72, and heart rate stayed around 60. SpO2 started at 99, ended at 98, and fell as low as 93 around hour 237.4; respiratory rate ranged 16-16. For labs and output, white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.","episode_id":"iv_000142","anchor_time":424}
{"id":"TSS_iv_000142_clinical_summary_424_3","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Viewed chronologically, the heart rate stayed around 63, MAP stayed around 69, and diastolic pressure moved from 70 to 57. Systolic pressure ranged 87-88 and ended at 94, and SpO2 recovered to 100 after a low of 92 around hour 217.4. Respiratory rate ended at 18; the available labs showed white count rose from 6 to 8.2, creatinine was roughly stable (2.3 to 1.6), lactate rose from 2.2 to 510, and urine output was not recorded.\nB. Viewed chronologically, the heart rate stayed around 60, MAP stayed around 72, and diastolic pressure moved from 67 to 54. Systolic pressure ranged 90-91 and ended at 91, and SpO2 recovered to 98 after a low of 93 around hour 237.4. Respiratory rate ended at 16; the available labs showed white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.\nC. Viewed chronologically, the heart rate stayed around 64, MAP was roughly stable (68 to 75), and diastolic pressure moved from 67 to 54. Systolic pressure ranged 87-91 and ended at 87, and SpO2 recovered to 98 after a low of 93 around hour 238.4. Respiratory rate ended at 16; the available labs showed white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.\nD. Viewed chronologically, the heart rate was roughly stable (56 to 63), MAP stayed around 72, and diastolic pressure moved from 67 to 51. Systolic pressure ranged 90-91 and ended at 91, and SpO2 recovered to 98 after a low of 93 around hour 237.4. Respiratory rate ended at 16; the available labs showed white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.","answer":"B","answer_text":"Viewed chronologically, the heart rate stayed around 60, MAP stayed around 72, and diastolic pressure moved from 67 to 54. Systolic pressure ranged 90-91 and ended at 91, and SpO2 recovered to 98 after a low of 93 around hour 237.4. Respiratory rate ended at 16; the available labs showed white count rose from 6 to 9, creatinine was roughly stable (2.1 to 1.4), lactate rose from 2.4 to 490, and urine output was not recorded.","episode_id":"iv_000142","anchor_time":424}
{"id":"TSS_iv_000146_clinical_summary_46_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 143 to 154, MAP rose from 94 to 104, and heart rate stayed around 50. SpO2 started at 88, ended at 88, and fell as low as 88 around hour 0.1; respiratory rate ranged 9-33. For labs and output, white count was roughly stable (18.2 to 17.8), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output fell from 5090 to 1.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 128 to 158, MAP rose from 92 to 102, and heart rate stayed around 52. SpO2 started at 86, ended at 90, and fell as low as 86 around hour 0.0; respiratory rate ranged 9-35. For labs and output, white count was roughly stable (17.1 to 18.9), creatinine stayed around 0.6, lactate was not available, and urine output fell from 5090 to 1.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 168 to 188, MAP rose from 98 to 107, and heart rate stayed around 46. SpO2 started at 92, ended at 84, and fell as low as 87 around hour 0.2; respiratory rate ranged 8-29. For labs and output, white count was roughly stable (20.1 to 15.9), creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output fell from 4990 to 1.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 113 to 184, MAP rose from 90 to 100, and heart rate was roughly stable (54 to 53). SpO2 started at 92, ended at 84, and fell as low as 88 around hour 0.1; respiratory rate ranged 9-35. For labs and output, white count fell from 18.2 to 17, creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output fell from 5090 to 1.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 143 to 154, MAP rose from 94 to 104, and heart rate stayed around 50. SpO2 started at 88, ended at 88, and fell as low as 88 around hour 0.1; respiratory rate ranged 9-33. For labs and output, white count was roughly stable (18.2 to 17.8), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output fell from 5090 to 1.","episode_id":"iv_000146","anchor_time":46}
{"id":"TSS_iv_000147_clinical_summary_48_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. For handoff, the heart rate fell from 118 to 97, while MAP rose from 84 to 117. Systolic pressure was labile, ranging 123-176, with the lowest value around hour 4. SpO2 briefly dipped to 86 around hour 0.6 before recovering to 94, while respiratory rate peaked at 39 and later settled at 14. The associated labs and urine output showed that white count rose from 1 to 7.6, creatinine fell from 2 to 0.8, lactate stayed broadly stable from 2.0 to 2, and urine output fell from 580 to 320, with recorded outputs ranging 170-795.\nB. For handoff, the heart rate fell from 113 to 98, while MAP rose from 79 to 117. Systolic pressure was labile, ranging 121-211, with the lowest value around hour 4. SpO2 briefly dipped to 83 around hour 1.5 before recovering to 99, while respiratory rate peaked at 35 and later settled at 11. The associated labs and urine output showed that white count rose from 1 to 6.7, creatinine fell from 2 to 1.0, lactate stayed broadly stable from 1.6 to 2, and urine output fell from 615 to 250, with recorded outputs ranging 135-760.\nC. For handoff, the heart rate fell from 119 to 96, while MAP rose from 85 to 118. Systolic pressure was labile, ranging 115-171, with the lowest value around hour 5. SpO2 briefly dipped to 89 around hour 0.6 before recovering to 93, while respiratory rate peaked at 41 and later settled at 14. The associated labs and urine output showed that white count rose from 1 to 6.3, creatinine fell from 2 to 1, lactate stayed broadly stable from 2.0 to 2, and urine output fell from 575 to 325, with recorded outputs ranging 200-800.\nD. For handoff, the heart rate fell from 115 to 100, while MAP rose from 81 to 114. Systolic pressure was labile, ranging 119-196, with the lowest value around hour 4. SpO2 briefly dipped to 85 around hour 0.5 before recovering to 97, while respiratory rate peaked at 37 and later settled at 12. The associated labs and urine output showed that white count rose from 1 to 7.1, creatinine fell from 2 to 0.9, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 600 to 300, with recorded outputs ranging 150-775.","answer":"D","answer_text":"For handoff, the heart rate fell from 115 to 100, while MAP rose from 81 to 114. Systolic pressure was labile, ranging 119-196, with the lowest value around hour 4. SpO2 briefly dipped to 85 around hour 0.5 before recovering to 97, while respiratory rate peaked at 37 and later settled at 12. The associated labs and urine output showed that white count rose from 1 to 7.1, creatinine fell from 2 to 0.9, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 600 to 300, with recorded outputs ranging 150-775.","episode_id":"iv_000147","anchor_time":48}
{"id":"TSS_iv_000147_clinical_summary_48_3","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 118 to 97, MAP rose from 84 to 117, and diastolic pressure moved from 74 to 105. Systolic pressure ranged 122-216 and ended at 189, and SpO2 recovered to 94 after a low of 84 around hour 0.6. Respiratory rate ended at 10; the available labs showed white count rose from 1 to 6.3, creatinine fell from 2 to 1.0, lactate stayed broadly stable from 2.0 to 2, and urine output fell from 650 to 320.\nB. Across the recorded window, the heart rate fell from 113 to 103, MAP rose from 79 to 112, and diastolic pressure moved from 79 to 99. Systolic pressure ranged 117-181 and ended at 154, and SpO2 recovered to 99 after a low of 83 around hour 0.4. Respiratory rate ended at 13; the available labs showed white count rose from 1 to 6.7, creatinine fell from 2 to 0.8, lactate stayed broadly stable from 1.6 to 2, and urine output fell from 585 to 285.\nC. Across the recorded window, the heart rate fell from 115 to 100, MAP rose from 81 to 114, and diastolic pressure moved from 77 to 102. Systolic pressure ranged 119-196 and ended at 169, and SpO2 recovered to 97 after a low of 85 around hour 0.5. Respiratory rate ended at 12; the available labs showed white count rose from 1 to 7.1, creatinine fell from 2 to 0.9, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 600 to 300.\nD. Across the recorded window, the heart rate fell from 110 to 96, MAP rose from 76 to 117, and diastolic pressure moved from 82 to 98. Systolic pressure ranged 114-166 and ended at 165, and SpO2 recovered to 100 after a low of 80 around hour 1.5. Respiratory rate ended at 14; the available labs showed white count rose from 1 to 6.3, creatinine fell from 2 to 0.8, lactate stayed broadly stable from 1.5 to 2, and urine output fell from 570 to 270.","answer":"C","answer_text":"Across the recorded window, the heart rate fell from 115 to 100, MAP rose from 81 to 114, and diastolic pressure moved from 77 to 102. Systolic pressure ranged 119-196 and ended at 169, and SpO2 recovered to 97 after a low of 85 around hour 0.5. Respiratory rate ended at 12; the available labs showed white count rose from 1 to 7.1, creatinine fell from 2 to 0.9, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 600 to 300.","episode_id":"iv_000147","anchor_time":48}
{"id":"TSS_iv_000148_clinical_summary_39_1","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 68 to 54, diastolic pressure fell from 55 to 41, and heart rate rose from 64 to 75. The lowest MAP was about 59 around hour 31.7, and the lowest valid SpO2 was 88 around hour 5.4; respiratory rate rose as high as 24 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 33.6-35.6 C, white count rose from 4 to 8.8, creatinine rose from 5.4 to 6.6, lactate was not available, and urine output was roughly stable (105 to 97)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 65 to 57, diastolic pressure fell from 52 to 38, and heart rate was roughly stable (67 to 72). The lowest MAP was about 56 around hour 34.7, and the lowest valid SpO2 was 85 around hour 6.4; respiratory rate rose as high as 23 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 36.6-38.6 C, white count rose from 4 to 9.3, creatinine rose from 4.9 to 6.1, lactate was not available, and urine output was roughly stable (125 to 100)\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 69 to 53, diastolic pressure fell from 56 to 35, and heart rate was roughly stable (63 to 76). The lowest MAP was about 57 around hour 35.7, and the lowest valid SpO2 was 89 around hour 5.8; respiratory rate rose as high as 25 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 32.9-34.9 C, white count rose from 5 to 8.7, creatinine rose from 5.5 to 6.7, lactate was not available, and urine output was roughly stable (100 to 96)\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 60 to 57, diastolic pressure fell from 48 to 34, and heart rate was roughly stable (72 to 68). The lowest MAP was about 52 around hour 39.2, and the lowest valid SpO2 was 80 around hour 7.2; respiratory rate rose as high as 25 but ended at 10. The lower-frequency data fit that summary: temperature stayed around 41.1-43.1 C, white count rose from 3 to 10.1, creatinine rose from 4.2 to 6.2, lactate was not available, and urine output was roughly stable (155 to 150)","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 65 to 57, diastolic pressure fell from 52 to 38, and heart rate was roughly stable (67 to 72). The lowest MAP was about 56 around hour 34.7, and the lowest valid SpO2 was 85 around hour 6.4; respiratory rate rose as high as 23 but ended at 12. The lower-frequency data fit that summary: temperature ranged from 97.8 to 101.5, white count rose from 4 to 9.3, creatinine rose from 4.9 to 6.1, lactate was not available, and urine output was roughly stable (125 to 100)","episode_id":"iv_000148","anchor_time":39}
{"id":"TSS_iv_000148_clinical_summary_39_2","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 114, MAP fell from 68 to 60, and heart rate was roughly stable (64 to 75). SpO2 started at 97, ended at 100, and fell as low as 88 around hour 5.9; respiratory rate ranged 12-22. For labs and output, white count rose from 4 to 9.8, creatinine rose from 5.4 to 6.2, lactate was not available, and urine output was roughly stable (145 to 97)\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 99 to 113, MAP was roughly stable (63 to 60), and heart rate was roughly stable (69 to 70). SpO2 started at 98, ended at 97, and fell as low as 84 around hour 6.8; respiratory rate ranged 9-24. For labs and output, white count rose from 4 to 8.9, creatinine rose from 4.5 to 6.5, lactate was not available, and urine output was roughly stable (110 to 98)\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 101 to 117, MAP fell from 65 to 57, and heart rate was roughly stable (67 to 72). SpO2 started at 100, ended at 99, and fell as low as 85 around hour 6.4; respiratory rate ranged 10-23. For labs and output, white count rose from 4 to 9.3, creatinine rose from 4.9 to 6.1, lactate was not available, and urine output was roughly stable (125 to 100)\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 122, MAP fell from 60 to 52, and heart rate rose from 72 to 75. SpO2 started at 96, ended at 94, and fell as low as 80 around hour 7.2; respiratory rate ranged 8-25. For labs and output, white count rose from 5 to 8.5, creatinine rose from 4.2 to 6.8, lactate was not available, and urine output was roughly stable (95 to 96)","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 101 to 117, MAP fell from 65 to 57, and heart rate was roughly stable (67 to 72). SpO2 started at 100, ended at 99, and fell as low as 85 around hour 6.4; respiratory rate ranged 10-23. For labs and output, white count rose from 4 to 9.3, creatinine rose from 4.9 to 6.1, lactate was not available, and urine output was roughly stable (125 to 100)","episode_id":"iv_000148","anchor_time":39}
{"id":"TSS_iv_000148_clinical_summary_39_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Clinically, the heart rate was roughly stable (70 to 69), MAP was roughly stable (68 to 60), and diastolic pressure moved from 49 to 41. Systolic pressure ranged 99-196 and ended at 113, and SpO2 recovered to 96 after a low of 88 around hour 7.4. Respiratory rate ended at 10; the available labs showed white count rose from 4 to 9.8, creatinine rose from 4.4 to 6.6, lactate was not available, and urine output was roughly stable (145 to 97)\nB. Clinically, the heart rate was roughly stable (65 to 74), MAP fell from 63 to 55, and diastolic pressure moved from 54 to 36. Systolic pressure ranged 94-161 and ended at 115, and SpO2 recovered to 100 after a low of 84 around hour 6.0. Respiratory rate ended at 13; the available labs showed white count rose from 4 to 8.5, creatinine rose from 5.3 to 5.7, lactate was not available, and urine output was roughly stable (175 to 98)\nC. Clinically, the heart rate rose from 71 to 75, MAP fell from 69 to 61, and diastolic pressure moved from 48 to 35. Systolic pressure ranged 100-201 and ended at 121, and SpO2 recovered to 95 after a low of 89 around hour 7.0. Respiratory rate ended at 10; the available labs showed white count rose from 5 to 9.9, creatinine rose from 4.3 to 6.7, lactate was not available, and urine output was roughly stable (150 to 96)\nD. Clinically, the heart rate was roughly stable (67 to 72), MAP fell from 65 to 57, and diastolic pressure moved from 52 to 38. Systolic pressure ranged 96-176 and ended at 117, and SpO2 recovered to 99 after a low of 85 around hour 6.4. Respiratory rate ended at 12; the available labs showed white count rose from 4 to 9.3, creatinine rose from 4.9 to 6.1, lactate was not available, and urine output was roughly stable (125 to 100)","answer":"D","answer_text":"Clinically, the heart rate was roughly stable (67 to 72), MAP fell from 65 to 57, and diastolic pressure moved from 52 to 38. Systolic pressure ranged 96-176 and ended at 117, and SpO2 recovered to 99 after a low of 85 around hour 6.4. Respiratory rate ended at 12; the available labs showed white count rose from 4 to 9.3, creatinine rose from 4.9 to 6.1, lactate was not available, and urine output was roughly stable (125 to 100)","episode_id":"iv_000148","anchor_time":39}
{"id":"TSS_iv_000149_clinical_summary_30_0","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Clinically, the heart rate rose from 83 to 89, while MAP fell from 82 to 72. Systolic pressure was labile, ranging 104-136, with the lowest value around hour 4.2. SpO2 briefly dipped to 86 around hour 1.9 before recovering to 93, while respiratory rate peaked at 43 and later settled at 20. The associated labs and urine output showed that white count rose from 12 to 19.3, creatinine rose from 0.8 to 0.9, lactate fell from 2 to 1.7, and urine output was roughly stable (280 to 370), with recorded outputs ranging 33-770.\nB. Clinically, the heart rate rose from 80 to 92, while MAP fell from 79 to 69. Systolic pressure was labile, ranging 100-156, with the lowest value around hour 3.7. SpO2 briefly dipped to 85 around hour 1.7 before recovering to 96, while respiratory rate peaked at 41 and later settled at 18. The associated labs and urine output showed that white count rose from 14 to 17.8, creatinine rose from 0.7 to 0.9, lactate fell from 2 to 1.5, and urine output was roughly stable (300 to 350), with recorded outputs ranging 30-750.\nC. Clinically, the heart rate rose from 84 to 88, while MAP fell from 83 to 73. Systolic pressure was labile, ranging 96-131, with the lowest value around hour 4.3. SpO2 briefly dipped to 89 around hour 1.9 before recovering to 92, while respiratory rate peaked at 45 and later settled at 20. The associated labs and urine output showed that white count rose from 12 to 17, creatinine rose from 0.8 to 1, lactate fell from 2 to 1.8, and urine output was roughly stable (275 to 375), with recorded outputs ranging 80-775.\nD. Clinically, the heart rate rose from 76 to 96, while MAP fell from 74 to 72. Systolic pressure was labile, ranging 96-186, with the lowest value around hour 3.0. SpO2 briefly dipped to 80 around hour 2.7 before recovering to 100, while respiratory rate peaked at 36 and later settled at 16. The associated labs and urine output showed that white count rose from 16 to 17.5, creatinine rose from 0.5 to 1.1, lactate fell from 2 to 1.2, and urine output stayed around 330, with recorded outputs ranging 30-750.","answer":"B","answer_text":"Clinically, the heart rate rose from 80 to 92, while MAP fell from 79 to 69. Systolic pressure was labile, ranging 100-156, with the lowest value around hour 3.7. SpO2 briefly dipped to 85 around hour 1.7 before recovering to 96, while respiratory rate peaked at 41 and later settled at 18. The associated labs and urine output showed that white count rose from 14 to 17.8, creatinine rose from 0.7 to 0.9, lactate fell from 2 to 1.5, and urine output was roughly stable (300 to 350), with recorded outputs ranging 30-750.","episode_id":"iv_000149","anchor_time":30}
{"id":"TSS_iv_000149_clinical_summary_30_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 146 to 111, MAP fell from 82 to 72, and heart rate rose from 77 to 95. SpO2 started at 96, ended at 99, and fell as low as 88 around hour 1.5; respiratory rate ranged 10-38. For labs and output, white count rose from 12 to 19.3, creatinine rose from 0.8 to 1, lactate fell from 2.2 to 1.7, and urine output was roughly stable (280 to 370)\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 111 to 108, MAP fell from 77 to 67, and heart rate rose from 82 to 95. SpO2 started at 100, ended at 94, and fell as low as 83 around hour 1.9; respiratory rate ranged 9-43. For labs and output, white count rose from 15 to 17, creatinine rose from 0.6 to 1.0, lactate fell from 2 to 1.4, and urine output was roughly stable (315 to 335)\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 151 to 110, MAP fell from 83 to 72, and heart rate rose from 76 to 96. SpO2 started at 95, ended at 100, and fell as low as 84 around hour 1.4; respiratory rate ranged 10-37. For labs and output, white count rose from 12 to 19.7, creatinine rose from 0.8 to 0.9, lactate fell from 2 to 1.8, and urine output was roughly stable (275 to 375)\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 126 to 114, MAP fell from 79 to 69, and heart rate rose from 80 to 92. SpO2 started at 99, ended at 96, and fell as low as 85 around hour 1.7; respiratory rate ranged 9-41. For labs and output, white count rose from 14 to 17.8, creatinine rose from 0.7 to 0.9, lactate fell from 2 to 1.5, and urine output was roughly stable (300 to 350)","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 126 to 114, MAP fell from 79 to 69, and heart rate rose from 80 to 92. SpO2 started at 99, ended at 96, and fell as low as 85 around hour 1.7; respiratory rate ranged 9-41. For labs and output, white count rose from 14 to 17.8, creatinine rose from 0.7 to 0.9, lactate fell from 2 to 1.5, and urine output was roughly stable (300 to 350)","episode_id":"iv_000149","anchor_time":30}
{"id":"TSS_iv_000150_clinical_summary_55_0","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 53 to 83, while MAP rose from 80 to 94. Systolic pressure was labile, ranging 86-106, with the lowest value around hour 8.6. SpO2 briefly dipped to 91 around hour 0.8 before recovering to 94, while respiratory rate peaked at 36 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (12.3 to 14.6), creatinine was roughly stable (1.7 to 1), lactate stayed broadly stable from 1.6 to 1.9, and urine output fell from 180 to 63, with recorded outputs ranging 33-275.\nB. Over the available measurements, the heart rate rose from 48 to 88, while MAP rose from 75 to 89. Systolic pressure was labile, ranging 84-141, with the lowest value around hour 7.7. SpO2 briefly dipped to 86 around hour 0.6 before recovering to 99, while respiratory rate peaked at 32 and later settled at 18. The associated labs and urine output showed that white count fell from 14.9 to 12.3, creatinine was roughly stable (1.4 to 1.1), lactate stayed broadly stable from 1.2 to 1.5, and urine output fell from 215 to 58, with recorded outputs ranging 60-310.\nC. Over the available measurements, the heart rate rose from 50 to 86, while MAP rose from 77 to 91. Systolic pressure was labile, ranging 82-126, with the lowest value around hour 8.1. SpO2 briefly dipped to 88 around hour 0.7 before recovering to 97, while respiratory rate peaked at 34 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (13.8 to 13.1), creatinine was roughly stable (1.5 to 1), lactate stayed broadly stable from 1.4 to 1.7, and urine output fell from 200 to 60, with recorded outputs ranging 30-325.\nD. Over the available measurements, the heart rate rose from 46 to 90, while MAP rose from 72 to 94. Systolic pressure was labile, ranging 86-156, with the lowest value around hour 7.3. SpO2 briefly dipped to 84 around hour 1.7 before recovering to 100, while respiratory rate peaked at 30 and later settled at 17. The associated labs and urine output showed that white count was roughly stable (16.1 to 10.8), creatinine was roughly stable (1.2 to 1), lactate stayed broadly stable from 1.1 to 1.4, and urine output fell from 230 to 10, with recorded outputs ranging 10-295.","answer":"C","answer_text":"Over the available measurements, the heart rate rose from 50 to 86, while MAP rose from 77 to 91. Systolic pressure was labile, ranging 82-126, with the lowest value around hour 8.1. SpO2 briefly dipped to 88 around hour 0.7 before recovering to 97, while respiratory rate peaked at 34 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (13.8 to 13.1), creatinine was roughly stable (1.5 to 1), lactate stayed broadly stable from 1.4 to 1.7, and urine output fell from 200 to 60, with recorded outputs ranging 30-325.","episode_id":"iv_000150","anchor_time":55}
{"id":"TSS_iv_000150_clinical_summary_55_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 126, MAP rose from 77 to 91, and heart rate rose from 50 to 86. SpO2 started at 88, ended at 97, and fell as low as 88 around hour 0.7; respiratory rate ranged 8-34. For labs and output, white count was roughly stable (13.8 to 13.1), creatinine was roughly stable (1.5 to 1), lactate stayed broadly stable from 1.4 to 1.7, and urine output fell from 200 to 60.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 98 to 141, MAP rose from 75 to 89, and heart rate rose from 52 to 84. SpO2 started at 90, ended at 95, and fell as low as 86 around hour 0.8; respiratory rate ranged 8-36. For labs and output, white count was roughly stable (14.9 to 12.0), creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 1.6 to 1.5, and urine output fell from 215 to 58.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 122, MAP rose from 81 to 94, and heart rate rose from 46 to 90. SpO2 started at 84, ended at 100, and fell as low as 87 around hour 0.6; respiratory rate ranged 9-30. For labs and output, white count was roughly stable (11.9 to 15.0), creatinine was roughly stable (1.8 to 1), lactate stayed broadly stable from 1.6 to 1.9, and urine output fell from 175 to 64.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 156, MAP rose from 72 to 86, and heart rate rose from 54 to 89. SpO2 started at 92, ended at 92, and fell as low as 84 around hour 0.8; respiratory rate ranged 7-36. For labs and output, white count fell from 16.1 to 12.3, creatinine was roughly stable (1.2 to 1), lactate stayed broadly stable from 1.1 to 1.4, and urine output fell from 230 to 56.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 126, MAP rose from 77 to 91, and heart rate rose from 50 to 86. SpO2 started at 88, ended at 97, and fell as low as 88 around hour 0.7; respiratory rate ranged 8-34. For labs and output, white count was roughly stable (13.8 to 13.1), creatinine was roughly stable (1.5 to 1), lactate stayed broadly stable from 1.4 to 1.7, and urine output fell from 200 to 60.","episode_id":"iv_000150","anchor_time":55}
{"id":"TSS_iv_000151_clinical_summary_42_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 106 to 74, while MAP rose from 69 to 79. Systolic pressure was labile, ranging 77-111, with the lowest value around hour 28.6. SpO2 briefly dipped to 91 around hour 3.2 before recovering to 96, while respiratory rate peaked at 30 and later settled at 26. The associated labs and urine output showed that white count fell from 12.6 to 10, creatinine was roughly stable (0.8 to 0.5), lactate fell from 2476 to 2059, and urine output fell from 130 to 0, with recorded outputs ranging 0-420.\nB. Viewed chronologically, the heart rate fell from 101 to 79, while MAP rose from 64 to 74. Systolic pressure was labile, ranging 82-146, with the lowest value around hour 26.0. SpO2 briefly dipped to 87 around hour 2.1 before recovering to 100, while respiratory rate peaked at 28 and later settled at 23. The associated labs and urine output showed that white count fell from 15.2 to 8.2, creatinine stayed around 0.6, lactate fell from 2396 to 1979, and urine output fell from 150 to 50, with recorded outputs ranging 48-400.\nC. Viewed chronologically, the heart rate fell from 107 to 73, while MAP rose from 70 to 80. Systolic pressure was labile, ranging 84-106, with the lowest value around hour 29.0. SpO2 briefly dipped to 89 around hour 2.5 before recovering to 95, while respiratory rate peaked at 31 and later settled at 26. The associated labs and urine output showed that white count fell from 12.2 to 10, creatinine was roughly stable (0.8 to 0.5), lactate fell from 2496 to 2079, and urine output fell from 125 to 54, with recorded outputs ranging 54-425.\nD. Viewed chronologically, the heart rate fell from 103 to 77, while MAP rose from 66 to 76. Systolic pressure was labile, ranging 80-131, with the lowest value around hour 27.1. SpO2 briefly dipped to 88 around hour 2.2 before recovering to 99, while respiratory rate peaked at 29 and later settled at 24. The associated labs and urine output showed that white count fell from 14.1 to 9, creatinine was roughly stable (0.7 to 0.6), lactate fell from 2396 to 1979, and urine output fell from 150 to 50, with recorded outputs ranging 50-400.","answer":"D","answer_text":"Viewed chronologically, the heart rate fell from 103 to 77, while MAP rose from 66 to 76. Systolic pressure was labile, ranging 80-131, with the lowest value around hour 27.1. SpO2 briefly dipped to 88 around hour 2.2 before recovering to 99, while respiratory rate peaked at 29 and later settled at 24. The associated labs and urine output showed that white count fell from 14.1 to 9, creatinine was roughly stable (0.7 to 0.6), lactate fell from 2396 to 1979, and urine output fell from 150 to 50, with recorded outputs ranging 50-400.","episode_id":"iv_000151","anchor_time":42}
{"id":"TSS_iv_000153_clinical_summary_64_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 166 to 186, MAP stayed around 108, and heart rate fell from 141 to 89. SpO2 started at 96, ended at 92, and fell as low as 88 around hour 39.3; respiratory rate ranged 8-28. For labs and output, white count fell from 19.9 to 12, creatinine fell from 1.5 to 1.1, lactate fell from 2.1 to 1.6, and urine output fell from 1380 to 180.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 131 to 175, MAP stayed around 103, and heart rate fell from 106 to 95. SpO2 started at 91, ended at 97, and fell as low as 83 around hour 34.0; respiratory rate ranged 11-31. For labs and output, white count fell from 17.3 to 12.2, creatinine fell from 1.1 to 1, lactate fell from 2.0 to 1.2, and urine output fell from 1240 to 215.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 171 to 191, MAP was roughly stable (109 to 108), and heart rate fell from 121 to 92. SpO2 started at 93, ended at 95, and fell as low as 84 around hour 36.3; respiratory rate ranged 10-29. For labs and output, white count fell from 18.4 to 13, creatinine fell from 1.3 to 1, lactate fell from 1.9 to 1.4, and urine output fell from 1300 to 200.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 146 to 160, MAP stayed around 105, and heart rate fell from 121 to 92. SpO2 started at 93, ended at 95, and fell as low as 85 around hour 36.3; respiratory rate ranged 10-29. For labs and output, white count fell from 18.4 to 13, creatinine fell from 1.3 to 1, lactate fell from 1.9 to 1.4, and urine output fell from 1300 to 200.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 146 to 160, MAP stayed around 105, and heart rate fell from 121 to 92. SpO2 started at 93, ended at 95, and fell as low as 85 around hour 36.3; respiratory rate ranged 10-29. For labs and output, white count fell from 18.4 to 13, creatinine fell from 1.3 to 1, lactate fell from 1.9 to 1.4, and urine output fell from 1300 to 200.","episode_id":"iv_000153","anchor_time":64}
{"id":"TSS_iv_000155_clinical_summary_20_0","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. For handoff, the heart rate rose from 83 to 102, while MAP fell from 114 to 107. Systolic pressure was labile, ranging 124-154, with the lowest value around hour 9.0. SpO2 briefly dipped to 86 around hour 0.6 before recovering to 92, while respiratory rate peaked at 21 and later settled at 16. The associated labs and urine output showed that white count was 6.0 on its only check, creatinine was 1.4 on its only check, lactate was not available, and urine output fell from 620 to 330, with recorded outputs ranging 370-580.\nB. For handoff, the heart rate rose from 78 to 107, while MAP was roughly stable (109 to 107). Systolic pressure was labile, ranging 135-189, with the lowest value around hour 8.1. SpO2 briefly dipped to 83 around hour 1.5 before recovering to 97, while respiratory rate peaked at 18 and later settled at 14. The associated labs and urine output showed that white count was 6.9 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output fell from 585 to 300, with recorded outputs ranging 300-615.\nC. For handoff, the heart rate rose from 84 to 108, while MAP fell from 115 to 108. Systolic pressure was labile, ranging 95-178, with the lowest value around hour 9.1. SpO2 briefly dipped to 89 around hour 0.6 before recovering to 91, while respiratory rate peaked at 21 and later settled at 17. The associated labs and urine output showed that white count was 5.9 on its only check, creatinine was 1.4 on its only check, lactate was not available, and urine output fell from 625 to 300, with recorded outputs ranging 300-575.\nD. For handoff, the heart rate rose from 80 to 105, while MAP fell from 111 to 104. Systolic pressure was labile, ranging 120-174, with the lowest value around hour 8.5. SpO2 briefly dipped to 85 around hour 0.5 before recovering to 95, while respiratory rate peaked at 19 and later settled at 15. The associated labs and urine output showed that white count was 6.5 on its only check, creatinine was 1.2 on its only check, lactate was not available, and urine output fell from 600 to 350, with recorded outputs ranging 350-600.","answer":"D","answer_text":"For handoff, the heart rate rose from 80 to 105, while MAP fell from 111 to 104. Systolic pressure was labile, ranging 120-174, with the lowest value around hour 8.5. SpO2 briefly dipped to 85 around hour 0.5 before recovering to 95, while respiratory rate peaked at 19 and later settled at 15. The associated labs and urine output showed that white count was 6.5 on its only check, creatinine was 1.2 on its only check, lactate was not available, and urine output fell from 600 to 350, with recorded outputs ranging 350-600.","episode_id":"iv_000155","anchor_time":20}
{"id":"TSS_iv_000155_clinical_summary_20_3","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 83 to 102, MAP was roughly stable (114 to 107), and diastolic pressure moved from 95 to 95. Systolic pressure ranged 140-194 and ended at 144, and SpO2 recovered to 92 after a low of 88 around hour 1.5. Respiratory rate ended at 14; the available labs showed white count was 7.0 on its only check, creatinine was 1.4 on its only check, lactate was not available, and urine output fell from 580 to 370.\nB. Across the recorded window, the heart rate rose from 78 to 108, MAP fell from 109 to 102, and diastolic pressure moved from 100 to 89. Systolic pressure ranged 105-159 and ended at 133, and SpO2 recovered to 97 after a low of 83 around hour 0.4. Respiratory rate ended at 16; the available labs showed white count was 6.1 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output fell from 615 to 335.\nC. Across the recorded window, the heart rate rose from 80 to 105, MAP fell from 111 to 104, and diastolic pressure moved from 98 to 92. Systolic pressure ranged 120-174 and ended at 148, and SpO2 recovered to 95 after a low of 85 around hour 0.5. Respiratory rate ended at 15; the available labs showed white count was 6.5 on its only check, creatinine was 1.2 on its only check, lactate was not available, and urine output fell from 600 to 350.\nD. Across the recorded window, the heart rate rose from 76 to 110, MAP fell from 106 to 100, and diastolic pressure moved from 100 to 88. Systolic pressure ranged 90-144 and ended at 118, and SpO2 recovered to 100 after a low of 84 around hour 0.3. Respiratory rate ended at 17; the available labs showed white count was 5.8 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 650 to 320.","answer":"C","answer_text":"Across the recorded window, the heart rate rose from 80 to 105, MAP fell from 111 to 104, and diastolic pressure moved from 98 to 92. Systolic pressure ranged 120-174 and ended at 148, and SpO2 recovered to 95 after a low of 85 around hour 0.5. Respiratory rate ended at 15; the available labs showed white count was 6.5 on its only check, creatinine was 1.2 on its only check, lactate was not available, and urine output fell from 600 to 350.","episode_id":"iv_000155","anchor_time":20}
{"id":"TSS_iv_000156_clinical_summary_24_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 50 to 68, while MAP was roughly stable (75 to 74). Systolic pressure was labile, ranging 116-157, with the lowest value around hour 18.9. SpO2 briefly dipped to 85 around hour 0 before recovering to 99, while respiratory rate peaked at 22 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (9.1 to 8.8), creatinine stayed around 1.3, lactate was not available, and urine output rose from 0 to 950, with recorded outputs ranging 0-950.\nB. Across the recorded window, the heart rate rose from 53 to 70, while MAP was roughly stable (73 to 72). Systolic pressure was labile, ranging 118-172, with the lowest value around hour 17.8. SpO2 briefly dipped to 83 around hour 0 before recovering to 100, while respiratory rate peaked at 21 and later settled at 21. The associated labs and urine output showed that white count fell from 9.5 to 8, creatinine was roughly stable (1.1 to 1.4), lactate was not available, and urine output rose from 0 to 950, with recorded outputs ranging 0-950.\nC. Across the recorded window, the heart rate rose from 54 to 64, while MAP was roughly stable (79 to 78). Systolic pressure was labile, ranging 120-132, with the lowest value around hour 20.8. SpO2 briefly dipped to 89 around hour 2 before recovering to 95, while respiratory rate peaked at 24 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (8.5 to 9.4), creatinine stayed around 1.6, lactate was not available, and urine output rose from 0 to 975, with recorded outputs ranging 2-975.\nD. Across the recorded window, the heart rate rose from 46 to 72, while MAP was roughly stable (70 to 77). Systolic pressure was labile, ranging 120-187, with the lowest value around hour 16.6. SpO2 briefly dipped to 80 around hour 1 before recovering to 100, while respiratory rate peaked at 20 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (9.8 to 8.1), creatinine stayed around 1.0, lactate was not available, and urine output rose from 3 to 900, with recorded outputs ranging 0-920.","answer":"A","answer_text":"Across the recorded window, the heart rate rose from 50 to 68, while MAP was roughly stable (75 to 74). Systolic pressure was labile, ranging 116-157, with the lowest value around hour 18.9. SpO2 briefly dipped to 85 around hour 0 before recovering to 99, while respiratory rate peaked at 22 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (9.1 to 8.8), creatinine stayed around 1.3, lactate was not available, and urine output rose from 0 to 950, with recorded outputs ranging 0-950.","episode_id":"iv_000156","anchor_time":24}
{"id":"TSS_iv_000156_clinical_summary_24_1","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (78 to 71), diastolic pressure was roughly stable (51 to 46), and heart rate rose from 47 to 71. The lowest MAP was about 66 around hour 13.3, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 32.1-33.8 C, white count was roughly stable (9.6 to 8.3), creatinine stayed around 1.5, lactate was not available, and urine output rose from 2 to 930.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 74), diastolic pressure was roughly stable (48 to 49), and heart rate rose from 50 to 68. The lowest MAP was about 63 around hour 12.3, and the lowest valid SpO2 was 85 around hour 0; respiratory rate rose as high as 22 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 35.1-36.8 C, white count was roughly stable (9.1 to 8.8), creatinine stayed around 1.3, lactate was not available, and urine output rose from 0 to 950.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (79 to 70), diastolic pressure was roughly stable (52 to 53), and heart rate rose from 46 to 72. The lowest MAP was about 67 around hour 10.4, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 31.4-33.0 C, white count was roughly stable (9.7 to 8.2), creatinine was roughly stable (1.6 to 1.4), lactate was not available, and urine output rose from 0 to 1000.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (70 to 78), diastolic pressure was roughly stable (44 to 44), and heart rate rose from 54 to 71. The lowest MAP was about 58 around hour 14.6, and the lowest valid SpO2 was 80 around hour 3; respiratory rate rose as high as 20 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 39.6-41.3 C, white count was roughly stable (8.3 to 9.6), creatinine stayed around 1.0, lactate was not available, and urine output rose from 0 to 980.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 74), diastolic pressure was roughly stable (48 to 49), and heart rate rose from 50 to 68. The lowest MAP was about 63 around hour 12.3, and the lowest valid SpO2 was 85 around hour 0; respiratory rate rose as high as 22 but ended at 22. The lower-frequency data fit that summary: temperature ranged from 95.1 to 98.2, white count was roughly stable (9.1 to 8.8), creatinine stayed around 1.3, lactate was not available, and urine output rose from 0 to 950.","episode_id":"iv_000156","anchor_time":24}
{"id":"TSS_iv_000156_clinical_summary_24_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Clinically, the heart rate rose from 53 to 65, MAP was roughly stable (78 to 77), and diastolic pressure moved from 45 to 52. Systolic pressure ranged 119-177 and ended at 172, and SpO2 recovered to 96 after a low of 84 around hour 2. Respiratory rate ended at 20; the available labs showed white count fell from 9.6 to 8, creatinine stayed around 1.1, lactate was not available, and urine output rose from 50 to 970.\nB. Clinically, the heart rate rose from 48 to 70, MAP was roughly stable (73 to 77), and diastolic pressure moved from 50 to 47. Systolic pressure ranged 114-142 and ended at 148, and SpO2 recovered to 100 after a low of 83 around hour 1. Respiratory rate ended at 23; the available labs showed white count was roughly stable (8.7 to 8.4), creatinine stayed around 1.5, lactate was not available, and urine output rose from 0 to 935.\nC. Clinically, the heart rate rose from 54 to 71, MAP was roughly stable (79 to 78), and diastolic pressure moved from 44 to 46. Systolic pressure ranged 120-182 and ended at 177, and SpO2 recovered to 95 after a low of 89 around hour 2. Respiratory rate ended at 20; the available labs showed white count was roughly stable (9.7 to 9.4), creatinine stayed around 1.1, lactate was not available, and urine output rose from 2 to 975.\nD. Clinically, the heart rate rose from 50 to 68, MAP was roughly stable (75 to 74), and diastolic pressure moved from 48 to 49. Systolic pressure ranged 116-157 and ended at 152, and SpO2 recovered to 99 after a low of 85 around hour 0. Respiratory rate ended at 22; the available labs showed white count was roughly stable (9.1 to 8.8), creatinine stayed around 1.3, lactate was not available, and urine output rose from 0 to 950.","answer":"D","answer_text":"Clinically, the heart rate rose from 50 to 68, MAP was roughly stable (75 to 74), and diastolic pressure moved from 48 to 49. Systolic pressure ranged 116-157 and ended at 152, and SpO2 recovered to 99 after a low of 85 around hour 0. Respiratory rate ended at 22; the available labs showed white count was roughly stable (9.1 to 8.8), creatinine stayed around 1.3, lactate was not available, and urine output rose from 0 to 950.","episode_id":"iv_000156","anchor_time":24}
{"id":"TSS_iv_000157_clinical_summary_48_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 69 to 95, MAP fell from 75 to 66, and diastolic pressure moved from 53 to 54. Systolic pressure ranged 90-142 and ended at 109, and SpO2 recovered to 97 after a low of 85 around hour 0.9. Respiratory rate ended at 20; the available labs showed white count fell from 18.2 to 10.3, creatinine stayed around 0.7, lactate was not available, and urine output fell from 555 to 300.\nB. Over the available measurements, the heart rate rose from 67 to 97, MAP fell from 73 to 69, and diastolic pressure moved from 55 to 52. Systolic pressure ranged 88-127 and ended at 105, and SpO2 recovered to 99 after a low of 83 around hour 1.9. Respiratory rate ended at 21; the available labs showed white count fell from 17.1 to 9.2, creatinine stayed around 0.8, lactate was not available, and urine output fell from 540 to 285.\nC. Over the available measurements, the heart rate rose from 73 to 91, MAP fell from 79 to 70, and diastolic pressure moved from 49 to 58. Systolic pressure ranged 94-167 and ended at 113, and SpO2 recovered to 93 after a low of 84 around hour 1.0. Respiratory rate ended at 18; the available labs showed white count fell from 20.1 to 9.5, creatinine stayed around 0.6, lactate was not available, and urine output fell from 605 to 325.\nD. Over the available measurements, the heart rate rose from 64 to 98, MAP fell from 70 to 62, and diastolic pressure moved from 58 to 51. Systolic pressure ranged 86-112 and ended at 104, and SpO2 recovered to 100 after a low of 80 around hour 0.8. Respiratory rate ended at 22; the available labs showed white count fell from 15.9 to 8.1, creatinine stayed around 0.8, lactate was not available, and urine output fell from 525 to 270.","answer":"A","answer_text":"Over the available measurements, the heart rate rose from 69 to 95, MAP fell from 75 to 66, and diastolic pressure moved from 53 to 54. Systolic pressure ranged 90-142 and ended at 109, and SpO2 recovered to 97 after a low of 85 around hour 0.9. Respiratory rate ended at 20; the available labs showed white count fell from 18.2 to 10.3, creatinine stayed around 0.7, lactate was not available, and urine output fell from 555 to 300.","episode_id":"iv_000157","anchor_time":48}
{"id":"TSS_iv_000158_clinical_summary_32_0","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (87 to 82), while MAP fell from 169 to 94. Systolic pressure was labile, ranging 77-107, with the lowest value around hour 14.1. SpO2 briefly dipped to 88 around hour 0.9 before recovering to 96, while respiratory rate peaked at 28 and later settled at 16. The associated labs and urine output showed that white count rose from 4.0 to 5.8, creatinine stayed around 0.9, lactate was not available, and urine output rose from 1000 to 1100, with recorded outputs ranging 900-1700.\nB. Over the available measurements, the heart rate was roughly stable (82 to 87), while MAP fell from 134 to 89. Systolic pressure was labile, ranging 84-142, with the lowest value around hour 11.5. SpO2 briefly dipped to 86 around hour 0.7 before recovering to 100, while respiratory rate peaked at 29 and later settled at 14. The associated labs and urine output showed that white count rose from 4.9 to 6.2, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output rose from 940 to 1040, with recorded outputs ranging 865-1760.\nC. Over the available measurements, the heart rate was roughly stable (84 to 85), while MAP fell from 149 to 91. Systolic pressure was labile, ranging 80-127, with the lowest value around hour 12.6. SpO2 briefly dipped to 85 around hour 0.8 before recovering to 99, while respiratory rate peaked at 27 and later settled at 15. The associated labs and urine output showed that white count rose from 4.5 to 6.6, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 1000 to 1100, with recorded outputs ranging 850-1700.\nD. Over the available measurements, the heart rate was roughly stable (80 to 90), while MAP fell from 119 to 94. Systolic pressure was labile, ranging 84-157, with the lowest value around hour 10.3. SpO2 briefly dipped to 80 around hour 1.8 before recovering to 100, while respiratory rate peaked at 25 and later settled at 13. The associated labs and urine output showed that white count rose from 5.2 to 5.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output was roughly stable (880 to 1050), with recorded outputs ranging 880-1820.","answer":"C","answer_text":"Over the available measurements, the heart rate was roughly stable (84 to 85), while MAP fell from 149 to 91. Systolic pressure was labile, ranging 80-127, with the lowest value around hour 12.6. SpO2 briefly dipped to 85 around hour 0.8 before recovering to 99, while respiratory rate peaked at 27 and later settled at 15. The associated labs and urine output showed that white count rose from 4.5 to 6.6, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 1000 to 1100, with recorded outputs ranging 850-1700.","episode_id":"iv_000158","anchor_time":32}
{"id":"TSS_iv_000158_clinical_summary_32_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 169 to 88, diastolic pressure fell from 75 to 56, and heart rate was roughly stable (81 to 88). The lowest MAP was about 61 around hour 13.6, and the lowest valid SpO2 was 88 around hour 0.7; respiratory rate rose as high as 28 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 32.7-33.7 C, white count rose from 5.0 to 6.1, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 920 to 1180.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 134 to 93, diastolic pressure fell from 70 to 57, and heart rate was roughly stable (86 to 83). The lowest MAP was about 56 around hour 13.7, and the lowest valid SpO2 was 83 around hour 0.9; respiratory rate rose as high as 29 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 38.0-39.0 C, white count rose from 4.1 to 7.0, creatinine stayed around 0.7, lactate was not available, and urine output rose from 1000 to 1150.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 174 to 87, diastolic pressure fell from 76 to 63, and heart rate was roughly stable (80 to 88). The lowest MAP was about 62 around hour 10.7, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 29 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 32.0-33.0 C, white count rose from 5.1 to 6.0, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 900 to 1200.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 149 to 91, diastolic pressure fell from 72 to 59, and heart rate was roughly stable (84 to 85). The lowest MAP was about 58 around hour 12.6, and the lowest valid SpO2 was 85 around hour 0.8; respiratory rate rose as high as 27 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 35.7-36.7 C, white count rose from 4.5 to 6.6, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 1000 to 1100.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 149 to 91, diastolic pressure fell from 72 to 59, and heart rate was roughly stable (84 to 85). The lowest MAP was about 58 around hour 12.6, and the lowest valid SpO2 was 85 around hour 0.8; respiratory rate rose as high as 27 but ended at 15. The lower-frequency data fit that summary: temperature ranged from 96.3 to 98, white count rose from 4.5 to 6.6, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 1000 to 1100.","episode_id":"iv_000158","anchor_time":32}
{"id":"TSS_iv_000158_clinical_summary_32_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 127 to 101, MAP fell from 149 to 91, and heart rate was roughly stable (84 to 85). SpO2 started at 99, ended at 99, and fell as low as 85 around hour 0.8; respiratory rate ranged 8-27. For labs and output, white count rose from 4.5 to 6.6, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 1000 to 1100.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 112 to 97, MAP fell from 134 to 94, and heart rate was roughly stable (86 to 83). SpO2 started at 100, ended at 97, and fell as low as 84 around hour 0.9; respiratory rate ranged 8-28. For labs and output, white count rose from 4.9 to 6.2, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output rose from 940 to 1040.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 152 to 97, MAP fell from 174 to 95, and heart rate was roughly stable (80 to 89). SpO2 started at 95, ended at 100, and fell as low as 89 around hour 0.7; respiratory rate ranged 6-25. For labs and output, white count rose from 3.9 to 7.2, creatinine stayed around 0.9, lactate was not available, and urine output was roughly stable (1000 to 1050)\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 97 to 94, MAP fell from 119 to 86, and heart rate was roughly stable (88 to 88). SpO2 started at 100, ended at 94, and fell as low as 80 around hour 1.0; respiratory rate ranged 7-29. For labs and output, white count rose from 5.2 to 5.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output rose from 880 to 980.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 127 to 101, MAP fell from 149 to 91, and heart rate was roughly stable (84 to 85). SpO2 started at 99, ended at 99, and fell as low as 85 around hour 0.8; respiratory rate ranged 8-27. For labs and output, white count rose from 4.5 to 6.6, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 1000 to 1100.","episode_id":"iv_000158","anchor_time":32}
{"id":"TSS_iv_000158_clinical_summary_32_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Viewed chronologically, the heart rate was roughly stable (87 to 82), MAP fell from 169 to 94, and diastolic pressure moved from 69 to 62. Systolic pressure ranged 83-147 and ended at 104, and SpO2 recovered to 96 after a low of 84 around hour 0.9. Respiratory rate ended at 14; the available labs showed white count rose from 5.0 to 5.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output was roughly stable (1050 to 1020)\nB. Viewed chronologically, the heart rate was roughly stable (84 to 85), MAP fell from 149 to 91, and diastolic pressure moved from 72 to 59. Systolic pressure ranged 80-127 and ended at 101, and SpO2 recovered to 99 after a low of 85 around hour 0.8. Respiratory rate ended at 15; the available labs showed white count rose from 4.5 to 6.6, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 1000 to 1100.\nC. Viewed chronologically, the heart rate was roughly stable (88 to 81), MAP fell from 174 to 94, and diastolic pressure moved from 68 to 63. Systolic pressure ranged 84-152 and ended at 97, and SpO2 recovered to 95 after a low of 89 around hour 1.8. Respiratory rate ended at 13; the available labs showed white count rose from 5.1 to 7.2, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output rose from 1100 to 1180.\nD. Viewed chronologically, the heart rate was roughly stable (80 to 88), MAP fell from 119 to 86, and diastolic pressure moved from 76 to 56. Systolic pressure ranged 76-97 and ended at 96, and SpO2 recovered to 100 after a low of 80 around hour 0.7. Respiratory rate ended at 17; the available labs showed white count rose from 3.8 to 5.8, creatinine was roughly stable (1.0 to 0.5), lactate was not available, and urine output rose from 880 to 1220.","answer":"B","answer_text":"Viewed chronologically, the heart rate was roughly stable (84 to 85), MAP fell from 149 to 91, and diastolic pressure moved from 72 to 59. Systolic pressure ranged 80-127 and ended at 101, and SpO2 recovered to 99 after a low of 85 around hour 0.8. Respiratory rate ended at 15; the available labs showed white count rose from 4.5 to 6.6, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 1000 to 1100.","episode_id":"iv_000158","anchor_time":32}
{"id":"TSS_iv_000162_clinical_summary_39_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 67 to 70, diastolic pressure rose from 53 to 69, and heart rate rose from 65 to 82. The lowest MAP was about 54 around hour 1.9, and the lowest valid SpO2 was 88 around hour 0.2; respiratory rate rose as high as 28 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.2-34.2 C, white count fell from 20.6 to 12.8, creatinine was roughly stable (2.5 to 2.4), lactate rose from 1.6 to 202, and urine output fell from 1000 to 250.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 62 to 75, diastolic pressure rose from 48 to 64, and heart rate rose from 70 to 82. The lowest MAP was about 49 around hour 2.2, and the lowest valid SpO2 was 83 around hour 0; respiratory rate rose as high as 25 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 38.5-39.5 C, white count fell from 18.0 to 15.4, creatinine stayed around 2.1, lactate rose from 1.5 to 217, and urine output fell from 940 to 185.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 69, diastolic pressure rose from 54 to 63, and heart rate rose from 64 to 83. The lowest MAP was about 54 around hour 3.1, and the lowest valid SpO2 was 89 around hour 0.2; respiratory rate rose as high as 28 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 32.5-33.5 C, white count fell from 21.0 to 12.4, creatinine stayed around 2.5, lactate rose from 1.9 to 177, and urine output fell from 1100 to 225.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 64 to 73, diastolic pressure rose from 50 to 66, and heart rate rose from 68 to 79. The lowest MAP was about 51 around hour 2.1, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 26 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 36.2-37.2 C, white count fell from 19.1 to 14.3, creatinine stayed around 2.3, lactate rose from 1.6 to 202, and urine output fell from 1000 to 200.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 64 to 73, diastolic pressure rose from 50 to 66, and heart rate rose from 68 to 79. The lowest MAP was about 51 around hour 2.1, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 26 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 97.1 to 98.9, white count fell from 19.1 to 14.3, creatinine stayed around 2.3, lactate rose from 1.6 to 202, and urine output fell from 1000 to 200.","episode_id":"iv_000162","anchor_time":39}
{"id":"TSS_iv_000162_clinical_summary_39_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 111 to 146, MAP rose from 64 to 73, and heart rate rose from 68 to 79. SpO2 started at 96, ended at 93, and fell as low as 85 around hour 0.3; respiratory rate ranged 14-26. For labs and output, white count fell from 19.1 to 14.3, creatinine stayed around 2.3, lactate rose from 1.6 to 202, and urine output fell from 1000 to 200.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 109 to 161, MAP rose from 62 to 71, and heart rate rose from 70 to 77. SpO2 started at 98, ended at 91, and fell as low as 83 around hour 0.4; respiratory rate ranged 13-27. For labs and output, white count fell from 20.2 to 13.2, creatinine was roughly stable (2.1 to 2.4), lactate rose from 1.8 to 202, and urine output fell from 1000 to 200.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 115 to 142, MAP rose from 68 to 76, and heart rate rose from 64 to 83. SpO2 started at 92, ended at 97, and fell as low as 84 around hour 0.2; respiratory rate ranged 16-24. For labs and output, white count fell from 17.2 to 16.2, creatinine stayed around 2.5, lactate rose from 1.4 to 227, and urine output fell from 1100 to 175.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 106 to 176, MAP rose from 60 to 68, and heart rate rose from 72 to 82. SpO2 started at 100, ended at 88, and fell as low as 80 around hour 0.5; respiratory rate ranged 12-28. For labs and output, white count fell from 21.4 to 13.5, creatinine stayed around 2.0, lactate rose from 1.9 to 172, and urine output fell from 880 to 230.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 111 to 146, MAP rose from 64 to 73, and heart rate rose from 68 to 79. SpO2 started at 96, ended at 93, and fell as low as 85 around hour 0.3; respiratory rate ranged 14-26. For labs and output, white count fell from 19.1 to 14.3, creatinine stayed around 2.3, lactate rose from 1.6 to 202, and urine output fell from 1000 to 200.","episode_id":"iv_000162","anchor_time":39}
{"id":"TSS_iv_000165_clinical_summary_41_1","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 65), diastolic pressure was roughly stable (64 to 59), and heart rate fell from 98 to 93. The lowest MAP was about 69 around hour 7.0, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 34 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 32.6-34.1 C, white count rose from 10 to 11.5, creatinine fell from 1.8 to 1.4, lactate was not available, and urine output rose from 97 to 270.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (70 to 70), diastolic pressure was roughly stable (59 to 54), and heart rate fell from 103 to 88. The lowest MAP was about 64 around hour 7.9, and the lowest valid SpO2 was 83 around hour 0.6; respiratory rate rose as high as 33 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 37.9-39.4 C, white count rose from 9 to 11.6, creatinine fell from 1.5 to 1.3, lactate was not available, and urine output rose from 98 to 300.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (72 to 68), diastolic pressure was roughly stable (61 to 56), and heart rate fell from 101 to 90. The lowest MAP was about 66 around hour 7.5, and the lowest valid SpO2 was 85 around hour 0.5; respiratory rate rose as high as 31 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 35.6-37.1 C, white count rose from 9 to 10.5, creatinine fell from 1.6 to 1.2, lactate was not available, and urine output rose from 100 to 250.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (68 to 72), diastolic pressure fell from 56 to 53, and heart rate fell from 106 to 86. The lowest MAP was about 68 around hour 8.5, and the lowest valid SpO2 was 80 around hour 0.7; respiratory rate rose as high as 26 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 40.1-41.6 C, white count rose from 8 to 12.8, creatinine fell from 1.3 to 0.9, lactate was not available, and urine output rose from 96 to 220.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (72 to 68), diastolic pressure was roughly stable (61 to 56), and heart rate fell from 101 to 90. The lowest MAP was about 66 around hour 7.5, and the lowest valid SpO2 was 85 around hour 0.5; respiratory rate rose as high as 31 but ended at 25. The lower-frequency data fit that summary: temperature ranged from 96.1 to 98.7, white count rose from 9 to 10.5, creatinine fell from 1.6 to 1.2, lactate was not available, and urine output rose from 100 to 250.","episode_id":"iv_000165","anchor_time":41}
{"id":"TSS_iv_000166_clinical_summary_26_0","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 87 to 75, while MAP fell from 89 to 61. Systolic pressure was labile, ranging 26-114, with the lowest value around hour 4.7. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 93, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (9.1 to 11.1), creatinine was roughly stable (0.7 to 0.7), lactate fell from 4.2 to 2.9, and urine output fell from 1823 to 15, with recorded outputs ranging 15-1823.\nB. Over the available measurements, the heart rate fell from 82 to 80, while MAP fell from 84 to 61. Systolic pressure was labile, ranging 28-149, with the lowest value around hour 3.8. SpO2 briefly dipped to 83 around hour 2.4 before recovering to 98, while respiratory rate peaked at 20 and later settled at 16. The associated labs and urine output showed that white count rose from 11.7 to 13.2, creatinine stayed around 0.5, lactate fell from 4.6 to 2.8, and urine output fell from 1763 to 0, with recorded outputs ranging 0-1883.\nC. Over the available measurements, the heart rate fell from 84 to 78, while MAP fell from 86 to 58. Systolic pressure was labile, ranging 27-134, with the lowest value around hour 4.2. SpO2 briefly dipped to 85 around hour 1.4 before recovering to 96, while respiratory rate peaked at 21 and later settled at 17. The associated labs and urine output showed that white count rose from 10.6 to 11.9, creatinine stayed around 0.6, lactate fell from 4.2 to 2.9, and urine output fell from 1823 to 15, with recorded outputs ranging 10-1823.\nD. Over the available measurements, the heart rate fell from 80 to 77, while MAP fell from 82 to 54. Systolic pressure was labile, ranging 31-164, with the lowest value around hour 3.5. SpO2 briefly dipped to 86 around hour 1.1 before recovering to 100, while respiratory rate peaked at 23 and later settled at 15. The associated labs and urine output showed that white count rose from 12.8 to 14.3, creatinine stayed around 0.4, lactate fell from 5.0 to 2.6, and urine output fell from 1703 to 17, with recorded outputs ranging 8-1943.","answer":"C","answer_text":"Over the available measurements, the heart rate fell from 84 to 78, while MAP fell from 86 to 58. Systolic pressure was labile, ranging 27-134, with the lowest value around hour 4.2. SpO2 briefly dipped to 85 around hour 1.4 before recovering to 96, while respiratory rate peaked at 21 and later settled at 17. The associated labs and urine output showed that white count rose from 10.6 to 11.9, creatinine stayed around 0.6, lactate fell from 4.2 to 2.9, and urine output fell from 1823 to 15, with recorded outputs ranging 10-1823.","episode_id":"iv_000166","anchor_time":26}
{"id":"TSS_iv_000166_clinical_summary_26_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 89 to 55, diastolic pressure rose from 24 to 52, and heart rate fell from 81 to 78. The lowest MAP was about 60 around hour 23.7, and the lowest valid SpO2 was 88 around hour 1.2; respiratory rate rose as high as 23 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 32.2-34.5 C, white count rose from 12.1 to 13.6, creatinine was roughly stable (0.7 to 0.7), lactate fell from 4.2 to 2.9, and urine output fell from 1823 to 65.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 84 to 60, diastolic pressure rose from 21 to 46, and heart rate fell from 86 to 76. The lowest MAP was about 58 around hour 26, and the lowest valid SpO2 was 83 around hour 1.5; respiratory rate rose as high as 20 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 37.5-39.8 C, white count rose from 9.5 to 13.0, creatinine stayed around 0.5, lactate fell from 3.8 to 3.0, and urine output fell from 1763 to 14.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 54, diastolic pressure rose from 24 to 53, and heart rate was roughly stable (80 to 81). The lowest MAP was about 61 around hour 23.3, and the lowest valid SpO2 was 89 around hour 0.4; respiratory rate rose as high as 23 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 31.5-33.8 C, white count rose from 12.5 to 14.0, creatinine stayed around 0.7, lactate fell from 4.8 to 2.6, and urine output fell from 1923 to 17.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 58, diastolic pressure rose from 22 to 49, and heart rate fell from 84 to 78. The lowest MAP was about 57 around hour 25.2, and the lowest valid SpO2 was 85 around hour 1.4; respiratory rate rose as high as 21 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 35.2-37.5 C, white count rose from 10.6 to 11.9, creatinine stayed around 0.6, lactate fell from 4.2 to 2.9, and urine output fell from 1823 to 15.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 58, diastolic pressure rose from 22 to 49, and heart rate fell from 84 to 78. The lowest MAP was about 57 around hour 25.2, and the lowest valid SpO2 was 85 around hour 1.4; respiratory rate rose as high as 21 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 35.2 to 37.5, white count rose from 10.6 to 11.9, creatinine stayed around 0.6, lactate fell from 4.2 to 2.9, and urine output fell from 1823 to 15.","episode_id":"iv_000166","anchor_time":26}
{"id":"TSS_iv_000166_clinical_summary_26_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 45 to 94, MAP fell from 86 to 58, and heart rate fell from 84 to 78. SpO2 started at 100, ended at 96, and fell as low as 85 around hour 1.4; respiratory rate ranged 12-21. For labs and output, white count rose from 10.6 to 11.9, creatinine stayed around 0.6, lactate fell from 4.2 to 2.9, and urine output fell from 1823 to 15.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 43 to 96, MAP fell from 84 to 56, and heart rate was roughly stable (86 to 81). SpO2 started at 98, ended at 94, and fell as low as 83 around hour 1.5; respiratory rate ranged 11-23. For labs and output, white count was roughly stable (11.7 to 11.1), creatinine stayed around 0.5, lactate fell from 4.6 to 2.8, and urine output fell from 1763 to 16.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 49 to 90, MAP fell from 90 to 61, and heart rate fell from 80 to 77. SpO2 started at 96, ended at 100, and fell as low as 84 around hour 1.1; respiratory rate ranged 14-19. For labs and output, white count rose from 8.7 to 13.8, creatinine stayed around 0.7, lactate fell from 3.6 to 3.1, and urine output fell from 1923 to 13.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 40 to 98, MAP fell from 82 to 54, and heart rate fell from 88 to 74. SpO2 started at 96, ended at 92, and fell as low as 80 around hour 1.7; respiratory rate ranged 10-23. For labs and output, white count rose from 12.8 to 14.3, creatinine was roughly stable (0.4 to 0.7), lactate fell from 4.4 to 2.9, and urine output fell from 1823 to 15.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 45 to 94, MAP fell from 86 to 58, and heart rate fell from 84 to 78. SpO2 started at 100, ended at 96, and fell as low as 85 around hour 1.4; respiratory rate ranged 12-21. For labs and output, white count rose from 10.6 to 11.9, creatinine stayed around 0.6, lactate fell from 4.2 to 2.9, and urine output fell from 1823 to 15.","episode_id":"iv_000166","anchor_time":26}
{"id":"TSS_iv_000167_clinical_summary_159_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 55 to 81, diastolic pressure rose from 46 to 64, and heart rate fell from 93 to 70. The lowest MAP was about 47 around hour 0.3, and the lowest valid SpO2 was 80 around hour 108.8; respiratory rate rose as high as 34 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 35-36.7 C, white count fell from 15 to 8.5, creatinine was roughly stable (1.5 to 1.9), lactate stayed broadly stable from 1.7 to 0.9, and urine output fell from 2950 to 100.\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 53 to 83, diastolic pressure rose from 44 to 62, and heart rate fell from 95 to 73. The lowest MAP was about 45 around hour 0.4, and the lowest valid SpO2 was 78 around hour 107.8; respiratory rate rose as high as 32 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 37-39.0 C, white count fell from 14 to 8.9, creatinine was roughly stable (1.4 to 1.8), lactate stayed broadly stable from 1.9 to 0.8, and urine output fell from 2890 to 98.\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 59 to 77, diastolic pressure rose from 50 to 68, and heart rate fell from 89 to 74. The lowest MAP was about 51 around hour 0.2, and the lowest valid SpO2 was 84 around hour 105.0; respiratory rate rose as high as 36 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 31-33.0 C, white count fell from 17 to 7.9, creatinine was roughly stable (1.8 to 2), lactate stayed broadly stable from 1.4 to 1.0, and urine output fell from 3050 to 150.\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 50 to 86, diastolic pressure rose from 42 to 61, and heart rate fell from 98 to 66. The lowest MAP was about 50 around hour 1.3, and the lowest valid SpO2 was 76 around hour 113.3; respiratory rate rose as high as 30 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 40-41.2 C, white count fell from 13 to 9.2, creatinine was roughly stable (1.2 to 1.6), lactate stayed broadly stable from 2.0 to 0.8, and urine output fell from 2830 to 96.","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 55 to 81, diastolic pressure rose from 46 to 64, and heart rate fell from 93 to 70. The lowest MAP was about 47 around hour 0.3, and the lowest valid SpO2 was 80 around hour 108.8; respiratory rate rose as high as 34 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 95 to 98.1, white count fell from 15 to 8.5, creatinine was roughly stable (1.5 to 1.9), lactate stayed broadly stable from 1.7 to 0.9, and urine output fell from 2950 to 100.","episode_id":"iv_000167","anchor_time":159}
{"id":"TSS_iv_000170_clinical_summary_29_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 82 to 62, diastolic pressure fell from 70 to 56, and heart rate rose from 88 to 97. The lowest MAP was about 57 around hour 23.6, and the lowest valid SpO2 was 88 around hour 2.6; respiratory rate rose as high as 40 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.4-34.9 C, white count fell from 22.7 to 18.3, creatinine rose from 0.6 to 0.7, lactate was checked once at 2.4, and urine output rose from 220 to 410.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 77 to 67, diastolic pressure fell from 65 to 50, and heart rate rose from 93 to 98. The lowest MAP was about 57 around hour 26.1, and the lowest valid SpO2 was 83 around hour 3.5; respiratory rate rose as high as 36 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 37.6-40.1 C, white count fell from 20.1 to 18.6, creatinine was roughly stable (0.4 to 0.5), lactate was checked once at 2.8, and urine output rose from 185 to 345.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 83 to 61, diastolic pressure fell from 71 to 57, and heart rate rose from 87 to 103. The lowest MAP was about 58 around hour 23.2, and the lowest valid SpO2 was 89 around hour 2.1; respiratory rate rose as high as 42 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 31.6-34.1 C, white count fell from 23.1 to 17.9, creatinine was roughly stable (0.6 to 0.7), lactate was checked once at 2.4, and urine output rose from 225 to 385.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 79 to 65, diastolic pressure fell from 67 to 53, and heart rate rose from 91 to 100. The lowest MAP was about 54 around hour 25.1, and the lowest valid SpO2 was 85 around hour 3.1; respiratory rate rose as high as 38 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 35.4-37.9 C, white count fell from 21.2 to 19.8, creatinine was roughly stable (0.5 to 0.6), lactate was checked once at 2.6, and urine output rose from 200 to 360.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 79 to 65, diastolic pressure fell from 67 to 53, and heart rate rose from 91 to 100. The lowest MAP was about 54 around hour 25.1, and the lowest valid SpO2 was 85 around hour 3.1; respiratory rate rose as high as 38 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 35.4 to 98.2, white count fell from 21.2 to 19.8, creatinine was roughly stable (0.5 to 0.6), lactate was checked once at 2.6, and urine output rose from 200 to 360.","episode_id":"iv_000170","anchor_time":29}
{"id":"TSS_iv_000170_clinical_summary_29_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 99, MAP fell from 79 to 65, and heart rate rose from 91 to 100. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 3.1; respiratory rate ranged 5-38. For labs and output, white count fell from 21.2 to 19.8, creatinine was roughly stable (0.5 to 0.6), lactate was checked once at 2.6, and urine output rose from 200 to 360.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 97, MAP fell from 81 to 63, and heart rate rose from 89 to 103. SpO2 started at 98, ended at 99, and fell as low as 83 around hour 2.7; respiratory rate ranged 5-40. For labs and output, white count fell from 20.1 to 19, creatinine was roughly stable (0.4 to 0.5), lactate was checked once at 2.8, and urine output rose from 185 to 345.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (100 to 95), MAP fell from 79 to 68, and heart rate rose from 91 to 100. SpO2 started at 100, ended at 97, and fell as low as 84 around hour 3.1; respiratory rate ranged 5-38. For labs and output, white count fell from 21.2 to 19.8, creatinine was roughly stable (0.5 to 0.6), lactate was checked once at 2.6, and urine output rose from 200 to 360.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 94, MAP fell from 84 to 60, and heart rate rose from 86 to 96. SpO2 started at 96, ended at 100, and fell as low as 80 around hour 2.4; respiratory rate ranged 6-42. For labs and output, white count fell from 18.9 to 17.4, creatinine rose from 0.3 to 0.7, lactate was checked once at 2.8, and urine output rose from 170 to 330.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 99, MAP fell from 79 to 65, and heart rate rose from 91 to 100. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 3.1; respiratory rate ranged 5-38. For labs and output, white count fell from 21.2 to 19.8, creatinine was roughly stable (0.5 to 0.6), lactate was checked once at 2.6, and urine output rose from 200 to 360.","episode_id":"iv_000170","anchor_time":29}
{"id":"TSS_iv_000172_clinical_summary_48_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 81 to 12, while MAP fell from 90 to 79. Systolic pressure was labile, ranging 100-157, with the lowest value around hour 3.2. SpO2 briefly dipped to 85 around hour 0.1 before recovering to 95, while respiratory rate peaked at 38 and later settled at 35. The associated labs and urine output showed that white count fell from 12.3 to 9.6, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 60 to 220, with recorded outputs ranging 45-650.\nB. Across the recorded window, the heart rate fell from 79 to 13, while MAP fell from 88 to 77. Systolic pressure was labile, ranging 98-172, with the lowest value around hour 2.8. SpO2 briefly dipped to 83 around hour 0.0 before recovering to 97, while respiratory rate peaked at 36 and later settled at 33. The associated labs and urine output showed that white count fell from 13.4 to 8.8, creatinine stayed around 0.8, lactate was not available, and urine output rose from 60 to 220, with recorded outputs ranging 60-650.\nC. Across the recorded window, the heart rate fell from 85 to 10, while MAP fell from 94 to 82. Systolic pressure was labile, ranging 96-132, with the lowest value around hour 3.8. SpO2 briefly dipped to 89 around hour 1.1 before recovering to 91, while respiratory rate peaked at 42 and later settled at 39. The associated labs and urine output showed that white count fell from 10.4 to 10.2, creatinine was roughly stable (1.0 to 0.7), lactate was not available, and urine output rose from 64 to 170, with recorded outputs ranging 41-625.\nD. Across the recorded window, the heart rate fell from 76 to 14, while MAP fell from 86 to 74. Systolic pressure was labile, ranging 104-187, with the lowest value around hour 2.5. SpO2 briefly dipped to 86 around hour 0.0 before recovering to 100, while respiratory rate peaked at 40 and later settled at 30. The associated labs and urine output showed that white count fell from 14.6 to 8.8, creatinine was roughly stable (0.8 to 1.0), lactate was not available, and urine output rose from 56 to 190, with recorded outputs ranging 50-680.","answer":"A","answer_text":"Across the recorded window, the heart rate fell from 81 to 12, while MAP fell from 90 to 79. Systolic pressure was labile, ranging 100-157, with the lowest value around hour 3.2. SpO2 briefly dipped to 85 around hour 0.1 before recovering to 95, while respiratory rate peaked at 38 and later settled at 35. The associated labs and urine output showed that white count fell from 12.3 to 9.6, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 60 to 220, with recorded outputs ranging 45-650.","episode_id":"iv_000172","anchor_time":48}
{"id":"TSS_iv_000172_clinical_summary_48_1","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 76, diastolic pressure was roughly stable (70 to 65), and heart rate fell from 78 to 14. The lowest MAP was about 73 around hour 4.7, and the lowest valid SpO2 was 88 around hour 0.0; respiratory rate rose as high as 40 but ended at 38. The lower-frequency data fit that summary: temperature stayed around 32.7-34.3 C, white count fell from 13.8 to 9.1, creatinine stayed around 1.0, lactate was not available, and urine output rose from 60 to 270.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 79, diastolic pressure was roughly stable (67 to 62), and heart rate fell from 81 to 12. The lowest MAP was about 70 around hour 5.2, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 38 but ended at 35. The lower-frequency data fit that summary: temperature stayed around 35.7-37.3 C, white count fell from 12.3 to 9.6, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 60 to 220.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 75, diastolic pressure was roughly stable (71 to 66), and heart rate fell from 77 to 15. The lowest MAP was about 74 around hour 4.6, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 42 but ended at 39. The lower-frequency data fit that summary: temperature stayed around 32.0-33.5 C, white count fell from 14.2 to 9.0, creatinine was roughly stable (1.0 to 0.9), lactate was not available, and urine output rose from 56 to 245.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 84, diastolic pressure fell from 62 to 59, and heart rate fell from 86 to 10. The lowest MAP was about 73 around hour 6.2, and the lowest valid SpO2 was 80 around hour 0.2; respiratory rate rose as high as 34 but ended at 30. The lower-frequency data fit that summary: temperature stayed around 40.2-41.8 C, white count fell from 10.1 to 8.6, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 64 to 190.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 79, diastolic pressure was roughly stable (67 to 62), and heart rate fell from 81 to 12. The lowest MAP was about 70 around hour 5.2, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 38 but ended at 35. The lower-frequency data fit that summary: temperature ranged from 96.2 to 99.1, white count fell from 12.3 to 9.6, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 60 to 220.","episode_id":"iv_000172","anchor_time":48}
{"id":"TSS_iv_000172_clinical_summary_48_2","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 159 to 111, MAP fell from 93 to 82, and heart rate fell from 78 to 15. SpO2 started at 97, ended at 98, and fell as low as 88 around hour 0.0; respiratory rate ranged 12-40. For labs and output, white count fell from 10.8 to 8.8, creatinine was roughly stable (1.0 to 0.7), lactate was not available, and urine output rose from 63 to 240.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 124 to 104, MAP fell from 88 to 82, and heart rate fell from 83 to 11. SpO2 started at 98, ended at 93, and fell as low as 84 around hour 0.2; respiratory rate ranged 9-40. For labs and output, white count fell from 13.4 to 9.2, creatinine was roughly stable (0.8 to 0.9), lactate was not available, and urine output rose from 58 to 205.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 139 to 131, MAP fell from 90 to 79, and heart rate fell from 81 to 12. SpO2 started at 100, ended at 95, and fell as low as 85 around hour 0.1; respiratory rate ranged 10-38. For labs and output, white count fell from 12.3 to 9.6, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 60 to 220.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 109 to 89, MAP fell from 86 to 74, and heart rate fell from 86 to 10. SpO2 started at 96, ended at 90, and fell as low as 80 around hour 0.2; respiratory rate ranged 8-42. For labs and output, white count fell from 14.6 to 8.8, creatinine was roughly stable (1 to 0.9), lactate was not available, and urine output rose from 56 to 190.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 139 to 131, MAP fell from 90 to 79, and heart rate fell from 81 to 12. SpO2 started at 100, ended at 95, and fell as low as 85 around hour 0.1; respiratory rate ranged 10-38. For labs and output, white count fell from 12.3 to 9.6, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 60 to 220.","episode_id":"iv_000172","anchor_time":48}
{"id":"TSS_iv_000173_clinical_summary_155_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 160 to 74, MAP fell from 84 to 75, and diastolic pressure moved from 66 to 65. Systolic pressure ranged 80-179 and ended at 116, and SpO2 recovered to 96 after a low of 82 around hour 124.6. Respiratory rate ended at 23; the available labs showed white count rose from 12.8 to 15.3, creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 0.9, and urine output fell from 500 to 100.\nB. Over the available measurements, the heart rate fell from 145 to 77, MAP fell from 82 to 73, and diastolic pressure moved from 68 to 62. Systolic pressure ranged 78-164 and ended at 114, and SpO2 recovered to 98 after a low of 80 around hour 109.6. Respiratory rate ended at 24; the available labs showed white count rose from 11.7 to 14.2, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 0.8, and urine output fell from 515 to 98.\nC. Over the available measurements, the heart rate fell from 185 to 70, MAP fell from 88 to 78, and diastolic pressure moved from 62 to 69. Systolic pressure ranged 84-204 and ended at 112, and SpO2 recovered to 92 after a low of 86 around hour 125.6. Respiratory rate ended at 21; the available labs showed white count rose from 14.7 to 17.2, creatinine was roughly stable (0.6 to 0.9), lactate was checked once at 1.0, and urine output fell from 475 to 96.\nD. Over the available measurements, the heart rate fell from 130 to 78, MAP fell from 80 to 70, and diastolic pressure moved from 70 to 60. Systolic pressure ranged 76-149 and ended at 112, and SpO2 recovered to 100 after a low of 81 around hour 94.6. Respiratory rate ended at 25; the available labs showed white count was roughly stable (10.6 to 14.5), creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 0.8, and urine output fell from 550 to 96.","answer":"A","answer_text":"Over the available measurements, the heart rate fell from 160 to 74, MAP fell from 84 to 75, and diastolic pressure moved from 66 to 65. Systolic pressure ranged 80-179 and ended at 116, and SpO2 recovered to 96 after a low of 82 around hour 124.6. Respiratory rate ended at 23; the available labs showed white count rose from 12.8 to 15.3, creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 0.9, and urine output fell from 500 to 100.","episode_id":"iv_000173","anchor_time":155}
{"id":"TSS_iv_000176_clinical_summary_37_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Overall, the heart rate rose from 50 to 80, while MAP rose from 76 to 83. Systolic pressure was labile, ranging 94-148, with the lowest value around hour 24.3. SpO2 briefly dipped to 85 around hour 0.1 before recovering to 94, while respiratory rate peaked at 26 and later settled at 20. The associated labs and urine output showed that white count rose from 7.7 to 9.2, creatinine rose from 1.1 to 1.3, lactate fell from 259 to 2.2, and urine output fell from 220 to 65, with recorded outputs ranging 20-220.\nB. Overall, the heart rate rose from 48 to 82, while MAP rose from 74 to 81. Systolic pressure was labile, ranging 96-163, with the lowest value around hour 23.2. SpO2 briefly dipped to 83 around hour 0.0 before recovering to 96, while respiratory rate peaked at 25 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (8.1 to 8.4), creatinine rose from 1.0 to 1.4, lactate fell from 244 to 2.1, and urine output fell from 235 to 63, with recorded outputs ranging 65-205.\nC. Overall, the heart rate rose from 54 to 76, while MAP rose from 80 to 86. Systolic pressure was labile, ranging 90-123, with the lowest value around hour 26.2. SpO2 briefly dipped to 89 around hour 1.1 before recovering to 90, while respiratory rate peaked at 28 and later settled at 22. The associated labs and urine output showed that white count rose from 7.1 to 9.8, creatinine rose from 1.4 to 1.6, lactate fell from 284 to 2.5, and urine output fell from 195 to 15, with recorded outputs ranging 15-245.\nD. Overall, the heart rate rose from 46 to 84, while MAP rose from 72 to 78. Systolic pressure was labile, ranging 98-178, with the lowest value around hour 22.1. SpO2 briefly dipped to 80 around hour 0.0 before recovering to 98, while respiratory rate peaked at 28 and later settled at 18. The associated labs and urine output showed that white count rose from 8.4 to 8.9, creatinine rose from 0.8 to 1.6, lactate fell from 229 to 1.9, and urine output fell from 250 to 60, with recorded outputs ranging 18-190.","answer":"A","answer_text":"Overall, the heart rate rose from 50 to 80, while MAP rose from 76 to 83. Systolic pressure was labile, ranging 94-148, with the lowest value around hour 24.3. SpO2 briefly dipped to 85 around hour 0.1 before recovering to 94, while respiratory rate peaked at 26 and later settled at 20. The associated labs and urine output showed that white count rose from 7.7 to 9.2, creatinine rose from 1.1 to 1.3, lactate fell from 259 to 2.2, and urine output fell from 220 to 65, with recorded outputs ranging 20-220.","episode_id":"iv_000176","anchor_time":37}
{"id":"TSS_iv_000176_clinical_summary_37_2","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 155 to 175, MAP rose from 79 to 86, and heart rate rose from 47 to 83. SpO2 started at 82, ended at 97, and fell as low as 88 around hour 0.0; respiratory rate ranged 12-28. For labs and output, white count was roughly stable (7.2 to 8.4), creatinine rose from 1.3 to 1.5, lactate fell from 279 to 2.4, and urine output fell from 200 to 68.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 120 to 163, MAP rose from 74 to 81, and heart rate rose from 52 to 78. SpO2 started at 87, ended at 92, and fell as low as 83 around hour 0.2; respiratory rate ranged 10-27. For labs and output, white count rose from 8.1 to 8.8, creatinine rose from 1.0 to 1.4, lactate fell from 259.2 to 2.1, and urine output fell from 170 to 63.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 135 to 148, MAP rose from 76 to 83, and heart rate rose from 50 to 80. SpO2 started at 85, ended at 94, and fell as low as 85 around hour 0.1; respiratory rate ranged 11-26. For labs and output, white count rose from 7.7 to 9.2, creatinine rose from 1.1 to 1.3, lactate fell from 259 to 2.2, and urine output fell from 220 to 65.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 144, MAP rose from 72 to 86, and heart rate rose from 54 to 76. SpO2 started at 90, ended at 90, and fell as low as 84 around hour 0.2; respiratory rate ranged 9-28. For labs and output, white count rose from 8.4 to 8.9, creatinine rose from 0.8 to 1.6, lactate fell from 229 to 1.9, and urine output fell from 250 to 60.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 135 to 148, MAP rose from 76 to 83, and heart rate rose from 50 to 80. SpO2 started at 85, ended at 94, and fell as low as 85 around hour 0.1; respiratory rate ranged 11-26. For labs and output, white count rose from 7.7 to 9.2, creatinine rose from 1.1 to 1.3, lactate fell from 259 to 2.2, and urine output fell from 220 to 65.","episode_id":"iv_000176","anchor_time":37}
{"id":"TSS_iv_000176_clinical_summary_37_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Taken together, the heart rate rose from 53 to 77, MAP rose from 79 to 86, and diastolic pressure moved from 48 to 64. Systolic pressure ranged 97-168 and ended at 144, and SpO2 recovered to 91 after a low of 88 around hour 1.1. Respiratory rate ended at 18; the available labs showed white count rose from 8.2 to 9.7, creatinine rose from 0.9 to 1.5, lactate fell from 279 to 2.0, and urine output fell from 240 to 68.\nB. Taken together, the heart rate rose from 48 to 83, MAP rose from 74 to 81, and diastolic pressure moved from 53 to 58. Systolic pressure ranged 92-133 and ended at 133, and SpO2 recovered to 96 after a low of 83 around hour 0.0. Respiratory rate ended at 21; the available labs showed white count rose from 7.3 to 8.8, creatinine rose from 1.2 to 1.4, lactate fell from 244 to 2.4, and urine output fell from 205 to 63.\nC. Taken together, the heart rate rose from 54 to 76, MAP rose from 80 to 87, and diastolic pressure moved from 47 to 65. Systolic pressure ranged 98-173 and ended at 173, and SpO2 recovered to 90 after a low of 84 around hour 0.2. Respiratory rate ended at 18; the available labs showed white count was roughly stable (8.3 to 8.4), creatinine rose from 0.9 to 1.6, lactate fell from 284 to 2.0, and urine output fell from 270 to 69.\nD. Taken together, the heart rate rose from 50 to 80, MAP rose from 76 to 83, and diastolic pressure moved from 51 to 61. Systolic pressure ranged 94-148 and ended at 148, and SpO2 recovered to 94 after a low of 85 around hour 0.1. Respiratory rate ended at 20; the available labs showed white count rose from 7.7 to 9.2, creatinine rose from 1.1 to 1.3, lactate fell from 259 to 2.2, and urine output fell from 220 to 65.","answer":"D","answer_text":"Taken together, the heart rate rose from 50 to 80, MAP rose from 76 to 83, and diastolic pressure moved from 51 to 61. Systolic pressure ranged 94-148 and ended at 148, and SpO2 recovered to 94 after a low of 85 around hour 0.1. Respiratory rate ended at 20; the available labs showed white count rose from 7.7 to 9.2, creatinine rose from 1.1 to 1.3, lactate fell from 259 to 2.2, and urine output fell from 220 to 65.","episode_id":"iv_000176","anchor_time":37}
{"id":"TSS_iv_000177_clinical_summary_73_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. In broad terms, the heart rate rose from 50 to 97, MAP fell from 86 to 70, and diastolic pressure moved from 55 to 52. Systolic pressure ranged 100-153 and ended at 126, and SpO2 recovered to 94 after a low of 73 around hour 62.8. Respiratory rate ended at 25; the available labs showed white count rose from 8.4 to 10, creatinine stayed around 0.9, lactate was not available, and urine output fell from 160 to 35.\nB. In broad terms, the heart rate rose from 48 to 99, MAP fell from 84 to 68, and diastolic pressure moved from 57 to 50. Systolic pressure ranged 98-138 and ended at 111, and SpO2 recovered to 96 after a low of 72 around hour 60.5. Respiratory rate ended at 26; the available labs showed white count was roughly stable (8.0 to 9.2), creatinine stayed around 1.0, lactate was not available, and urine output fell from 210 to 33.\nC. In broad terms, the heart rate rose from 54 to 100, MAP fell from 90 to 74, and diastolic pressure moved from 51 to 49. Systolic pressure ranged 96-178 and ended at 151, and SpO2 recovered to 90 after a low of 77 around hour 66.5. Respiratory rate ended at 23; the available labs showed white count rose from 9.0 to 12, creatinine stayed around 0.8, lactate was not available, and urine output fell from 185 to 39.\nD. In broad terms, the heart rate rose from 46 to 100, MAP fell from 82 to 73, and diastolic pressure moved from 60 to 48. Systolic pressure ranged 96-123 and ended at 122, and SpO2 recovered to 98 after a low of 68 around hour 63.8. Respiratory rate ended at 27; the available labs showed white count rose from 7.7 to 8, creatinine stayed around 1.1, lactate was not available, and urine output fell from 130 to 30.","answer":"A","answer_text":"In broad terms, the heart rate rose from 50 to 97, MAP fell from 86 to 70, and diastolic pressure moved from 55 to 52. Systolic pressure ranged 100-153 and ended at 126, and SpO2 recovered to 94 after a low of 73 around hour 62.8. Respiratory rate ended at 25; the available labs showed white count rose from 8.4 to 10, creatinine stayed around 0.9, lactate was not available, and urine output fell from 160 to 35.","episode_id":"iv_000177","anchor_time":73}
{"id":"TSS_iv_000178_clinical_summary_124_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (123 to 117), MAP fell from 87 to 74, and heart rate was roughly stable (57 to 56). SpO2 started at 99, ended at 100, and fell as low as 85 around hour 113.1; respiratory rate ranged 8-31. For labs and output, white count fell from 10 to 6.6, creatinine fell from 1.6 to 0.9, lactate fell from 164 to 2.1, and urine output was roughly stable (275 to 300)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 108 to 105, MAP fell from 85 to 77, and heart rate was roughly stable (59 to 54). SpO2 started at 100, ended at 98, and fell as low as 84 around hour 115.3; respiratory rate ranged 8-33. For labs and output, white count fell from 11 to 6.2, creatinine fell from 1.5 to 1.0, lactate fell from 149 to 2.0, and urine output was roughly stable (290 to 285)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (148 to 113), MAP fell from 91 to 78, and heart rate was roughly stable (53 to 60). SpO2 started at 95, ended at 96, and fell as low as 89 around hour 109.3; respiratory rate ranged 9-27. For labs and output, white count fell from 8 to 7.2, creatinine fell from 1.9 to 1, lactate fell from 164.2 to 2.4, and urine output was roughly stable (250 to 325)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (93 to 122), MAP fell from 82 to 70, and heart rate was roughly stable (62 to 59). SpO2 started at 100, ended at 96, and fell as low as 80 around hour 117.6; respiratory rate ranged 7-33. For labs and output, white count fell from 12 to 5.8, creatinine fell from 1.3 to 1.1, lactate fell from 134 to 1.8, and urine output was roughly stable (305 to 270)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (123 to 117), MAP fell from 87 to 74, and heart rate was roughly stable (57 to 56). SpO2 started at 99, ended at 100, and fell as low as 85 around hour 113.1; respiratory rate ranged 8-31. For labs and output, white count fell from 10 to 6.6, creatinine fell from 1.6 to 0.9, lactate fell from 164 to 2.1, and urine output was roughly stable (275 to 300)","episode_id":"iv_000178","anchor_time":124}
{"id":"TSS_iv_000179_clinical_summary_25_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (62 to 67), diastolic pressure rose from 39 to 53, and heart rate rose from 50 to 86. The lowest MAP was about 54 around hour 14.5, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 25 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 36.2-37.4 C, white count was 7.8 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (400 to 400)\nB. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (60 to 69), diastolic pressure rose from 37 to 51, and heart rate rose from 52 to 84. The lowest MAP was about 52 around hour 15.6, and the lowest valid SpO2 was 83 around hour 0.2; respiratory rate rose as high as 27 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 38.5-39.6 C, white count was 7.4 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (385 to 450)\nC. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (66 to 63), diastolic pressure rose from 43 to 57, and heart rate rose from 46 to 89. The lowest MAP was about 58 around hour 12.6, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 27 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 32.5-33.6 C, white count was 8.4 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (425 to 425)\nD. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (58 to 72), diastolic pressure rose from 34 to 50, and heart rate rose from 54 to 82. The lowest MAP was about 57 around hour 15.5, and the lowest valid SpO2 was 80 around hour 0.2; respiratory rate rose as high as 23 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 40.7-41.9 C, white count was 7.0 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (370 to 370)","answer":"A","answer_text":"Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (62 to 67), diastolic pressure rose from 39 to 53, and heart rate rose from 50 to 86. The lowest MAP was about 54 around hour 14.5, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 25 but ended at 15. The lower-frequency data fit that summary: temperature ranged from 97.1 to 99.3, white count was 7.8 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (400 to 400)","episode_id":"iv_000179","anchor_time":25}
{"id":"TSS_iv_000179_clinical_summary_25_2","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 108, MAP was roughly stable (65 to 70), and heart rate rose from 47 to 89. SpO2 started at 82, ended at 98, and fell as low as 88 around hour 0.0; respiratory rate ranged 14-27. For labs and output, white count was 7.3 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (420 to 380)\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 123 to 111, MAP was roughly stable (62 to 67), and heart rate rose from 50 to 86. SpO2 started at 85, ended at 95, and fell as low as 85 around hour 0.1; respiratory rate ranged 13-25. For labs and output, white count was 7.8 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (400 to 400)\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 148 to 107, MAP was roughly stable (66 to 71), and heart rate rose from 46 to 83. SpO2 started at 81, ended at 99, and fell as low as 89 around hour 0.0; respiratory rate ranged 15-23. For labs and output, white count was 7.2 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (425 to 375)\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 93 to 90, MAP rose from 58 to 70, and heart rate rose from 54 to 82. SpO2 started at 90, ended at 90, and fell as low as 84 around hour 0.2; respiratory rate ranged 11-27. For labs and output, white count was 8.6 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output was roughly stable (370 to 430)","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 123 to 111, MAP was roughly stable (62 to 67), and heart rate rose from 50 to 86. SpO2 started at 85, ended at 95, and fell as low as 85 around hour 0.1; respiratory rate ranged 13-25. For labs and output, white count was 7.8 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (400 to 400)","episode_id":"iv_000179","anchor_time":25}
{"id":"TSS_iv_000180_clinical_summary_29_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 76 to 97, while MAP rose from 66 to 79. Systolic pressure was labile, ranging 29-133, with the lowest value around hour 8. SpO2 briefly dipped to 85 around hour 19.8 before recovering to 94, while respiratory rate peaked at 27 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (17.1 to 16.6), creatinine rose from 0.8 to 1, lactate stayed broadly stable from 2.2 to 2.1, and urine output was roughly stable (250 to 175), with recorded outputs ranging 10-250.\nB. Across the recorded window, the heart rate rose from 74 to 99, while MAP rose from 64 to 82. Systolic pressure was labile, ranging 30-148, with the lowest value around hour 8. SpO2 briefly dipped to 83 around hour 20.8 before recovering to 96, while respiratory rate peaked at 26 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (18.2 to 15.5), creatinine rose from 0.7 to 1, lactate stayed broadly stable from 2.1 to 2.0, and urine output fell from 265 to 125, with recorded outputs ranging 9-235.\nC. Across the recorded window, the heart rate rose from 80 to 93, while MAP rose from 70 to 83. Systolic pressure was labile, ranging 33-108, with the lowest value around hour 9. SpO2 briefly dipped to 86 around hour 21.7 before recovering to 90, while respiratory rate peaked at 29 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (15.2 to 18.5), creatinine rose from 0.9 to 1, lactate stayed broadly stable from 2.5 to 2.4, and urine output was roughly stable (225 to 200), with recorded outputs ranging 12-275.\nD. Across the recorded window, the heart rate rose from 72 to 100, while MAP rose from 62 to 74. Systolic pressure was labile, ranging 31-163, with the lowest value around hour 7. SpO2 briefly dipped to 80 around hour 17.6 before recovering to 98, while respiratory rate peaked at 25 and later settled at 19. The associated labs and urine output showed that white count fell from 19.4 to 15.8, creatinine rose from 0.7 to 1.1, lactate stayed broadly stable from 1.9 to 1.8, and urine output was roughly stable (280 to 145), with recorded outputs ranging 60-220.","answer":"A","answer_text":"Across the recorded window, the heart rate rose from 76 to 97, while MAP rose from 66 to 79. Systolic pressure was labile, ranging 29-133, with the lowest value around hour 8. SpO2 briefly dipped to 85 around hour 19.8 before recovering to 94, while respiratory rate peaked at 27 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (17.1 to 16.6), creatinine rose from 0.8 to 1, lactate stayed broadly stable from 2.2 to 2.1, and urine output was roughly stable (250 to 175), with recorded outputs ranging 10-250.","episode_id":"iv_000180","anchor_time":29}
{"id":"TSS_iv_000180_clinical_summary_29_2","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 39 to 103, MAP rose from 69 to 82, and heart rate rose from 73 to 100. SpO2 started at 97, ended at 97, and fell as low as 84 around hour 18.3; respiratory rate ranged 16-26. For labs and output, white count was roughly stable (15.6 to 18.1), creatinine rose from 0.9 to 1, lactate stayed broadly stable from 2.4 to 2.3, and urine output was roughly stable (230 to 195)\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 34 to 109, MAP rose from 64 to 77, and heart rate rose from 78 to 95. SpO2 started at 98, ended at 92, and fell as low as 83 around hour 20.9; respiratory rate ranged 13-28. For labs and output, white count was roughly stable (18.2 to 15.5), creatinine rose from 0.7 to 1.1, lactate fell from 2.4 to 2.0, and urine output was roughly stable (265 to 160)\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 36 to 107, MAP rose from 66 to 79, and heart rate rose from 76 to 97. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 19.8; respiratory rate ranged 14-27. For labs and output, white count was roughly stable (17.1 to 16.6), creatinine rose from 0.8 to 1, lactate stayed broadly stable from 2.2 to 2.1, and urine output was roughly stable (250 to 175)\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 32 to 112, MAP rose from 62 to 74, and heart rate rose from 80 to 100. SpO2 started at 96, ended at 90, and fell as low as 80 around hour 22.1; respiratory rate ranged 12-29. For labs and output, white count fell from 19.4 to 15.8, creatinine rose from 0.7 to 1, lactate stayed broadly stable from 1.9 to 1.8, and urine output was roughly stable (280 to 145)","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 36 to 107, MAP rose from 66 to 79, and heart rate rose from 76 to 97. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 19.8; respiratory rate ranged 14-27. For labs and output, white count was roughly stable (17.1 to 16.6), creatinine rose from 0.8 to 1, lactate stayed broadly stable from 2.2 to 2.1, and urine output was roughly stable (250 to 175)","episode_id":"iv_000180","anchor_time":29}
{"id":"TSS_iv_000180_clinical_summary_29_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Clinically, the heart rate rose from 79 to 94, MAP rose from 69 to 82, and diastolic pressure moved from 20 to 74. Systolic pressure ranged 30-153 and ended at 103, and SpO2 recovered to 91 after a low of 88 around hour 20.8. Respiratory rate ended at 20; the available labs showed white count was roughly stable (18.6 to 18.1), creatinine rose from 0.7 to 1, lactate stayed broadly stable from 2.4 to 1.9, and urine output was roughly stable (270 to 195)\nB. Clinically, the heart rate rose from 74 to 99, MAP rose from 64 to 77, and diastolic pressure moved from 23 to 69. Systolic pressure ranged 28-118 and ended at 105, and SpO2 recovered to 96 after a low of 84 around hour 18.7. Respiratory rate ended at 22; the available labs showed white count fell from 16.0 to 15.8, creatinine rose from 0.9 to 1, lactate stayed broadly stable from 2.1 to 2.2, and urine output fell from 300 to 160.\nC. Clinically, the heart rate rose from 80 to 100, MAP rose from 70 to 83, and diastolic pressure moved from 20 to 68. Systolic pressure ranged 31-158 and ended at 111, and SpO2 recovered to 90 after a low of 89 around hour 21.7. Respiratory rate ended at 19; the available labs showed white count was roughly stable (19.0 to 18.5), creatinine rose from 0.7 to 1, lactate stayed broadly stable from 2.5 to 1.9, and urine output was roughly stable (275 to 200)\nD. Clinically, the heart rate rose from 76 to 97, MAP rose from 66 to 79, and diastolic pressure moved from 22 to 71. Systolic pressure ranged 29-133 and ended at 107, and SpO2 recovered to 94 after a low of 85 around hour 19.8. Respiratory rate ended at 21; the available labs showed white count was roughly stable (17.1 to 16.6), creatinine rose from 0.8 to 1, lactate stayed broadly stable from 2.2 to 2.1, and urine output was roughly stable (250 to 175)","answer":"D","answer_text":"Clinically, the heart rate rose from 76 to 97, MAP rose from 66 to 79, and diastolic pressure moved from 22 to 71. Systolic pressure ranged 29-133 and ended at 107, and SpO2 recovered to 94 after a low of 85 around hour 19.8. Respiratory rate ended at 21; the available labs showed white count was roughly stable (17.1 to 16.6), creatinine rose from 0.8 to 1, lactate stayed broadly stable from 2.2 to 2.1, and urine output was roughly stable (250 to 175)","episode_id":"iv_000180","anchor_time":29}
{"id":"TSS_iv_000181_clinical_summary_59_1","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 96 to 70, diastolic pressure fell from 73 to 58, and heart rate rose from 53 to 86. The lowest MAP was about 76 around hour 58.1, and the lowest valid SpO2 was 84 around hour 20.3; respiratory rate rose as high as 26 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 33.4-34.3 C, white count fell from 9.6 to 6.7, creatinine fell from 1 to 0.9, lactate was checked once at 164, and urine output rose from 78 to 370.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 91 to 75, diastolic pressure fell from 68 to 59, and heart rate rose from 52 to 81. The lowest MAP was about 71 around hour 59.4, and the lowest valid SpO2 was 79 around hour 22.9; respiratory rate rose as high as 27 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 38.6-39.5 C, white count fell from 8.7 to 7.6, creatinine was roughly stable (1 to 0.9), lactate was checked once at 199, and urine output rose from 73 to 400.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 73, diastolic pressure fell from 70 to 61, and heart rate rose from 50 to 83. The lowest MAP was about 73 around hour 57.1, and the lowest valid SpO2 was 81 around hour 21.8; respiratory rate rose as high as 25 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 36.4-37.3 C, white count fell from 9.1 to 7.2, creatinine fell from 1 to 0.8, lactate was checked once at 184, and urine output rose from 75 to 350.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 88 to 78, diastolic pressure fell from 66 to 56, and heart rate rose from 54 to 86. The lowest MAP was about 68 around hour 61.6, and the lowest valid SpO2 was 76 around hour 20.8; respiratory rate rose as high as 23 but ended at 11. The lower-frequency data fit that summary: temperature stayed around 40.9-41.8 C, white count fell from 8.3 to 8.0, creatinine fell from 1 to 0.7, lactate was checked once at 214, and urine output rose from 70 to 320.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 73, diastolic pressure fell from 70 to 61, and heart rate rose from 50 to 83. The lowest MAP was about 73 around hour 57.1, and the lowest valid SpO2 was 81 around hour 21.8; respiratory rate rose as high as 25 but ended at 13. The lower-frequency data fit that summary: temperature ranged from 97.6 to 99.2, white count fell from 9.1 to 7.2, creatinine fell from 1 to 0.8, lactate was checked once at 184, and urine output rose from 75 to 350.","episode_id":"iv_000181","anchor_time":59}
{"id":"TSS_iv_000181_clinical_summary_59_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 161 to 94, MAP fell from 96 to 76, and heart rate rose from 47 to 86. SpO2 started at 85, ended at 100, and fell as low as 84 around hour 20.3; respiratory rate ranged 10-24. For labs and output, white count fell from 8.6 to 7.7, creatinine was roughly stable (1 to 0.9), lactate was checked once at 184.2, and urine output rose from 78 to 330.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 126 to 99, MAP fell from 91 to 71, and heart rate rose from 52 to 86. SpO2 started at 90, ended at 95, and fell as low as 79 around hour 22.9; respiratory rate ranged 9-27. For labs and output, white count fell from 9.5 to 6.4, creatinine fell from 1 to 0.9, lactate was checked once at 169, and urine output rose from 73 to 365.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 166 to 93, MAP fell from 97 to 76, and heart rate rose from 46 to 87. SpO2 started at 84, ended at 100, and fell as low as 80 around hour 19.9; respiratory rate ranged 10-23. For labs and output, white count fell from 8.5 to 7.8, creatinine fell from 1 to 0.7, lactate was checked once at 209, and urine output rose from 79 to 325.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 141 to 97, MAP fell from 93 to 73, and heart rate rose from 50 to 83. SpO2 started at 88, ended at 97, and fell as low as 81 around hour 21.8; respiratory rate ranged 9-25. For labs and output, white count fell from 9.1 to 7.2, creatinine fell from 1 to 0.8, lactate was checked once at 184, and urine output rose from 75 to 350.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 141 to 97, MAP fell from 93 to 73, and heart rate rose from 50 to 83. SpO2 started at 88, ended at 97, and fell as low as 81 around hour 21.8; respiratory rate ranged 9-25. For labs and output, white count fell from 9.1 to 7.2, creatinine fell from 1 to 0.8, lactate was checked once at 184, and urine output rose from 75 to 350.","episode_id":"iv_000181","anchor_time":59}
{"id":"TSS_iv_000181_clinical_summary_59_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 50 to 83, MAP fell from 93 to 73, and diastolic pressure moved from 70 to 61. Systolic pressure ranged 97-178 and ended at 97, and SpO2 recovered to 97 after a low of 81 around hour 21.8. Respiratory rate ended at 13; the available labs showed white count fell from 9.1 to 7.2, creatinine fell from 1 to 0.8, lactate was checked once at 184, and urine output rose from 75 to 350.\nB. Over the available measurements, the heart rate rose from 48 to 85, MAP fell from 91 to 71, and diastolic pressure moved from 72 to 59. Systolic pressure ranged 95-163 and ended at 95, and SpO2 recovered to 99 after a low of 80 around hour 20.7. Respiratory rate ended at 14; the available labs showed white count fell from 8.7 to 6.4, creatinine fell from 1 to 0.7, lactate was checked once at 169, and urine output rose from 125 to 335.\nC. Over the available measurements, the heart rate rose from 54 to 79, MAP fell from 97 to 76, and diastolic pressure moved from 66 to 65. Systolic pressure ranged 93-203 and ended at 93, and SpO2 recovered to 93 after a low of 85 around hour 22.8. Respiratory rate ended at 11; the available labs showed white count fell from 9.7 to 7.8, creatinine fell from 1 to 0.9, lactate was checked once at 209, and urine output rose from 71 to 375.\nD. Over the available measurements, the heart rate rose from 46 to 86, MAP fell from 88 to 68, and diastolic pressure moved from 74 to 58. Systolic pressure ranged 92-148 and ended at 92, and SpO2 recovered to 100 after a low of 76 around hour 19.6. Respiratory rate ended at 15; the available labs showed white count fell from 8.3 to 6.5, creatinine fell from 1 to 0.7, lactate was checked once at 154, and urine output rose from 80 to 320.","answer":"A","answer_text":"Over the available measurements, the heart rate rose from 50 to 83, MAP fell from 93 to 73, and diastolic pressure moved from 70 to 61. Systolic pressure ranged 97-178 and ended at 97, and SpO2 recovered to 97 after a low of 81 around hour 21.8. Respiratory rate ended at 13; the available labs showed white count fell from 9.1 to 7.2, creatinine fell from 1 to 0.8, lactate was checked once at 184, and urine output rose from 75 to 350.","episode_id":"iv_000181","anchor_time":59}
{"id":"TSS_iv_000182_clinical_summary_45_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 99 to 78, diastolic pressure fell from 88 to 60, and heart rate fell from 82 to 62. The lowest MAP was about 42 around hour 45, and the lowest valid SpO2 was 93 around hour 13.3; respiratory rate rose as high as 28 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 32.9-35 C, white count was roughly stable (10.4 to 8.9), creatinine stayed around 1.4, lactate was not available, and urine output fell from 345 to 180.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 83, diastolic pressure fell from 83 to 61, and heart rate fell from 87 to 57. The lowest MAP was about 37 around hour 47.1, and the lowest valid SpO2 was 88 around hour 15.9; respiratory rate rose as high as 29 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 38.1-40 C, white count was roughly stable (9.5 to 11.5), creatinine was roughly stable (1.0 to 1.3), lactate was not available, and urine output was roughly stable (325 to 250)\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 77, diastolic pressure fell from 89 to 67, and heart rate fell from 81 to 62. The lowest MAP was about 43 around hour 41.1, and the lowest valid SpO2 was 94 around hour 13.8; respiratory rate rose as high as 29 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 32.1-34 C, white count was roughly stable (10.5 to 8.5), creatinine stayed around 1.4, lactate was not available, and urine output fell from 350 to 175.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 96 to 81, diastolic pressure fell from 85 to 63, and heart rate fell from 85 to 59. The lowest MAP was about 39 around hour 44.9, and the lowest valid SpO2 was 90 around hour 14.8; respiratory rate rose as high as 27 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 35.9-38 C, white count was roughly stable (9.9 to 10.4), creatinine stayed around 1.2, lactate was not available, and urine output fell from 325 to 200.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 96 to 81, diastolic pressure fell from 85 to 63, and heart rate fell from 85 to 59. The lowest MAP was about 39 around hour 44.9, and the lowest valid SpO2 was 90 around hour 14.8; respiratory rate rose as high as 27 but ended at 14. The lower-frequency data fit that summary: temperature ranged from 96.6 to 100.4, white count was roughly stable (9.9 to 10.4), creatinine stayed around 1.2, lactate was not available, and urine output fell from 325 to 200.","episode_id":"iv_000182","anchor_time":45}
{"id":"TSS_iv_000182_clinical_summary_45_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 129 to 138, MAP fell from 96 to 81, and heart rate fell from 85 to 59. SpO2 started at 100, ended at 96, and fell as low as 90 around hour 14.8; respiratory rate ranged 9-27. For labs and output, white count was roughly stable (9.9 to 10.4), creatinine stayed around 1.2, lactate was not available, and urine output fell from 325 to 200.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 114 to 153, MAP fell from 99 to 79, and heart rate fell from 87 to 57. SpO2 started at 98, ended at 94, and fell as low as 88 around hour 15.9; respiratory rate ranged 9-28. For labs and output, white count was roughly stable (10.3 to 9.3), creatinine was roughly stable (1.0 to 1.3), lactate was not available, and urine output fell from 325 to 200.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (154 to 134), MAP fell from 100 to 84, and heart rate fell from 81 to 63. SpO2 started at 96, ended at 100, and fell as low as 89 around hour 12.9; respiratory rate ranged 10-25. For labs and output, white count was roughly stable (9.3 to 12.3), creatinine stayed around 1.4, lactate was not available, and urine output fell from 300 to 225.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 99 to 168, MAP fell from 92 to 76, and heart rate fell from 90 to 62. SpO2 started at 96, ended at 92, and fell as low as 86 around hour 17.1; respiratory rate ranged 8-29. For labs and output, white count was roughly stable (10.7 to 9.6), creatinine stayed around 0.9, lactate was not available, and urine output fell from 355 to 170.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 129 to 138, MAP fell from 96 to 81, and heart rate fell from 85 to 59. SpO2 started at 100, ended at 96, and fell as low as 90 around hour 14.8; respiratory rate ranged 9-27. For labs and output, white count was roughly stable (9.9 to 10.4), creatinine stayed around 1.2, lactate was not available, and urine output fell from 325 to 200.","episode_id":"iv_000182","anchor_time":45}
{"id":"TSS_iv_000183_clinical_summary_39_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 86 to 70, while MAP was roughly stable (55 to 54). Systolic pressure was labile, ranging 84-156, with the lowest value around hour 26. SpO2 briefly dipped to 88 around hour 12.1 before recovering to 93, while respiratory rate peaked at 34 and later settled at 28. The associated labs and urine output showed that white count was roughly stable (5.4 to 6.0), creatinine rose from 0.8 to 2, lactate was checked once at 461, and urine output fell from 170 to 50, with recorded outputs ranging 33-530.\nB. Viewed chronologically, the heart rate fell from 81 to 75, while MAP was roughly stable (50 to 49). Systolic pressure was labile, ranging 89-191, with the lowest value around hour 23. SpO2 briefly dipped to 83 around hour 10.0 before recovering to 98, while respiratory rate peaked at 29 and later settled at 25. The associated labs and urine output showed that white count fell from 6.3 to 4.7, creatinine rose from 0.6 to 2.1, lactate was checked once at 426, and urine output was roughly stable (135 to 98), with recorded outputs ranging 80-565.\nC. Viewed chronologically, the heart rate fell from 87 to 69, while MAP was roughly stable (56 to 55). Systolic pressure was labile, ranging 91-151, with the lowest value around hour 26. SpO2 briefly dipped to 86 around hour 13.0 before recovering to 92, while respiratory rate peaked at 33 and later settled at 28. The associated labs and urine output showed that white count was roughly stable (5.3 to 6.1), creatinine rose from 0.8 to 2, lactate was checked once at 466, and urine output was roughly stable (175 to 96), with recorded outputs ranging 34-525.\nD. Viewed chronologically, the heart rate fell from 83 to 73, while MAP was roughly stable (52 to 51). Systolic pressure was labile, ranging 87-176, with the lowest value around hour 24. SpO2 briefly dipped to 85 around hour 11.1 before recovering to 96, while respiratory rate peaked at 31 and later settled at 26. The associated labs and urine output showed that white count was roughly stable (5.9 to 5.5), creatinine rose from 0.7 to 2, lactate was checked once at 441, and urine output was roughly stable (150 to 100), with recorded outputs ranging 30-550.","answer":"D","answer_text":"Viewed chronologically, the heart rate fell from 83 to 73, while MAP was roughly stable (52 to 51). Systolic pressure was labile, ranging 87-176, with the lowest value around hour 24. SpO2 briefly dipped to 85 around hour 11.1 before recovering to 96, while respiratory rate peaked at 31 and later settled at 26. The associated labs and urine output showed that white count was roughly stable (5.9 to 5.5), creatinine rose from 0.7 to 2, lactate was checked once at 441, and urine output was roughly stable (150 to 100), with recorded outputs ranging 30-550.","episode_id":"iv_000183","anchor_time":39}
{"id":"TSS_iv_000183_clinical_summary_39_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (52 to 51), diastolic pressure rose from 21 to 38, and heart rate fell from 83 to 73. The lowest MAP was about 46 around hour 36, and the lowest valid SpO2 was 85 around hour 11.1; respiratory rate rose as high as 31 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 36.1-37.2 C, white count was roughly stable (5.9 to 5.5), creatinine rose from 0.7 to 2, lactate was checked once at 441, and urine output was roughly stable (150 to 100)\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (50 to 53), diastolic pressure rose from 20 to 36, and heart rate fell from 85 to 76. The lowest MAP was about 44 around hour 38, and the lowest valid SpO2 was 83 around hour 10.1; respiratory rate rose as high as 29 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 38.4-39.5 C, white count was roughly stable (5.5 to 5.9), creatinine rose from 0.6 to 2, lactate was checked once at 456, and urine output was roughly stable (135 to 98)\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (56 to 47), diastolic pressure rose from 23 to 42, and heart rate fell from 79 to 77. The lowest MAP was about 50 around hour 32, and the lowest valid SpO2 was 89 around hour 9.2; respiratory rate rose as high as 33 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 32.4-33.5 C, white count was roughly stable (6.5 to 4.9), creatinine rose from 0.8 to 2.1, lactate was checked once at 416, and urine output was roughly stable (175 to 150)\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (48 to 56), diastolic pressure rose from 19 to 35, and heart rate fell from 88 to 68. The lowest MAP was about 49 around hour 37, and the lowest valid SpO2 was 80 around hour 13.3; respiratory rate rose as high as 26 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 40.6-41.7 C, white count was roughly stable (5.2 to 6.2), creatinine rose from 0.5 to 2, lactate was checked once at 471, and urine output was roughly stable (120 to 96)","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (52 to 51), diastolic pressure rose from 21 to 38, and heart rate fell from 83 to 73. The lowest MAP was about 46 around hour 36, and the lowest valid SpO2 was 85 around hour 11.1; respiratory rate rose as high as 31 but ended at 26. The lower-frequency data fit that summary: temperature ranged from 96.9 to 99, white count was roughly stable (5.9 to 5.5), creatinine rose from 0.7 to 2, lactate was checked once at 441, and urine output was roughly stable (150 to 100)","episode_id":"iv_000183","anchor_time":39}
{"id":"TSS_iv_000185_clinical_summary_47_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 192 to 135, MAP fell from 142 to 95, and heart rate was roughly stable (82 to 93). SpO2 started at 82, ended at 99, and fell as low as 84 around hour 0.0; respiratory rate ranged 6-20. For labs and output, white count fell from 20 to 18, creatinine was roughly stable (2 to 1.4), lactate fell from 184 to 1.4, and urine output fell from 160 to 97.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 157 to 154, MAP fell from 107 to 90, and heart rate rose from 87 to 93. SpO2 started at 87, ended at 94, and fell as low as 83 around hour 0.2; respiratory rate ranged 6-23. For labs and output, white count fell from 22 to 18.2, creatinine was roughly stable (2 to 1.8), lactate fell from 149 to 1.0, and urine output fell from 195 to 98.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 197 to 114, MAP fell from 147 to 96, and heart rate was roughly stable (81 to 94). SpO2 started at 81, ended at 100, and fell as low as 89 around hour 0.0; respiratory rate ranged 7-19. For labs and output, white count fell from 19 to 18, creatinine was roughly stable (2 to 1.7), lactate fell from 164.2 to 1.4, and urine output fell from 155 to 50.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 172 to 139, MAP fell from 122 to 92, and heart rate was roughly stable (85 to 90). SpO2 started at 85, ended at 96, and fell as low as 85 around hour 0.1; respiratory rate ranged 6-21. For labs and output, white count fell from 21 to 19, creatinine was roughly stable (2 to 1.6), lactate fell from 164 to 1.2, and urine output fell from 180 to 100.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 172 to 139, MAP fell from 122 to 92, and heart rate was roughly stable (85 to 90). SpO2 started at 85, ended at 96, and fell as low as 85 around hour 0.1; respiratory rate ranged 6-21. For labs and output, white count fell from 21 to 19, creatinine was roughly stable (2 to 1.6), lactate fell from 164 to 1.2, and urine output fell from 180 to 100.","episode_id":"iv_000185","anchor_time":47}
{"id":"TSS_iv_000185_clinical_summary_47_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. In broad terms, the heart rate was roughly stable (85 to 90), MAP fell from 122 to 92, and diastolic pressure moved from 106 to 77. Systolic pressure ranged 90-172 and ended at 139, and SpO2 recovered to 96 after a low of 85 around hour 0.1. Respiratory rate ended at 15; the available labs showed white count fell from 21 to 19, creatinine was roughly stable (2 to 1.6), lactate fell from 164 to 1.2, and urine output fell from 180 to 100.\nB. In broad terms, the heart rate rose from 83 to 93, MAP fell from 107 to 90, and diastolic pressure moved from 108 to 74. Systolic pressure ranged 88-157 and ended at 124, and SpO2 recovered to 98 after a low of 83 around hour 0.0. Respiratory rate ended at 16; the available labs showed white count fell from 20 to 18, creatinine was roughly stable (2 to 1.5), lactate fell from 149 to 1.4, and urine output fell from 165 to 98.\nC. In broad terms, the heart rate was roughly stable (89 to 86), MAP fell from 147 to 96, and diastolic pressure moved from 102 to 81. Systolic pressure ranged 94-197 and ended at 164, and SpO2 recovered to 92 after a low of 84 around hour 0.2. Respiratory rate ended at 13; the available labs showed white count fell from 23 to 18.2, creatinine was roughly stable (2 to 1.9), lactate fell from 189 to 0.9, and urine output fell from 230 to 96.\nD. In broad terms, the heart rate was roughly stable (80 to 94), MAP fell from 92 to 89, and diastolic pressure moved from 110 to 72. Systolic pressure ranged 86-142 and ended at 135, and SpO2 recovered to 100 after a low of 80 around hour 1.1. Respiratory rate ended at 17; the available labs showed white count fell from 19 to 17, creatinine was roughly stable (2 to 1.3), lactate fell from 134 to 1.5, and urine output fell from 150 to 96.","answer":"A","answer_text":"In broad terms, the heart rate was roughly stable (85 to 90), MAP fell from 122 to 92, and diastolic pressure moved from 106 to 77. Systolic pressure ranged 90-172 and ended at 139, and SpO2 recovered to 96 after a low of 85 around hour 0.1. Respiratory rate ended at 15; the available labs showed white count fell from 21 to 19, creatinine was roughly stable (2 to 1.6), lactate fell from 164 to 1.2, and urine output fell from 180 to 100.","episode_id":"iv_000185","anchor_time":47}
{"id":"TSS_iv_000186_clinical_summary_52_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 117 to 127, MAP fell from 97 to 83, and heart rate was roughly stable (82 to 80). SpO2 started at 98, ended at 94, and fell as low as 85 around hour 0.5; respiratory rate ranged 6-26. For labs and output, white count rose from 4.8 to 9.3, creatinine was roughly stable (0.8 to 0.7), lactate rose from 2.6 to 290, and urine output was roughly stable (50 to 75)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (115 to 123), MAP fell from 95 to 86, and heart rate was roughly stable (84 to 78). SpO2 started at 100, ended at 92, and fell as low as 84 around hour 0.6; respiratory rate ranged 6-27. For labs and output, white count rose from 5.2 to 8.9, creatinine was roughly stable (0.7 to 0.8), lactate rose from 2.5 to 275, and urine output was roughly stable (52 to 73)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 121 to 141, MAP fell from 100 to 87, and heart rate was roughly stable (78 to 84). SpO2 started at 94, ended at 98, and fell as low as 89 around hour 0.4; respiratory rate ranged 7-24. For labs and output, white count rose from 4.2 to 9.9, creatinine stayed around 0.9, lactate rose from 2.8 to 290, and urine output was roughly stable (50 to 75)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 112 to 157, MAP fell from 92 to 78, and heart rate was roughly stable (86 to 83). SpO2 started at 100, ended at 90, and fell as low as 80 around hour 0.7; respiratory rate ranged 5-28. For labs and output, white count rose from 5.5 to 8.5, creatinine was roughly stable (0.7 to 0.8), lactate rose from 2.3 to 260, and urine output was roughly stable (54 to 70)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 117 to 127, MAP fell from 97 to 83, and heart rate was roughly stable (82 to 80). SpO2 started at 98, ended at 94, and fell as low as 85 around hour 0.5; respiratory rate ranged 6-26. For labs and output, white count rose from 4.8 to 9.3, creatinine was roughly stable (0.8 to 0.7), lactate rose from 2.6 to 290, and urine output was roughly stable (50 to 75)","episode_id":"iv_000186","anchor_time":52}
{"id":"TSS_iv_000187_clinical_summary_26_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 62 to 103, diastolic pressure rose from 47 to 66, and heart rate fell from 98 to 84. The lowest MAP was about 62 around hour 0.2, and the lowest valid SpO2 was 85 around hour 7.2; respiratory rate rose as high as 24 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 36.9-38.1 C, white count was 11.7 on its only check, creatinine stayed around 0.7, lactate was checked once at 1.4, and urine output was roughly stable (30 to 85)\nB. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 60 to 105, diastolic pressure rose from 45 to 64, and heart rate fell from 100 to 87. The lowest MAP was about 60 around hour 0.3, and the lowest valid SpO2 was 83 around hour 6.2; respiratory rate rose as high as 23 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 39.1-40.4 C, white count was 10.6 on its only check, creatinine stayed around 0.8, lactate was checked once at 1.2, and urine output was roughly stable (28 to 87)\nC. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 66 to 99, diastolic pressure rose from 51 to 63, and heart rate fell from 94 to 88. The lowest MAP was about 66 around hour 1.2, and the lowest valid SpO2 was 89 around hour 6.6; respiratory rate rose as high as 26 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 33.1-34.4 C, white count was 13.6 on its only check, creatinine stayed around 0.6, lactate was checked once at 1.6, and urine output was roughly stable (34 to 81)\nD. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 58 to 108, diastolic pressure rose from 42 to 62, and heart rate fell from 100 to 80. The lowest MAP was about 58 around hour 0.4, and the lowest valid SpO2 was 80 around hour 8.0; respiratory rate rose as high as 26 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 41.4-42.6 C, white count was 9.4 on its only check, creatinine was roughly stable (0.8 to 0.8), lactate was checked once at 1.4, and urine output rose from 30 to 135.","answer":"A","answer_text":"Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 62 to 103, diastolic pressure rose from 47 to 66, and heart rate fell from 98 to 84. The lowest MAP was about 62 around hour 0.2, and the lowest valid SpO2 was 85 around hour 7.2; respiratory rate rose as high as 24 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 98.4 to 100.5, white count was 11.7 on its only check, creatinine stayed around 0.7, lactate was checked once at 1.4, and urine output was roughly stable (30 to 85)","episode_id":"iv_000187","anchor_time":26}
{"id":"TSS_iv_000187_clinical_summary_26_3","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 100 to 81, MAP rose from 65 to 106, and diastolic pressure moved from 44 to 69. Systolic pressure ranged 111-209 and ended at 164, and SpO2 recovered to 91 after a low of 84 around hour 7.7. Respiratory rate ended at 20; the available labs showed white count was 13.2 on its only check, creatinine stayed around 0.8, lactate was checked once at 1.2, and urine output was roughly stable (80 to 88)\nB. Across the recorded window, the heart rate fell from 96 to 87, MAP rose from 60 to 101, and diastolic pressure moved from 49 to 63. Systolic pressure ranged 106-174 and ended at 129, and SpO2 recovered to 96 after a low of 83 around hour 6.8. Respiratory rate ended at 22; the available labs showed white count was 10.6 on its only check, creatinine stayed around 0.6, lactate was checked once at 1.5, and urine output was roughly stable (28 to 83)\nC. Across the recorded window, the heart rate fell from 98 to 84, MAP rose from 62 to 103, and diastolic pressure moved from 47 to 66. Systolic pressure ranged 108-189 and ended at 144, and SpO2 recovered to 94 after a low of 85 around hour 7.2. Respiratory rate ended at 21; the available labs showed white count was 11.7 on its only check, creatinine stayed around 0.7, lactate was checked once at 1.4, and urine output was roughly stable (30 to 85)\nD. Across the recorded window, the heart rate fell from 94 to 88, MAP rose from 58 to 106, and diastolic pressure moved from 52 to 62. Systolic pressure ranged 104-159 and ended at 140, and SpO2 recovered to 98 after a low of 80 around hour 8.2. Respiratory rate ended at 23; the available labs showed white count was 9.4 on its only check, creatinine stayed around 0.5, lactate was checked once at 1.7, and urine output was roughly stable (26 to 80)","answer":"C","answer_text":"Across the recorded window, the heart rate fell from 98 to 84, MAP rose from 62 to 103, and diastolic pressure moved from 47 to 66. Systolic pressure ranged 108-189 and ended at 144, and SpO2 recovered to 94 after a low of 85 around hour 7.2. Respiratory rate ended at 21; the available labs showed white count was 11.7 on its only check, creatinine stayed around 0.7, lactate was checked once at 1.4, and urine output was roughly stable (30 to 85)","episode_id":"iv_000187","anchor_time":26}
{"id":"TSS_iv_000188_clinical_summary_75_1","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 110 to 113, diastolic pressure rose from 96 to 105, and heart rate was roughly stable (67 to 78). The lowest MAP was about 80 around hour 4.7, and the lowest valid SpO2 was 91 around hour 0.6; respiratory rate rose as high as 22 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.9-34.1 C, white count fell from 5.3 to 3.0, creatinine was roughly stable (1 to 0.7), lactate fell from 160 to 0.9, and urine output was roughly stable (320 to 350)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 107 to 113, diastolic pressure rose from 93 to 102, and heart rate was roughly stable (70 to 75). The lowest MAP was about 77 around hour 5.2, and the lowest valid SpO2 was 88 around hour 0.7; respiratory rate rose as high as 20 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 35.9-37.1 C, white count fell from 4.8 to 3.5, creatinine was roughly stable (1 to 0.6), lactate fell from 180 to 0.8, and urine output was roughly stable (300 to 300)\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 111 to 114, diastolic pressure rose from 97 to 99, and heart rate was roughly stable (66 to 79). The lowest MAP was about 80 around hour 6.2, and the lowest valid SpO2 was 92 around hour 0.6; respiratory rate rose as high as 22 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.1-33.4 C, white count fell from 5.4 to 2.9, creatinine was roughly stable (1 to 0.7), lactate fell from 155 to 0.9, and urine output was roughly stable (325 to 275)\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 102 to 118, diastolic pressure rose from 88 to 98, and heart rate rose from 74 to 78. The lowest MAP was about 72 around hour 6.0, and the lowest valid SpO2 was 84 around hour 0; respiratory rate rose as high as 18 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 40.4-41.6 C, white count fell from 4.0 to 3.5, creatinine was roughly stable (1 to 0.4), lactate fell from 210 to 0.7, and urine output was roughly stable (270 to 330)","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 107 to 113, diastolic pressure rose from 93 to 102, and heart rate was roughly stable (70 to 75). The lowest MAP was about 77 around hour 5.2, and the lowest valid SpO2 was 88 around hour 0.7; respiratory rate rose as high as 20 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 96.7 to 98.8, white count fell from 4.8 to 3.5, creatinine was roughly stable (1 to 0.6), lactate fell from 180 to 0.8, and urine output was roughly stable (300 to 300)","episode_id":"iv_000188","anchor_time":75}
{"id":"TSS_iv_000189_clinical_summary_62_1","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (78 to 75), diastolic pressure was roughly stable (67 to 70), and heart rate fell from 86 to 75. The lowest MAP was about 57 around hour 35.2, and the lowest valid SpO2 was 88 around hour 8.7; respiratory rate rose as high as 30 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.3-34.7 C, white count fell from 6 to 2.8, creatinine was roughly stable (0.8 to 1), lactate was not available, and urine output was roughly stable (97 to 130)\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (73 to 80), diastolic pressure was roughly stable (62 to 65), and heart rate fell from 91 to 75. The lowest MAP was about 52 around hour 40.5, and the lowest valid SpO2 was 83 around hour 8.2; respiratory rate rose as high as 27 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 38.5-40.0 C, white count fell from 6 to 3.7, creatinine was roughly stable (0.6 to 0.8), lactate was not available, and urine output was roughly stable (98 to 78)\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 78), diastolic pressure was roughly stable (64 to 67), and heart rate fell from 89 to 72. The lowest MAP was about 54 around hour 38.2, and the lowest valid SpO2 was 85 around hour 9.2; respiratory rate rose as high as 28 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 36.3-37.7 C, white count fell from 6 to 3.3, creatinine was roughly stable (0.7 to 0.9), lactate was not available, and urine output was roughly stable (100 to 80)\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (70 to 82), diastolic pressure stayed around 60, and heart rate fell from 89 to 72. The lowest MAP was about 57 around hour 39.2, and the lowest valid SpO2 was 85 around hour 9.2; respiratory rate rose as high as 28 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 36.3-37.7 C, white count fell from 6 to 3.3, creatinine was roughly stable (0.7 to 0.9), lactate was not available, and urine output was roughly stable (100 to 80)","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 78), diastolic pressure was roughly stable (64 to 67), and heart rate fell from 89 to 72. The lowest MAP was about 54 around hour 38.2, and the lowest valid SpO2 was 85 around hour 9.2; respiratory rate rose as high as 28 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 97.3 to 99.8, white count fell from 6 to 3.3, creatinine was roughly stable (0.7 to 0.9), lactate was not available, and urine output was roughly stable (100 to 80)","episode_id":"iv_000189","anchor_time":62}
{"id":"TSS_iv_000189_clinical_summary_62_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (109 to 107), MAP was roughly stable (78 to 81), and heart rate fell from 86 to 75. SpO2 started at 97, ended at 100, and fell as low as 88 around hour 8.7; respiratory rate ranged 14-30. For labs and output, white count fell from 6 to 3.8, creatinine was roughly stable (0.8 to 1), lactate was not available, and urine output was roughly stable (97 to 83)\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 104, MAP rose from 75 to 81, and heart rate fell from 89 to 72. SpO2 started at 100, ended at 98, and fell as low as 84 around hour 9.2; respiratory rate ranged 12-28. For labs and output, white count fell from 6 to 3.3, creatinine was roughly stable (0.7 to 0.9), lactate was not available, and urine output was roughly stable (100 to 80)\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (110 to 106), MAP was roughly stable (79 to 82), and heart rate fell from 85 to 75. SpO2 started at 96, ended at 100, and fell as low as 89 around hour 8.6; respiratory rate ranged 14-30. For labs and output, white count fell from 5 to 2.5, creatinine was roughly stable (0.8 to 0.8), lactate was not available, and urine output was roughly stable (96 to 84)\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (106 to 110), MAP was roughly stable (75 to 78), and heart rate fell from 89 to 72. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 9.2; respiratory rate ranged 12-28. For labs and output, white count fell from 6 to 3.3, creatinine was roughly stable (0.7 to 0.9), lactate was not available, and urine output was roughly stable (100 to 80)","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (106 to 110), MAP was roughly stable (75 to 78), and heart rate fell from 89 to 72. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 9.2; respiratory rate ranged 12-28. For labs and output, white count fell from 6 to 3.3, creatinine was roughly stable (0.7 to 0.9), lactate was not available, and urine output was roughly stable (100 to 80)","episode_id":"iv_000189","anchor_time":62}
{"id":"TSS_iv_000189_clinical_summary_62_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 89 to 72, MAP was roughly stable (75 to 78), and diastolic pressure moved from 64 to 67. Systolic pressure ranged 86-124 and ended at 110, and SpO2 recovered to 98 after a low of 85 around hour 9.2. Respiratory rate ended at 21; the available labs showed white count fell from 6 to 3.3, creatinine was roughly stable (0.7 to 0.9), lactate was not available, and urine output was roughly stable (100 to 80)\nB. Over the available measurements, the heart rate fell from 87 to 74, MAP rose from 73 to 81, and diastolic pressure moved from 66 to 65. Systolic pressure ranged 84-109 and ended at 106, and SpO2 recovered to 100 after a low of 83 around hour 10.2. Respiratory rate ended at 22; the available labs showed white count fell from 6 to 2.9, creatinine was roughly stable (0.8 to 0.8), lactate was not available, and urine output was roughly stable (98 to 82)\nC. Over the available measurements, the heart rate fell from 93 to 75, MAP was roughly stable (79 to 82), and diastolic pressure moved from 60 to 64. Systolic pressure ranged 90-149 and ended at 114, and SpO2 recovered to 94 after a low of 89 around hour 9.8. Respiratory rate ended at 19; the available labs showed white count fell from 7 to 3.9, creatinine was roughly stable (0.6 to 1.0), lactate was not available, and urine output was roughly stable (96 to 76)\nD. Over the available measurements, the heart rate fell from 84 to 76, MAP was roughly stable (70 to 74), and diastolic pressure moved from 68 to 62. Systolic pressure ranged 82-94 and ended at 106, and SpO2 recovered to 100 after a low of 84 around hour 8.4. Respiratory rate ended at 23; the available labs showed white count fell from 5 to 2.5, creatinine was roughly stable (0.8 to 0.8), lactate was not available, and urine output was roughly stable (150 to 84)","answer":"A","answer_text":"Over the available measurements, the heart rate fell from 89 to 72, MAP was roughly stable (75 to 78), and diastolic pressure moved from 64 to 67. Systolic pressure ranged 86-124 and ended at 110, and SpO2 recovered to 98 after a low of 85 around hour 9.2. Respiratory rate ended at 21; the available labs showed white count fell from 6 to 3.3, creatinine was roughly stable (0.7 to 0.9), lactate was not available, and urine output was roughly stable (100 to 80)","episode_id":"iv_000189","anchor_time":62}
{"id":"TSS_iv_000190_clinical_summary_31_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (90 to 86), diastolic pressure rose from 69 to 76, and heart rate fell from 109 to 100. The lowest MAP was about 59 around hour 2.8, and the lowest valid SpO2 was 88 around hour 1.4; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 32.9-34.2 C, white count was 20.1 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output fell from 1280 to 280.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (85 to 91), diastolic pressure rose from 64 to 77, and heart rate fell from 114 to 96. The lowest MAP was about 54 around hour 2.0, and the lowest valid SpO2 was 83 around hour 1.8; respiratory rate rose as high as 28 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 38.1-39.5 C, white count was 17.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 1140 to 310.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (91 to 85), diastolic pressure rose from 70 to 83, and heart rate fell from 108 to 101. The lowest MAP was about 60 around hour 1.6, and the lowest valid SpO2 was 89 around hour 0.6; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 32.1-33.5 C, white count was 20.5 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output fell from 1300 to 285.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (87 to 89), diastolic pressure rose from 66 to 79, and heart rate fell from 112 to 98. The lowest MAP was about 56 around hour 1.8, and the lowest valid SpO2 was 85 around hour 1.6; respiratory rate rose as high as 26 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 35.9-37.2 C, white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 1200 to 260.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (87 to 89), diastolic pressure rose from 66 to 79, and heart rate fell from 112 to 98. The lowest MAP was about 56 around hour 1.8, and the lowest valid SpO2 was 85 around hour 1.6; respiratory rate rose as high as 26 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 96.6 to 98.9, white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 1200 to 260.","episode_id":"iv_000190","anchor_time":31}
{"id":"TSS_iv_000190_clinical_summary_31_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 131 to 121, MAP was roughly stable (87 to 89), and heart rate fell from 112 to 98. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 1.6; respiratory rate ranged 14-26. For labs and output, white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 1200 to 260.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 135 to 115, MAP was roughly stable (85 to 87), and heart rate fell from 114 to 96. SpO2 started at 98, ended at 95, and fell as low as 83 around hour 1.8; respiratory rate ranged 13-27. For labs and output, white count was 19.7 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output fell from 1140 to 275.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 156 to 117, MAP was roughly stable (91 to 92), and heart rate fell from 108 to 100. SpO2 started at 96, ended at 100, and fell as low as 84 around hour 1.4; respiratory rate ranged 16-24. For labs and output, white count was 16.7 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 1300 to 235.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 101 to 81, MAP was roughly stable (82 to 84), and heart rate fell from 116 to 101. SpO2 started at 96, ended at 92, and fell as low as 80 around hour 1.9; respiratory rate ranged 12-28. For labs and output, white count was 20.9 on its only check, creatinine was 0.3 on its only check, lactate was not available, and urine output fell from 1080 to 290.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 131 to 121, MAP was roughly stable (87 to 89), and heart rate fell from 112 to 98. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 1.6; respiratory rate ranged 14-26. For labs and output, white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 1200 to 260.","episode_id":"iv_000190","anchor_time":31}
{"id":"TSS_iv_000190_clinical_summary_31_3","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 115 to 95, MAP was roughly stable (90 to 92), and diastolic pressure moved from 63 to 82. Systolic pressure ranged 89-151 and ended at 117, and SpO2 recovered to 94 after a low of 88 around hour 2.6. Respiratory rate ended at 14; the available labs showed white count was 20.1 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 1120 to 280.\nB. Viewed chronologically, the heart rate fell from 112 to 98, MAP was roughly stable (87 to 89), and diastolic pressure moved from 66 to 79. Systolic pressure ranged 86-131 and ended at 121, and SpO2 recovered to 97 after a low of 85 around hour 1.6. Respiratory rate ended at 16; the available labs showed white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 1200 to 260.\nC. Viewed chronologically, the heart rate fell from 116 to 94, MAP was roughly stable (91 to 93), and diastolic pressure moved from 62 to 83. Systolic pressure ranged 90-156 and ended at 146, and SpO2 recovered to 93 after a low of 84 around hour 1.9. Respiratory rate ended at 14; the available labs showed white count was 20.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 1250 to 285.\nD. Viewed chronologically, the heart rate fell from 108 to 101, MAP was roughly stable (82 to 84), and diastolic pressure moved from 70 to 76. Systolic pressure ranged 82-101 and ended at 91, and SpO2 recovered to 100 after a low of 80 around hour 1.3. Respiratory rate ended at 18; the available labs showed white count was 16.4 on its only check, creatinine was 0.3 on its only check, lactate was not available, and urine output fell from 1320 to 230.","answer":"B","answer_text":"Viewed chronologically, the heart rate fell from 112 to 98, MAP was roughly stable (87 to 89), and diastolic pressure moved from 66 to 79. Systolic pressure ranged 86-131 and ended at 121, and SpO2 recovered to 97 after a low of 85 around hour 1.6. Respiratory rate ended at 16; the available labs showed white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 1200 to 260.","episode_id":"iv_000190","anchor_time":31}
{"id":"TSS_iv_000191_clinical_summary_99_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 68 to 93, while MAP rose from 71 to 97. Systolic pressure was labile, ranging 87-113, with the lowest value around hour 1.6. SpO2 briefly dipped to 86 around hour 44.5 before recovering to 93, while respiratory rate peaked at 42 and later settled at 36. The associated labs and urine output showed that white count rose from 8.9 to 18.1, creatinine rose from 1.4 to 1.6, lactate was checked once at 2.1, and urine output fell from 320 to 140, with recorded outputs ranging 22-380.\nB. Viewed chronologically, the heart rate rose from 63 to 98, while MAP rose from 66 to 97. Systolic pressure was labile, ranging 85-148, with the lowest value around hour 1.2. SpO2 briefly dipped to 83 around hour 42.5 before recovering to 98, while respiratory rate peaked at 38 and later settled at 31. The associated labs and urine output showed that white count rose from 11.5 to 15.5, creatinine rose from 1.0 to 1.5, lactate was checked once at 1.8, and urine output fell from 285 to 110, with recorded outputs ranging 19-415.\nC. Viewed chronologically, the heart rate rose from 69 to 92, while MAP rose from 72 to 98. Systolic pressure was labile, ranging 79-108, with the lowest value around hour 1.6. SpO2 briefly dipped to 89 around hour 45.2 before recovering to 92, while respiratory rate peaked at 44 and later settled at 37. The associated labs and urine output showed that white count rose from 8.5 to 15.8, creatinine rose from 1.4 to 1.5, lactate was checked once at 2.1, and urine output fell from 325 to 135, with recorded outputs ranging 70-375.\nD. Viewed chronologically, the heart rate rose from 65 to 96, while MAP rose from 68 to 94. Systolic pressure was labile, ranging 83-133, with the lowest value around hour 1.4. SpO2 briefly dipped to 85 around hour 41.5 before recovering to 96, while respiratory rate peaked at 40 and later settled at 33. The associated labs and urine output showed that white count rose from 10.4 to 16.6, creatinine rose from 1.2 to 1.4, lactate was checked once at 1.9, and urine output fell from 300 to 160, with recorded outputs ranging 20-400.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 65 to 96, while MAP rose from 68 to 94. Systolic pressure was labile, ranging 83-133, with the lowest value around hour 1.4. SpO2 briefly dipped to 85 around hour 41.5 before recovering to 96, while respiratory rate peaked at 40 and later settled at 33. The associated labs and urine output showed that white count rose from 10.4 to 16.6, creatinine rose from 1.2 to 1.4, lactate was checked once at 1.9, and urine output fell from 300 to 160, with recorded outputs ranging 20-400.","episode_id":"iv_000191","anchor_time":99}
{"id":"TSS_iv_000193_clinical_summary_136_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. In broad terms, the heart rate stayed around 97, MAP fell from 102 to 54, and diastolic pressure moved from 87 to 39. Systolic pressure ranged 72-185 and ended at 86, and SpO2 recovered to 54 after a low of 54 around hour 136.7. Respiratory rate ended at 10; the available labs showed white count rose from 6.5 to 9.4, creatinine rose from 1.4 to 5.4, lactate fell from 4.2 to 0.9, and urine output was roughly stable (60 to 100)\nB. In broad terms, the heart rate stayed around 95, MAP fell from 104 to 57, and diastolic pressure moved from 85 to 41. Systolic pressure ranged 70-200 and ended at 82, and SpO2 recovered to 52 after a low of 56 around hour 136. Respiratory rate ended at 9; the available labs showed white count rose from 6.9 to 9.0, creatinine rose from 1.2 to 5.8, lactate fell from 3.8 to 0.8, and urine output was roughly stable (62 to 98)\nC. In broad terms, the heart rate stayed around 100, MAP fell from 98 to 58, and diastolic pressure moved from 91 to 35. Systolic pressure ranged 76-160 and ended at 82, and SpO2 recovered to 58 after a low of 53 around hour 161.7. Respiratory rate ended at 12; the available labs showed white count rose from 5.9 to 8.6, creatinine rose from 1.6 to 4.8, lactate fell from 4.8 to 1.0, and urine output was roughly stable (110 to 96)\nD. In broad terms, the heart rate was roughly stable (92 to 100), MAP fell from 102 to 54, and diastolic pressure moved from 87 to 36. Systolic pressure ranged 72-185 and ended at 86, and SpO2 recovered to 58 after a low of 54 around hour 136.7. Respiratory rate ended at 10; the available labs showed white count rose from 6.5 to 9.4, creatinine rose from 1.4 to 5.4, lactate fell from 4.2 to 0.9, and urine output was roughly stable (60 to 100)","answer":"A","answer_text":"In broad terms, the heart rate stayed around 97, MAP fell from 102 to 54, and diastolic pressure moved from 87 to 39. Systolic pressure ranged 72-185 and ended at 86, and SpO2 recovered to 54 after a low of 54 around hour 136.7. Respiratory rate ended at 10; the available labs showed white count rose from 6.5 to 9.4, creatinine rose from 1.4 to 5.4, lactate fell from 4.2 to 0.9, and urine output was roughly stable (60 to 100)","episode_id":"iv_000193","anchor_time":136}
{"id":"TSS_iv_000194_clinical_summary_40_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (93 to 85), diastolic pressure fell from 85 to 69, and heart rate was roughly stable (64 to 75). The lowest MAP was about 59 around hour 5.0, and the lowest valid SpO2 was 80 around hour 0.5; respiratory rate rose as high as 37 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.5-34.1 C, white count rose from 7.0 to 10.1, creatinine was roughly stable (0.8 to 0.8), lactate was not available, and urine output fell from 400 to 90.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (88 to 90), diastolic pressure fell from 80 to 64, and heart rate rose from 69 to 75. The lowest MAP was about 54 around hour 5.9, and the lowest valid SpO2 was 75 around hour 0; respiratory rate rose as high as 33 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 38.8-39.4 C, white count rose from 6.1 to 12.7, creatinine stayed around 0.6, lactate was not available, and urine output fell from 385 to 42.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (94 to 84), diastolic pressure fell from 86 to 63, and heart rate was roughly stable (63 to 76). The lowest MAP was about 59 around hour 6.5, and the lowest valid SpO2 was 81 around hour 0.5; respiratory rate rose as high as 39 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 32.8-33.4 C, white count rose from 7.1 to 9.7, creatinine stayed around 0.8, lactate was not available, and urine output fell from 425 to 36.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (90 to 88), diastolic pressure fell from 82 to 66, and heart rate was roughly stable (67 to 72). The lowest MAP was about 56 around hour 5.5, and the lowest valid SpO2 was 77 around hour 0.6; respiratory rate rose as high as 35 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.5-37.1 C, white count rose from 6.5 to 11.6, creatinine stayed around 0.7, lactate was not available, and urine output fell from 400 to 40.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (90 to 88), diastolic pressure fell from 82 to 66, and heart rate was roughly stable (67 to 72). The lowest MAP was about 56 around hour 5.5, and the lowest valid SpO2 was 77 around hour 0.6; respiratory rate rose as high as 35 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 97.7 to 98.7, white count rose from 6.5 to 11.6, creatinine stayed around 0.7, lactate was not available, and urine output fell from 400 to 40.","episode_id":"iv_000194","anchor_time":40}
{"id":"TSS_iv_000194_clinical_summary_40_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 143 to 167, MAP was roughly stable (90 to 88), and heart rate was roughly stable (67 to 72). SpO2 started at 93, ended at 97, and fell as low as 77 around hour 0.6; respiratory rate ranged 12-35. For labs and output, white count rose from 6.5 to 11.6, creatinine stayed around 0.7, lactate was not available, and urine output fell from 400 to 40.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 128 to 163, MAP was roughly stable (88 to 91), and heart rate was roughly stable (69 to 70). SpO2 started at 95, ended at 95, and fell as low as 76 around hour 0.7; respiratory rate ranged 11-37. For labs and output, white count rose from 6.9 to 10.5, creatinine stayed around 0.6, lactate was not available, and urine output fell from 415 to 38.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 168 to 188, MAP was roughly stable (94 to 92), and heart rate rose from 63 to 75. SpO2 started at 89, ended at 100, and fell as low as 81 around hour 0.5; respiratory rate ranged 14-37. For labs and output, white count rose from 5.9 to 10.8, creatinine stayed around 0.8, lactate was not available, and urine output fell from 375 to 44.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 113 to 197, MAP was roughly stable (86 to 84), and heart rate was roughly stable (72 to 68). SpO2 started at 98, ended at 92, and fell as low as 72 around hour 0.8; respiratory rate ranged 10-40. For labs and output, white count rose from 7.2 to 9.3, creatinine was roughly stable (0.5 to 0.8), lactate was not available, and urine output fell from 400 to 40.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 143 to 167, MAP was roughly stable (90 to 88), and heart rate was roughly stable (67 to 72). SpO2 started at 93, ended at 97, and fell as low as 77 around hour 0.6; respiratory rate ranged 12-35. For labs and output, white count rose from 6.5 to 11.6, creatinine stayed around 0.7, lactate was not available, and urine output fell from 400 to 40.","episode_id":"iv_000194","anchor_time":40}
{"id":"TSS_iv_000194_clinical_summary_40_3","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. For handoff, the heart rate was roughly stable (70 to 69), MAP was roughly stable (93 to 91), and diastolic pressure moved from 79 to 69. Systolic pressure ranged 110-197 and ended at 187, and SpO2 recovered to 94 after a low of 76 around hour 0.7. Respiratory rate ended at 16; the available labs showed white count rose from 7.0 to 10.8, creatinine stayed around 0.6, lactate was not available, and urine output fell from 450 to 43.\nB. For handoff, the heart rate was roughly stable (67 to 72), MAP was roughly stable (90 to 88), and diastolic pressure moved from 82 to 66. Systolic pressure ranged 107-177 and ended at 167, and SpO2 recovered to 97 after a low of 77 around hour 0.6. Respiratory rate ended at 17; the available labs showed white count rose from 6.5 to 11.6, creatinine stayed around 0.7, lactate was not available, and urine output fell from 400 to 40.\nC. For handoff, the heart rate rose from 71 to 75, MAP was roughly stable (94 to 92), and diastolic pressure moved from 78 to 63. Systolic pressure ranged 111-202 and ended at 192, and SpO2 recovered to 93 after a low of 81 around hour 0.7. Respiratory rate ended at 15; the available labs showed white count rose from 7.1 to 13.5, creatinine stayed around 0.6, lactate was not available, and urine output fell from 425 to 44.\nD. For handoff, the heart rate was roughly stable (62 to 76), MAP was roughly stable (86 to 91), and diastolic pressure moved from 86 to 62. Systolic pressure ranged 102-147 and ended at 163, and SpO2 recovered to 100 after a low of 72 around hour 1.6. Respiratory rate ended at 19; the available labs showed white count rose from 5.8 to 9.3, creatinine stayed around 0.8, lactate was not available, and urine output fell from 370 to 36.","answer":"B","answer_text":"For handoff, the heart rate was roughly stable (67 to 72), MAP was roughly stable (90 to 88), and diastolic pressure moved from 82 to 66. Systolic pressure ranged 107-177 and ended at 167, and SpO2 recovered to 97 after a low of 77 around hour 0.6. Respiratory rate ended at 17; the available labs showed white count rose from 6.5 to 11.6, creatinine stayed around 0.7, lactate was not available, and urine output fell from 400 to 40.","episode_id":"iv_000194","anchor_time":40}
{"id":"TSS_iv_000196_clinical_summary_44_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Clinically, the heart rate fell from 104 to 86, MAP fell from 90 to 76, and diastolic pressure moved from 74 to 54. Systolic pressure ranged 91-165 and ended at 150, and SpO2 recovered to 91 after a low of 84 around hour 10.2. Respiratory rate ended at 20; the available labs showed white count fell from 17.0 to 6.6, creatinine stayed around 0.6, lactate was not available, and urine output fell from 240 to 113.\nB. Clinically, the heart rate fell from 99 to 91, MAP fell from 85 to 76, and diastolic pressure moved from 79 to 49. Systolic pressure ranged 86-130 and ended at 126, and SpO2 recovered to 96 after a low of 83 around hour 10.7. Respiratory rate ended at 23; the available labs showed white count fell from 14.4 to 7.0, creatinine stayed around 0.8, lactate was not available, and urine output fell from 175 to 108.\nC. Clinically, the heart rate fell from 105 to 92, MAP fell from 91 to 77, and diastolic pressure moved from 73 to 48. Systolic pressure ranged 92-170 and ended at 155, and SpO2 recovered to 90 after a low of 89 around hour 10.3. Respiratory rate ended at 20; the available labs showed white count fell from 17.4 to 8.0, creatinine stayed around 0.6, lactate was not available, and urine output fell from 215 to 114.\nD. Clinically, the heart rate fell from 101 to 89, MAP fell from 87 to 73, and diastolic pressure moved from 77 to 51. Systolic pressure ranged 88-145 and ended at 130, and SpO2 recovered to 94 after a low of 85 around hour 9.7. Respiratory rate ended at 22; the available labs showed white count fell from 15.5 to 7.4, creatinine stayed around 0.7, lactate was not available, and urine output fell from 190 to 110.","answer":"D","answer_text":"Clinically, the heart rate fell from 101 to 89, MAP fell from 87 to 73, and diastolic pressure moved from 77 to 51. Systolic pressure ranged 88-145 and ended at 130, and SpO2 recovered to 94 after a low of 85 around hour 9.7. Respiratory rate ended at 22; the available labs showed white count fell from 15.5 to 7.4, creatinine stayed around 0.7, lactate was not available, and urine output fell from 190 to 110.","episode_id":"iv_000196","anchor_time":44}
{"id":"TSS_iv_000197_clinical_summary_27_0","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Clinically, the heart rate fell from 143 to 82, while MAP fell from 82 to 70. Systolic pressure was labile, ranging 72-103, with the lowest value around hour 10.0. SpO2 briefly dipped to 88 around hour 2.5 before recovering to 92, while respiratory rate peaked at 33 and later settled at 22. The associated labs and urine output showed that white count rose from 1 to 6.5, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 180 to 320, with recorded outputs ranging 200-400.\nB. Clinically, the heart rate fell from 123 to 85, while MAP fell from 79 to 67. Systolic pressure was labile, ranging 75-123, with the lowest value around hour 9.5. SpO2 briefly dipped to 85 around hour 2.3 before recovering to 95, while respiratory rate peaked at 30 and later settled at 21. The associated labs and urine output showed that white count rose from 1 to 7.3, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 200 to 300, with recorded outputs ranging 150-380.\nC. Clinically, the heart rate fell from 148 to 81, while MAP fell from 83 to 71. Systolic pressure was labile, ranging 79-98, with the lowest value around hour 10.1. SpO2 briefly dipped to 86 around hour 2.5 before recovering to 91, while respiratory rate peaked at 32 and later settled at 23. The associated labs and urine output showed that white count rose from 1 to 7.9, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 175 to 325, with recorded outputs ranging 175-405.\nD. Clinically, the heart rate fell from 93 to 90, while MAP fell from 74 to 70. Systolic pressure was labile, ranging 80-153, with the lowest value around hour 8.8. SpO2 briefly dipped to 80 around hour 3.3 before recovering to 100, while respiratory rate peaked at 26 and later settled at 19. The associated labs and urine output showed that white count rose from 1 to 6.5, creatinine was 0.4 on its only check, lactate was not available, and urine output was roughly stable (230 to 250), with recorded outputs ranging 120-350.","answer":"B","answer_text":"Clinically, the heart rate fell from 123 to 85, while MAP fell from 79 to 67. Systolic pressure was labile, ranging 75-123, with the lowest value around hour 9.5. SpO2 briefly dipped to 85 around hour 2.3 before recovering to 95, while respiratory rate peaked at 30 and later settled at 21. The associated labs and urine output showed that white count rose from 1 to 7.3, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 200 to 300, with recorded outputs ranging 150-380.","episode_id":"iv_000197","anchor_time":27}
{"id":"TSS_iv_000197_clinical_summary_27_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 123 to 85, MAP fell from 79 to 67, and diastolic pressure moved from 70 to 53. Systolic pressure ranged 75-123 and ended at 107, and SpO2 recovered to 95 after a low of 85 around hour 2.3. Respiratory rate ended at 21; the available labs showed white count rose from 1 to 7.3, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 200 to 300.\nB. Over the available measurements, the heart rate fell from 108 to 87, MAP fell from 77 to 65, and diastolic pressure moved from 72 to 51. Systolic pressure ranged 73-108 and ended at 105, and SpO2 recovered to 97 after a low of 84 around hour 2.1. Respiratory rate ended at 22; the available labs showed white count rose from 1 to 6.5, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (250 to 285)\nC. Over the available measurements, the heart rate fell from 148 to 88, MAP fell from 83 to 71, and diastolic pressure moved from 66 to 50. Systolic pressure ranged 79-148 and ended at 111, and SpO2 recovered to 91 after a low of 89 around hour 2.5. Respiratory rate ended at 19; the available labs showed white count rose from 1 to 7.9, creatinine was 0.5 on its only check, lactate was not available, and urine output rose from 225 to 325.\nD. Over the available measurements, the heart rate fell from 93 to 90, MAP fell from 74 to 70, and diastolic pressure moved from 74 to 48. Systolic pressure ranged 70-93 and ended at 103, and SpO2 recovered to 100 after a low of 80 around hour 3.3. Respiratory rate ended at 23; the available labs showed white count rose from 1 to 6.5, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 170 to 270.","answer":"A","answer_text":"Over the available measurements, the heart rate fell from 123 to 85, MAP fell from 79 to 67, and diastolic pressure moved from 70 to 53. Systolic pressure ranged 75-123 and ended at 107, and SpO2 recovered to 95 after a low of 85 around hour 2.3. Respiratory rate ended at 21; the available labs showed white count rose from 1 to 7.3, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 200 to 300.","episode_id":"iv_000197","anchor_time":27}
{"id":"TSS_iv_000202_clinical_summary_28_0","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. In broad terms, the heart rate fell from 94 to 73, while MAP stayed around 97. Systolic pressure was labile, ranging 90-155, with the lowest value around hour 17.8. SpO2 briefly dipped to 85 around hour 1.5 before recovering to 96, while respiratory rate peaked at 37 and later settled at 43. The associated labs and urine output showed that white count was 10.0 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output stayed around 150, with recorded outputs ranging 100-350.\nB. In broad terms, the heart rate fell from 89 to 78, while MAP was roughly stable (98 to 103). Systolic pressure was labile, ranging 87-135, with the lowest value around hour 16.3. SpO2 briefly dipped to 88 around hour 2.3 before recovering to 93, while respiratory rate peaked at 38 and later settled at 40. The associated labs and urine output showed that white count was 9.5 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output stayed around 100, with recorded outputs ranging 98-365.\nC. In broad terms, the heart rate fell from 91 to 76, while MAP stayed around 100. Systolic pressure was labile, ranging 87-135, with the lowest value around hour 16.3. SpO2 briefly dipped to 88 around hour 1.3 before recovering to 93, while respiratory rate peaked at 40 and later settled at 40. The associated labs and urine output showed that white count was 9.5 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (100 to 150), with recorded outputs ranging 100-350.\nD. In broad terms, the heart rate fell from 86 to 80, while MAP stayed around 96. Systolic pressure was labile, ranging 91-105, with the lowest value around hour 14.1. SpO2 briefly dipped to 89 around hour 1.0 before recovering to 88, while respiratory rate peaked at 42 and later settled at 36. The associated labs and urine output showed that white count was 8.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (96 to 120), with recorded outputs ranging 96-380.","answer":"C","answer_text":"In broad terms, the heart rate fell from 91 to 76, while MAP stayed around 100. Systolic pressure was labile, ranging 87-135, with the lowest value around hour 16.3. SpO2 briefly dipped to 88 around hour 1.3 before recovering to 93, while respiratory rate peaked at 40 and later settled at 40. The associated labs and urine output showed that white count was 9.5 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (100 to 150), with recorded outputs ranging 100-350.","episode_id":"iv_000202","anchor_time":28}
{"id":"TSS_iv_000202_clinical_summary_28_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 120 to 107, MAP stayed around 100, and heart rate fell from 91 to 76. SpO2 started at 98, ended at 93, and fell as low as 88 around hour 1.3; respiratory rate ranged 21-40. For labs and output, white count was 9.5 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (100 to 150)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 105 to 102, MAP stayed around 98, and heart rate fell from 89 to 79. SpO2 started at 96, ended at 95, and fell as low as 86 around hour 1.1; respiratory rate ranged 22-42. For labs and output, white count was 9.1 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (98 to 135)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 145 to 103, MAP stayed around 96, and heart rate fell from 95 to 79. SpO2 started at 100, ended at 89, and fell as low as 89 around hour 1.6; respiratory rate ranged 19-36. For labs and output, white count was 10.1 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output was roughly stable (96 to 175)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 90 to 87, MAP was roughly stable (96 to 103), and heart rate fell from 91 to 76. SpO2 started at 98, ended at 93, and fell as low as 87 around hour 1.3; respiratory rate ranged 21-40. For labs and output, white count was 9.5 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (100 to 150)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 120 to 107, MAP stayed around 100, and heart rate fell from 91 to 76. SpO2 started at 98, ended at 93, and fell as low as 88 around hour 1.3; respiratory rate ranged 21-40. For labs and output, white count was 9.5 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (100 to 150)","episode_id":"iv_000202","anchor_time":28}
{"id":"TSS_iv_000203_clinical_summary_46_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. For handoff, the heart rate rose from 72 to 75, while MAP rose from 78 to 84. Systolic pressure was labile, ranging 80-160, with the lowest value around hour 16. SpO2 briefly dipped to 86 around hour 1.5 before recovering to 92, while respiratory rate peaked at 28 and later settled at 22. The associated labs and urine output showed that white count fell from 15.8 to 14.7, creatinine was roughly stable (0.9 to 0.6), lactate was checked once at 244, and urine output rose from 2 to 100, with recorded outputs ranging 2-430.\nB. For handoff, the heart rate rose from 67 to 77, while MAP rose from 73 to 84. Systolic pressure was labile, ranging 78-195, with the lowest value around hour 14. SpO2 briefly dipped to 83 around hour 2.3 before recovering to 97, while respiratory rate peaked at 25 and later settled at 20. The associated labs and urine output showed that white count fell from 18.4 to 12.1, creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 209, and urine output was roughly stable (0 to 70), with recorded outputs ranging 0-465.\nC. For handoff, the heart rate rose from 73 to 76, while MAP rose from 79 to 85. Systolic pressure was labile, ranging 72-155, with the lowest value around hour 17. SpO2 briefly dipped to 89 around hour 1.6 before recovering to 91, while respiratory rate peaked at 28 and later settled at 23. The associated labs and urine output showed that white count fell from 15.4 to 12.4, creatinine stayed around 0.9, lactate was checked once at 224, and urine output rose from 0 to 120, with recorded outputs ranging 0-450.\nD. For handoff, the heart rate rose from 69 to 75, while MAP rose from 75 to 81. Systolic pressure was labile, ranging 76-180, with the lowest value around hour 15. SpO2 briefly dipped to 85 around hour 1.3 before recovering to 95, while respiratory rate peaked at 26 and later settled at 21. The associated labs and urine output showed that white count fell from 17.3 to 13.2, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 224, and urine output rose from 0 to 120, with recorded outputs ranging 0-450.","answer":"D","answer_text":"For handoff, the heart rate rose from 69 to 75, while MAP rose from 75 to 81. Systolic pressure was labile, ranging 76-180, with the lowest value around hour 15. SpO2 briefly dipped to 85 around hour 1.3 before recovering to 95, while respiratory rate peaked at 26 and later settled at 21. The associated labs and urine output showed that white count fell from 17.3 to 13.2, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 224, and urine output rose from 0 to 120, with recorded outputs ranging 0-450.","episode_id":"iv_000203","anchor_time":46}
{"id":"TSS_iv_000203_clinical_summary_46_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 72 to 75, MAP rose from 78 to 84, and diastolic pressure moved from 50 to 66. Systolic pressure ranged 79-200 and ended at 140, and SpO2 recovered to 92 after a low of 88 around hour 2.3. Respiratory rate ended at 20; the available labs showed white count fell from 18.8 to 14.7, creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 244, and urine output rose from 0 to 140.\nB. Across the recorded window, the heart rate rose from 67 to 78, MAP rose from 73 to 79, and diastolic pressure moved from 55 to 60. Systolic pressure ranged 74-165 and ended at 129, and SpO2 recovered to 97 after a low of 83 around hour 1.1. Respiratory rate ended at 22; the available labs showed white count fell from 16.2 to 12.1, creatinine was roughly stable (0.9 to 0.6), lactate was checked once at 209, and urine output rose from 2 to 105.\nC. Across the recorded window, the heart rate rose from 69 to 75, MAP rose from 75 to 81, and diastolic pressure moved from 53 to 63. Systolic pressure ranged 76-180 and ended at 144, and SpO2 recovered to 95 after a low of 85 around hour 1.3. Respiratory rate ended at 21; the available labs showed white count fell from 17.3 to 13.2, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 224, and urine output rose from 0 to 120.\nD. Across the recorded window, the heart rate rose from 64 to 80, MAP rose from 70 to 76, and diastolic pressure moved from 58 to 58. Systolic pressure ranged 72-150 and ended at 114, and SpO2 recovered to 100 after a low of 84 around hour 1.0. Respiratory rate ended at 23; the available labs showed white count fell from 15.1 to 12.4, creatinine was roughly stable (1.0 to 0.5), lactate was checked once at 194, and urine output was roughly stable (50 to 90)","answer":"C","answer_text":"Across the recorded window, the heart rate rose from 69 to 75, MAP rose from 75 to 81, and diastolic pressure moved from 53 to 63. Systolic pressure ranged 76-180 and ended at 144, and SpO2 recovered to 95 after a low of 85 around hour 1.3. Respiratory rate ended at 21; the available labs showed white count fell from 17.3 to 13.2, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 224, and urine output rose from 0 to 120.","episode_id":"iv_000203","anchor_time":46}
{"id":"TSS_iv_000204_clinical_summary_54_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate was roughly stable (45 to 50), while MAP was roughly stable (100 to 101). Systolic pressure was labile, ranging 128-197, with the lowest value around hour 2.7. SpO2 briefly dipped to 85 around hour 0.1 before recovering to 88, while respiratory rate peaked at 28 and later settled at 27. The associated labs and urine output showed that white count was 8.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 250 to 900, with recorded outputs ranging 125-900.\nB. Across the recorded window, the heart rate was roughly stable (43 to 52), while MAP was roughly stable (98 to 99). Systolic pressure was labile, ranging 132-212, with the lowest value around hour 2.6. SpO2 briefly dipped to 83 around hour 0.0 before recovering to 90, while respiratory rate peaked at 32 and later settled at 26. The associated labs and urine output showed that white count was 8.9 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output rose from 235 to 915, with recorded outputs ranging 110-915.\nC. Across the recorded window, the heart rate was roughly stable (49 to 46), while MAP was roughly stable (96 to 104). Systolic pressure was labile, ranging 103-172, with the lowest value around hour 3.0. SpO2 briefly dipped to 89 around hour 1.1 before recovering to 84, while respiratory rate peaked at 30 and later settled at 29. The associated labs and urine output showed that white count was 7.9 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 275 to 850, with recorded outputs ranging 150-875.\nD. Across the recorded window, the heart rate was roughly stable (40 to 54), while MAP was roughly stable (96 to 96). Systolic pressure was labile, ranging 158-227, with the lowest value around hour 2.4. SpO2 briefly dipped to 80 around hour 0.0 before recovering to 92, while respiratory rate peaked at 26 and later settled at 25. The associated labs and urine output showed that white count was 9.2 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output rose from 220 to 930, with recorded outputs ranging 175-930.","answer":"A","answer_text":"Across the recorded window, the heart rate was roughly stable (45 to 50), while MAP was roughly stable (100 to 101). Systolic pressure was labile, ranging 128-197, with the lowest value around hour 2.7. SpO2 briefly dipped to 85 around hour 0.1 before recovering to 88, while respiratory rate peaked at 28 and later settled at 27. The associated labs and urine output showed that white count was 8.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 250 to 900, with recorded outputs ranging 125-900.","episode_id":"iv_000204","anchor_time":54}
{"id":"TSS_iv_000204_clinical_summary_54_1","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (97 to 98), diastolic pressure fell from 82 to 66, and heart rate was roughly stable (42 to 53). The lowest MAP was about 79 around hour 19.3, and the lowest valid SpO2 was 88 around hour 0.0; respiratory rate rose as high as 30 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 33.7-34.7 C, white count was 9.0 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output rose from 270 to 950.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (100 to 101), diastolic pressure fell from 79 to 63, and heart rate was roughly stable (45 to 50). The lowest MAP was about 76 around hour 20.8, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 28 but ended at 27. The lower-frequency data fit that summary: temperature stayed around 36.7-37.7 C, white count was 8.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 250 to 900.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (96 to 97), diastolic pressure fell from 83 to 67, and heart rate rose from 41 to 53. The lowest MAP was about 80 around hour 18.9, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 30 but ended at 29. The lower-frequency data fit that summary: temperature stayed around 33.0-34.0 C, white count was 9.1 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output rose from 275 to 925.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (96 to 106), diastolic pressure fell from 74 to 60, and heart rate was roughly stable (50 to 46). The lowest MAP was about 79 around hour 21.8, and the lowest valid SpO2 was 80 around hour 0.2; respiratory rate rose as high as 26 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 41.2-42.2 C, white count was 7.8 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 220 to 870.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (100 to 101), diastolic pressure fell from 79 to 63, and heart rate was roughly stable (45 to 50). The lowest MAP was about 76 around hour 20.8, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 28 but ended at 27. The lower-frequency data fit that summary: temperature ranged from 98.1 to 99.8, white count was 8.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 250 to 900.","episode_id":"iv_000204","anchor_time":54}
{"id":"TSS_iv_000204_clinical_summary_54_2","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 189 to 193, MAP was roughly stable (97 to 104), and heart rate was roughly stable (42 to 53). SpO2 started at 82, ended at 91, and fell as low as 84 around hour 0.0; respiratory rate ranged 16-26. For labs and output, white count was 8.0 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 270 to 880.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 154 to 212, MAP was roughly stable (98 to 99), and heart rate rose from 47 to 53. SpO2 started at 87, ended at 86, and fell as low as 83 around hour 0.2; respiratory rate ranged 14-30. For labs and output, white count was 8.9 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output rose from 235 to 915.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 169 to 197, MAP was roughly stable (100 to 101), and heart rate was roughly stable (45 to 50). SpO2 started at 85, ended at 88, and fell as low as 85 around hour 0.1; respiratory rate ranged 15-28. For labs and output, white count was 8.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 250 to 900.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 165 to 227, MAP was roughly stable (96 to 96), and heart rate was roughly stable (50 to 46). SpO2 started at 90, ended at 84, and fell as low as 80 around hour 0.2; respiratory rate ranged 13-29. For labs and output, white count was 9.2 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output rose from 220 to 930.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 169 to 197, MAP was roughly stable (100 to 101), and heart rate was roughly stable (45 to 50). SpO2 started at 85, ended at 88, and fell as low as 85 around hour 0.1; respiratory rate ranged 15-28. For labs and output, white count was 8.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 250 to 900.","episode_id":"iv_000204","anchor_time":54}
{"id":"TSS_iv_000204_clinical_summary_54_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Clinically, the heart rate was roughly stable (48 to 47), MAP was roughly stable (97 to 104), and diastolic pressure moved from 76 to 66. Systolic pressure ranged 148-217 and ended at 217, and SpO2 recovered to 85 after a low of 84 around hour 0.2. Respiratory rate ended at 26; the available labs showed white count was 9.0 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 300 to 920.\nB. Clinically, the heart rate was roughly stable (43 to 52), MAP was roughly stable (98 to 104), and diastolic pressure moved from 81 to 61. Systolic pressure ranged 113-182 and ended at 193, and SpO2 recovered to 90 after a low of 83 around hour 1.1. Respiratory rate ended at 28; the available labs showed white count was 8.1 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output rose from 265 to 885.\nC. Clinically, the heart rate rose from 49 to 53, MAP was roughly stable (96 to 105), and diastolic pressure moved from 75 to 60. Systolic pressure ranged 153-222 and ended at 222, and SpO2 recovered to 84 after a low of 89 around hour 0.2. Respiratory rate ended at 25; the available labs showed white count was 9.1 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 225 to 925.\nD. Clinically, the heart rate was roughly stable (45 to 50), MAP was roughly stable (100 to 101), and diastolic pressure moved from 79 to 63. Systolic pressure ranged 128-197 and ended at 197, and SpO2 recovered to 88 after a low of 85 around hour 0.1. Respiratory rate ended at 27; the available labs showed white count was 8.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 250 to 900.","answer":"D","answer_text":"Clinically, the heart rate was roughly stable (45 to 50), MAP was roughly stable (100 to 101), and diastolic pressure moved from 79 to 63. Systolic pressure ranged 128-197 and ended at 197, and SpO2 recovered to 88 after a low of 85 around hour 0.1. Respiratory rate ended at 27; the available labs showed white count was 8.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 250 to 900.","episode_id":"iv_000204","anchor_time":54}
{"id":"TSS_iv_000207_clinical_summary_57_2","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 109 to 112, MAP was roughly stable (86 to 84), and heart rate was roughly stable (58 to 63). SpO2 started at 94, ended at 97, and fell as low as 88 around hour 5.2; respiratory rate ranged 16-38. For labs and output, white count fell from 16.2 to 14.9, creatinine fell from 1.9 to 0.8, lactate was not available, and urine output was roughly stable (270 to 270)\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 106 to 121, MAP was roughly stable (83 to 81), and heart rate was roughly stable (61 to 60). SpO2 started at 97, ended at 94, and fell as low as 85 around hour 5.7; respiratory rate ranged 14-36. For labs and output, white count fell from 17.7 to 15.7, creatinine fell from 1.7 to 0.9, lactate was not available, and urine output was roughly stable (250 to 250)\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 110 to 117, MAP was roughly stable (87 to 84), and heart rate was roughly stable (57 to 64). SpO2 started at 93, ended at 98, and fell as low as 84 around hour 5.1; respiratory rate ranged 16-32. For labs and output, white count fell from 15.8 to 14.3, creatinine fell from 1.9 to 0.8, lactate was not available, and urine output was roughly stable (275 to 275)\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 102 to 151, MAP was roughly stable (78 to 76), and heart rate was roughly stable (66 to 56). SpO2 started at 100, ended at 90, and fell as low as 80 around hour 6.5; respiratory rate ranged 12-38. For labs and output, white count fell from 19.9 to 13.4, creatinine fell from 1.4 to 1, lactate was not available, and urine output was roughly stable (220 to 220)","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 106 to 121, MAP was roughly stable (83 to 81), and heart rate was roughly stable (61 to 60). SpO2 started at 97, ended at 94, and fell as low as 85 around hour 5.7; respiratory rate ranged 14-36. For labs and output, white count fell from 17.7 to 15.7, creatinine fell from 1.7 to 0.9, lactate was not available, and urine output was roughly stable (250 to 250)","episode_id":"iv_000207","anchor_time":57}
{"id":"TSS_iv_000209_clinical_summary_28_0","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Taken together, the heart rate fell from 83 to 68, while MAP fell from 86 to 80. Systolic pressure was labile, ranging 94-133, with the lowest value around hour 27.1. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 91, while respiratory rate peaked at 31 and later settled at 20. The associated labs and urine output showed that white count was 6.6 on its only check, creatinine rose from 1.0 to 100, lactate was not available, and urine output was roughly stable (97 to 145), with recorded outputs ranging 33-340.\nB. Taken together, the heart rate fell from 80 to 71, while MAP fell from 83 to 77. Systolic pressure was labile, ranging 90-153, with the lowest value around hour 25.6. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 94, while respiratory rate peaked at 29 and later settled at 19. The associated labs and urine output showed that white count was 7.1 on its only check, creatinine rose from 0.9 to 99, lactate was not available, and urine output was roughly stable (100 to 125), with recorded outputs ranging 30-320.\nC. Taken together, the heart rate fell from 84 to 67, while MAP fell from 87 to 81. Systolic pressure was labile, ranging 86-128, with the lowest value around hour 27.5. SpO2 briefly dipped to 89 around hour 0.4 before recovering to 90, while respiratory rate peaked at 31 and later settled at 21. The associated labs and urine output showed that white count was 6.5 on its only check, creatinine rose from 1.0 to 99.1, lactate was not available, and urine output was roughly stable (96 to 150), with recorded outputs ranging 80-345.\nD. Taken together, the heart rate fell from 76 to 73, while MAP was roughly stable (78 to 80). Systolic pressure was labile, ranging 94-183, with the lowest value around hour 23.4. SpO2 briefly dipped to 80 around hour 1.3 before recovering to 98, while respiratory rate peaked at 27 and later settled at 17. The associated labs and urine output showed that white count was 7.8 on its only check, creatinine rose from 0.8 to 94, lactate was not available, and urine output was roughly stable (96 to 75), with recorded outputs ranging 26-290.","answer":"B","answer_text":"Taken together, the heart rate fell from 80 to 71, while MAP fell from 83 to 77. Systolic pressure was labile, ranging 90-153, with the lowest value around hour 25.6. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 94, while respiratory rate peaked at 29 and later settled at 19. The associated labs and urine output showed that white count was 7.1 on its only check, creatinine rose from 0.9 to 99, lactate was not available, and urine output was roughly stable (100 to 125), with recorded outputs ranging 30-320.","episode_id":"iv_000209","anchor_time":28}
{"id":"TSS_iv_000209_clinical_summary_28_1","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 74, diastolic pressure was roughly stable (74 to 71), and heart rate fell from 77 to 74. The lowest MAP was about 67 around hour 24.1, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 30 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.8-33.8 C, white count was 7.6 on its only check, creatinine rose from 0.8 to 100, lactate was not available, and urine output was roughly stable (97 to 105)\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 81 to 79, diastolic pressure fell from 69 to 65, and heart rate fell from 82 to 69. The lowest MAP was about 67 around hour 26.6, and the lowest valid SpO2 was 83 around hour 0.4; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 38.0-39.0 C, white count was 6.7 on its only check, creatinine rose from 1.0 to 97, lactate was not available, and urine output was roughly stable (98 to 140)\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 83 to 77, diastolic pressure was roughly stable (71 to 68), and heart rate fell from 80 to 71. The lowest MAP was about 64 around hour 25.6, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 29 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 35.8-36.8 C, white count was 7.1 on its only check, creatinine rose from 0.9 to 99, lactate was not available, and urine output was roughly stable (100 to 125)\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 78 to 75, diastolic pressure was roughly stable (66 to 64), and heart rate fell from 84 to 66. The lowest MAP was about 60 around hour 27.9, and the lowest valid SpO2 was 80 around hour 0.5; respiratory rate rose as high as 31 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 40.3-41.3 C, white count was 6.3 on its only check, creatinine rose from 1.1 to 99.1, lactate was not available, and urine output was roughly stable (96 to 175)","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 83 to 77, diastolic pressure was roughly stable (71 to 68), and heart rate fell from 80 to 71. The lowest MAP was about 64 around hour 25.6, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 29 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 96.4 to 98.2, white count was 7.1 on its only check, creatinine rose from 0.9 to 99, lactate was not available, and urine output was roughly stable (100 to 125)","episode_id":"iv_000209","anchor_time":28}
{"id":"TSS_iv_000209_clinical_summary_28_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 154 to 109, MAP fell from 86 to 80, and heart rate fell from 77 to 74. SpO2 started at 90, ended at 97, and fell as low as 88 around hour 0.2; respiratory rate ranged 18-31. For labs and output, white count was 6.6 on its only check, creatinine rose from 1.0 to 100, lactate was not available, and urine output was roughly stable (97 to 145)\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 119 to 108, MAP was roughly stable (81 to 80), and heart rate fell from 82 to 69. SpO2 started at 95, ended at 92, and fell as low as 84 around hour 0.4; respiratory rate ranged 15-30. For labs and output, white count was 7.5 on its only check, creatinine rose from 0.8 to 97, lactate was not available, and urine output was roughly stable (98 to 110)\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 159 to 108, MAP fell from 87 to 81, and heart rate fell from 76 to 75. SpO2 started at 89, ended at 98, and fell as low as 89 around hour 0.2; respiratory rate ranged 18-27. For labs and output, white count was 6.5 on its only check, creatinine rose from 1.0 to 99.1, lactate was not available, and urine output was roughly stable (96 to 150)\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 134 to 112, MAP fell from 83 to 77, and heart rate fell from 80 to 71. SpO2 started at 93, ended at 94, and fell as low as 85 around hour 0.3; respiratory rate ranged 16-29. For labs and output, white count was 7.1 on its only check, creatinine rose from 0.9 to 99, lactate was not available, and urine output was roughly stable (100 to 125)","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 134 to 112, MAP fell from 83 to 77, and heart rate fell from 80 to 71. SpO2 started at 93, ended at 94, and fell as low as 85 around hour 0.3; respiratory rate ranged 16-29. For labs and output, white count was 7.1 on its only check, creatinine rose from 0.9 to 99, lactate was not available, and urine output was roughly stable (100 to 125)","episode_id":"iv_000209","anchor_time":28}
{"id":"TSS_iv_000214_clinical_summary_92_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 148 to 127, MAP fell from 84 to 76, and heart rate rose from 43 to 102. SpO2 started at 100, ended at 95, and fell as low as 85 around hour 18; respiratory rate ranged 11-35. For labs and output, white count rose from 3 to 8.3, creatinine fell from 1.2 to 1, lactate stayed broadly stable from 1.4 to 1.4, and urine output fell from 400 to 45.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 133 to 113, MAP fell from 82 to 74, and heart rate rose from 45 to 100. SpO2 started at 98, ended at 93, and fell as low as 83 around hour 19; respiratory rate ranged 10-37. For labs and output, white count rose from 3 to 7.9, creatinine was roughly stable (1.0 to 1.1), lactate fell from 1.6 to 1.2, and urine output fell from 415 to 43.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 173 to 102, MAP fell from 88 to 80, and heart rate rose from 39 to 105. SpO2 started at 96, ended at 99, and fell as low as 89 around hour 16; respiratory rate ranged 13-37. For labs and output, white count rose from 2 to 7.5, creatinine fell from 1.4 to 1, lactate stayed broadly stable from 1.6 to 1.6, and urine output fell from 375 to 49.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 118 to 98, MAP was roughly stable (80 to 79), and heart rate rose from 48 to 98. SpO2 started at 96, ended at 90, and fell as low as 84 around hour 20; respiratory rate ranged 9-40. For labs and output, white count rose from 4 to 7.6, creatinine fell from 0.9 to 0.7, lactate stayed broadly stable from 1.1 to 1.1, and urine output fell from 430 to 40.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 148 to 127, MAP fell from 84 to 76, and heart rate rose from 43 to 102. SpO2 started at 100, ended at 95, and fell as low as 85 around hour 18; respiratory rate ranged 11-35. For labs and output, white count rose from 3 to 8.3, creatinine fell from 1.2 to 1, lactate stayed broadly stable from 1.4 to 1.4, and urine output fell from 400 to 45.","episode_id":"iv_000214","anchor_time":92}
{"id":"TSS_iv_000216_clinical_summary_24_1","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (106 to 102), diastolic pressure was roughly stable (94 to 88), and heart rate fell from 79 to 72. The lowest MAP was about 72 around hour 16.9, and the lowest valid SpO2 was 88 around hour 0.1; respiratory rate rose as high as 48 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 36.1-37.2 C, white count was roughly stable (12.4 to 13.4), creatinine fell from 1 to 0.8, lactate was not available, and urine output was roughly stable (375 to 450)\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (103 to 105), diastolic pressure stayed around 91, and heart rate fell from 79 to 69. The lowest MAP was about 69 around hour 15.9, and the lowest valid SpO2 was 88 around hour 0.1; respiratory rate rose as high as 48 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 36.1-37.2 C, white count was roughly stable (12.4 to 13.4), creatinine fell from 1 to 0.8, lactate was not available, and urine output was roughly stable (375 to 450)\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (107 to 101), diastolic pressure stayed around 95, and heart rate fell from 83 to 72. The lowest MAP was about 73 around hour 17.8, and the lowest valid SpO2 was 92 around hour 0; respiratory rate rose as high as 44 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 39.9-41.0 C, white count was roughly stable (14.3 to 15.3), creatinine fell from 1 to 0.9, lactate was not available, and urine output was roughly stable (400 to 425)\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (98 to 110), diastolic pressure stayed around 86, and heart rate fell from 74 to 71. The lowest MAP was about 64 around hour 13.7, and the lowest valid SpO2 was 84 around hour 0.0; respiratory rate rose as high as 50 but ended at 10. The lower-frequency data fit that summary: temperature stayed around 31.6-32.7 C, white count was roughly stable (10.2 to 11.2), creatinine was roughly stable (1 to 0.9), lactate was not available, and urine output rose from 345 to 500.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (103 to 105), diastolic pressure stayed around 91, and heart rate fell from 79 to 69. The lowest MAP was about 69 around hour 15.9, and the lowest valid SpO2 was 88 around hour 0.1; respiratory rate rose as high as 48 but ended at 12. The lower-frequency data fit that summary: temperature ranged from 97 to 99, white count was roughly stable (12.4 to 13.4), creatinine fell from 1 to 0.8, lactate was not available, and urine output was roughly stable (375 to 450)","episode_id":"iv_000216","anchor_time":24}
{"id":"TSS_iv_000216_clinical_summary_24_2","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 159 to 179, MAP was roughly stable (106 to 108), and heart rate fell from 76 to 72. SpO2 started at 96, ended at 97, and fell as low as 91 around hour 0.0; respiratory rate ranged 8-50. For labs and output, white count was roughly stable (10.9 to 12.6), creatinine fell from 1 to 0.7, lactate was not available, and urine output was roughly stable (395 to 470)\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 124 to 164, MAP was roughly stable (101 to 103), and heart rate fell from 81 to 67. SpO2 started at 100, ended at 98, and fell as low as 86 around hour 0.2; respiratory rate ranged 8-50. For labs and output, white count was roughly stable (13.5 to 12.3), creatinine stayed around 1, lactate was not available, and urine output was roughly stable (375 to 450)\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 139 to 149, MAP was roughly stable (103 to 105), and heart rate fell from 79 to 69. SpO2 started at 99, ended at 100, and fell as low as 88 around hour 0.1; respiratory rate ranged 8-48. For labs and output, white count was roughly stable (12.4 to 13.4), creatinine fell from 1 to 0.8, lactate was not available, and urine output was roughly stable (375 to 450)\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (109 to 145), MAP was roughly stable (98 to 108), and heart rate fell from 84 to 64. SpO2 started at 100, ended at 96, and fell as low as 87 around hour 0.2; respiratory rate ranged 7-52. For labs and output, white count was roughly stable (14.7 to 11.2), creatinine fell from 1 to 0.8, lactate was not available, and urine output was roughly stable (345 to 420)","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 139 to 149, MAP was roughly stable (103 to 105), and heart rate fell from 79 to 69. SpO2 started at 99, ended at 100, and fell as low as 88 around hour 0.1; respiratory rate ranged 8-48. For labs and output, white count was roughly stable (12.4 to 13.4), creatinine fell from 1 to 0.8, lactate was not available, and urine output was roughly stable (375 to 450)","episode_id":"iv_000216","anchor_time":24}
{"id":"TSS_iv_000218_clinical_summary_34_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 88 to 74, diastolic pressure fell from 65 to 57, and heart rate fell from 79 to 75. The lowest MAP was about 67 around hour 7.1, and the lowest valid SpO2 was 88 around hour 2.4; respiratory rate rose as high as 24 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.6-33.6 C, white count was 7.3 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (320 to 320)\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 83 to 79, diastolic pressure fell from 60 to 51, and heart rate fell from 84 to 70. The lowest MAP was about 67 around hour 8.6, and the lowest valid SpO2 was 83 around hour 3.8; respiratory rate rose as high as 21 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 37.9-38.9 C, white count was 6.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (285 to 285)\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 89 to 73, diastolic pressure fell from 66 to 58, and heart rate fell from 78 to 76. The lowest MAP was about 68 around hour 7.0, and the lowest valid SpO2 was 89 around hour 2.8; respiratory rate rose as high as 24 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 31.9-32.9 C, white count was 7.4 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (325 to 350)\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 85 to 77, diastolic pressure fell from 62 to 54, and heart rate fell from 82 to 72. The lowest MAP was about 64 around hour 7.6, and the lowest valid SpO2 was 85 around hour 3.4; respiratory rate rose as high as 22 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 35.6-36.6 C, white count was 6.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 85 to 77, diastolic pressure fell from 62 to 54, and heart rate fell from 82 to 72. The lowest MAP was about 64 around hour 7.6, and the lowest valid SpO2 was 85 around hour 3.4; respiratory rate rose as high as 22 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 96 to 97.8, white count was 6.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)","episode_id":"iv_000218","anchor_time":34}
{"id":"TSS_iv_000218_clinical_summary_34_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (151 to 150), MAP fell from 85 to 77, and heart rate fell from 82 to 72. SpO2 started at 85, ended at 98, and fell as low as 85 around hour 3.4; respiratory rate ranged 12-22. For labs and output, white count was 6.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (136 to 165), MAP fell from 83 to 75, and heart rate fell from 84 to 75. SpO2 started at 87, ended at 96, and fell as low as 83 around hour 3.8; respiratory rate ranged 11-24. For labs and output, white count was 7.2 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (285 to 315)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (176 to 146), MAP was roughly stable (89 to 80), and heart rate fell from 78 to 76. SpO2 started at 81, ended at 100, and fell as low as 84 around hour 2.8; respiratory rate ranged 14-20. For labs and output, white count was 6.2 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (325 to 275)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (155 to 180), MAP fell from 80 to 72, and heart rate fell from 86 to 68. SpO2 started at 90, ended at 94, and fell as low as 80 around hour 4.2; respiratory rate ranged 10-24. For labs and output, white count was 7.5 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (270 to 330)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (151 to 150), MAP fell from 85 to 77, and heart rate fell from 82 to 72. SpO2 started at 85, ended at 98, and fell as low as 85 around hour 3.4; respiratory rate ranged 12-22. For labs and output, white count was 6.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)","episode_id":"iv_000218","anchor_time":34}
{"id":"TSS_iv_000218_clinical_summary_34_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. For handoff, the heart rate fell from 85 to 75, MAP fell from 88 to 80, and diastolic pressure moved from 59 to 51. Systolic pressure ranged 94-183 and ended at 170, and SpO2 recovered to 95 after a low of 88 around hour 3.9. Respiratory rate ended at 20; the available labs showed white count was 7.3 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (280 to 320)\nB. For handoff, the heart rate fell from 82 to 72, MAP fell from 85 to 77, and diastolic pressure moved from 62 to 54. Systolic pressure ranged 91-163 and ended at 150, and SpO2 recovered to 98 after a low of 85 around hour 3.4. Respiratory rate ended at 21; the available labs showed white count was 6.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)\nC. For handoff, the heart rate fell from 86 to 68, MAP fell from 89 to 81, and diastolic pressure moved from 58 to 58. Systolic pressure ranged 95-188 and ended at 175, and SpO2 recovered to 94 after a low of 84 around hour 4.0. Respiratory rate ended at 19; the available labs showed white count was 7.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (350 to 325)\nD. For handoff, the heart rate fell from 78 to 76, MAP was roughly stable (80 to 80), and diastolic pressure moved from 66 to 50. Systolic pressure ranged 86-133 and ended at 146, and SpO2 recovered to 100 after a low of 80 around hour 4.4. Respiratory rate ended at 23; the available labs showed white count was 6.0 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (330 to 270)","answer":"B","answer_text":"For handoff, the heart rate fell from 82 to 72, MAP fell from 85 to 77, and diastolic pressure moved from 62 to 54. Systolic pressure ranged 91-163 and ended at 150, and SpO2 recovered to 98 after a low of 85 around hour 3.4. Respiratory rate ended at 21; the available labs showed white count was 6.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (300 to 300)","episode_id":"iv_000218","anchor_time":34}
{"id":"TSS_iv_000219_clinical_summary_26_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. For handoff, the heart rate fell from 92 to 78, while MAP was roughly stable (85 to 87). Systolic pressure was labile, ranging 16-137, with the lowest value around hour 7.4. SpO2 briefly dipped to 88 around hour 3.9 before recovering to 91, while respiratory rate peaked at 24 and later settled at 16. The associated labs and urine output showed that white count fell from 9.2 to 8.1, creatinine rose from 1 to 1.3, lactate fell from 2.1 to 1, and urine output was roughly stable (57 to 97), with recorded outputs ranging 60-320.\nB. For handoff, the heart rate fell from 87 to 83, while MAP was roughly stable (80 to 87). Systolic pressure was labile, ranging 19-172, with the lowest value around hour 6.5. SpO2 briefly dipped to 83 around hour 4.4 before recovering to 96, while respiratory rate peaked at 21 and later settled at 14. The associated labs and urine output showed that white count fell from 11.8 to 8.5, creatinine rose from 1 to 1.4, lactate fell from 1.8 to 1, and urine output was roughly stable (62 to 50), with recorded outputs ranging 38-285.\nC. For handoff, the heart rate fell from 93 to 77, while MAP was roughly stable (86 to 88). Systolic pressure was labile, ranging 22-132, with the lowest value around hour 7.5. SpO2 briefly dipped to 86 around hour 4.0 before recovering to 90, while respiratory rate peaked at 24 and later settled at 17. The associated labs and urine output showed that white count fell from 8.8 to 8.3, creatinine rose from 1 to 1.2, lactate fell from 2.1 to 1, and urine output was roughly stable (56 to 96), with recorded outputs ranging 44-325.\nD. For handoff, the heart rate fell from 89 to 81, while MAP was roughly stable (82 to 84). Systolic pressure was labile, ranging 18-157, with the lowest value around hour 6.9. SpO2 briefly dipped to 85 around hour 3.4 before recovering to 94, while respiratory rate peaked at 22 and later settled at 15. The associated labs and urine output showed that white count fell from 10.7 to 8.9, creatinine rose from 1 to 1.2, lactate fell from 1.9 to 1, and urine output was roughly stable (60 to 100), with recorded outputs ranging 40-300.","answer":"D","answer_text":"For handoff, the heart rate fell from 89 to 81, while MAP was roughly stable (82 to 84). Systolic pressure was labile, ranging 18-157, with the lowest value around hour 6.9. SpO2 briefly dipped to 85 around hour 3.4 before recovering to 94, while respiratory rate peaked at 22 and later settled at 15. The associated labs and urine output showed that white count fell from 10.7 to 8.9, creatinine rose from 1 to 1.2, lactate fell from 1.9 to 1, and urine output was roughly stable (60 to 100), with recorded outputs ranging 40-300.","episode_id":"iv_000219","anchor_time":26}
{"id":"TSS_iv_000220_clinical_summary_27_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, the heart rate was roughly stable (69 to 73), while MAP rose from 97 to 104. Systolic pressure was labile, ranging 124-186, with the lowest value around hour 6.5. SpO2 briefly dipped to 88 around hour 1.5 before recovering to 91, while respiratory rate peaked at 28 and later settled at 17. The associated labs and urine output showed that white count fell from 9.1 to 7.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 300 to 200, with recorded outputs ranging 100-300.\nB. Across the recorded window, the heart rate was roughly stable (67 to 75), while MAP rose from 95 to 102. Systolic pressure was labile, ranging 139-201, with the lowest value around hour 6.1. SpO2 briefly dipped to 86 around hour 1.4 before recovering to 93, while respiratory rate peaked at 27 and later settled at 16. The associated labs and urine output showed that white count fell from 9.5 to 7, creatinine rose from 0.6 to 0.9, lactate was not available, and urine output fell from 285 to 185, with recorded outputs ranging 150-315.\nC. Across the recorded window, the heart rate was roughly stable (73 to 69), while MAP rose from 100 to 107. Systolic pressure was labile, ranging 99-161, with the lowest value around hour 7.1. SpO2 briefly dipped to 92 around hour 2.5 before recovering to 87, while respiratory rate peaked at 30 and later settled at 19. The associated labs and urine output showed that white count fell from 8.5 to 8.4, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output fell from 325 to 150, with recorded outputs ranging 96-275.\nD. Across the recorded window, the heart rate was roughly stable (64 to 78), while MAP rose from 92 to 100. Systolic pressure was labile, ranging 128-216, with the lowest value around hour 5.8. SpO2 briefly dipped to 89 around hour 1.2 before recovering to 96, while respiratory rate peaked at 30 and later settled at 15. The associated labs and urine output showed that white count fell from 9.8 to 7.0, creatinine was roughly stable (0.5 to 1.0), lactate was not available, and urine output fell from 270 to 170, with recorded outputs ranging 96-330.","answer":"A","answer_text":"Across the recorded window, the heart rate was roughly stable (69 to 73), while MAP rose from 97 to 104. Systolic pressure was labile, ranging 124-186, with the lowest value around hour 6.5. SpO2 briefly dipped to 88 around hour 1.5 before recovering to 91, while respiratory rate peaked at 28 and later settled at 17. The associated labs and urine output showed that white count fell from 9.1 to 7.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 300 to 200, with recorded outputs ranging 100-300.","episode_id":"iv_000220","anchor_time":27}
{"id":"TSS_iv_000220_clinical_summary_27_1","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 100 to 101, diastolic pressure rose from 74 to 89, and heart rate was roughly stable (66 to 76). The lowest MAP was about 80 around hour 14.0, and the lowest valid SpO2 was 91 around hour 1.3; respiratory rate rose as high as 30 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.5-34.1 C, white count fell from 9.6 to 7.3, creatinine rose from 0.8 to 0.9, lactate was not available, and urine output was roughly stable (280 to 250)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 97 to 104, diastolic pressure rose from 71 to 86, and heart rate was roughly stable (69 to 73). The lowest MAP was about 77 around hour 15.5, and the lowest valid SpO2 was 88 around hour 1.5; respiratory rate rose as high as 28 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.5-37.1 C, white count fell from 9.1 to 7.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 300 to 200.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 100 to 103, diastolic pressure rose from 75 to 90, and heart rate rose from 65 to 76. The lowest MAP was about 81 around hour 13.6, and the lowest valid SpO2 was 92 around hour 0.5; respiratory rate rose as high as 30 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 32.8-33.4 C, white count fell from 9.7 to 7.2, creatinine was roughly stable (0.8 to 0.9), lactate was not available, and urine output fell from 275 to 225.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 92 to 108, diastolic pressure rose from 66 to 83, and heart rate was roughly stable (74 to 68). The lowest MAP was about 80 around hour 16.5, and the lowest valid SpO2 was 84 around hour 1.8; respiratory rate rose as high as 26 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 41.0-41.6 C, white count fell from 8.3 to 7.8, creatinine was roughly stable (0.5 to 0.7), lactate was not available, and urine output fell from 330 to 170.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 97 to 104, diastolic pressure rose from 71 to 86, and heart rate was roughly stable (69 to 73). The lowest MAP was about 77 around hour 15.5, and the lowest valid SpO2 was 88 around hour 1.5; respiratory rate rose as high as 28 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 97.7 to 98.7, white count fell from 9.1 to 7.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 300 to 200.","episode_id":"iv_000220","anchor_time":27}
{"id":"TSS_iv_000220_clinical_summary_27_2","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (174 to 130), MAP rose from 100 to 107, and heart rate was roughly stable (66 to 76). SpO2 started at 97, ended at 92, and fell as low as 91 around hour 1.3; respiratory rate ranged 6-26. For labs and output, white count fell from 8.6 to 8.3, creatinine rose from 0.8 to 0.9, lactate was not available, and urine output fell from 320 to 220.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (139 to 165), MAP rose from 95 to 102, and heart rate rose from 71 to 76. SpO2 started at 98, ended at 89, and fell as low as 86 around hour 1.6; respiratory rate ranged 5-30. For labs and output, white count fell from 9.5 to 7, creatinine was roughly stable (0.6 to 0.9), lactate was not available, and urine output fell from 285 to 185.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (154 to 150), MAP rose from 97 to 104, and heart rate was roughly stable (69 to 73). SpO2 started at 100, ended at 91, and fell as low as 88 around hour 1.5; respiratory rate ranged 5-28. For labs and output, white count fell from 9.1 to 7.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 300 to 200.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 124 to 104, MAP rose from 92 to 107, and heart rate was roughly stable (74 to 68). SpO2 started at 96, ended at 86, and fell as low as 87 around hour 1.8; respiratory rate ranged 4-30. For labs and output, white count fell from 9.8 to 7.0, creatinine was roughly stable (0.5 to 1.0), lactate was not available, and urine output fell from 270 to 170.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (154 to 150), MAP rose from 97 to 104, and heart rate was roughly stable (69 to 73). SpO2 started at 100, ended at 91, and fell as low as 88 around hour 1.5; respiratory rate ranged 5-28. For labs and output, white count fell from 9.1 to 7.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 300 to 200.","episode_id":"iv_000220","anchor_time":27}
{"id":"TSS_iv_000220_clinical_summary_27_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Clinically, the heart rate was roughly stable (72 to 70), MAP rose from 100 to 107, and diastolic pressure moved from 68 to 89. Systolic pressure ranged 144-206 and ended at 146, and SpO2 recovered to 88 after a low of 91 around hour 2.5. Respiratory rate ended at 16; the available labs showed white count fell from 9.6 to 8.3, creatinine was roughly stable (0.6 to 0.9), lactate was not available, and urine output fell from 320 to 180.\nB. Clinically, the heart rate rose from 67 to 76, MAP rose from 95 to 102, and diastolic pressure moved from 73 to 83. Systolic pressure ranged 109-171 and ended at 135, and SpO2 recovered to 93 after a low of 86 around hour 1.4. Respiratory rate ended at 18; the available labs showed white count fell from 8.7 to 7.4, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output fell from 285 to 215.\nC. Clinically, the heart rate was roughly stable (73 to 69), MAP rose from 100 to 108, and diastolic pressure moved from 67 to 90. Systolic pressure ranged 149-211 and ended at 175, and SpO2 recovered to 87 after a low of 87 around hour 1.8. Respiratory rate ended at 15; the available labs showed white count fell from 9.7 to 7, creatinine was roughly stable (0.6 to 0.9), lactate was not available, and urine output fell from 350 to 175.\nD. Clinically, the heart rate was roughly stable (69 to 73), MAP rose from 97 to 104, and diastolic pressure moved from 71 to 86. Systolic pressure ranged 124-186 and ended at 150, and SpO2 recovered to 91 after a low of 88 around hour 1.5. Respiratory rate ended at 17; the available labs showed white count fell from 9.1 to 7.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 300 to 200.","answer":"D","answer_text":"Clinically, the heart rate was roughly stable (69 to 73), MAP rose from 97 to 104, and diastolic pressure moved from 71 to 86. Systolic pressure ranged 124-186 and ended at 150, and SpO2 recovered to 91 after a low of 88 around hour 1.5. Respiratory rate ended at 17; the available labs showed white count fell from 9.1 to 7.8, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 300 to 200.","episode_id":"iv_000220","anchor_time":27}
{"id":"TSS_iv_000223_clinical_summary_95_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Viewed chronologically, the heart rate was roughly stable (94 to 92), while MAP fell from 84 to 56. Systolic pressure was labile, ranging 61-119, with the lowest value around hour 58.5. SpO2 briefly dipped to 88 around hour 16.5 before recovering to 93, while respiratory rate peaked at 42 and later settled at 26. The associated labs and urine output showed that white count was roughly stable (5.4 to 5.6), creatinine fell from 0.9 to 0.5, lactate was not available, and urine output rose from 170 to 300, with recorded outputs ranging 24-530.\nB. Viewed chronologically, the heart rate was roughly stable (89 to 97), while MAP fell from 79 to 51. Systolic pressure was labile, ranging 66-154, with the lowest value around hour 53.2. SpO2 briefly dipped to 83 around hour 14.4 before recovering to 98, while respiratory rate peaked at 37 and later settled at 23. The associated labs and urine output showed that white count fell from 6.3 to 4.3, creatinine was roughly stable (0.7 to 0.7), lactate was not available, and urine output rose from 135 to 335, with recorded outputs ranging 75-565.\nC. Viewed chronologically, the heart rate was roughly stable (95 to 91), while MAP fell from 85 to 57. Systolic pressure was labile, ranging 68-114, with the lowest value around hour 59.2. SpO2 briefly dipped to 86 around hour 17.4 before recovering to 92, while respiratory rate peaked at 41 and later settled at 26. The associated labs and urine output showed that white count was roughly stable (5.3 to 5.7), creatinine fell from 0.9 to 0.5, lactate was not available, and urine output rose from 175 to 375, with recorded outputs ranging 23-525.\nD. Viewed chronologically, the heart rate was roughly stable (91 to 95), while MAP fell from 81 to 53. Systolic pressure was labile, ranging 64-139, with the lowest value around hour 55.5. SpO2 briefly dipped to 85 around hour 15.5 before recovering to 96, while respiratory rate peaked at 39 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (5.9 to 5.1), creatinine fell from 0.8 to 0.6, lactate was not available, and urine output rose from 150 to 350, with recorded outputs ranging 25-550.","answer":"D","answer_text":"Viewed chronologically, the heart rate was roughly stable (91 to 95), while MAP fell from 81 to 53. Systolic pressure was labile, ranging 64-139, with the lowest value around hour 55.5. SpO2 briefly dipped to 85 around hour 15.5 before recovering to 96, while respiratory rate peaked at 39 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (5.9 to 5.1), creatinine fell from 0.8 to 0.6, lactate was not available, and urine output rose from 150 to 350, with recorded outputs ranging 25-550.","episode_id":"iv_000223","anchor_time":95}
{"id":"TSS_iv_000224_clinical_summary_30_2","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 108 to 112, MAP was roughly stable (73 to 69), and heart rate rose from 70 to 88. SpO2 started at 97, ended at 100, and fell as low as 88 around hour 3.2; respiratory rate ranged 8-24. For labs and output, white count fell from 12.2 to 10.7, creatinine fell from 1 to 0.7, lactate stayed broadly stable from 1.9 to 1.9, and urine output fell from 330 to 83.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 103 to 117, MAP was roughly stable (68 to 64), and heart rate rose from 75 to 83. SpO2 started at 98, ended at 95, and fell as low as 83 around hour 4.1; respiratory rate ranged 8-23. For labs and output, white count was roughly stable (14.8 to 12.1), creatinine was roughly stable (1 to 0.9), lactate stayed broadly stable from 1.9 to 1.5, and urine output fell from 365 to 78.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 115, MAP was roughly stable (70 to 66), and heart rate rose from 73 to 85. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 3.7; respiratory rate ranged 8-22. For labs and output, white count was roughly stable (13.7 to 13.2), creatinine fell from 1 to 0.8, lactate stayed broadly stable from 1.7 to 1.7, and urine output fell from 350 to 80.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (100 to 111), MAP was roughly stable (66 to 69), and heart rate rose from 78 to 80. SpO2 started at 96, ended at 92, and fell as low as 84 around hour 4.5; respiratory rate ranged 7-24. For labs and output, white count was roughly stable (15.9 to 10.9), creatinine fell from 1 to 0.8, lactate stayed broadly stable from 1.4 to 1.4, and urine output fell from 380 to 76.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 115, MAP was roughly stable (70 to 66), and heart rate rose from 73 to 85. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 3.7; respiratory rate ranged 8-22. For labs and output, white count was roughly stable (13.7 to 13.2), creatinine fell from 1 to 0.8, lactate stayed broadly stable from 1.7 to 1.7, and urine output fell from 350 to 80.","episode_id":"iv_000224","anchor_time":30}
{"id":"TSS_iv_000224_clinical_summary_30_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Taken together, the heart rate rose from 76 to 82, MAP was roughly stable (73 to 69), and diastolic pressure moved from 50 to 56. Systolic pressure ranged 28-122 and ended at 111, and SpO2 recovered to 94 after a low of 88 around hour 4.7. Respiratory rate ended at 16; the available labs showed white count was roughly stable (15.2 to 14.7), creatinine fell from 1 to 0.9, lactate stayed broadly stable from 1.9 to 1.5, and urine output fell from 370 to 83.\nB. Taken together, the heart rate rose from 71 to 87, MAP was roughly stable (68 to 64), and diastolic pressure moved from 55 to 51. Systolic pressure ranged 26-117 and ended at 113, and SpO2 recovered to 99 after a low of 84 around hour 3.3. Respiratory rate ended at 18; the available labs showed white count fell from 12.6 to 12.4, creatinine fell from 1 to 0.7, lactate stayed broadly stable from 1.5 to 1.9, and urine output fell from 400 to 78.\nC. Taken together, the heart rate rose from 77 to 88, MAP was roughly stable (74 to 70), and diastolic pressure moved from 49 to 50. Systolic pressure ranged 29-123 and ended at 119, and SpO2 recovered to 93 after a low of 89 around hour 4.3. Respiratory rate ended at 15; the available labs showed white count was roughly stable (15.6 to 15.1), creatinine fell from 1 to 0.9, lactate stayed broadly stable from 1.9 to 1.4, and urine output fell from 375 to 84.\nD. Taken together, the heart rate rose from 73 to 85, MAP was roughly stable (70 to 66), and diastolic pressure moved from 53 to 53. Systolic pressure ranged 27-119 and ended at 115, and SpO2 recovered to 97 after a low of 85 around hour 3.7. Respiratory rate ended at 17; the available labs showed white count was roughly stable (13.7 to 13.2), creatinine fell from 1 to 0.8, lactate stayed broadly stable from 1.7 to 1.7, and urine output fell from 350 to 80.","answer":"D","answer_text":"Taken together, the heart rate rose from 73 to 85, MAP was roughly stable (70 to 66), and diastolic pressure moved from 53 to 53. Systolic pressure ranged 27-119 and ended at 115, and SpO2 recovered to 97 after a low of 85 around hour 3.7. Respiratory rate ended at 17; the available labs showed white count was roughly stable (13.7 to 13.2), creatinine fell from 1 to 0.8, lactate stayed broadly stable from 1.7 to 1.7, and urine output fell from 350 to 80.","episode_id":"iv_000224","anchor_time":30}
{"id":"TSS_iv_000225_clinical_summary_25_0","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Taken together, the heart rate rose from 63 to 70, while MAP rose from 90 to 98. Systolic pressure was labile, ranging 80-115, with the lowest value around hour 17.2. SpO2 briefly dipped to 91 around hour 1.1 before recovering to 96, while respiratory rate peaked at 33 and later settled at 16. The associated labs and urine output showed that white count was 16 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (97 to 150), with recorded outputs ranging 26-530.\nB. Taken together, the heart rate rose from 60 to 73, while MAP rose from 87 to 95. Systolic pressure was labile, ranging 83-135, with the lowest value around hour 15.7. SpO2 briefly dipped to 88 around hour 0.1 before recovering to 99, while respiratory rate peaked at 30 and later settled at 14. The associated labs and urine output showed that white count was 18 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output rose from 100 to 200, with recorded outputs ranging 25-550.\nC. Taken together, the heart rate rose from 64 to 69, while MAP rose from 91 to 99. Systolic pressure was labile, ranging 87-110, with the lowest value around hour 17.6. SpO2 briefly dipped to 92 around hour 0.2 before recovering to 95, while respiratory rate peaked at 32 and later settled at 16. The associated labs and urine output showed that white count was 16 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 96 to 250, with recorded outputs ranging 27-525.\nD. Taken together, the heart rate rose from 56 to 78, while MAP rose from 82 to 90. Systolic pressure was labile, ranging 88-165, with the lowest value around hour 13.4. SpO2 briefly dipped to 84 around hour 0.0 before recovering to 100, while respiratory rate peaked at 26 and later settled at 12. The associated labs and urine output showed that white count was 20 on its only check, creatinine was 0.3 on its only check, lactate was not available, and urine output rose from 96 to 230, with recorded outputs ranging 75-580.","answer":"B","answer_text":"Taken together, the heart rate rose from 60 to 73, while MAP rose from 87 to 95. Systolic pressure was labile, ranging 83-135, with the lowest value around hour 15.7. SpO2 briefly dipped to 88 around hour 0.1 before recovering to 99, while respiratory rate peaked at 30 and later settled at 14. The associated labs and urine output showed that white count was 18 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output rose from 100 to 200, with recorded outputs ranging 25-550.","episode_id":"iv_000225","anchor_time":25}
{"id":"TSS_iv_000225_clinical_summary_25_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 148 to 119, MAP rose from 90 to 98, and heart rate rose from 57 to 76. SpO2 started at 85, ended at 100, and fell as low as 87 around hour 0.0; respiratory rate ranged 14-27. For labs and output, white count was 16 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 97 to 180.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (113 to 138), MAP rose from 85 to 93, and heart rate rose from 62 to 76. SpO2 started at 90, ended at 97, and fell as low as 86 around hour 0.2; respiratory rate ranged 11-32. For labs and output, white count was 19 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output rose from 98 to 215.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (153 to 98), MAP rose from 91 to 99, and heart rate rose from 56 to 77. SpO2 started at 84, ended at 100, and fell as low as 92 around hour 0.0; respiratory rate ranged 14-26. For labs and output, white count was 16 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (150 to 175)\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (128 to 123), MAP rose from 87 to 95, and heart rate rose from 60 to 73. SpO2 started at 88, ended at 99, and fell as low as 88 around hour 0.1; respiratory rate ranged 12-30. For labs and output, white count was 18 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output rose from 100 to 200.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (128 to 123), MAP rose from 87 to 95, and heart rate rose from 60 to 73. SpO2 started at 88, ended at 99, and fell as low as 88 around hour 0.1; respiratory rate ranged 12-30. For labs and output, white count was 18 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output rose from 100 to 200.","episode_id":"iv_000225","anchor_time":25}
{"id":"TSS_iv_000226_clinical_summary_46_0","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. In broad terms, the heart rate was roughly stable (65 to 58), while MAP was roughly stable (105 to 100). Systolic pressure was labile, ranging 124-147, with the lowest value around hour 44.1. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 91, while respiratory rate peaked at 37 and later settled at 22. The associated labs and urine output showed that white count fell from 9.1 to 6.2, creatinine stayed around 1, lactate was checked once at 1.1, and urine output fell from 240 to 38, with recorded outputs ranging 32-200.\nB. In broad terms, the heart rate was roughly stable (60 to 63), while MAP was roughly stable (100 to 101). Systolic pressure was labile, ranging 135-182, with the lowest value around hour 38.9. SpO2 briefly dipped to 83 around hour 1.3 before recovering to 96, while respiratory rate peaked at 33 and later settled at 19. The associated labs and urine output showed that white count fell from 10.0 to 5.3, creatinine stayed around 1, lactate was checked once at 1.5, and urine output fell from 205 to 0, with recorded outputs ranging 0-235.\nC. In broad terms, the heart rate was roughly stable (62 to 61), while MAP was roughly stable (102 to 98). Systolic pressure was labile, ranging 120-167, with the lowest value around hour 41.1. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 94, while respiratory rate peaked at 35 and later settled at 20. The associated labs and urine output showed that white count fell from 9.6 to 5.7, creatinine stayed around 1, lactate was checked once at 1.3, and urine output fell from 220 to 35, with recorded outputs ranging 35-220.\nD. In broad terms, the heart rate was roughly stable (58 to 66), while MAP was roughly stable (98 to 94). Systolic pressure was labile, ranging 150-197, with the lowest value around hour 36.6. SpO2 briefly dipped to 80 around hour 0.1 before recovering to 98, while respiratory rate peaked at 30 and later settled at 18. The associated labs and urine output showed that white count fell from 10.3 to 4.9, creatinine stayed around 1.1, lactate was checked once at 1.6, and urine output fell from 190 to 30, with recorded outputs ranging 40-250.","answer":"C","answer_text":"In broad terms, the heart rate was roughly stable (62 to 61), while MAP was roughly stable (102 to 98). Systolic pressure was labile, ranging 120-167, with the lowest value around hour 41.1. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 94, while respiratory rate peaked at 35 and later settled at 20. The associated labs and urine output showed that white count fell from 9.6 to 5.7, creatinine stayed around 1, lactate was checked once at 1.3, and urine output fell from 220 to 35, with recorded outputs ranging 35-220.","episode_id":"iv_000226","anchor_time":46}
{"id":"TSS_iv_000226_clinical_summary_46_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (105 to 95), diastolic pressure was roughly stable (85 to 80), and heart rate was roughly stable (59 to 64). The lowest MAP was about 72 around hour 25.6, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 38 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.9-34.3 C, white count fell from 10.1 to 5.2, creatinine stayed around 1, lactate was checked once at 1.5, and urine output fell from 200 to 38.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (100 to 100), diastolic pressure was roughly stable (80 to 75), and heart rate was roughly stable (64 to 59). The lowest MAP was about 67 around hour 28.2, and the lowest valid SpO2 was 83 around hour 0.4; respiratory rate rose as high as 37 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 38.1-39.5 C, white count fell from 9.2 to 6.1, creatinine stayed around 1.1, lactate was checked once at 1.1, and urine output fell from 235 to 85.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (106 to 94), diastolic pressure fell from 86 to 74, and heart rate was roughly stable (58 to 65). The lowest MAP was about 72 around hour 28.1, and the lowest valid SpO2 was 89 around hour 0.2; respiratory rate rose as high as 39 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.1-33.5 C, white count fell from 10.2 to 5.1, creatinine stayed around 1, lactate was checked once at 1.6, and urine output fell from 195 to 39.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (102 to 98), diastolic pressure was roughly stable (82 to 77), and heart rate was roughly stable (62 to 61). The lowest MAP was about 69 around hour 27.1, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 35 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 35.9-37.3 C, white count fell from 9.6 to 5.7, creatinine stayed around 1, lactate was checked once at 1.3, and urine output fell from 220 to 35.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (102 to 98), diastolic pressure was roughly stable (82 to 77), and heart rate was roughly stable (62 to 61). The lowest MAP was about 69 around hour 27.1, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 35 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 96.7 to 99.2, white count fell from 9.6 to 5.7, creatinine stayed around 1, lactate was checked once at 1.3, and urine output fell from 220 to 35.","episode_id":"iv_000226","anchor_time":46}
{"id":"TSS_iv_000227_clinical_summary_27_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. For handoff, the heart rate was roughly stable (80 to 72), while MAP fell from 157 to 77. Systolic pressure was labile, ranging 72-130, with the lowest value around hour 4. SpO2 briefly dipped to 93 around hour 0.8 before recovering to 94, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count stayed around 10.2, creatinine was roughly stable (0.6 to 0.7), lactate stayed broadly stable from 0.6 to 0.9, and urine output fell from 395 to 230, with recorded outputs ranging 125-355.\nB. For handoff, the heart rate was roughly stable (75 to 77), while MAP fell from 122 to 77. Systolic pressure was labile, ranging 77-165, with the lowest value around hour 3. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 99, while respiratory rate peaked at 20 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (11 to 10), creatinine stayed around 0.5, lactate stayed broadly stable from 0.8 to 0.7, and urine output fell from 360 to 200, with recorded outputs ranging 73-390.\nC. For handoff, the heart rate was roughly stable (81 to 71), while MAP fell from 162 to 78. Systolic pressure was labile, ranging 79-125, with the lowest value around hour 4. SpO2 briefly dipped to 91 around hour 0.8 before recovering to 93, while respiratory rate peaked at 23 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (8 to 13), creatinine stayed around 0.7, lactate stayed broadly stable from 0.6 to 0.9, and urine output fell from 400 to 225, with recorded outputs ranging 79-350.\nD. For handoff, the heart rate was roughly stable (77 to 75), while MAP fell from 137 to 74. Systolic pressure was labile, ranging 75-150, with the lowest value around hour 3. SpO2 briefly dipped to 90 around hour 0.7 before recovering to 97, while respiratory rate peaked at 21 and later settled at 17. The associated labs and urine output showed that white count was roughly stable (10 to 11), creatinine stayed around 0.6, lactate stayed broadly stable from 0.7 to 0.8, and urine output fell from 375 to 250, with recorded outputs ranging 75-375.","answer":"D","answer_text":"For handoff, the heart rate was roughly stable (77 to 75), while MAP fell from 137 to 74. Systolic pressure was labile, ranging 75-150, with the lowest value around hour 3. SpO2 briefly dipped to 90 around hour 0.7 before recovering to 97, while respiratory rate peaked at 21 and later settled at 17. The associated labs and urine output showed that white count was roughly stable (10 to 11), creatinine stayed around 0.6, lactate stayed broadly stable from 0.7 to 0.8, and urine output fell from 375 to 250, with recorded outputs ranging 75-375.","episode_id":"iv_000227","anchor_time":27}
{"id":"TSS_iv_000227_clinical_summary_27_2","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 170 to 108, MAP fell from 157 to 77, and heart rate was roughly stable (74 to 78). SpO2 started at 95, ended at 100, and fell as low as 93 around hour 0.6; respiratory rate ranged 14-23. For labs and output, white count stayed around 10.2, creatinine stayed around 0.6, lactate stayed broadly stable from 0.7 to 0.8, and urine output fell from 375 to 250.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 150 to 111, MAP fell from 137 to 74, and heart rate was roughly stable (77 to 75). SpO2 started at 98, ended at 97, and fell as low as 90 around hour 0.7; respiratory rate ranged 13-21. For labs and output, white count was roughly stable (10 to 11), creatinine stayed around 0.6, lactate stayed broadly stable from 0.7 to 0.8, and urine output fell from 375 to 250.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 175 to 107, MAP fell from 162 to 78, and heart rate was roughly stable (73 to 79). SpO2 started at 94, ended at 100, and fell as low as 94 around hour 0.6; respiratory rate ranged 15-19. For labs and output, white count was roughly stable (8 to 13), creatinine was roughly stable (0.7 to 0.6), lactate stayed broadly stable from 0.9 to 0.8, and urine output fell from 375 to 250.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 120 to 107, MAP fell from 107 to 77, and heart rate was roughly stable (82 to 70). SpO2 started at 100, ended at 92, and fell as low as 89 around hour 0.8; respiratory rate ranged 11-23. For labs and output, white count was roughly stable (12 to 9), creatinine stayed around 0.4, lactate stayed broadly stable from 0.8 to 0.7, and urine output fell from 345 to 280.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 150 to 111, MAP fell from 137 to 74, and heart rate was roughly stable (77 to 75). SpO2 started at 98, ended at 97, and fell as low as 90 around hour 0.7; respiratory rate ranged 13-21. For labs and output, white count was roughly stable (10 to 11), creatinine stayed around 0.6, lactate stayed broadly stable from 0.7 to 0.8, and urine output fell from 375 to 250.","episode_id":"iv_000227","anchor_time":27}
{"id":"TSS_iv_000229_clinical_summary_62_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 157 to 113, MAP fell from 100 to 83, and heart rate rose from 60 to 83. SpO2 started at 97, ended at 100, and fell as low as 88 around hour 47.2; respiratory rate ranged 12-26. For labs and output, white count fell from 8 to 3.8, creatinine was roughly stable (0.6 to 0.6), lactate fell from 2.4 to 1.8, and urine output fell from 1300 to 380.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 122 to 112, MAP fell from 97 to 83, and heart rate rose from 65 to 78. SpO2 started at 98, ended at 96, and fell as low as 84 around hour 52.5; respiratory rate ranged 9-28. For labs and output, white count fell from 8 to 2.9, creatinine stayed around 0.4, lactate fell from 2.4 to 1.6, and urine output fell from 1240 to 395.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 162 to 112, MAP fell from 100 to 84, and heart rate rose from 59 to 83. SpO2 started at 96, ended at 100, and fell as low as 89 around hour 46.5; respiratory rate ranged 12-29. For labs and output, white count fell from 7 to 2.5, creatinine stayed around 0.6, lactate fell from 2.0 to 1.8, and urine output fell from 1400 to 355.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 137 to 116, MAP fell from 99 to 80, and heart rate rose from 63 to 80. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 50.2; respiratory rate ranged 10-27. For labs and output, white count fell from 8 to 3.3, creatinine stayed around 0.5, lactate fell from 2.2 to 1.8, and urine output fell from 1300 to 380.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 137 to 116, MAP fell from 99 to 80, and heart rate rose from 63 to 80. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 50.2; respiratory rate ranged 10-27. For labs and output, white count fell from 8 to 3.3, creatinine stayed around 0.5, lactate fell from 2.2 to 1.8, and urine output fell from 1300 to 380.","episode_id":"iv_000229","anchor_time":62}
{"id":"TSS_iv_000230_clinical_summary_39_0","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Over the available measurements, the heart rate stayed around 53, while MAP fell from 101 to 91. Systolic pressure was labile, ranging 103-158, with the lowest value around hour 16.9. SpO2 briefly dipped to 85 around hour 0.2 before recovering to 91, while respiratory rate peaked at 25 and later settled at 16. The associated labs and urine output showed that white count rose from 7.6 to 8.3, creatinine stayed around 1, lactate was not available, and urine output was not recorded.\nB. Over the available measurements, the heart rate stayed around 48, while MAP fell from 106 to 91. Systolic pressure was labile, ranging 97-123, with the lowest value around hour 14.3. SpO2 briefly dipped to 90 around hour 1.1 before recovering to 86, while respiratory rate peaked at 24 and later settled at 13. The associated labs and urine output showed that white count was roughly stable (6.7 to 7.9), creatinine stayed around 1, lactate was not available, and urine output was not recorded.\nC. Over the available measurements, the heart rate stayed around 50, while MAP fell from 104 to 88. Systolic pressure was labile, ranging 99-138, with the lowest value around hour 15.4. SpO2 briefly dipped to 88 around hour 0.1 before recovering to 88, while respiratory rate peaked at 23 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (7.1 to 7.5), creatinine stayed around 1, lactate was not available, and urine output was not recorded.\nD. Over the available measurements, the heart rate was roughly stable (47 to 50), while MAP fell from 104 to 88. Systolic pressure was labile, ranging 99-138, with the lowest value around hour 15.4. SpO2 briefly dipped to 88 around hour 0.1 before recovering to 88, while respiratory rate peaked at 23 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (7.1 to 6.7), creatinine stayed around 1.1, lactate was not available, and urine output was not recorded.","answer":"C","answer_text":"Over the available measurements, the heart rate stayed around 50, while MAP fell from 104 to 88. Systolic pressure was labile, ranging 99-138, with the lowest value around hour 15.4. SpO2 briefly dipped to 88 around hour 0.1 before recovering to 88, while respiratory rate peaked at 23 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (7.1 to 7.5), creatinine stayed around 1, lactate was not available, and urine output was not recorded.","episode_id":"iv_000230","anchor_time":39}
{"id":"TSS_iv_000230_clinical_summary_39_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 138 to 118, MAP fell from 104 to 88, and heart rate stayed around 50. SpO2 started at 88, ended at 88, and fell as low as 88 around hour 0.1; respiratory rate ranged 9-23. For labs and output, white count was roughly stable (7.1 to 7.5), creatinine stayed around 1, lactate was not available, and urine output was not recorded.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 123 to 120, MAP fell from 102 to 86, and heart rate was roughly stable (52 to 53). SpO2 started at 90, ended at 86, and fell as low as 88 around hour 0.1; respiratory rate ranged 9-25. For labs and output, white count was roughly stable (7.1 to 6.7), creatinine stayed around 1, lactate was not available, and urine output was not recorded.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 163 to 114, MAP fell from 108 to 91, and heart rate stayed around 46. SpO2 started at 92, ended at 84, and fell as low as 87 around hour 0.2; respiratory rate ranged 8-21. For labs and output, white count was roughly stable (7.7 to 6.9), creatinine stayed around 1, lactate was not available, and urine output was not recorded.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 108 to 88, MAP fell from 100 to 84, and heart rate stayed around 54. SpO2 started at 84, ended at 92, and fell as low as 84 around hour 0.0; respiratory rate ranged 10-21. For labs and output, white count was roughly stable (6.3 to 8.2), creatinine stayed around 1.1, lactate was not available, and urine output was not recorded.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 138 to 118, MAP fell from 104 to 88, and heart rate stayed around 50. SpO2 started at 88, ended at 88, and fell as low as 88 around hour 0.1; respiratory rate ranged 9-23. For labs and output, white count was roughly stable (7.1 to 7.5), creatinine stayed around 1, lactate was not available, and urine output was not recorded.","episode_id":"iv_000230","anchor_time":39}
{"id":"TSS_iv_000231_clinical_summary_43_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 63 to 88, while MAP rose from 75 to 96. Systolic pressure was labile, ranging 104-167, with the lowest value around hour 12.1. SpO2 briefly dipped to 88 around hour 1 before recovering to 94, while respiratory rate peaked at 28 and later settled at 16. The associated labs and urine output showed that white count fell from 14 to 12.5, creatinine was roughly stable (0.6 to 0.3), lactate was not available, and urine output rose from 97 to 400, with recorded outputs ranging 27-430.\nB. Viewed chronologically, the heart rate rose from 58 to 93, while MAP rose from 70 to 91. Systolic pressure was labile, ranging 109-202, with the lowest value around hour 9.5. SpO2 briefly dipped to 83 around hour 0 before recovering to 99, while respiratory rate peaked at 25 and later settled at 14. The associated labs and urine output showed that white count fell from 17 to 11.8, creatinine stayed around 0.4, lactate was not available, and urine output rose from 100 to 450, with recorded outputs ranging 80-450.\nC. Viewed chronologically, the heart rate rose from 64 to 87, while MAP rose from 76 to 97. Systolic pressure was labile, ranging 111-162, with the lowest value around hour 12.5. SpO2 briefly dipped to 89 around hour 2 before recovering to 93, while respiratory rate peaked at 28 and later settled at 17. The associated labs and urine output showed that white count fell from 14 to 12.5, creatinine was roughly stable (0.6 to 0.3), lactate was not available, and urine output rose from 96 to 475, with recorded outputs ranging 80-425.\nD. Viewed chronologically, the heart rate rose from 60 to 91, while MAP rose from 72 to 93. Systolic pressure was labile, ranging 107-187, with the lowest value around hour 10.6. SpO2 briefly dipped to 85 around hour 0 before recovering to 97, while respiratory rate peaked at 26 and later settled at 15. The associated labs and urine output showed that white count fell from 16 to 12.6, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 100 to 450, with recorded outputs ranging 30-450.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 60 to 91, while MAP rose from 72 to 93. Systolic pressure was labile, ranging 107-187, with the lowest value around hour 10.6. SpO2 briefly dipped to 85 around hour 0 before recovering to 97, while respiratory rate peaked at 26 and later settled at 15. The associated labs and urine output showed that white count fell from 16 to 12.6, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 100 to 450, with recorded outputs ranging 30-450.","episode_id":"iv_000231","anchor_time":43}
{"id":"TSS_iv_000231_clinical_summary_43_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 93, diastolic pressure rose from 63 to 83, and heart rate rose from 60 to 91. The lowest MAP was about 63 around hour 2.6, and the lowest valid SpO2 was 85 around hour 0; respiratory rate rose as high as 26 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 36.2-37.7 C, white count fell from 16 to 12.6, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 100 to 450.\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 70 to 95, diastolic pressure rose from 61 to 81, and heart rate rose from 62 to 89. The lowest MAP was about 61 around hour 2.8, and the lowest valid SpO2 was 83 around hour 2; respiratory rate rose as high as 28 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 38.5-40.0 C, white count fell from 15 to 13.7, creatinine stayed around 0.4, lactate was not available, and urine output rose from 100 to 500.\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 76 to 89, diastolic pressure rose from 67 to 80, and heart rate rose from 56 to 95. The lowest MAP was about 66 around hour 3.6, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 28 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 32.5-34.0 C, white count fell from 18 to 10.7, creatinine was roughly stable (0.6 to 0.5), lactate was not available, and urine output rose from 96 to 475.\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 98, diastolic pressure rose from 58 to 78, and heart rate rose from 64 to 94. The lowest MAP was about 58 around hour 2.9, and the lowest valid SpO2 was 80 around hour 3; respiratory rate rose as high as 24 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 40.7-42.2 C, white count fell from 14 to 12.5, creatinine was roughly stable (0.3 to 0.2), lactate was not available, and urine output rose from 96 to 420.","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 93, diastolic pressure rose from 63 to 83, and heart rate rose from 60 to 91. The lowest MAP was about 63 around hour 2.6, and the lowest valid SpO2 was 85 around hour 0; respiratory rate rose as high as 26 but ended at 15. The lower-frequency data fit that summary: temperature ranged from 97.1 to 99.9, white count fell from 16 to 12.6, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 100 to 450.","episode_id":"iv_000231","anchor_time":43}
{"id":"TSS_iv_000231_clinical_summary_43_2","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 114 to 117, MAP rose from 75 to 96, and heart rate rose from 57 to 94. SpO2 started at 82, ended at 100, and fell as low as 88 around hour 0; respiratory rate ranged 10-24. For labs and output, white count fell from 14 to 12.5, creatinine was roughly stable (0.4 to 0.5), lactate was not available, and urine output rose from 97 to 470.\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 111 to 123, MAP rose from 72 to 93, and heart rate rose from 60 to 91. SpO2 started at 85, ended at 97, and fell as low as 85 around hour 0; respiratory rate ranged 9-26. For labs and output, white count fell from 16 to 12.6, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 100 to 450.\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 115 to 119, MAP rose from 76 to 96, and heart rate rose from 56 to 95. SpO2 started at 81, ended at 100, and fell as low as 84 around hour 0; respiratory rate ranged 10-24. For labs and output, white count fell from 14 to 12.5, creatinine was roughly stable (0.6 to 0.3), lactate was not available, and urine output rose from 96 to 475.\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 106 to 153, MAP rose from 68 to 88, and heart rate rose from 64 to 94. SpO2 started at 90, ended at 92, and fell as low as 80 around hour 3; respiratory rate ranged 8-28. For labs and output, white count fell from 18 to 11.8, creatinine was roughly stable (0.3 to 0.6), lactate was not available, and urine output rose from 96 to 420.","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 111 to 123, MAP rose from 72 to 93, and heart rate rose from 60 to 91. SpO2 started at 85, ended at 97, and fell as low as 85 around hour 0; respiratory rate ranged 9-26. For labs and output, white count fell from 16 to 12.6, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 100 to 450.","episode_id":"iv_000231","anchor_time":43}
{"id":"TSS_iv_000233_clinical_summary_44_0","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Taken together, the heart rate was roughly stable (75 to 67), while MAP was roughly stable (71 to 64). Systolic pressure was labile, ranging 80-105, with the lowest value around hour 20. SpO2 briefly dipped to 88 around hour 8.9 before recovering to 90, while respiratory rate peaked at 28 and later settled at 20. The associated labs and urine output showed that white count fell from 8 to 7.7, creatinine fell from 1.5 to 0.9, lactate was not available, and urine output fell from 200 to 0, with recorded outputs ranging 0-920.\nB. Taken together, the heart rate was roughly stable (72 to 70), while MAP fell from 68 to 61. Systolic pressure was labile, ranging 83-125, with the lowest value around hour 18. SpO2 briefly dipped to 85 around hour 7.9 before recovering to 93, while respiratory rate peaked at 26 and later settled at 18. The associated labs and urine output showed that white count fell from 9 to 7.2, creatinine fell from 1.3 to 1.1, lactate was not available, and urine output fell from 180 to 30, with recorded outputs ranging 0-1000.\nC. Taken together, the heart rate was roughly stable (76 to 66), while MAP fell from 72 to 65. Systolic pressure was labile, ranging 87-100, with the lowest value around hour 20. SpO2 briefly dipped to 86 around hour 8.5 before recovering to 89, while respiratory rate peaked at 28 and later settled at 20. The associated labs and urine output showed that white count fell from 8 to 7.8, creatinine fell from 1.6 to 0.9, lactate was not available, and urine output fell from 205 to 34, with recorded outputs ranging 0-900.\nD. Taken together, the heart rate was roughly stable (68 to 74), while MAP fell from 64 to 56. Systolic pressure was labile, ranging 88-155, with the lowest value around hour 16. SpO2 briefly dipped to 80 around hour 7.2 before recovering to 98, while respiratory rate peaked at 24 and later settled at 16. The associated labs and urine output showed that white count fell from 10 to 6.4, creatinine was roughly stable (1.0 to 1.2), lactate was not available, and urine output fell from 150 to 26, with recorded outputs ranging 30-1120.","answer":"B","answer_text":"Taken together, the heart rate was roughly stable (72 to 70), while MAP fell from 68 to 61. Systolic pressure was labile, ranging 83-125, with the lowest value around hour 18. SpO2 briefly dipped to 85 around hour 7.9 before recovering to 93, while respiratory rate peaked at 26 and later settled at 18. The associated labs and urine output showed that white count fell from 9 to 7.2, creatinine fell from 1.3 to 1.1, lactate was not available, and urine output fell from 180 to 30, with recorded outputs ranging 0-1000.","episode_id":"iv_000233","anchor_time":44}
{"id":"TSS_iv_000234_clinical_summary_23_0","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. In broad terms, the heart rate was roughly stable (89 to 88), while MAP fell from 114 to 99. Systolic pressure was labile, ranging 103-170, with the lowest value around hour 16.0. SpO2 briefly dipped to 88 around hour 12.6 before recovering to 95, while respiratory rate peaked at 22 and later settled at 16. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 1220 to 430, with recorded outputs ranging 400-1780.\nB. In broad terms, the heart rate was roughly stable (84 to 93), while MAP fell from 109 to 94. Systolic pressure was labile, ranging 127-189, with the lowest value around hour 13.4. SpO2 briefly dipped to 86 around hour 10.0 before recovering to 100, while respiratory rate peaked at 22 and later settled at 14. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 1360 to 365, with recorded outputs ranging 365-1640.\nC. In broad terms, the heart rate was roughly stable (86 to 91), while MAP fell from 111 to 96. Systolic pressure was labile, ranging 123-174, with the lowest value around hour 14.5. SpO2 briefly dipped to 85 around hour 11.1 before recovering to 98, while respiratory rate peaked at 20 and later settled at 15. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 1300 to 380, with recorded outputs ranging 380-1700.\nD. In broad terms, the heart rate was roughly stable (82 to 96), while MAP fell from 106 to 99. Systolic pressure was labile, ranging 153-204, with the lowest value around hour 12.2. SpO2 briefly dipped to 80 around hour 12.1 before recovering to 100, while respiratory rate peaked at 18 and later settled at 13. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 1420 to 330, with recorded outputs ranging 330-1580.","answer":"C","answer_text":"In broad terms, the heart rate was roughly stable (86 to 91), while MAP fell from 111 to 96. Systolic pressure was labile, ranging 123-174, with the lowest value around hour 14.5. SpO2 briefly dipped to 85 around hour 11.1 before recovering to 98, while respiratory rate peaked at 20 and later settled at 15. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 1300 to 380, with recorded outputs ranging 380-1700.","episode_id":"iv_000234","anchor_time":23}
{"id":"TSS_iv_000234_clinical_summary_23_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 169 to 140, MAP fell from 111 to 96, and heart rate was roughly stable (86 to 91). SpO2 started at 100, ended at 98, and fell as low as 85 around hour 11.1; respiratory rate ranged 11-20. For labs and output, white count was not available, creatinine was not available, lactate was not available, and urine output fell from 1300 to 380.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 154 to 136, MAP fell from 109 to 94, and heart rate rose from 88 to 94. SpO2 started at 98, ended at 96, and fell as low as 83 around hour 12.2; respiratory rate ranged 10-22. For labs and output, white count was not available, creatinine was not available, lactate was not available, and urine output fell from 1360 to 365.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 194 to 136, MAP fell from 115 to 99, and heart rate was roughly stable (82 to 95). SpO2 started at 96, ended at 100, and fell as low as 84 around hour 9.2; respiratory rate ranged 13-18. For labs and output, white count was not available, creatinine was not available, lactate was not available, and urine output fell from 1200 to 405.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 139 to 136, MAP fell from 106 to 92, and heart rate was roughly stable (90 to 86). SpO2 started at 96, ended at 94, and fell as low as 80 around hour 13.3; respiratory rate ranged 9-22. For labs and output, white count was not available, creatinine was not available, lactate was not available, and urine output fell from 1420 to 350.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 169 to 140, MAP fell from 111 to 96, and heart rate was roughly stable (86 to 91). SpO2 started at 100, ended at 98, and fell as low as 85 around hour 11.1; respiratory rate ranged 11-20. For labs and output, white count was not available, creatinine was not available, lactate was not available, and urine output fell from 1300 to 380.","episode_id":"iv_000234","anchor_time":23}
{"id":"TSS_iv_000235_clinical_summary_26_0","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. For handoff, the heart rate was roughly stable (88 to 87), while MAP fell from 158 to 92. Systolic pressure was labile, ranging 114-174, with the lowest value around hour 21.2. SpO2 briefly dipped to 83 around hour 10.7 before recovering to 89, while respiratory rate peaked at 35 and later settled at 20. The associated labs and urine output showed that white count was 9.3 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 420 to 275, with recorded outputs ranging 170-530.\nB. For handoff, the heart rate was roughly stable (83 to 92), while MAP fell from 123 to 87. Systolic pressure was labile, ranging 119-209, with the lowest value around hour 18.6. SpO2 briefly dipped to 78 around hour 9.3 before recovering to 94, while respiratory rate peaked at 30 and later settled at 17. The associated labs and urine output showed that white count was 11.9 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (385 to 340), with recorded outputs ranging 200-565.\nC. For handoff, the heart rate was roughly stable (89 to 86), while MAP fell from 163 to 93. Systolic pressure was labile, ranging 121-169, with the lowest value around hour 21.6. SpO2 briefly dipped to 81 around hour 10.3 before recovering to 88, while respiratory rate peaked at 34 and later settled at 20. The associated labs and urine output showed that white count was 8.9 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (425 to 300), with recorded outputs ranging 175-525.\nD. For handoff, the heart rate was roughly stable (85 to 90), while MAP fell from 138 to 89. Systolic pressure was labile, ranging 117-194, with the lowest value around hour 19.7. SpO2 briefly dipped to 80 around hour 9.7 before recovering to 92, while respiratory rate peaked at 32 and later settled at 18. The associated labs and urine output showed that white count was 10.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (400 to 325), with recorded outputs ranging 150-550.","answer":"D","answer_text":"For handoff, the heart rate was roughly stable (85 to 90), while MAP fell from 138 to 89. Systolic pressure was labile, ranging 117-194, with the lowest value around hour 19.7. SpO2 briefly dipped to 80 around hour 9.7 before recovering to 92, while respiratory rate peaked at 32 and later settled at 18. The associated labs and urine output showed that white count was 10.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (400 to 325), with recorded outputs ranging 150-550.","episode_id":"iv_000235","anchor_time":26}
{"id":"TSS_iv_000235_clinical_summary_26_2","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 170 to 110, MAP fell from 158 to 92, and heart rate was roughly stable (82 to 93). SpO2 started at 83, ended at 95, and fell as low as 79 around hour 9.2; respiratory rate ranged 16-29. For labs and output, white count was 9.3 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (420 to 305)\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 150 to 130, MAP fell from 138 to 89, and heart rate was roughly stable (85 to 90). SpO2 started at 86, ended at 92, and fell as low as 80 around hour 9.7; respiratory rate ranged 14-32. For labs and output, white count was 10.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (400 to 325)\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 175 to 105, MAP fell from 163 to 93, and heart rate rose from 81 to 93. SpO2 started at 82, ended at 96, and fell as low as 84 around hour 9.1; respiratory rate ranged 16-34. For labs and output, white count was 8.9 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (425 to 300)\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 120 to 100, MAP fell from 108 to 92, and heart rate was roughly stable (90 to 86). SpO2 started at 90, ended at 88, and fell as low as 79 around hour 10.4; respiratory rate ranged 12-36. For labs and output, white count was 13.1 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (370 to 355)","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 150 to 130, MAP fell from 138 to 89, and heart rate was roughly stable (85 to 90). SpO2 started at 86, ended at 92, and fell as low as 80 around hour 9.7; respiratory rate ranged 14-32. For labs and output, white count was 10.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (400 to 325)","episode_id":"iv_000235","anchor_time":26}
{"id":"TSS_iv_000236_clinical_summary_23_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 60 to 115, while MAP rose from 72 to 81. Systolic pressure was labile, ranging 93-122, with the lowest value around hour 6.8. SpO2 briefly dipped to 85 around hour 0.4 before recovering to 97, while respiratory rate peaked at 26 and later settled at 23. The associated labs and urine output showed that white count rose from 2 to 10.4, creatinine was 0.5 on its only check, lactate was checked once at 1114, and urine output stayed around 400, with recorded outputs ranging 300-400.\nB. Across the recorded window, the heart rate rose from 58 to 117, while MAP rose from 70 to 84. Systolic pressure was labile, ranging 95-137, with the lowest value around hour 6.4. SpO2 briefly dipped to 83 around hour 1.4 before recovering to 99, while respiratory rate peaked at 25 and later settled at 22. The associated labs and urine output showed that white count rose from 2 to 9.3, creatinine was 0.4 on its only check, lactate was checked once at 1174, and urine output was roughly stable (385 to 350), with recorded outputs ranging 300-400.\nC. Across the recorded window, the heart rate rose from 64 to 111, while MAP rose from 76 to 85. Systolic pressure was labile, ranging 97-100, with the lowest value around hour 7.4. SpO2 briefly dipped to 89 around hour 0.5 before recovering to 93, while respiratory rate peaked at 28 and later settled at 25. The associated labs and urine output showed that white count rose from 2 to 12.3, creatinine was 0.6 on its only check, lactate was checked once at 1114.2, and urine output stayed around 425, with recorded outputs ranging 325-425.\nD. Across the recorded window, the heart rate rose from 56 to 120, while MAP rose from 68 to 76. Systolic pressure was labile, ranging 98-152, with the lowest value around hour 6.0. SpO2 briefly dipped to 80 around hour 0.2 before recovering to 100, while respiratory rate peaked at 24 and later settled at 21. The associated labs and urine output showed that white count rose from 2 to 9.6, creatinine was 0.3 on its only check, lactate was checked once at 1234, and urine output stayed around 370, with recorded outputs ranging 350-370.","answer":"A","answer_text":"Across the recorded window, the heart rate rose from 60 to 115, while MAP rose from 72 to 81. Systolic pressure was labile, ranging 93-122, with the lowest value around hour 6.8. SpO2 briefly dipped to 85 around hour 0.4 before recovering to 97, while respiratory rate peaked at 26 and later settled at 23. The associated labs and urine output showed that white count rose from 2 to 10.4, creatinine was 0.5 on its only check, lactate was checked once at 1114, and urine output stayed around 400, with recorded outputs ranging 300-400.","episode_id":"iv_000236","anchor_time":23}
{"id":"TSS_iv_000236_clinical_summary_23_1","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 75 to 78, diastolic pressure rose from 62 to 69, and heart rate rose from 57 to 118. The lowest MAP was about 69 around hour 7.8, and the lowest valid SpO2 was 88 around hour 0.3; respiratory rate rose as high as 28 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 33.4-34.3 C, white count rose from 2 to 8.9, creatinine was 0.6 on its only check, lactate was checked once at 1194, and urine output was roughly stable (380 to 420)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 81, diastolic pressure rose from 59 to 72, and heart rate rose from 60 to 115. The lowest MAP was about 66 around hour 6.8, and the lowest valid SpO2 was 85 around hour 0.4; respiratory rate rose as high as 26 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 36.4-37.3 C, white count rose from 2 to 10.4, creatinine was 0.5 on its only check, lactate was checked once at 1114, and urine output was roughly stable (400 to 400)\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 76 to 77, diastolic pressure rose from 63 to 76, and heart rate rose from 56 to 118. The lowest MAP was about 70 around hour 6.2, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 28 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 32.6-33.5 C, white count rose from 2 to 8.5, creatinine was 0.6 on its only check, lactate was checked once at 1214, and urine output was roughly stable (375 to 425)\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 86, diastolic pressure rose from 54 to 68, and heart rate rose from 64 to 110. The lowest MAP was about 62 around hour 7.5, and the lowest valid SpO2 was 80 around hour 0.6; respiratory rate rose as high as 28 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 40.9-41.8 C, white count rose from 2 to 12.7, creatinine was 0.3 on its only check, lactate was checked once at 994, and urine output was roughly stable (430 to 450)","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 81, diastolic pressure rose from 59 to 72, and heart rate rose from 60 to 115. The lowest MAP was about 66 around hour 6.8, and the lowest valid SpO2 was 85 around hour 0.4; respiratory rate rose as high as 26 but ended at 23. The lower-frequency data fit that summary: temperature ranged from 97.5 to 99.2, white count rose from 2 to 10.4, creatinine was 0.5 on its only check, lactate was checked once at 1114, and urine output was roughly stable (400 to 400)","episode_id":"iv_000236","anchor_time":23}
{"id":"TSS_iv_000236_clinical_summary_23_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Clinically, the heart rate rose from 63 to 112, MAP rose from 75 to 84, and diastolic pressure moved from 56 to 75. Systolic pressure ranged 96-142 and ended at 115, and SpO2 recovered to 94 after a low of 84 around hour 0.5. Respiratory rate ended at 22; the available labs showed white count rose from 2 to 9.6, creatinine was 0.4 on its only check, lactate was checked once at 1194, and urine output was roughly stable (450 to 380)\nB. Clinically, the heart rate rose from 58 to 118, MAP rose from 70 to 79, and diastolic pressure moved from 61 to 69. Systolic pressure ranged 91-107 and ended at 110, and SpO2 recovered to 99 after a low of 83 around hour 0.3. Respiratory rate ended at 24; the available labs showed white count rose from 2 to 9.3, creatinine was 0.6 on its only check, lactate was checked once at 1054, and urine output was roughly stable (385 to 415)\nC. Clinically, the heart rate rose from 64 to 111, MAP rose from 76 to 84, and diastolic pressure moved from 55 to 76. Systolic pressure ranged 97-147 and ended at 108, and SpO2 recovered to 93 after a low of 89 around hour 1.4. Respiratory rate ended at 21; the available labs showed white count rose from 2 to 12.3, creatinine was 0.4 on its only check, lactate was checked once at 1214, and urine output was roughly stable (425 to 375)\nD. Clinically, the heart rate rose from 60 to 115, MAP rose from 72 to 81, and diastolic pressure moved from 59 to 72. Systolic pressure ranged 93-122 and ended at 112, and SpO2 recovered to 97 after a low of 85 around hour 0.4. Respiratory rate ended at 23; the available labs showed white count rose from 2 to 10.4, creatinine was 0.5 on its only check, lactate was checked once at 1114, and urine output was roughly stable (400 to 400)","answer":"D","answer_text":"Clinically, the heart rate rose from 60 to 115, MAP rose from 72 to 81, and diastolic pressure moved from 59 to 72. Systolic pressure ranged 93-122 and ended at 112, and SpO2 recovered to 97 after a low of 85 around hour 0.4. Respiratory rate ended at 23; the available labs showed white count rose from 2 to 10.4, creatinine was 0.5 on its only check, lactate was checked once at 1114, and urine output was roughly stable (400 to 400)","episode_id":"iv_000236","anchor_time":23}
{"id":"TSS_iv_000239_clinical_summary_60_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 74), diastolic pressure fell from 67 to 59, and heart rate was roughly stable (73 to 70). The lowest MAP was about 55 around hour 9.8, and the lowest valid SpO2 was 85 around hour 57.8; respiratory rate rose as high as 34 but ended at 34. The lower-frequency data fit that summary: temperature stayed around 36.2-37.1 C, white count fell from 20.8 to 10.5, creatinine was roughly stable (2.2 to 1.6), lactate rose from 1.3 to 456, and urine output rose from 50 to 400.\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 76), diastolic pressure fell from 65 to 56, and heart rate was roughly stable (75 to 68). The lowest MAP was about 58 around hour 10.8, and the lowest valid SpO2 was 83 around hour 60.0; respiratory rate rose as high as 32 but ended at 32. The lower-frequency data fit that summary: temperature stayed around 38.5-39.4 C, white count fell from 19.7 to 11.6, creatinine was roughly stable (2.1 to 1.5), lactate rose from 1.5 to 441, and urine output rose from 48 to 415.\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (81 to 70), diastolic pressure fell from 71 to 63, and heart rate stayed around 69. The lowest MAP was about 55 around hour 9.8, and the lowest valid SpO2 was 85 around hour 56.8; respiratory rate rose as high as 34 but ended at 38. The lower-frequency data fit that summary: temperature stayed around 36.2-37.1 C, white count fell from 20.8 to 10.5, creatinine was roughly stable (2.2 to 1.6), lactate rose from 1.3 to 456, and urine output rose from 50 to 400.\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (72 to 78), diastolic pressure fell from 62 to 54, and heart rate was roughly stable (78 to 66). The lowest MAP was about 50 around hour 10.6, and the lowest valid SpO2 was 80 around hour 62.3; respiratory rate rose as high as 36 but ended at 30. The lower-frequency data fit that summary: temperature stayed around 40.7-41.6 C, white count fell from 18.6 to 12.8, creatinine was roughly stable (1.9 to 1.7), lactate rose from 1.6 to 426, and urine output rose from 46 to 450.","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 74), diastolic pressure fell from 67 to 59, and heart rate was roughly stable (73 to 70). The lowest MAP was about 55 around hour 9.8, and the lowest valid SpO2 was 85 around hour 57.8; respiratory rate rose as high as 34 but ended at 34. The lower-frequency data fit that summary: temperature ranged from 97.1 to 98.8, white count fell from 20.8 to 10.5, creatinine was roughly stable (2.2 to 1.6), lactate rose from 1.3 to 456, and urine output rose from 50 to 400.","episode_id":"iv_000239","anchor_time":60}
{"id":"TSS_iv_000240_clinical_summary_27_1","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 68), diastolic pressure rose from 57 to 65, and heart rate rose from 8 to 97. The lowest MAP was about 44 around hour 8, and the lowest valid SpO2 was 75 around hour 22; respiratory rate rose as high as 32 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.3-33.8 C, white count fell from 16.2 to 9.3, creatinine stayed around 1.1, lactate was not available, and urine output fell from 220 to 65.\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (72 to 71), diastolic pressure rose from 54 to 62, and heart rate rose from 8 to 100. The lowest MAP was about 41 around hour 8, and the lowest valid SpO2 was 72 around hour 24; respiratory rate rose as high as 30 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 36.3-36.8 C, white count fell from 14.7 to 10.8, creatinine stayed around 1, lactate was not available, and urine output fell from 200 to 15.\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (76 to 67), diastolic pressure was roughly stable (58 to 59), and heart rate rose from 7 to 96. The lowest MAP was about 44 around hour 9, and the lowest valid SpO2 was 76 around hour 22; respiratory rate rose as high as 34 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.5-33.0 C, white count fell from 16.6 to 8.9, creatinine stayed around 1, lactate was not available, and urine output fell from 225 to 13.\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (68 to 76), diastolic pressure rose from 50 to 58, and heart rate rose from 9 to 103. The lowest MAP was about 36 around hour 9, and the lowest valid SpO2 was 68 around hour 23; respiratory rate rose as high as 26 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 40.8-41.3 C, white count fell from 12.4 to 10.9, creatinine stayed around 1, lactate was not available, and urine output fell from 170 to 17.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (72 to 71), diastolic pressure rose from 54 to 62, and heart rate rose from 8 to 100. The lowest MAP was about 41 around hour 8, and the lowest valid SpO2 was 72 around hour 24; respiratory rate rose as high as 30 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 97.4 to 98.3, white count fell from 14.7 to 10.8, creatinine stayed around 1, lactate was not available, and urine output fell from 200 to 15.","episode_id":"iv_000240","anchor_time":27}
{"id":"TSS_iv_000240_clinical_summary_27_2","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 108, MAP was roughly stable (69 to 74), and heart rate rose from 8 to 97. SpO2 started at 97, ended at 95, and fell as low as 75 around hour 26; respiratory rate ranged 8-27. For labs and output, white count fell from 16.2 to 9.3, creatinine rose from 0.9 to 1.1, lactate was not available, and urine output fell from 200 to 15.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (103 to 101), MAP was roughly stable (72 to 74), and heart rate rose from 8 to 100. SpO2 started at 100, ended at 98, and fell as low as 71 around hour 24; respiratory rate ranged 10-30. For labs and output, white count fell from 14.7 to 10.8, creatinine stayed around 1, lactate was not available, and urine output fell from 200 to 15.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 105, MAP was roughly stable (72 to 71), and heart rate rose from 8 to 100. SpO2 started at 100, ended at 98, and fell as low as 72 around hour 24; respiratory rate ranged 10-30. For labs and output, white count fell from 14.7 to 10.8, creatinine stayed around 1, lactate was not available, and urine output fell from 200 to 15.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 100, MAP was roughly stable (76 to 66), and heart rate rose from 7 to 103. SpO2 started at 96, ended at 100, and fell as low as 68 around hour 22; respiratory rate ranged 12-32. For labs and output, white count fell from 12.4 to 10, creatinine stayed around 1, lactate was not available, and urine output fell from 170 to 17.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 105, MAP was roughly stable (72 to 71), and heart rate rose from 8 to 100. SpO2 started at 100, ended at 98, and fell as low as 72 around hour 24; respiratory rate ranged 10-30. For labs and output, white count fell from 14.7 to 10.8, creatinine stayed around 1, lactate was not available, and urine output fell from 200 to 15.","episode_id":"iv_000240","anchor_time":27}
{"id":"TSS_iv_000240_clinical_summary_27_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Taken together, the heart rate rose from 8 to 97, MAP was roughly stable (75 to 74), and diastolic pressure moved from 51 to 65. Systolic pressure ranged 85-150 and ended at 108, and SpO2 recovered to 95 after a low of 71 around hour 26. Respiratory rate ended at 18; the available labs showed white count fell from 16.2 to 10, creatinine stayed around 1, lactate was not available, and urine output fell from 250 to 16.\nB. Taken together, the heart rate rose from 8 to 103, MAP was roughly stable (70 to 69), and diastolic pressure moved from 56 to 59. Systolic pressure ranged 80-115 and ended at 103, and SpO2 recovered to 100 after a low of 70 around hour 23. Respiratory rate ended at 21; the available labs showed white count fell from 13.6 to 9.7, creatinine stayed around 1, lactate was not available, and urine output fell from 185 to 14.\nC. Taken together, the heart rate rose from 9 to 96, MAP was roughly stable (76 to 74), and diastolic pressure moved from 50 to 66. Systolic pressure ranged 86-155 and ended at 101, and SpO2 recovered to 94 after a low of 76 around hour 25. Respiratory rate ended at 18; the available labs showed white count fell from 16.6 to 12.7, creatinine stayed around 1, lactate was not available, and urine output fell from 225 to 17.\nD. Taken together, the heart rate rose from 8 to 100, MAP was roughly stable (72 to 71), and diastolic pressure moved from 54 to 62. Systolic pressure ranged 82-130 and ended at 105, and SpO2 recovered to 98 after a low of 72 around hour 24. Respiratory rate ended at 20; the available labs showed white count fell from 14.7 to 10.8, creatinine stayed around 1, lactate was not available, and urine output fell from 200 to 15.","answer":"D","answer_text":"Taken together, the heart rate rose from 8 to 100, MAP was roughly stable (72 to 71), and diastolic pressure moved from 54 to 62. Systolic pressure ranged 82-130 and ended at 105, and SpO2 recovered to 98 after a low of 72 around hour 24. Respiratory rate ended at 20; the available labs showed white count fell from 14.7 to 10.8, creatinine stayed around 1, lactate was not available, and urine output fell from 200 to 15.","episode_id":"iv_000240","anchor_time":27}
{"id":"TSS_iv_000241_clinical_summary_53_0","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Taken together, the heart rate was roughly stable (81 to 78), while MAP rose from 59 to 113. Systolic pressure was labile, ranging 92-149, with the lowest value around hour 1.6. SpO2 briefly dipped to 88 around hour 1.7 before recovering to 94, while respiratory rate peaked at 43 and later settled at 24. The associated labs and urine output showed that white count fell from 10.0 to 9.7, creatinine stayed around 0.6, lactate was not available, and urine output rose from 145 to 250, with recorded outputs ranging 75-650.\nB. Taken together, the heart rate was roughly stable (78 to 81), while MAP rose from 56 to 110. Systolic pressure was labile, ranging 95-169, with the lowest value around hour 1.4. SpO2 briefly dipped to 85 around hour 1.5 before recovering to 97, while respiratory rate peaked at 40 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (11.5 to 10.5), creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 145 to 250, with recorded outputs ranging 25-650.\nC. Taken together, the heart rate was roughly stable (82 to 77), while MAP rose from 60 to 114. Systolic pressure was labile, ranging 91-144, with the lowest value around hour 1.6. SpO2 briefly dipped to 86 around hour 1.8 before recovering to 93, while respiratory rate peaked at 42 and later settled at 25. The associated labs and urine output showed that white count was roughly stable (9.6 to 12.4), creatinine was roughly stable (0.6 to 0.3), lactate was not available, and urine output rose from 95 to 275, with recorded outputs ranging 23-625.\nD. Taken together, the heart rate was roughly stable (74 to 86), while MAP rose from 52 to 113. Systolic pressure was labile, ranging 100-199, with the lowest value around hour 1.1. SpO2 briefly dipped to 80 around hour 2.5 before recovering to 100, while respiratory rate peaked at 36 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (13.8 to 8.2), creatinine was roughly stable (0.3 to 0.6), lactate was not available, and urine output was roughly stable (115 to 200), with recorded outputs ranging 27-680.","answer":"B","answer_text":"Taken together, the heart rate was roughly stable (78 to 81), while MAP rose from 56 to 110. Systolic pressure was labile, ranging 95-169, with the lowest value around hour 1.4. SpO2 briefly dipped to 85 around hour 1.5 before recovering to 97, while respiratory rate peaked at 40 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (11.5 to 10.5), creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 145 to 250, with recorded outputs ranging 25-650.","episode_id":"iv_000241","anchor_time":53}
{"id":"TSS_iv_000241_clinical_summary_53_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 98 to 131, MAP rose from 59 to 113, and heart rate was roughly stable (75 to 84). SpO2 started at 90, ended at 100, and fell as low as 84 around hour 1.3; respiratory rate ranged 16-37. For labs and output, white count was roughly stable (10.0 to 12.0), creatinine was roughly stable (0.6 to 0.3), lactate was not available, and urine output rose from 165 to 270.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 93 to 150, MAP rose from 54 to 108, and heart rate was roughly stable (80 to 79). SpO2 started at 95, ended at 95, and fell as low as 83 around hour 1.6; respiratory rate ranged 13-42. For labs and output, white count was roughly stable (12.6 to 9.4), creatinine stayed around 0.4, lactate was not available, and urine output rose from 145 to 250.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 99 to 110, MAP rose from 60 to 114, and heart rate rose from 74 to 84. SpO2 started at 89, ended at 100, and fell as low as 89 around hour 1.2; respiratory rate ranged 16-42. For labs and output, white count fell from 9.6 to 9.1, creatinine was roughly stable (0.6 to 0.3), lactate was not available, and urine output rose from 170 to 275.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 95 to 135, MAP rose from 56 to 110, and heart rate was roughly stable (78 to 81). SpO2 started at 93, ended at 97, and fell as low as 85 around hour 1.5; respiratory rate ranged 14-40. For labs and output, white count was roughly stable (11.5 to 10.5), creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 145 to 250.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 95 to 135, MAP rose from 56 to 110, and heart rate was roughly stable (78 to 81). SpO2 started at 93, ended at 97, and fell as low as 85 around hour 1.5; respiratory rate ranged 14-40. For labs and output, white count was roughly stable (11.5 to 10.5), creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 145 to 250.","episode_id":"iv_000241","anchor_time":53}
{"id":"TSS_iv_000242_clinical_summary_51_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 97 to 75, diastolic pressure fell from 83 to 65, and heart rate was roughly stable (75 to 79). The lowest MAP was about 81 around hour 48.2, and the lowest valid SpO2 was 91 around hour 5.4; respiratory rate rose as high as 24 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 33.4-33.8 C, white count was 10.1 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 670 to 550.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 98 to 80, diastolic pressure fell from 78 to 60, and heart rate was roughly stable (80 to 79). The lowest MAP was about 76 around hour 53.5, and the lowest valid SpO2 was 86 around hour 4.9; respiratory rate rose as high as 21 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 38.6-39.0 C, white count was 9.2 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 635 to 485.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 96 to 74, diastolic pressure fell from 84 to 59, and heart rate was roughly stable (74 to 80). The lowest MAP was about 82 around hour 51, and the lowest valid SpO2 was 92 around hour 5.3; respiratory rate rose as high as 24 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 32.6-33.0 C, white count was 10.2 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 675 to 525.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 78, diastolic pressure fell from 80 to 62, and heart rate was roughly stable (78 to 76). The lowest MAP was about 78 around hour 51.2, and the lowest valid SpO2 was 88 around hour 5.9; respiratory rate rose as high as 22 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 36.4-36.8 C, white count was 9.6 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 650 to 500.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 78, diastolic pressure fell from 80 to 62, and heart rate was roughly stable (78 to 76). The lowest MAP was about 78 around hour 51.2, and the lowest valid SpO2 was 88 around hour 5.9; respiratory rate rose as high as 22 but ended at 15. The lower-frequency data fit that summary: temperature ranged from 0 to 98.3, white count was 9.6 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 650 to 500.","episode_id":"iv_000242","anchor_time":51}
{"id":"TSS_iv_000244_clinical_summary_27_2","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 26 to 109, MAP rose from 68 to 72, and heart rate fell from 69 to 65. SpO2 started at 97, ended at 100, and fell as low as 84 around hour 3.2; respiratory rate ranged 12-22. For labs and output, white count was roughly stable (7.8 to 9.3), creatinine stayed around 0.9, lactate fell from 1.4 to 0.9, and urine output fell from 355 to 200.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 24 to 115, MAP was roughly stable (63 to 67), and heart rate fell from 74 to 60. SpO2 started at 98, ended at 97, and fell as low as 83 around hour 4.1; respiratory rate ranged 9-24. For labs and output, white count was roughly stable (8.7 to 8.4), creatinine was roughly stable (0.7 to 0.9), lactate fell from 1.8 to 0.8, and urine output fell from 335 to 220.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 25 to 113, MAP was roughly stable (65 to 69), and heart rate fell from 72 to 62. SpO2 started at 100, ended at 99, and fell as low as 85 around hour 3.7; respiratory rate ranged 10-23. For labs and output, white count was roughly stable (8.3 to 8.8), creatinine stayed around 0.8, lactate fell from 1.6 to 0.8, and urine output fell from 335 to 220.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 23 to 118, MAP was roughly stable (60 to 64), and heart rate fell from 76 to 65. SpO2 started at 96, ended at 94, and fell as low as 80 around hour 4.5; respiratory rate ranged 8-25. For labs and output, white count was roughly stable (9.1 to 8), creatinine stayed around 0.7, lactate fell from 1.9 to 0.7, and urine output fell from 305 to 250.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 25 to 113, MAP was roughly stable (65 to 69), and heart rate fell from 72 to 62. SpO2 started at 100, ended at 99, and fell as low as 85 around hour 3.7; respiratory rate ranged 10-23. For labs and output, white count was roughly stable (8.3 to 8.8), creatinine stayed around 0.8, lactate fell from 1.6 to 0.8, and urine output fell from 335 to 220.","episode_id":"iv_000244","anchor_time":27}
{"id":"TSS_iv_000245_clinical_summary_31_0","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Clinically, the heart rate rose from 81 to 84, while MAP was roughly stable (90 to 83). Systolic pressure was labile, ranging 86-114, with the lowest value around hour 7.9. SpO2 briefly dipped to 97 around hour 27.4 before recovering to 92, while respiratory rate peaked at 34 and later settled at 20. The associated labs and urine output showed that white count fell from 17.2 to 15.7, creatinine rose from 0.8 to 0.9, lactate rose from 2 to 2.7, and urine output fell from 480 to 0, with recorded outputs ranging 0-545.\nB. Clinically, the heart rate rose from 78 to 87, while MAP fell from 87 to 80. Systolic pressure was labile, ranging 89-134, with the lowest value around hour 7.4. SpO2 briefly dipped to 94 around hour 26.4 before recovering to 95, while respiratory rate peaked at 31 and later settled at 18. The associated labs and urine output showed that white count fell from 18.7 to 17.5, creatinine rose from 0.7 to 0.9, lactate rose from 2 to 2.5, and urine output fell from 500 to 30, with recorded outputs ranging 25-525.\nC. Clinically, the heart rate rose from 82 to 83, while MAP fell from 91 to 84. Systolic pressure was labile, ranging 93-109, with the lowest value around hour 8.0. SpO2 briefly dipped to 95 around hour 28.3 before recovering to 91, while respiratory rate peaked at 33 and later settled at 20. The associated labs and urine output showed that white count fell from 16.8 to 15.3, creatinine rose from 0.8 to 0.9, lactate rose from 2 to 2.8, and urine output fell from 475 to 34, with recorded outputs ranging 27-550.\nD. Clinically, the heart rate rose from 74 to 92, while MAP fell from 82 to 76. Systolic pressure was labile, ranging 94-164, with the lowest value around hour 6.7. SpO2 briefly dipped to 90 around hour 24.1 before recovering to 100, while respiratory rate peaked at 26 and later settled at 16. The associated labs and urine output showed that white count fell from 20.9 to 16.7, creatinine rose from 0.5 to 1, lactate rose from 2 to 2.2, and urine output fell from 530 to 26, with recorded outputs ranging 30-495.","answer":"B","answer_text":"Clinically, the heart rate rose from 78 to 87, while MAP fell from 87 to 80. Systolic pressure was labile, ranging 89-134, with the lowest value around hour 7.4. SpO2 briefly dipped to 94 around hour 26.4 before recovering to 95, while respiratory rate peaked at 31 and later settled at 18. The associated labs and urine output showed that white count fell from 18.7 to 17.5, creatinine rose from 0.7 to 0.9, lactate rose from 2 to 2.5, and urine output fell from 500 to 30, with recorded outputs ranging 25-525.","episode_id":"iv_000245","anchor_time":31}
{"id":"TSS_iv_000245_clinical_summary_31_1","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 77, diastolic pressure was roughly stable (75 to 76), and heart rate rose from 75 to 90. The lowest MAP was about 66 around hour 6.9, and the lowest valid SpO2 was 97 around hour 25.4; respiratory rate rose as high as 34 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.6-34.7 C, white count fell from 20.2 to 16.0, creatinine rose from 0.8 to 1.0, lactate rose from 2 to 2.7, and urine output fell from 520 to 27.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 85 to 82, diastolic pressure was roughly stable (70 to 70), and heart rate rose from 80 to 85. The lowest MAP was about 66 around hour 8.4, and the lowest valid SpO2 was 92 around hour 27.5; respiratory rate rose as high as 29 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 38.9-40.0 C, white count fell from 17.6 to 16.1, creatinine rose from 0.6 to 0.8, lactate rose from 2 to 2.4, and urine output fell from 485 to 32.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 87 to 80, diastolic pressure was roughly stable (72 to 73), and heart rate rose from 78 to 87. The lowest MAP was about 63 around hour 7.4, and the lowest valid SpO2 was 94 around hour 26.4; respiratory rate rose as high as 31 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.6-37.7 C, white count fell from 18.7 to 17.5, creatinine rose from 0.7 to 0.9, lactate rose from 2 to 2.5, and urine output fell from 500 to 30.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 82 to 79, diastolic pressure was roughly stable (68 to 68), and heart rate rose from 82 to 85. The lowest MAP was about 58 around hour 8.2, and the lowest valid SpO2 was 90 around hour 28.6; respiratory rate rose as high as 33 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 41.1-42.2 C, white count fell from 16.4 to 14.9, creatinine rose from 0.5 to 1, lactate rose from 2 to 2.2, and urine output fell from 470 to 80.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 87 to 80, diastolic pressure was roughly stable (72 to 73), and heart rate rose from 78 to 87. The lowest MAP was about 63 around hour 7.4, and the lowest valid SpO2 was 94 around hour 26.4; respiratory rate rose as high as 31 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 97.9 to 99.8, white count fell from 18.7 to 17.5, creatinine rose from 0.7 to 0.9, lactate rose from 2 to 2.5, and urine output fell from 500 to 30.","episode_id":"iv_000245","anchor_time":31}
{"id":"TSS_iv_000247_clinical_summary_94_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 81 to 82, while MAP rose from 83 to 90. Systolic pressure was labile, ranging 91-126, with the lowest value around hour 0.7. SpO2 briefly dipped to 88 around hour 9.7 before recovering to 95, while respiratory rate peaked at 30 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (7.8 to 9.8), creatinine fell from 1 to 0.7, lactate was not available, and urine output fell from 320 to 75, with recorded outputs ranging 47-280.\nB. Viewed chronologically, the heart rate rose from 76 to 87, while MAP rose from 78 to 85. Systolic pressure was labile, ranging 98-161, with the lowest value around hour 0.5. SpO2 briefly dipped to 86 around hour 8.3 before recovering to 100, while respiratory rate peaked at 30 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (8.7 to 8.9), creatinine fell from 1 to 0.9, lactate was not available, and urine output fell from 285 to 110, with recorded outputs ranging 52-315.\nC. Viewed chronologically, the heart rate rose from 82 to 85, while MAP rose from 84 to 91. Systolic pressure was labile, ranging 90-121, with the lowest value around hour 0.7. SpO2 briefly dipped to 89 around hour 9.3 before recovering to 94, while respiratory rate peaked at 30 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (7.7 to 8.5), creatinine was roughly stable (1 to 0.9), lactate was not available, and urine output fell from 325 to 150, with recorded outputs ranging 100-275.\nD. Viewed chronologically, the heart rate rose from 78 to 85, while MAP rose from 80 to 87. Systolic pressure was labile, ranging 94-146, with the lowest value around hour 0.6. SpO2 briefly dipped to 85 around hour 8.7 before recovering to 98, while respiratory rate peaked at 28 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (8.3 to 9.3), creatinine fell from 1 to 0.8, lactate was not available, and urine output fell from 300 to 125, with recorded outputs ranging 50-300.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 78 to 85, while MAP rose from 80 to 87. Systolic pressure was labile, ranging 94-146, with the lowest value around hour 0.6. SpO2 briefly dipped to 85 around hour 8.7 before recovering to 98, while respiratory rate peaked at 28 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (8.3 to 9.3), creatinine fell from 1 to 0.8, lactate was not available, and urine output fell from 300 to 125, with recorded outputs ranging 50-300.","episode_id":"iv_000247","anchor_time":94}
{"id":"TSS_iv_000248_clinical_summary_29_1","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 76 to 82, diastolic pressure rose from 68 to 77, and heart rate was roughly stable (80 to 83). The lowest MAP was about 61 around hour 18.8, and the lowest valid SpO2 was 88 around hour 9.2; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.3-34.1 C, white count was 4.2 on its only check, creatinine rose from 0.4 to 0.7, lactate was checked once at 196, and urine output was roughly stable (180 to 250)\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 73 to 85, diastolic pressure rose from 65 to 74, and heart rate was roughly stable (83 to 80). The lowest MAP was about 58 around hour 20.3, and the lowest valid SpO2 was 85 around hour 9.7; respiratory rate rose as high as 27 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.3-37.1 C, white count was 3.7 on its only check, creatinine was roughly stable (0.5 to 0.6), lactate was checked once at 176, and urine output was roughly stable (200 to 200)\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 77 to 81, diastolic pressure rose from 69 to 71, and heart rate was roughly stable (79 to 84). The lowest MAP was about 61 around hour 21.3, and the lowest valid SpO2 was 89 around hour 9.1; respiratory rate rose as high as 29 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 32.5-33.4 C, white count was 4.3 on its only check, creatinine was roughly stable (0.4 to 0.7), lactate was checked once at 201, and urine output was roughly stable (175 to 225)\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 90, diastolic pressure rose from 60 to 70, and heart rate stayed around 88. The lowest MAP was about 58 around hour 20.3, and the lowest valid SpO2 was 85 around hour 8.7; respiratory rate rose as high as 27 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.3-37.1 C, white count was 3.7 on its only check, creatinine was roughly stable (0.5 to 0.6), lactate was checked once at 176, and urine output was roughly stable (200 to 230)","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 73 to 85, diastolic pressure rose from 65 to 74, and heart rate was roughly stable (83 to 80). The lowest MAP was about 58 around hour 20.3, and the lowest valid SpO2 was 85 around hour 9.7; respiratory rate rose as high as 27 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 97.4 to 98.7, white count was 3.7 on its only check, creatinine was roughly stable (0.5 to 0.6), lactate was checked once at 176, and urine output was roughly stable (200 to 200)","episode_id":"iv_000248","anchor_time":29}
{"id":"TSS_iv_000249_clinical_summary_108_1","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 66 to 76, diastolic pressure was roughly stable (56 to 59), and heart rate fell from 84 to 73. The lowest MAP was about 61 around hour 0.0, and the lowest valid SpO2 was 88 around hour 2.8; respiratory rate rose as high as 42 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.9-34.1 C, white count was roughly stable (13.4 to 10.0), creatinine was roughly stable (0.8 to 0.6), lactate was checked once at 2.6, and urine output fell from 770 to 300.\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 61 to 81, diastolic pressure stayed around 51, and heart rate fell from 87 to 70. The lowest MAP was about 61 around hour 1.1, and the lowest valid SpO2 was 85 around hour 3.3; respiratory rate rose as high as 40 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 35.9-37.1 C, white count was roughly stable (11.9 to 11.5), creatinine fell from 0.7 to 0.5, lactate was checked once at 2.8, and urine output fell from 750 to 250.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 63 to 79, diastolic pressure was roughly stable (53 to 56), and heart rate fell from 87 to 70. The lowest MAP was about 58 around hour 0.1, and the lowest valid SpO2 was 85 around hour 3.3; respiratory rate rose as high as 40 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 35.9-37.1 C, white count was roughly stable (11.9 to 11.5), creatinine fell from 0.7 to 0.5, lactate was checked once at 2.8, and urine output fell from 750 to 250.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 58 to 84, diastolic pressure was roughly stable (48 to 52), and heart rate fell from 92 to 73. The lowest MAP was about 54 around hour 0.2, and the lowest valid SpO2 was 80 around hour 2.3; respiratory rate rose as high as 36 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 40.4-41.6 C, white count was roughly stable (9.7 to 13.8), creatinine fell from 0.5 to 0.3, lactate was checked once at 3.1, and urine output fell from 720 to 220.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 63 to 79, diastolic pressure was roughly stable (53 to 56), and heart rate fell from 87 to 70. The lowest MAP was about 58 around hour 0.1, and the lowest valid SpO2 was 85 around hour 3.3; respiratory rate rose as high as 40 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 37 to 98.7, white count was roughly stable (11.9 to 11.5), creatinine fell from 0.7 to 0.5, lactate was checked once at 2.8, and urine output fell from 750 to 250.","episode_id":"iv_000249","anchor_time":108}
{"id":"TSS_iv_000250_clinical_summary_27_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 81, diastolic pressure was roughly stable (58 to 56), and heart rate fell from 83 to 56. The lowest MAP was about 51 around hour 9.9, and the lowest valid SpO2 was 88 around hour 9.3; respiratory rate rose as high as 28 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 39.1-39.6 C, white count fell from 13.6 to 8.7, creatinine was roughly stable (1.1 to 1.4), lactate rose from 1.9 to 2.7, and urine output fell from 815 to 43.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 76, diastolic pressure was roughly stable (63 to 57), and heart rate fell from 78 to 61. The lowest MAP was about 46 around hour 8.5, and the lowest valid SpO2 was 83 around hour 8.4; respiratory rate rose as high as 31 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 33.9-34.4 C, white count fell from 11.0 to 7.8, creatinine stayed around 1.5, lactate rose from 1.7 to 2.9, and urine output fell from 795 to 90.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 82, diastolic pressure was roughly stable (57 to 63), and heart rate fell from 84 to 62. The lowest MAP was about 52 around hour 9.5, and the lowest valid SpO2 was 89 around hour 7.8; respiratory rate rose as high as 27 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 39.9-40.4 C, white count fell from 14.0 to 8.8, creatinine was roughly stable (1.1 to 1.4), lactate rose from 1.9 to 2.6, and urine output fell from 820 to 44.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 78, diastolic pressure was roughly stable (61 to 59), and heart rate fell from 80 to 59. The lowest MAP was about 48 around hour 8.9, and the lowest valid SpO2 was 85 around hour 8.8; respiratory rate rose as high as 29 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 36.1-36.6 C, white count fell from 12.1 to 8.2, creatinine was roughly stable (1.3 to 1.2), lactate rose from 1.7 to 2.9, and urine output fell from 795 to 40.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 78, diastolic pressure was roughly stable (61 to 59), and heart rate fell from 80 to 59. The lowest MAP was about 48 around hour 8.9, and the lowest valid SpO2 was 85 around hour 8.8; respiratory rate rose as high as 29 but ended at 22. The lower-frequency data fit that summary: temperature ranged from 97 to 97.8, white count fell from 12.1 to 8.2, creatinine was roughly stable (1.3 to 1.2), lactate rose from 1.7 to 2.9, and urine output fell from 795 to 40.","episode_id":"iv_000250","anchor_time":27}
{"id":"TSS_iv_000250_clinical_summary_27_3","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. For handoff, the heart rate fell from 83 to 56, MAP was roughly stable (81 to 81), and diastolic pressure moved from 61 to 59. Systolic pressure ranged 85-147 and ended at 136, and SpO2 recovered to 99 after a low of 85 around hour 9.8. Respiratory rate ended at 22; the available labs showed white count fell from 12.1 to 8.2, creatinine was roughly stable (1.3 to 1.2), lactate rose from 1.7 to 2.9, and urine output fell from 795 to 40.\nB. For handoff, the heart rate fell from 80 to 59, MAP stayed around 78, and diastolic pressure moved from 61 to 59. Systolic pressure ranged 85-147 and ended at 140, and SpO2 recovered to 99 after a low of 85 around hour 8.8. Respiratory rate ended at 22; the available labs showed white count fell from 12.1 to 8.2, creatinine was roughly stable (1.3 to 1.2), lactate rose from 1.7 to 2.9, and urine output fell from 795 to 40.\nC. For handoff, the heart rate fell from 84 to 62, MAP stayed around 82, and diastolic pressure moved from 65 to 56. Systolic pressure ranged 89-122 and ended at 115, and SpO2 recovered to 100 after a low of 81 around hour 9.4. Respiratory rate ended at 24; the available labs showed white count fell from 10.2 to 8.8, creatinine was roughly stable (1.6 to 0.9), lactate rose from 1.9 to 3.1, and urine output fell from 770 to 44.\nD. For handoff, the heart rate fell from 76 to 64, MAP stayed around 74, and diastolic pressure moved from 56 to 64. Systolic pressure ranged 80-177 and ended at 170, and SpO2 recovered to 94 after a low of 84 around hour 8.1. Respiratory rate ended at 20; the available labs showed white count fell from 14.3 to 7.4, creatinine was roughly stable (1.0 to 1.5), lactate rose from 1.4 to 2.6, and urine output fell from 845 to 36.","answer":"B","answer_text":"For handoff, the heart rate fell from 80 to 59, MAP stayed around 78, and diastolic pressure moved from 61 to 59. Systolic pressure ranged 85-147 and ended at 140, and SpO2 recovered to 99 after a low of 85 around hour 8.8. Respiratory rate ended at 22; the available labs showed white count fell from 12.1 to 8.2, creatinine was roughly stable (1.3 to 1.2), lactate rose from 1.7 to 2.9, and urine output fell from 795 to 40.","episode_id":"iv_000250","anchor_time":27}
{"id":"TSS_iv_000251_clinical_summary_33_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. For handoff, the heart rate rose from 53 to 92, while MAP fell from 85 to 68. Systolic pressure was labile, ranging 71-129, with the lowest value around hour 2.7. SpO2 briefly dipped to 91 around hour 1 before recovering to 94, while respiratory rate peaked at 30 and later settled at 30. The associated labs and urine output showed that white count rose from 2.5 to 9.3, creatinine was roughly stable (0.5 to 0.4), lactate fell from 3.1 to 2, and urine output was roughly stable (18 to 55), with recorded outputs ranging 16-305.\nB. For handoff, the heart rate rose from 48 to 97, while MAP fell from 80 to 62. Systolic pressure was labile, ranging 78-164, with the lowest value around hour 2.4. SpO2 briefly dipped to 86 around hour 0 before recovering to 99, while respiratory rate peaked at 30 and later settled at 27. The associated labs and urine output showed that white count rose from 2.9 to 8.4, creatinine was roughly stable (0.3 to 0.6), lactate fell from 2.8 to 2, and urine output rose from 21 to 103, with recorded outputs ranging 14-270.\nC. For handoff, the heart rate rose from 54 to 91, while MAP fell from 86 to 69. Systolic pressure was labile, ranging 70-124, with the lowest value around hour 2.8. SpO2 briefly dipped to 92 around hour 2 before recovering to 93, while respiratory rate peaked at 30 and later settled at 30. The associated labs and urine output showed that white count rose from 2.5 to 8, creatinine rose from 0.5 to 0.6, lactate fell from 3.1 to 2, and urine output rose from 18 to 109, with recorded outputs ranging 20-310.\nD. For handoff, the heart rate rose from 50 to 95, while MAP fell from 82 to 65. Systolic pressure was labile, ranging 74-149, with the lowest value around hour 2.5. SpO2 briefly dipped to 88 around hour 0 before recovering to 97, while respiratory rate peaked at 28 and later settled at 28. The associated labs and urine output showed that white count rose from 2.7 to 8.8, creatinine was roughly stable (0.4 to 0.5), lactate fell from 2.9 to 2, and urine output rose from 20 to 105, with recorded outputs ranging 15-285.","answer":"D","answer_text":"For handoff, the heart rate rose from 50 to 95, while MAP fell from 82 to 65. Systolic pressure was labile, ranging 74-149, with the lowest value around hour 2.5. SpO2 briefly dipped to 88 around hour 0 before recovering to 97, while respiratory rate peaked at 28 and later settled at 28. The associated labs and urine output showed that white count rose from 2.7 to 8.8, creatinine was roughly stable (0.4 to 0.5), lactate fell from 2.9 to 2, and urine output rose from 20 to 105, with recorded outputs ranging 15-285.","episode_id":"iv_000251","anchor_time":33}
{"id":"TSS_iv_000251_clinical_summary_33_2","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 146 to 107, MAP fell from 85 to 68, and heart rate rose from 47 to 98. SpO2 started at 85, ended at 100, and fell as low as 91 around hour 0; respiratory rate ranged 12-26. For labs and output, white count rose from 2.5 to 9.3, creatinine rose from 0.5 to 0.6, lactate fell from 3.1 to 2, and urine output rose from 18 to 108.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 126 to 110, MAP fell from 82 to 65, and heart rate rose from 50 to 95. SpO2 started at 88, ended at 97, and fell as low as 88 around hour 0; respiratory rate ranged 11-28. For labs and output, white count rose from 2.7 to 8.8, creatinine was roughly stable (0.4 to 0.5), lactate fell from 2.9 to 2, and urine output rose from 20 to 105.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 151 to 106, MAP fell from 86 to 68, and heart rate rose from 46 to 99. SpO2 started at 84, ended at 100, and fell as low as 87 around hour 0; respiratory rate ranged 13-26. For labs and output, white count rose from 2.5 to 9.4, creatinine was roughly stable (0.5 to 0.4), lactate fell from 3.1 to 2, and urine output rose from 18 to 109.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 96 to 93, MAP fell from 78 to 60, and heart rate rose from 54 to 98. SpO2 started at 92, ended at 92, and fell as low as 84 around hour 3; respiratory rate ranged 9-30. For labs and output, white count rose from 3.0 to 8, creatinine was roughly stable (0.2 to 0.7), lactate fell from 2.6 to 2, and urine output rose from 22 to 100.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 126 to 110, MAP fell from 82 to 65, and heart rate rose from 50 to 95. SpO2 started at 88, ended at 97, and fell as low as 88 around hour 0; respiratory rate ranged 11-28. For labs and output, white count rose from 2.7 to 8.8, creatinine was roughly stable (0.4 to 0.5), lactate fell from 2.9 to 2, and urine output rose from 20 to 105.","episode_id":"iv_000251","anchor_time":33}
{"id":"TSS_iv_000251_clinical_summary_33_3","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 53 to 92, MAP fell from 85 to 68, and diastolic pressure moved from 61 to 49. Systolic pressure ranged 77-169 and ended at 106, and SpO2 recovered to 94 after a low of 91 around hour 1. Respiratory rate ended at 26; the available labs showed white count rose from 2.9 to 9.3, creatinine was roughly stable (0.3 to 0.6), lactate fell from 3.1 to 2, and urine output rose from 22 to 108.\nB. Across the recorded window, the heart rate rose from 48 to 98, MAP fell from 80 to 63, and diastolic pressure moved from 66 to 43. Systolic pressure ranged 72-134 and ended at 108, and SpO2 recovered to 99 after a low of 86 around hour 0. Respiratory rate ended at 29; the available labs showed white count rose from 2.6 to 8.4, creatinine was roughly stable (0.5 to 0.4), lactate fell from 2.8 to 2, and urine output rose from 19 to 103.\nC. Across the recorded window, the heart rate rose from 50 to 95, MAP fell from 82 to 65, and diastolic pressure moved from 64 to 46. Systolic pressure ranged 74-149 and ended at 110, and SpO2 recovered to 97 after a low of 88 around hour 0. Respiratory rate ended at 28; the available labs showed white count rose from 2.7 to 8.8, creatinine was roughly stable (0.4 to 0.5), lactate fell from 2.9 to 2, and urine output rose from 20 to 105.\nD. Across the recorded window, the heart rate rose from 46 to 100, MAP fell from 78 to 60, and diastolic pressure moved from 68 to 42. Systolic pressure ranged 70-119 and ended at 106, and SpO2 recovered to 100 after a low of 87 around hour 0. Respiratory rate ended at 30; the available labs showed white count rose from 2.4 to 8, creatinine was roughly stable (0.6 to 0.3), lactate fell from 2.6 to 2, and urine output was roughly stable (70 to 100)","answer":"C","answer_text":"Across the recorded window, the heart rate rose from 50 to 95, MAP fell from 82 to 65, and diastolic pressure moved from 64 to 46. Systolic pressure ranged 74-149 and ended at 110, and SpO2 recovered to 97 after a low of 88 around hour 0. Respiratory rate ended at 28; the available labs showed white count rose from 2.7 to 8.8, creatinine was roughly stable (0.4 to 0.5), lactate fell from 2.9 to 2, and urine output rose from 20 to 105.","episode_id":"iv_000251","anchor_time":33}
{"id":"TSS_iv_000253_clinical_summary_41_0","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Clinically, the heart rate was roughly stable (87 to 80), while MAP fell from 110 to 95. Systolic pressure was labile, ranging 104-130, with the lowest value around hour 15.3. SpO2 briefly dipped to 88 around hour 12.2 before recovering to 93, while respiratory rate peaked at 33 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (3.7 to 3.2), creatinine was roughly stable (0.7 to 0.7), lactate was checked once at 270, and urine output rose from 250 to 350, with recorded outputs ranging 120-350.\nB. Clinically, the heart rate was roughly stable (84 to 83), while MAP fell from 107 to 92. Systolic pressure was labile, ranging 107-150, with the lowest value around hour 13.8. SpO2 briefly dipped to 85 around hour 10.7 before recovering to 96, while respiratory rate peaked at 30 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (4.2 to 4), creatinine stayed around 0.6, lactate was checked once at 270, and urine output rose from 250 to 350, with recorded outputs ranging 70-350.\nC. Clinically, the heart rate was roughly stable (88 to 79), while MAP fell from 111 to 95. Systolic pressure was labile, ranging 103-125, with the lowest value around hour 15.7. SpO2 briefly dipped to 89 around hour 11.7 before recovering to 92, while respiratory rate peaked at 34 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (3.6 to 5), creatinine stayed around 0.7, lactate was checked once at 245, and urine output was roughly stable (275 to 300), with recorded outputs ranging 66-325.\nD. Clinically, the heart rate was roughly stable (80 to 88), while MAP fell from 102 to 88. Systolic pressure was labile, ranging 111-180, with the lowest value around hour 11.6. SpO2 briefly dipped to 86 around hour 8.4 before recovering to 100, while respiratory rate peaked at 32 and later settled at 12. The associated labs and urine output showed that white count was roughly stable (5.0 to 3), creatinine stayed around 0.4, lactate was checked once at 300, and urine output rose from 220 to 320, with recorded outputs ranging 74-380.","answer":"B","answer_text":"Clinically, the heart rate was roughly stable (84 to 83), while MAP fell from 107 to 92. Systolic pressure was labile, ranging 107-150, with the lowest value around hour 13.8. SpO2 briefly dipped to 85 around hour 10.7 before recovering to 96, while respiratory rate peaked at 30 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (4.2 to 4), creatinine stayed around 0.6, lactate was checked once at 270, and urine output rose from 250 to 350, with recorded outputs ranging 70-350.","episode_id":"iv_000253","anchor_time":41}
{"id":"TSS_iv_000253_clinical_summary_41_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (144 to 128), MAP fell from 110 to 95, and heart rate was roughly stable (81 to 86). SpO2 started at 93, ended at 99, and fell as low as 84 around hour 9.2; respiratory rate ranged 12-27. For labs and output, white count was roughly stable (3.7 to 4), creatinine stayed around 0.7, lactate was checked once at 250, and urine output rose from 270 to 370.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 109 to 147, MAP fell from 105 to 90, and heart rate was roughly stable (86 to 81). SpO2 started at 98, ended at 94, and fell as low as 83 around hour 11.8; respiratory rate ranged 10-32. For labs and output, white count was roughly stable (4.6 to 4), creatinine was roughly stable (0.5 to 0.7), lactate was checked once at 270.2, and urine output rose from 250 to 350.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 149 to 169, MAP fell from 111 to 96, and heart rate was roughly stable (80 to 86). SpO2 started at 92, ended at 100, and fell as low as 89 around hour 8.8; respiratory rate ranged 13-32. For labs and output, white count was roughly stable (3.6 to 3.2), creatinine stayed around 0.7, lactate was checked once at 245, and urine output rose from 275 to 375.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 124 to 132, MAP fell from 107 to 92, and heart rate was roughly stable (84 to 83). SpO2 started at 96, ended at 96, and fell as low as 85 around hour 10.7; respiratory rate ranged 11-30. For labs and output, white count was roughly stable (4.2 to 4), creatinine stayed around 0.6, lactate was checked once at 270, and urine output rose from 250 to 350.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 124 to 132, MAP fell from 107 to 92, and heart rate was roughly stable (84 to 83). SpO2 started at 96, ended at 96, and fell as low as 85 around hour 10.7; respiratory rate ranged 11-30. For labs and output, white count was roughly stable (4.2 to 4), creatinine stayed around 0.6, lactate was checked once at 270, and urine output rose from 250 to 350.","episode_id":"iv_000253","anchor_time":41}
{"id":"TSS_iv_000256_clinical_summary_30_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Taken together, the heart rate rose from 93 to 105, MAP rose from 76 to 89, and diastolic pressure moved from 55 to 81. Systolic pressure ranged 87-172 and ended at 115, and SpO2 recovered to 96 after a low of 88 around hour 5.2. Respiratory rate ended at 24; the available labs showed white count rose from 6 to 8.8, creatinine was roughly stable (0.5 to 0.8), lactate fell from 2.4 to 1.2, and urine output fell from 530 to 220.\nB. Taken together, the heart rate rose from 88 to 110, MAP rose from 71 to 84, and diastolic pressure moved from 60 to 76. Systolic pressure ranged 82-137 and ended at 117, and SpO2 recovered to 100 after a low of 84 around hour 3.8. Respiratory rate ended at 26; the available labs showed white count rose from 6 to 7.5, creatinine was roughly stable (0.7 to 0.6), lactate fell from 2.1 to 1.5, and urine output fell from 560 to 185.\nC. Taken together, the heart rate rose from 94 to 111, MAP rose from 77 to 90, and diastolic pressure moved from 54 to 75. Systolic pressure ranged 88-177 and ended at 123, and SpO2 recovered to 95 after a low of 89 around hour 4.8. Respiratory rate ended at 23; the available labs showed white count rose from 7 to 8.9, creatinine was roughly stable (0.5 to 0.8), lactate fell from 2.5 to 1.1, and urine output fell from 535 to 225.\nD. Taken together, the heart rate rose from 90 to 108, MAP rose from 73 to 86, and diastolic pressure moved from 58 to 78. Systolic pressure ranged 84-152 and ended at 119, and SpO2 recovered to 99 after a low of 85 around hour 4.2. Respiratory rate ended at 25; the available labs showed white count rose from 6 to 8.3, creatinine was roughly stable (0.6 to 0.7), lactate fell from 2.2 to 1.4, and urine output fell from 510 to 200.","answer":"D","answer_text":"Taken together, the heart rate rose from 90 to 108, MAP rose from 73 to 86, and diastolic pressure moved from 58 to 78. Systolic pressure ranged 84-152 and ended at 119, and SpO2 recovered to 99 after a low of 85 around hour 4.2. Respiratory rate ended at 25; the available labs showed white count rose from 6 to 8.3, creatinine was roughly stable (0.6 to 0.7), lactate fell from 2.2 to 1.4, and urine output fell from 510 to 200.","episode_id":"iv_000256","anchor_time":30}
{"id":"TSS_iv_000260_clinical_summary_35_1","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (93 to 92), diastolic pressure rose from 81 to 91, and heart rate fell from 93 to 58. The lowest MAP was about 70 around hour 9.7, and the lowest valid SpO2 was 84 around hour 10; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 33.7-34.4 C, white count was 9.1 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 370 to 670.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (90 to 95), diastolic pressure rose from 78 to 88, and heart rate fell from 96 to 55. The lowest MAP was about 67 around hour 11.2, and the lowest valid SpO2 was 85 around hour 11; respiratory rate rose as high as 22 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 36.7-37.4 C, white count was 8.6 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 350 to 650.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (94 to 91), diastolic pressure rose from 82 to 85, and heart rate fell from 92 to 59. The lowest MAP was about 70 around hour 12.2, and the lowest valid SpO2 was 89 around hour 9; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 33.0-33.6 C, white count was 9.2 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 375 to 675.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (86 to 100), diastolic pressure rose from 74 to 84, and heart rate fell from 100 to 50. The lowest MAP was about 62 around hour 13.4, and the lowest valid SpO2 was 80 around hour 13; respiratory rate rose as high as 24 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 41.2-41.9 C, white count was 7.8 on its only check, creatinine was 1.1 on its only check, lactate was not available, and urine output rose from 320 to 700.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (90 to 95), diastolic pressure rose from 78 to 88, and heart rate fell from 96 to 55. The lowest MAP was about 67 around hour 11.2, and the lowest valid SpO2 was 85 around hour 11; respiratory rate rose as high as 22 but ended at 22. The lower-frequency data fit that summary: temperature ranged from 98.1 to 99.3, white count was 8.6 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 350 to 650.","episode_id":"iv_000260","anchor_time":35}
{"id":"TSS_iv_000260_clinical_summary_35_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Clinically, the heart rate fell from 99 to 58, MAP was roughly stable (93 to 98), and diastolic pressure moved from 75 to 85. Systolic pressure ranged 118-162 and ended at 118, and SpO2 recovered to 82 after a low of 88 around hour 12. Respiratory rate ended at 20; the available labs showed white count was 9.1 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output rose from 330 to 670.\nB. Clinically, the heart rate fell from 94 to 57, MAP was roughly stable (88 to 93), and diastolic pressure moved from 80 to 86. Systolic pressure ranged 113-127 and ended at 113, and SpO2 recovered to 87 after a low of 84 around hour 10. Respiratory rate ended at 23; the available labs showed white count was 8.2 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 400 to 635.\nC. Clinically, the heart rate fell from 100 to 51, MAP rose from 94 to 98, and diastolic pressure moved from 74 to 92. Systolic pressure ranged 111-167 and ended at 111, and SpO2 recovered to 81 after a low of 89 around hour 12. Respiratory rate ended at 20; the available labs showed white count was 9.2 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output rose from 325 to 675.\nD. Clinically, the heart rate fell from 96 to 55, MAP was roughly stable (90 to 95), and diastolic pressure moved from 78 to 88. Systolic pressure ranged 115-142 and ended at 115, and SpO2 recovered to 85 after a low of 85 around hour 11. Respiratory rate ended at 22; the available labs showed white count was 8.6 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 350 to 650.","answer":"D","answer_text":"Clinically, the heart rate fell from 96 to 55, MAP was roughly stable (90 to 95), and diastolic pressure moved from 78 to 88. Systolic pressure ranged 115-142 and ended at 115, and SpO2 recovered to 85 after a low of 85 around hour 11. Respiratory rate ended at 22; the available labs showed white count was 8.6 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 350 to 650.","episode_id":"iv_000260","anchor_time":35}
{"id":"TSS_iv_000261_clinical_summary_30_0","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Clinically, the heart rate rose from 53 to 77, while MAP fell from 86 to 79. Systolic pressure was labile, ranging 80-105, with the lowest value around hour 18.9. SpO2 briefly dipped to 86 around hour 12.9 before recovering to 92, while respiratory rate peaked at 25 and later settled at 24. The associated labs and urine output showed that white count rose from 1 to 9.6, creatinine fell from 1.7 to 1.0, lactate was checked once at 220, and urine output fell from 470 to 280, with recorded outputs ranging 320-880.\nB. Clinically, the heart rate rose from 50 to 80, while MAP fell from 83 to 76. Systolic pressure was labile, ranging 76-108, with the lowest value around hour 17.4. SpO2 briefly dipped to 85 around hour 11.4 before recovering to 95, while respiratory rate peaked at 23 and later settled at 23. The associated labs and urine output showed that white count rose from 1 to 9.1, creatinine fell from 1.5 to 1.2, lactate was checked once at 200, and urine output fell from 450 to 300, with recorded outputs ranging 300-900.\nC. Clinically, the heart rate rose from 54 to 76, while MAP was roughly stable (87 to 79). Systolic pressure was labile, ranging 72-104, with the lowest value around hour 19.3. SpO2 briefly dipped to 89 around hour 12.4 before recovering to 91, while respiratory rate peaked at 25 and later settled at 25. The associated labs and urine output showed that white count rose from 1 to 9.7, creatinine fell from 1.8 to 0.9, lactate was checked once at 225, and urine output fell from 475 to 250, with recorded outputs ranging 250-875.\nD. Clinically, the heart rate rose from 46 to 83, while MAP fell from 78 to 72. Systolic pressure was labile, ranging 80-112, with the lowest value around hour 15.1. SpO2 briefly dipped to 80 around hour 9.2 before recovering to 100, while respiratory rate peaked at 21 and later settled at 21. The associated labs and urine output showed that white count rose from 1 to 8.3, creatinine fell from 1.2 to 1.0, lactate was checked once at 170, and urine output fell from 420 to 330, with recorded outputs ranging 270-930.","answer":"B","answer_text":"Clinically, the heart rate rose from 50 to 80, while MAP fell from 83 to 76. Systolic pressure was labile, ranging 76-108, with the lowest value around hour 17.4. SpO2 briefly dipped to 85 around hour 11.4 before recovering to 95, while respiratory rate peaked at 23 and later settled at 23. The associated labs and urine output showed that white count rose from 1 to 9.1, creatinine fell from 1.5 to 1.2, lactate was checked once at 200, and urine output fell from 450 to 300, with recorded outputs ranging 300-900.","episode_id":"iv_000261","anchor_time":30}
{"id":"TSS_iv_000261_clinical_summary_30_1","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 73, diastolic pressure fell from 76 to 65, and heart rate rose from 47 to 83. The lowest MAP was about 62 around hour 18.4, and the lowest valid SpO2 was 88 around hour 9.9; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 33.4-33.6 C, white count rose from 1 to 8.6, creatinine fell from 1.7 to 1.4, lactate was checked once at 180, and urine output fell from 470 to 320.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 81 to 78, diastolic pressure was roughly stable (71 to 66), and heart rate rose from 52 to 78. The lowest MAP was about 57 around hour 18.5, and the lowest valid SpO2 was 83 around hour 12.5; respiratory rate rose as high as 25 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 38.6-38.9 C, white count rose from 1 to 9.5, creatinine fell from 1.4 to 1.3, lactate was checked once at 215, and urine output fell from 435 to 350.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 83 to 76, diastolic pressure was roughly stable (73 to 68), and heart rate rose from 50 to 80. The lowest MAP was about 59 around hour 17.4, and the lowest valid SpO2 was 85 around hour 11.4; respiratory rate rose as high as 23 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 36.4-36.6 C, white count rose from 1 to 9.1, creatinine fell from 1.5 to 1.2, lactate was checked once at 200, and urine output fell from 450 to 300.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 78 to 75, diastolic pressure was roughly stable (68 to 64), and heart rate rose from 54 to 83. The lowest MAP was about 54 around hour 19.6, and the lowest valid SpO2 was 80 around hour 10.4; respiratory rate rose as high as 21 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 40.9-41.1 C, white count rose from 1 to 9.8, creatinine fell from 1.2 to 0.9, lactate was checked once at 230, and urine output fell from 420 to 270.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 83 to 76, diastolic pressure was roughly stable (73 to 68), and heart rate rose from 50 to 80. The lowest MAP was about 59 around hour 17.4, and the lowest valid SpO2 was 85 around hour 11.4; respiratory rate rose as high as 23 but ended at 23. The lower-frequency data fit that summary: temperature ranged from 97.5 to 97.8, white count rose from 1 to 9.1, creatinine fell from 1.5 to 1.2, lactate was checked once at 200, and urine output fell from 450 to 300.","episode_id":"iv_000261","anchor_time":30}
{"id":"TSS_iv_000263_clinical_summary_49_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 53 to 65, while MAP rose from 61 to 68. Systolic pressure was labile, ranging 85-100, with the lowest value around hour 10.3. SpO2 briefly dipped to 91 around hour 0.3 before recovering to 94, while respiratory rate peaked at 26 and later settled at 12. The associated labs and urine output showed that white count fell from 20.6 to 8.0, creatinine fell from 1.4 to 0.8, lactate rose from 3.6 to 177, and urine output fell from 755 to 520, with recorded outputs ranging 495-920.\nB. Viewed chronologically, the heart rate rose from 48 to 70, while MAP rose from 56 to 68. Systolic pressure was labile, ranging 83-135, with the lowest value around hour 9.4. SpO2 briefly dipped to 86 around hour 1.2 before recovering to 99, while respiratory rate peaked at 23 and later settled at 9. The associated labs and urine output showed that white count fell from 23.2 to 7.1, creatinine fell from 1.0 to 0.8, lactate rose from 2.7 to 142, and urine output fell from 790 to 450, with recorded outputs ranging 450-885.\nC. Viewed chronologically, the heart rate rose from 54 to 64, while MAP rose from 62 to 69. Systolic pressure was labile, ranging 77-95, with the lowest value around hour 10.4. SpO2 briefly dipped to 92 around hour 0.3 before recovering to 93, while respiratory rate peaked at 26 and later settled at 12. The associated labs and urine output showed that white count fell from 20.2 to 6.7, creatinine fell from 1.4 to 1, lactate rose from 3.7 to 182, and urine output fell from 750 to 525, with recorded outputs ranging 500-925.\nD. Viewed chronologically, the heart rate rose from 50 to 68, while MAP rose from 58 to 65. Systolic pressure was labile, ranging 81-120, with the lowest value around hour 9.8. SpO2 briefly dipped to 88 around hour 0.2 before recovering to 97, while respiratory rate peaked at 24 and later settled at 10. The associated labs and urine output showed that white count fell from 22.1 to 7.5, creatinine fell from 1.2 to 0.9, lactate rose from 3.1 to 157, and urine output fell from 775 to 500, with recorded outputs ranging 475-900.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 50 to 68, while MAP rose from 58 to 65. Systolic pressure was labile, ranging 81-120, with the lowest value around hour 9.8. SpO2 briefly dipped to 88 around hour 0.2 before recovering to 97, while respiratory rate peaked at 24 and later settled at 10. The associated labs and urine output showed that white count fell from 22.1 to 7.5, creatinine fell from 1.2 to 0.9, lactate rose from 3.1 to 157, and urine output fell from 775 to 500, with recorded outputs ranging 475-900.","episode_id":"iv_000263","anchor_time":49}
{"id":"TSS_iv_000263_clinical_summary_49_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 58 to 65, diastolic pressure rose from 47 to 55, and heart rate rose from 50 to 68. The lowest MAP was about 52 around hour 1.8, and the lowest valid SpO2 was 88 around hour 0.2; respiratory rate rose as high as 24 but ended at 10. The lower-frequency data fit that summary: temperature stayed around 36.4-36.9 C, white count fell from 22.1 to 7.5, creatinine fell from 1.2 to 0.9, lactate rose from 3.1 to 157, and urine output fell from 775 to 500.\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 56 to 67, diastolic pressure rose from 45 to 53, and heart rate rose from 52 to 66. The lowest MAP was about 50 around hour 2.0, and the lowest valid SpO2 was 86 around hour 0.3; respiratory rate rose as high as 26 but ended at 9. The lower-frequency data fit that summary: temperature stayed around 38.6-39.1 C, white count fell from 21.0 to 7.9, creatinine fell from 1.0 to 0.8, lactate rose from 3.5 to 142, and urine output fell from 760 to 550.\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 62 to 65, diastolic pressure rose from 51 to 59, and heart rate rose from 46 to 71. The lowest MAP was about 56 around hour 1.6, and the lowest valid SpO2 was 92 around hour 0; respiratory rate rose as high as 26 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 32.6-33.1 C, white count fell from 24.0 to 6.9, creatinine fell from 1.4 to 1.0, lactate rose from 2.5 to 182, and urine output fell from 800 to 475.\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 54 to 70, diastolic pressure was roughly stable (42 to 52), and heart rate rose from 54 to 64. The lowest MAP was about 55 around hour 2.8, and the lowest valid SpO2 was 84 around hour 0.4; respiratory rate rose as high as 22 but ended at 8. The lower-frequency data fit that summary: temperature stayed around 40.9-41.4 C, white count fell from 19.9 to 8.2, creatinine fell from 0.9 to 0.8, lactate rose from 3.9 to 127, and urine output fell from 745 to 530.","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 58 to 65, diastolic pressure rose from 47 to 55, and heart rate rose from 50 to 68. The lowest MAP was about 52 around hour 1.8, and the lowest valid SpO2 was 88 around hour 0.2; respiratory rate rose as high as 24 but ended at 10. The lower-frequency data fit that summary: temperature ranged from 97.5 to 98.5, white count fell from 22.1 to 7.5, creatinine fell from 1.2 to 0.9, lactate rose from 3.1 to 157, and urine output fell from 775 to 500.","episode_id":"iv_000263","anchor_time":49}
{"id":"TSS_iv_000263_clinical_summary_49_2","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 97, MAP rose from 55 to 68, and heart rate rose from 53 to 65. SpO2 started at 91, ended at 94, and fell as low as 91 around hour 0.3; respiratory rate ranged 8-22. For labs and output, white count fell from 23.6 to 7.0, creatinine fell from 1.4 to 1, lactate rose from 3.3 to 177, and urine output fell from 795 to 480.\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 94, MAP rose from 58 to 65, and heart rate rose from 50 to 68. SpO2 started at 88, ended at 97, and fell as low as 88 around hour 0.2; respiratory rate ranged 9-24. For labs and output, white count fell from 22.1 to 7.5, creatinine fell from 1.2 to 0.9, lactate rose from 3.1 to 157, and urine output fell from 775 to 500.\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (98 to 90), MAP rose from 58 to 68, and heart rate rose from 50 to 68. SpO2 started at 88, ended at 97, and fell as low as 87 around hour 0.2; respiratory rate ranged 9-24. For labs and output, white count fell from 22.1 to 7.5, creatinine fell from 1.2 to 0.9, lactate rose from 3.1 to 157, and urine output fell from 775 to 500.\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 90, MAP rose from 62 to 65, and heart rate rose from 46 to 71. SpO2 started at 84, ended at 100, and fell as low as 84 around hour 0.0; respiratory rate ranged 10-26. For labs and output, white count fell from 19.9 to 6.7, creatinine fell from 0.9 to 0.8, lactate rose from 3.9 to 127, and urine output fell from 745 to 530.","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 94, MAP rose from 58 to 65, and heart rate rose from 50 to 68. SpO2 started at 88, ended at 97, and fell as low as 88 around hour 0.2; respiratory rate ranged 9-24. For labs and output, white count fell from 22.1 to 7.5, creatinine fell from 1.2 to 0.9, lactate rose from 3.1 to 157, and urine output fell from 775 to 500.","episode_id":"iv_000263","anchor_time":49}
{"id":"TSS_iv_000263_clinical_summary_49_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Overall, the heart rate rose from 53 to 65, MAP rose from 61 to 68, and diastolic pressure moved from 44 to 58. Systolic pressure ranged 84-140 and ended at 90, and SpO2 recovered to 94 after a low of 91 around hour 1.2. Respiratory rate ended at 8; the available labs showed white count fell from 23.6 to 8.0, creatinine fell from 1.0 to 0.8, lactate rose from 3.6 to 137, and urine output fell from 795 to 520.\nB. Overall, the heart rate rose from 48 to 70, MAP rose from 56 to 63, and diastolic pressure moved from 49 to 53. Systolic pressure ranged 79-105 and ended at 92, and SpO2 recovered to 99 after a low of 87 around hour 0.1. Respiratory rate ended at 11; the available labs showed white count fell from 21.0 to 6.7, creatinine fell from 1.4 to 0.8, lactate rose from 2.7 to 172, and urine output fell from 825 to 485.\nC. Overall, the heart rate rose from 50 to 68, MAP rose from 58 to 65, and diastolic pressure moved from 47 to 55. Systolic pressure ranged 81-120 and ended at 94, and SpO2 recovered to 97 after a low of 88 around hour 0.2. Respiratory rate ended at 10; the available labs showed white count fell from 22.1 to 7.5, creatinine fell from 1.2 to 0.9, lactate rose from 3.1 to 157, and urine output fell from 775 to 500.\nD. Overall, the heart rate rose from 46 to 71, MAP rose from 54 to 60, and diastolic pressure moved from 52 to 52. Systolic pressure ranged 76-90 and ended at 90, and SpO2 recovered to 100 after a low of 84 around hour 0.0. Respiratory rate ended at 12; the available labs showed white count fell from 19.9 to 6.8, creatinine fell from 1.5 to 0.8, lactate rose from 2.4 to 187, and urine output fell from 745 to 470.","answer":"C","answer_text":"Overall, the heart rate rose from 50 to 68, MAP rose from 58 to 65, and diastolic pressure moved from 47 to 55. Systolic pressure ranged 81-120 and ended at 94, and SpO2 recovered to 97 after a low of 88 around hour 0.2. Respiratory rate ended at 10; the available labs showed white count fell from 22.1 to 7.5, creatinine fell from 1.2 to 0.9, lactate rose from 3.1 to 157, and urine output fell from 775 to 500.","episode_id":"iv_000263","anchor_time":49}
{"id":"TSS_iv_000267_clinical_summary_41_3","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 94 to 73, MAP was roughly stable (76 to 78), and diastolic pressure moved from 52 to 64. Systolic pressure ranged 84-194 and ended at 142, and SpO2 recovered to 94 after a low of 84 around hour 36. Respiratory rate ended at 4; the available labs showed white count fell from 8.6 to 6, creatinine fell from 0.9 to 0.7, lactate was checked once at 2, and urine output fell from 250 to 97.\nB. Across the recorded window, the heart rate fell from 89 to 78, MAP was roughly stable (71 to 78), and diastolic pressure moved from 57 to 59. Systolic pressure ranged 79-159 and ended at 118, and SpO2 recovered to 99 after a low of 83 around hour 34. Respiratory rate ended at 5; the available labs showed white count fell from 7.7 to 6.4, creatinine fell from 1.2 to 0.8, lactate was checked once at 2, and urine output fell from 215 to 98.\nC. Across the recorded window, the heart rate fell from 91 to 76, MAP was roughly stable (73 to 75), and diastolic pressure moved from 55 to 61. Systolic pressure ranged 81-174 and ended at 122, and SpO2 recovered to 97 after a low of 85 around hour 33. Respiratory rate ended at 5; the available labs showed white count fell from 8.1 to 6.8, creatinine fell from 1.1 to 0.9, lactate was checked once at 2, and urine output fell from 200 to 100.\nD. Across the recorded window, the heart rate fell from 86 to 79, MAP was roughly stable (68 to 70), and diastolic pressure moved from 60 to 58. Systolic pressure ranged 76-144 and ended at 92, and SpO2 recovered to 100 after a low of 80 around hour 28. Respiratory rate ended at 6; the available labs showed white count fell from 7.3 to 6.0, creatinine fell from 1.4 to 0.8, lactate was checked once at 2, and urine output fell from 230 to 96.","answer":"C","answer_text":"Across the recorded window, the heart rate fell from 91 to 76, MAP was roughly stable (73 to 75), and diastolic pressure moved from 55 to 61. Systolic pressure ranged 81-174 and ended at 122, and SpO2 recovered to 97 after a low of 85 around hour 33. Respiratory rate ended at 5; the available labs showed white count fell from 8.1 to 6.8, creatinine fell from 1.1 to 0.9, lactate was checked once at 2, and urine output fell from 200 to 100.","episode_id":"iv_000267","anchor_time":41}
{"id":"TSS_iv_000269_clinical_summary_70_1","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 55 to 64, diastolic pressure rose from 43 to 54, and heart rate rose from 47 to 94. The lowest MAP was about 55 around hour 1.2, and the lowest valid SpO2 was 88 around hour 2.8; respiratory rate rose as high as 30 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.8-36.2 C, white count fell from 15.3 to 10.7, creatinine was roughly stable (0.5 to 0.6), lactate fell from 285 to 0.8, and urine output was roughly stable (97 to 107)\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 50 to 69, diastolic pressure rose from 38 to 55, and heart rate rose from 52 to 89. The lowest MAP was about 50 around hour 0.3, and the lowest valid SpO2 was 83 around hour 3.7; respiratory rate rose as high as 31 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 38.0-41.5 C, white count fell from 12.7 to 11.2, creatinine rose from 0.3 to 0.6, lactate fell from 320 to 0.6, and urine output was roughly stable (98 to 160)\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 52 to 67, diastolic pressure rose from 40 to 57, and heart rate rose from 50 to 91. The lowest MAP was about 52 around hour 0.2, and the lowest valid SpO2 was 85 around hour 3.3; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 35.8-39.2 C, white count fell from 13.8 to 12.2, creatinine was roughly stable (0.4 to 0.5), lactate fell from 305 to 0.7, and urine output was roughly stable (100 to 110)\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 48 to 72, diastolic pressure rose from 36 to 52, and heart rate rose from 54 to 94. The lowest MAP was about 48 around hour 0.4, and the lowest valid SpO2 was 80 around hour 2.3; respiratory rate rose as high as 27 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 40.3-43.7 C, white count fell from 11.6 to 10.1, creatinine was roughly stable (0.2 to 0.3), lactate fell from 335 to 0.5, and urine output was roughly stable (96 to 114)","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 52 to 67, diastolic pressure rose from 40 to 57, and heart rate rose from 50 to 91. The lowest MAP was about 52 around hour 0.2, and the lowest valid SpO2 was 85 around hour 3.3; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 96.4 to 102.6, white count fell from 13.8 to 12.2, creatinine was roughly stable (0.4 to 0.5), lactate fell from 305 to 0.7, and urine output was roughly stable (100 to 110)","episode_id":"iv_000269","anchor_time":70}
{"id":"TSS_iv_000269_clinical_summary_70_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 94 to 103, MAP rose from 55 to 70, and heart rate rose from 47 to 94. SpO2 started at 87, ended at 100, and fell as low as 88 around hour 2.8; respiratory rate ranged 16-31. For labs and output, white count fell from 12.3 to 11.4, creatinine was roughly stable (0.5 to 0.4), lactate fell from 325 to 0.8, and urine output was roughly stable (97 to 113)\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 89 to 102, MAP rose from 50 to 70, and heart rate rose from 52 to 89. SpO2 started at 92, ended at 95, and fell as low as 84 around hour 3.7; respiratory rate ranged 13-30. For labs and output, white count fell from 14.9 to 11.1, creatinine was roughly stable (0.3 to 0.6), lactate fell from 290 to 0.6, and urine output was roughly stable (98 to 108)\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 95 to 102, MAP rose from 56 to 71, and heart rate rose from 46 to 95. SpO2 started at 86, ended at 100, and fell as low as 89 around hour 2.7; respiratory rate ranged 16-27. For labs and output, white count fell from 11.9 to 10.4, creatinine rose from 0.5 to 0.6, lactate fell from 305.2 to 0.8, and urine output was roughly stable (96 to 114)\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 91 to 106, MAP rose from 52 to 67, and heart rate rose from 50 to 91. SpO2 started at 90, ended at 97, and fell as low as 85 around hour 3.3; respiratory rate ranged 14-29. For labs and output, white count fell from 13.8 to 12.2, creatinine was roughly stable (0.4 to 0.5), lactate fell from 305 to 0.7, and urine output was roughly stable (100 to 110)","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 91 to 106, MAP rose from 52 to 67, and heart rate rose from 50 to 91. SpO2 started at 90, ended at 97, and fell as low as 85 around hour 3.3; respiratory rate ranged 14-29. For labs and output, white count fell from 13.8 to 12.2, creatinine was roughly stable (0.4 to 0.5), lactate fell from 305 to 0.7, and urine output was roughly stable (100 to 110)","episode_id":"iv_000269","anchor_time":70}
{"id":"TSS_iv_000272_clinical_summary_55_1","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 85, diastolic pressure fell from 88 to 77, and heart rate rose from 57 to 149. The lowest MAP was about 69 around hour 41.1, and the lowest valid SpO2 was 88 around hour 1.6; respiratory rate rose as high as 30 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.4-34 C, white count fell from 15.0 to 9.3, creatinine rose from 1.0 to 1.3, lactate fell from 132 to 1.6, and urine output fell from 420 to 130.\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 99 to 88, diastolic pressure was roughly stable (85 to 80), and heart rate rose from 60 to 129. The lowest MAP was about 66 around hour 40.1, and the lowest valid SpO2 was 85 around hour 1.8; respiratory rate rose as high as 29 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 36.4-37 C, white count fell from 13.5 to 10.8, creatinine rose from 0.9 to 1.1, lactate fell from 152 to 1.4, and urine output fell from 400 to 150.\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 84, diastolic pressure was roughly stable (89 to 84), and heart rate rose from 56 to 154. The lowest MAP was about 70 around hour 36.4, and the lowest valid SpO2 was 89 around hour 1.6; respiratory rate rose as high as 31 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 32.6-33 C, white count fell from 15.4 to 8.9, creatinine rose from 1.0 to 1.2, lactate fell from 127 to 1.6, and urine output fell from 425 to 200.\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 92, diastolic pressure was roughly stable (80 to 76), and heart rate rose from 64 to 132. The lowest MAP was about 62 around hour 44.6, and the lowest valid SpO2 was 80 around hour 0.8; respiratory rate rose as high as 27 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 40.9-42 C, white count fell from 11.2 to 9.7, creatinine rose from 0.8 to 0.9, lactate fell from 182 to 1.1, and urine output fell from 370 to 180.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 99 to 88, diastolic pressure was roughly stable (85 to 80), and heart rate rose from 60 to 129. The lowest MAP was about 66 around hour 40.1, and the lowest valid SpO2 was 85 around hour 1.8; respiratory rate rose as high as 29 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 97.5 to 98.6, white count fell from 13.5 to 10.8, creatinine rose from 0.9 to 1.1, lactate fell from 152 to 1.4, and urine output fell from 400 to 150.","episode_id":"iv_000272","anchor_time":55}
{"id":"TSS_iv_000272_clinical_summary_55_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Taken together, the heart rate rose from 63 to 109, MAP fell from 100 to 91, and diastolic pressure moved from 82 to 83. Systolic pressure ranged 97-170 and ended at 109, and SpO2 recovered to 93 after a low of 88 around hour 2.8. Respiratory rate ended at 20; the available labs showed white count fell from 15.0 to 12.3, creatinine rose from 0.8 to 1.3, lactate fell from 172 to 1.2, and urine output fell from 420 to 170.\nB. Taken together, the heart rate rose from 58 to 132, MAP fell from 97 to 86, and diastolic pressure moved from 87 to 77. Systolic pressure ranged 98-135 and ended at 111, and SpO2 recovered to 98 after a low of 83 around hour 1.6. Respiratory rate ended at 22; the available labs showed white count fell from 12.4 to 9.7, creatinine rose from 1.0 to 1.2, lactate fell from 137 to 1.5, and urine output fell from 385 to 135.\nC. Taken together, the heart rate rose from 64 to 104, MAP fell from 100 to 92, and diastolic pressure moved from 81 to 84. Systolic pressure ranged 96-175 and ended at 117, and SpO2 recovered to 92 after a low of 84 around hour 2.0. Respiratory rate ended at 19; the available labs showed white count fell from 15.4 to 10, creatinine rose from 0.8 to 1.4, lactate fell from 177 to 1.1, and urine output fell from 450 to 175.\nD. Taken together, the heart rate rose from 60 to 129, MAP fell from 99 to 88, and diastolic pressure moved from 85 to 80. Systolic pressure ranged 100-150 and ended at 113, and SpO2 recovered to 96 after a low of 85 around hour 1.8. Respiratory rate ended at 21; the available labs showed white count fell from 13.5 to 10.8, creatinine rose from 0.9 to 1.1, lactate fell from 152 to 1.4, and urine output fell from 400 to 150.","answer":"D","answer_text":"Taken together, the heart rate rose from 60 to 129, MAP fell from 99 to 88, and diastolic pressure moved from 85 to 80. Systolic pressure ranged 100-150 and ended at 113, and SpO2 recovered to 96 after a low of 85 around hour 1.8. Respiratory rate ended at 21; the available labs showed white count fell from 13.5 to 10.8, creatinine rose from 0.9 to 1.1, lactate fell from 152 to 1.4, and urine output fell from 400 to 150.","episode_id":"iv_000272","anchor_time":55}
{"id":"TSS_iv_000274_clinical_summary_39_0","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. In broad terms, the heart rate fell from 92 to 69, while MAP rose from 78 to 90. Systolic pressure was labile, ranging 110-135, with the lowest value around hour 27.6. SpO2 briefly dipped to 86 around hour 8.6 before recovering to 93, while respiratory rate peaked at 38 and later settled at 22. The associated labs and urine output showed that white count fell from 22.0 to 16.1, creatinine fell from 2.7 to 0.8, lactate rose from 2 to 222, and urine output fell from 205 to 140, with recorded outputs ranging 53-395.\nB. In broad terms, the heart rate fell from 87 to 74, while MAP rose from 73 to 85. Systolic pressure was labile, ranging 108-170, with the lowest value around hour 25.0. SpO2 briefly dipped to 83 around hour 7.7 before recovering to 98, while respiratory rate peaked at 34 and later settled at 19. The associated labs and urine output showed that white count fell from 24.6 to 13.8, creatinine fell from 2.4 to 1, lactate rose from 2 to 187, and urine output fell from 240 to 105, with recorded outputs ranging 100-360.\nC. In broad terms, the heart rate fell from 89 to 72, while MAP rose from 75 to 87. Systolic pressure was labile, ranging 106-155, with the lowest value around hour 26.1. SpO2 briefly dipped to 85 around hour 8.1 before recovering to 96, while respiratory rate peaked at 36 and later settled at 20. The associated labs and urine output showed that white count fell from 23.5 to 14.6, creatinine fell from 2.5 to 0.9, lactate rose from 2 to 202, and urine output fell from 225 to 120, with recorded outputs ranging 50-375.\nD. In broad terms, the heart rate fell from 84 to 76, while MAP rose from 70 to 90. Systolic pressure was labile, ranging 110-185, with the lowest value around hour 23.9. SpO2 briefly dipped to 80 around hour 9.1 before recovering to 100, while respiratory rate peaked at 32 and later settled at 18. The associated labs and urine output showed that white count fell from 25.8 to 12.3, creatinine fell from 2.2 to 1.1, lactate rose from 2 to 172, and urine output fell from 255 to 70, with recorded outputs ranging 46-345.","answer":"C","answer_text":"In broad terms, the heart rate fell from 89 to 72, while MAP rose from 75 to 87. Systolic pressure was labile, ranging 106-155, with the lowest value around hour 26.1. SpO2 briefly dipped to 85 around hour 8.1 before recovering to 96, while respiratory rate peaked at 36 and later settled at 20. The associated labs and urine output showed that white count fell from 23.5 to 14.6, creatinine fell from 2.5 to 0.9, lactate rose from 2 to 202, and urine output fell from 225 to 120, with recorded outputs ranging 50-375.","episode_id":"iv_000274","anchor_time":39}
{"id":"TSS_iv_000274_clinical_summary_39_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 78 to 84, diastolic pressure rose from 65 to 72, and heart rate fell from 86 to 75. The lowest MAP was about 75 around hour 24.6, and the lowest valid SpO2 was 88 around hour 7.1; respiratory rate rose as high as 39 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 34-34.7 C, white count fell from 25.0 to 13.1, creatinine fell from 2.7 to 1.0, lactate rose from 2 to 222, and urine output fell from 245 to 100.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 73 to 89, diastolic pressure was roughly stable (60 to 66), and heart rate fell from 91 to 70. The lowest MAP was about 75 around hour 27.1, and the lowest valid SpO2 was 83 around hour 8.5; respiratory rate rose as high as 34 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 39-40.0 C, white count fell from 22.4 to 15.7, creatinine fell from 2.4 to 0.8, lactate rose from 2 to 187, and urine output fell from 210 to 135.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 79 to 83, diastolic pressure rose from 66 to 73, and heart rate fell from 85 to 76. The lowest MAP was about 76 around hour 24.2, and the lowest valid SpO2 was 89 around hour 7.5; respiratory rate rose as high as 38 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33-34.0 C, white count fell from 25.4 to 12.7, creatinine fell from 2.8 to 1, lactate rose from 2 to 227, and urine output was roughly stable (250 to 170)\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 75 to 87, diastolic pressure rose from 62 to 69, and heart rate fell from 89 to 72. The lowest MAP was about 72 around hour 26.1, and the lowest valid SpO2 was 85 around hour 8.1; respiratory rate rose as high as 36 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 37-37.7 C, white count fell from 23.5 to 14.6, creatinine fell from 2.5 to 0.9, lactate rose from 2 to 202, and urine output fell from 225 to 120.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 75 to 87, diastolic pressure rose from 62 to 69, and heart rate fell from 89 to 72. The lowest MAP was about 72 around hour 26.1, and the lowest valid SpO2 was 85 around hour 8.1; respiratory rate rose as high as 36 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 98.6 to 99.8, white count fell from 23.5 to 14.6, creatinine fell from 2.5 to 0.9, lactate rose from 2 to 202, and urine output fell from 225 to 120.","episode_id":"iv_000274","anchor_time":39}
{"id":"TSS_iv_000274_clinical_summary_39_3","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. For handoff, the heart rate fell from 92 to 69, MAP rose from 78 to 90, and diastolic pressure moved from 59 to 72. Systolic pressure ranged 109-175 and ended at 136, and SpO2 recovered to 93 after a low of 88 around hour 9.1. Respiratory rate ended at 18; the available labs showed white count fell from 25.0 to 16.1, creatinine fell from 2.3 to 1.0, lactate rose from 2 to 182, and urine output fell from 245 to 140.\nB. For handoff, the heart rate fell from 89 to 72, MAP rose from 75 to 87, and diastolic pressure moved from 62 to 69. Systolic pressure ranged 106-155 and ended at 140, and SpO2 recovered to 96 after a low of 85 around hour 8.1. Respiratory rate ended at 20; the available labs showed white count fell from 23.5 to 14.6, creatinine fell from 2.5 to 0.9, lactate rose from 2 to 202, and urine output fell from 225 to 120.\nC. For handoff, the heart rate fell from 93 to 68, MAP rose from 79 to 91, and diastolic pressure moved from 58 to 73. Systolic pressure ranged 110-180 and ended at 165, and SpO2 recovered to 92 after a low of 84 around hour 8.7. Respiratory rate ended at 18; the available labs showed white count fell from 25.4 to 13.8, creatinine fell from 2.2 to 1.0, lactate rose from 2 to 177, and urine output fell from 275 to 145.\nD. For handoff, the heart rate fell from 84 to 75, MAP rose from 70 to 82, and diastolic pressure moved from 66 to 66. Systolic pressure ranged 102-125 and ended at 110, and SpO2 recovered to 100 after a low of 80 around hour 7.3. Respiratory rate ended at 22; the available labs showed white count fell from 21.2 to 12.3, creatinine fell from 2.8 to 0.8, lactate rose from 2 to 232, and urine output fell from 195 to 90.","answer":"B","answer_text":"For handoff, the heart rate fell from 89 to 72, MAP rose from 75 to 87, and diastolic pressure moved from 62 to 69. Systolic pressure ranged 106-155 and ended at 140, and SpO2 recovered to 96 after a low of 85 around hour 8.1. Respiratory rate ended at 20; the available labs showed white count fell from 23.5 to 14.6, creatinine fell from 2.5 to 0.9, lactate rose from 2 to 202, and urine output fell from 225 to 120.","episode_id":"iv_000274","anchor_time":39}
{"id":"TSS_iv_000275_clinical_summary_35_0","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. For handoff, the heart rate fell from 76 to 39, while MAP rose from 79 to 93. Systolic pressure was labile, ranging 91-144, with the lowest value around hour 7.2. SpO2 briefly dipped to 91 around hour 1.6 before recovering to 95, while respiratory rate peaked at 26 and later settled at 20. The associated labs and urine output showed that white count fell from 7.8 to 7.4, creatinine stayed around 0.8, lactate fell from 175 to 2.4, and urine output fell from 270 to 80, with recorded outputs ranging 33-330.\nB. For handoff, the heart rate fell from 71 to 44, while MAP rose from 74 to 88. Systolic pressure was labile, ranging 96-179, with the lowest value around hour 6.3. SpO2 briefly dipped to 86 around hour 0.5 before recovering to 100, while respiratory rate peaked at 23 and later settled at 18. The associated labs and urine output showed that white count fell from 8.7 to 6.1, creatinine was roughly stable (0.6 to 0.8), lactate fell from 195 to 2.2, and urine output fell from 250 to 130, with recorded outputs ranging 80-350.\nC. For handoff, the heart rate fell from 77 to 38, while MAP rose from 80 to 94. Systolic pressure was labile, ranging 98-139, with the lowest value around hour 7.3. SpO2 briefly dipped to 89 around hour 0.7 before recovering to 94, while respiratory rate peaked at 26 and later settled at 21. The associated labs and urine output showed that white count fell from 7.7 to 7.5, creatinine stayed around 0.8, lactate fell from 170 to 2.5, and urine output fell from 275 to 105, with recorded outputs ranging 34-325.\nD. For handoff, the heart rate fell from 73 to 42, while MAP rose from 76 to 90. Systolic pressure was labile, ranging 94-164, with the lowest value around hour 6.7. SpO2 briefly dipped to 88 around hour 0.6 before recovering to 98, while respiratory rate peaked at 24 and later settled at 19. The associated labs and urine output showed that white count fell from 8.3 to 6.9, creatinine stayed around 0.7, lactate fell from 195 to 2.2, and urine output fell from 250 to 130, with recorded outputs ranging 30-350.","answer":"D","answer_text":"For handoff, the heart rate fell from 73 to 42, while MAP rose from 76 to 90. Systolic pressure was labile, ranging 94-164, with the lowest value around hour 6.7. SpO2 briefly dipped to 88 around hour 0.6 before recovering to 98, while respiratory rate peaked at 24 and later settled at 19. The associated labs and urine output showed that white count fell from 8.3 to 6.9, creatinine stayed around 0.7, lactate fell from 195 to 2.2, and urine output fell from 250 to 130, with recorded outputs ranging 30-350.","episode_id":"iv_000275","anchor_time":35}
{"id":"TSS_iv_000275_clinical_summary_35_3","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 76 to 45, MAP rose from 79 to 93, and diastolic pressure moved from 64 to 70. Systolic pressure ranged 97-184 and ended at 154, and SpO2 recovered to 95 after a low of 91 around hour 0.7. Respiratory rate ended at 18; the available labs showed white count fell from 8.8 to 7.4, creatinine stayed around 0.6, lactate fell from 215 to 2.4, and urine output fell from 230 to 150.\nB. Across the recorded window, the heart rate fell from 71 to 44, MAP rose from 74 to 88, and diastolic pressure moved from 69 to 71. Systolic pressure ranged 92-149 and ended at 119, and SpO2 recovered to 100 after a low of 87 around hour 0.5. Respiratory rate ended at 20; the available labs showed white count fell from 7.9 to 6.1, creatinine stayed around 0.8, lactate fell from 180 to 2.1, and urine output fell from 300 to 115.\nC. Across the recorded window, the heart rate fell from 73 to 42, MAP rose from 76 to 90, and diastolic pressure moved from 67 to 73. Systolic pressure ranged 94-164 and ended at 134, and SpO2 recovered to 98 after a low of 88 around hour 0.6. Respiratory rate ended at 19; the available labs showed white count fell from 8.3 to 6.9, creatinine stayed around 0.7, lactate fell from 195 to 2.2, and urine output fell from 250 to 130.\nD. Across the recorded window, the heart rate fell from 68 to 46, MAP rose from 72 to 93, and diastolic pressure moved from 72 to 68. Systolic pressure ranged 90-134 and ended at 130, and SpO2 recovered to 100 after a low of 84 around hour 1.6. Respiratory rate ended at 21; the available labs showed white count fell from 7.6 to 6.2, creatinine stayed around 0.8, lactate fell from 165 to 1.9, and urine output fell from 280 to 100.","answer":"C","answer_text":"Across the recorded window, the heart rate fell from 73 to 42, MAP rose from 76 to 90, and diastolic pressure moved from 67 to 73. Systolic pressure ranged 94-164 and ended at 134, and SpO2 recovered to 98 after a low of 88 around hour 0.6. Respiratory rate ended at 19; the available labs showed white count fell from 8.3 to 6.9, creatinine stayed around 0.7, lactate fell from 195 to 2.2, and urine output fell from 250 to 130.","episode_id":"iv_000275","anchor_time":35}
{"id":"TSS_iv_000278_clinical_summary_28_0","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (83 to 74), while MAP was roughly stable (79 to 74). Systolic pressure was labile, ranging 90-108, with the lowest value around hour 17.0. SpO2 briefly dipped to 86 around hour 3.6 before recovering to 92, while respiratory rate peaked at 31 and later settled at 14. The associated labs and urine output showed that white count fell from 12.1 to 9.6, creatinine rose from 0.8 to 0.9, lactate fell from 2.0 to 1.5, and urine output fell from 525 to 370, with recorded outputs ranging 12-565.\nB. Over the available measurements, the heart rate was roughly stable (78 to 79), while MAP was roughly stable (74 to 69). Systolic pressure was labile, ranging 88-143, with the lowest value around hour 14.4. SpO2 briefly dipped to 83 around hour 2.7 before recovering to 97, while respiratory rate peaked at 28 and later settled at 12. The associated labs and urine output showed that white count fell from 14.7 to 8.3, creatinine rose from 0.6 to 1, lactate fell from 1.6 to 1.1, and urine output fell from 560 to 335, with recorded outputs ranging 60-530.\nC. Over the available measurements, the heart rate was roughly stable (80 to 77), while MAP was roughly stable (76 to 71). Systolic pressure was labile, ranging 86-128, with the lowest value around hour 15.5. SpO2 briefly dipped to 85 around hour 3.1 before recovering to 95, while respiratory rate peaked at 29 and later settled at 13. The associated labs and urine output showed that white count fell from 13.6 to 9.1, creatinine rose from 0.7 to 0.9, lactate fell from 1.8 to 1.3, and urine output fell from 545 to 350, with recorded outputs ranging 10-545.\nD. Over the available measurements, the heart rate was roughly stable (76 to 82), while MAP was roughly stable (72 to 74). Systolic pressure was labile, ranging 90-158, with the lowest value around hour 13.2. SpO2 briefly dipped to 80 around hour 4.1 before recovering to 100, while respiratory rate peaked at 27 and later settled at 11. The associated labs and urine output showed that white count fell from 15.8 to 8.3, creatinine rose from 0.5 to 1.1, lactate fell from 1.5 to 1.0, and urine output fell from 575 to 300, with recorded outputs ranging 8-515.","answer":"C","answer_text":"Over the available measurements, the heart rate was roughly stable (80 to 77), while MAP was roughly stable (76 to 71). Systolic pressure was labile, ranging 86-128, with the lowest value around hour 15.5. SpO2 briefly dipped to 85 around hour 3.1 before recovering to 95, while respiratory rate peaked at 29 and later settled at 13. The associated labs and urine output showed that white count fell from 13.6 to 9.1, creatinine rose from 0.7 to 0.9, lactate fell from 1.8 to 1.3, and urine output fell from 545 to 350, with recorded outputs ranging 10-545.","episode_id":"iv_000278","anchor_time":28}
{"id":"TSS_iv_000278_clinical_summary_28_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Viewed chronologically, the heart rate was roughly stable (83 to 74), MAP was roughly stable (79 to 74), and diastolic pressure moved from 57 to 61. Systolic pressure ranged 89-148 and ended at 95, and SpO2 recovered to 92 after a low of 88 around hour 4.1. Respiratory rate ended at 12; the available labs showed white count fell from 15.1 to 9.6, creatinine rose from 0.6 to 1.0, lactate fell from 2.0 to 1.1, and urine output fell from 565 to 370.\nB. Viewed chronologically, the heart rate was roughly stable (80 to 77), MAP was roughly stable (76 to 71), and diastolic pressure moved from 60 to 58. Systolic pressure ranged 86-128 and ended at 99, and SpO2 recovered to 95 after a low of 85 around hour 3.1. Respiratory rate ended at 13; the available labs showed white count fell from 13.6 to 9.1, creatinine rose from 0.7 to 0.9, lactate fell from 1.8 to 1.3, and urine output fell from 545 to 350.\nC. Viewed chronologically, the heart rate was roughly stable (84 to 73), MAP was roughly stable (80 to 75), and diastolic pressure moved from 56 to 62. Systolic pressure ranged 90-153 and ended at 100, and SpO2 recovered to 91 after a low of 84 around hour 3.7. Respiratory rate ended at 11; the available labs showed white count fell from 15.5 to 8.3, creatinine rose from 0.6 to 1.0, lactate fell from 2.0 to 1.1, and urine output fell from 595 to 375.\nD. Viewed chronologically, the heart rate stayed around 76, MAP was roughly stable (76 to 71), and diastolic pressure moved from 60 to 55. Systolic pressure ranged 86-128 and ended at 99, and SpO2 recovered to 95 after a low of 85 around hour 3.1. Respiratory rate ended at 15; the available labs showed white count fell from 13.6 to 9.1, creatinine rose from 0.7 to 0.9, lactate fell from 1.8 to 1.3, and urine output fell from 545 to 350.","answer":"B","answer_text":"Viewed chronologically, the heart rate was roughly stable (80 to 77), MAP was roughly stable (76 to 71), and diastolic pressure moved from 60 to 58. Systolic pressure ranged 86-128 and ended at 99, and SpO2 recovered to 95 after a low of 85 around hour 3.1. Respiratory rate ended at 13; the available labs showed white count fell from 13.6 to 9.1, creatinine rose from 0.7 to 0.9, lactate fell from 1.8 to 1.3, and urine output fell from 545 to 350.","episode_id":"iv_000278","anchor_time":28}
{"id":"TSS_iv_000280_clinical_summary_27_1","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 151 to 77, diastolic pressure fell from 100 to 89, and heart rate stayed around 42. The lowest MAP was about 83 around hour 18.4, and the lowest valid SpO2 was 91 around hour 2; respiratory rate rose as high as 24 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 39.8-40.4 C, white count was 11.9 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 72 to 345.\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 131 to 80, diastolic pressure fell from 97 to 86, and heart rate stayed around 45. The lowest MAP was about 80 around hour 17.4, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 26 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.8-37.4 C, white count was 10.4 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 75 to 325.\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 156 to 76, diastolic pressure fell from 100 to 90, and heart rate stayed around 41. The lowest MAP was about 84 around hour 19.3, and the lowest valid SpO2 was 92 around hour 2; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 40.5-41.1 C, white count was 12.3 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 71 to 375.\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 101 to 84, diastolic pressure fell from 92 to 82, and heart rate was roughly stable (50 to 48). The lowest MAP was about 80 around hour 17.4, and the lowest valid SpO2 was 87 around hour 0; respiratory rate rose as high as 26 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.8-37.4 C, white count was 10.4 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 75 to 325.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 131 to 80, diastolic pressure fell from 97 to 86, and heart rate stayed around 45. The lowest MAP was about 80 around hour 17.4, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 26 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 98.2 to 99.3, white count was 10.4 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 75 to 325.","episode_id":"iv_000280","anchor_time":27}
{"id":"TSS_iv_000280_clinical_summary_27_2","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 225 to 126, MAP fell from 151 to 83, and heart rate stayed around 42. SpO2 started at 91, ended at 85, and fell as low as 87 around hour 2; respiratory rate ranged 10-28. For labs and output, white count was 11.9 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 78 to 345.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 190 to 142, MAP fell from 116 to 83, and heart rate stayed around 47. SpO2 started at 86, ended at 90, and fell as low as 87 around hour 0; respiratory rate ranged 12-27. For labs and output, white count was 9.3 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 73 to 310.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 205 to 146, MAP fell from 131 to 80, and heart rate stayed around 45. SpO2 started at 88, ended at 88, and fell as low as 88 around hour 0; respiratory rate ranged 11-26. For labs and output, white count was 10.4 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 75 to 325.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 175 to 155, MAP fell from 101 to 76, and heart rate was roughly stable (50 to 48). SpO2 started at 92, ended at 84, and fell as low as 88 around hour 0; respiratory rate ranged 11-28. For labs and output, white count was 10.4 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 75 to 325.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 205 to 146, MAP fell from 131 to 80, and heart rate stayed around 45. SpO2 started at 88, ended at 88, and fell as low as 88 around hour 0; respiratory rate ranged 11-26. For labs and output, white count was 10.4 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 75 to 325.","episode_id":"iv_000280","anchor_time":27}
{"id":"TSS_iv_000283_clinical_summary_26_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. For handoff, the heart rate rose from 64 to 95, while MAP rose from 60 to 79. Systolic pressure was labile, ranging 72-139, with the lowest value around hour 5.3. SpO2 briefly dipped to 88 around hour 5.4 before recovering to 97, while respiratory rate peaked at 24 and later settled at 16. The associated labs and urine output showed that white count fell from 6.6 to 6.4, creatinine fell from 4.4 to 3.0, lactate stayed broadly stable from 1.3 to 1, and urine output fell from 380 to 250, with recorded outputs ranging 220-420.\nB. For handoff, the heart rate rose from 59 to 100, while MAP rose from 55 to 74. Systolic pressure was labile, ranging 79-174, with the lowest value around hour 4.4. SpO2 briefly dipped to 86 around hour 4.0 before recovering to 98, while respiratory rate peaked at 25 and later settled at 14. The associated labs and urine output showed that white count fell from 7.5 to 5.5, creatinine fell from 3.5 to 3.0, lactate stayed broadly stable from 1.0 to 1, and urine output fell from 415 to 285, with recorded outputs ranging 185-385.\nC. For handoff, the heart rate rose from 65 to 94, while MAP rose from 61 to 80. Systolic pressure was labile, ranging 71-134, with the lowest value around hour 5.4. SpO2 briefly dipped to 89 around hour 5.0 before recovering to 96, while respiratory rate peaked at 25 and later settled at 17. The associated labs and urine output showed that white count fell from 6.5 to 5.1, creatinine fell from 4.5 to 3.6, lactate stayed broadly stable from 1.4 to 1, and urine output fell from 375 to 325, with recorded outputs ranging 250-425.\nD. For handoff, the heart rate rose from 61 to 98, while MAP rose from 57 to 76. Systolic pressure was labile, ranging 75-159, with the lowest value around hour 4.8. SpO2 briefly dipped to 85 around hour 4.4 before recovering to 100, while respiratory rate peaked at 23 and later settled at 15. The associated labs and urine output showed that white count fell from 7.1 to 5.9, creatinine fell from 3.9 to 3.5, lactate stayed broadly stable from 1.1 to 1, and urine output fell from 400 to 300, with recorded outputs ranging 200-400.","answer":"D","answer_text":"For handoff, the heart rate rose from 61 to 98, while MAP rose from 57 to 76. Systolic pressure was labile, ranging 75-159, with the lowest value around hour 4.8. SpO2 briefly dipped to 85 around hour 4.4 before recovering to 100, while respiratory rate peaked at 23 and later settled at 15. The associated labs and urine output showed that white count fell from 7.1 to 5.9, creatinine fell from 3.9 to 3.5, lactate stayed broadly stable from 1.1 to 1, and urine output fell from 400 to 300, with recorded outputs ranging 200-400.","episode_id":"iv_000283","anchor_time":26}
{"id":"TSS_iv_000283_clinical_summary_26_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 64 to 95, MAP rose from 60 to 79, and diastolic pressure moved from 39 to 55. Systolic pressure ranged 78-179 and ended at 154, and SpO2 recovered to 97 after a low of 84 around hour 4.9. Respiratory rate ended at 14; the available labs showed white count fell from 7.6 to 5.1, creatinine fell from 3.4 to 2.9, lactate stayed broadly stable from 1.3 to 1, and urine output fell from 450 to 320.\nB. Across the recorded window, the heart rate rose from 59 to 100, MAP rose from 55 to 79, and diastolic pressure moved from 44 to 50. Systolic pressure ranged 73-144 and ended at 130, and SpO2 recovered to 98 after a low of 83 around hour 5.4. Respiratory rate ended at 16; the available labs showed white count fell from 6.7 to 5.5, creatinine fell from 4.3 to 3.1, lactate stayed broadly stable from 1.0 to 1, and urine output fell from 385 to 285.\nC. Across the recorded window, the heart rate rose from 61 to 98, MAP rose from 57 to 76, and diastolic pressure moved from 42 to 52. Systolic pressure ranged 75-159 and ended at 134, and SpO2 recovered to 100 after a low of 85 around hour 4.4. Respiratory rate ended at 15; the available labs showed white count fell from 7.1 to 5.9, creatinine fell from 3.9 to 3.5, lactate stayed broadly stable from 1.1 to 1, and urine output fell from 400 to 300.\nD. Across the recorded window, the heart rate rose from 56 to 101, MAP rose from 52 to 72, and diastolic pressure moved from 46 to 49. Systolic pressure ranged 70-129 and ended at 104, and SpO2 recovered to 96 after a low of 80 around hour 3.7. Respiratory rate ended at 17; the available labs showed white count fell from 6.3 to 5.2, creatinine fell from 4.7 to 2.8, lactate stayed broadly stable from 0.8 to 1, and urine output fell from 370 to 270.","answer":"C","answer_text":"Across the recorded window, the heart rate rose from 61 to 98, MAP rose from 57 to 76, and diastolic pressure moved from 42 to 52. Systolic pressure ranged 75-159 and ended at 134, and SpO2 recovered to 100 after a low of 85 around hour 4.4. Respiratory rate ended at 15; the available labs showed white count fell from 7.1 to 5.9, creatinine fell from 3.9 to 3.5, lactate stayed broadly stable from 1.1 to 1, and urine output fell from 400 to 300.","episode_id":"iv_000283","anchor_time":26}
{"id":"TSS_iv_000284_clinical_summary_68_1","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 80, diastolic pressure rose from 58 to 67, and heart rate rose from 47 to 91. The lowest MAP was about 53 around hour 33.9, and the lowest valid SpO2 was 91 around hour 0; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.7-35.3 C, white count fell from 8.9 to 6.6, creatinine fell from 0.9 to 0.7, lactate was checked once at 2.4, and urine output rose from 53 to 195.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 69 to 83, diastolic pressure rose from 55 to 64, and heart rate rose from 50 to 88. The lowest MAP was about 50 around hour 36.9, and the lowest valid SpO2 was 88 around hour 0.9; respiratory rate rose as high as 26 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.7-38.3 C, white count fell from 8.4 to 7.1, creatinine fell from 0.8 to 0.6, lactate was checked once at 2.6, and urine output rose from 50 to 175.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 73 to 79, diastolic pressure rose from 59 to 68, and heart rate rose from 46 to 92. The lowest MAP was about 54 around hour 33.1, and the lowest valid SpO2 was 92 around hour 0.8; respiratory rate rose as high as 28 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 33.0-34.5 C, white count fell from 9.0 to 6.5, creatinine was roughly stable (0.9 to 0.7), lactate was checked once at 2.4, and urine output rose from 54 to 225.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 64 to 88, diastolic pressure rose from 50 to 61, and heart rate rose from 54 to 84. The lowest MAP was about 53 around hour 37.9, and the lowest valid SpO2 was 84 around hour 1.1; respiratory rate rose as high as 24 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 41.2-42.8 C, white count fell from 7.7 to 7.2, creatinine fell from 0.7 to 0.4, lactate was checked once at 2.9, and urine output rose from 46 to 145.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 69 to 83, diastolic pressure rose from 55 to 64, and heart rate rose from 50 to 88. The lowest MAP was about 50 around hour 36.9, and the lowest valid SpO2 was 88 around hour 0.9; respiratory rate rose as high as 26 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 98.1 to 100.9, white count fell from 8.4 to 7.1, creatinine fell from 0.8 to 0.6, lactate was checked once at 2.6, and urine output rose from 50 to 175.","episode_id":"iv_000284","anchor_time":68}
{"id":"TSS_iv_000290_clinical_summary_60_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 75 to 80, diastolic pressure rose from 70 to 77, and heart rate rose from 93 to 126. The lowest MAP was about 51 around hour 2.5, and the lowest valid SpO2 was 88 around hour 23.7; respiratory rate rose as high as 34 but ended at 33. The lower-frequency data fit that summary: temperature stayed around 33.1-33.9 C, white count was roughly stable (12.2 to 9.4), creatinine was roughly stable (2.5 to 1), lactate stayed broadly stable from 1.1 to 1.3, and urine output was roughly stable (520 to 430)\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 70 to 85, diastolic pressure was roughly stable (65 to 71), and heart rate rose from 98 to 108. The lowest MAP was about 51 around hour 3.7, and the lowest valid SpO2 was 83 around hour 25.8; respiratory rate rose as high as 29 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 38.4-39.1 C, white count was roughly stable (9.6 to 10.3), creatinine was roughly stable (2.1 to 1), lactate stayed broadly stable from 1.5 to 1.0, and urine output was roughly stable (485 to 465)\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 76 to 79, diastolic pressure rose from 71 to 78, and heart rate rose from 92 to 148. The lowest MAP was about 52 around hour 2.5, and the lowest valid SpO2 was 89 around hour 22.8; respiratory rate rose as high as 33 but ended at 34. The lower-frequency data fit that summary: temperature stayed around 32.4-33.1 C, white count was roughly stable (12.6 to 9.3), creatinine was roughly stable (2.5 to 1.1), lactate stayed broadly stable from 1.1 to 1.4, and urine output was roughly stable (525 to 500)\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 83, diastolic pressure rose from 67 to 74, and heart rate rose from 96 to 123. The lowest MAP was about 48 around hour 2.7, and the lowest valid SpO2 was 85 around hour 24.7; respiratory rate rose as high as 31 but ended at 30. The lower-frequency data fit that summary: temperature stayed around 36.1-36.9 C, white count was roughly stable (10.7 to 9.9), creatinine was roughly stable (2.3 to 1), lactate stayed broadly stable from 1.3 to 1.1, and urine output was roughly stable (500 to 450)","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 83, diastolic pressure rose from 67 to 74, and heart rate rose from 96 to 123. The lowest MAP was about 48 around hour 2.7, and the lowest valid SpO2 was 85 around hour 24.7; respiratory rate rose as high as 31 but ended at 30. The lower-frequency data fit that summary: temperature ranged from 97 to 98.4, white count was roughly stable (10.7 to 9.9), creatinine was roughly stable (2.3 to 1), lactate stayed broadly stable from 1.3 to 1.1, and urine output was roughly stable (500 to 450)","episode_id":"iv_000290","anchor_time":60}
{"id":"TSS_iv_000291_clinical_summary_80_3","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Across the recorded window, the heart rate was roughly stable (87 to 79), MAP fell from 110 to 91, and diastolic pressure moved from 72 to 73. Systolic pressure ranged 26-189 and ended at 146, and SpO2 recovered to 93 after a low of 88 around hour 1.9. Respiratory rate ended at 22; the available labs showed white count stayed around 14.0, creatinine rose from 1.3 to 1.5, lactate was checked once at 2.5, and urine output rose from 255 to 380.\nB. Across the recorded window, the heart rate fell from 82 to 78, MAP fell from 105 to 91, and diastolic pressure moved from 77 to 74. Systolic pressure ranged 24-154 and ended at 122, and SpO2 recovered to 98 after a low of 83 around hour 2.7. Respiratory rate ended at 24; the available labs showed white count stayed around 11.4, creatinine rose from 1.0 to 1.5, lactate was checked once at 2.1, and urine output rose from 220 to 415.\nC. Across the recorded window, the heart rate fell from 84 to 76, MAP fell from 107 to 88, and diastolic pressure moved from 75 to 76. Systolic pressure ranged 25-169 and ended at 126, and SpO2 recovered to 96 after a low of 85 around hour 1.7. Respiratory rate ended at 23; the available labs showed white count stayed around 12.5, creatinine rose from 1.1 to 1.3, lactate was checked once at 2.3, and urine output rose from 235 to 400.\nD. Across the recorded window, the heart rate fell from 80 to 77, MAP fell from 102 to 84, and diastolic pressure moved from 80 to 72. Systolic pressure ranged 23-139 and ended at 96, and SpO2 recovered to 100 after a low of 84 around hour 1.4. Respiratory rate ended at 25; the available labs showed white count was roughly stable (10.2 to 11.7), creatinine rose from 1.1 to 1.3, lactate was checked once at 2.3, and urine output rose from 285 to 400.","answer":"C","answer_text":"Across the recorded window, the heart rate fell from 84 to 76, MAP fell from 107 to 88, and diastolic pressure moved from 75 to 76. Systolic pressure ranged 25-169 and ended at 126, and SpO2 recovered to 96 after a low of 85 around hour 1.7. Respiratory rate ended at 23; the available labs showed white count stayed around 12.5, creatinine rose from 1.1 to 1.3, lactate was checked once at 2.3, and urine output rose from 235 to 400.","episode_id":"iv_000291","anchor_time":80}
{"id":"TSS_iv_000292_clinical_summary_34_1","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (97 to 94), diastolic pressure was roughly stable (88 to 91), and heart rate rose from 47 to 60. The lowest MAP was about 88 around hour 3.7, and the lowest valid SpO2 was 91 around hour 0; respiratory rate rose as high as 24 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.4-33.9 C, white count was roughly stable (5.0 to 3.8), creatinine stayed around 1.0, lactate was checked once at 206, and urine output was not recorded.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (100 to 97), diastolic pressure was roughly stable (85 to 88), and heart rate rose from 50 to 57. The lowest MAP was about 85 around hour 4.2, and the lowest valid SpO2 was 88 around hour 0.2; respiratory rate rose as high as 22 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 36.4-36.9 C, white count was roughly stable (4.5 to 4.3), creatinine stayed around 0.9, lactate was checked once at 186, and urine output was not recorded.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (96 to 93), diastolic pressure was roughly stable (89 to 92), and heart rate rose from 46 to 61. The lowest MAP was about 89 around hour 3.6, and the lowest valid SpO2 was 92 around hour 0.1; respiratory rate rose as high as 24 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.6-33.1 C, white count was roughly stable (5.1 to 3.7), creatinine was roughly stable (1.0 to 1), lactate was checked once at 186, and urine output was not recorded.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (96 to 100), diastolic pressure stayed around 80, and heart rate rose from 50 to 57. The lowest MAP was about 88 around hour 5.2, and the lowest valid SpO2 was 88 around hour 0.2; respiratory rate rose as high as 22 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 36.4-36.9 C, white count was roughly stable (4.5 to 4.3), creatinine stayed around 0.9, lactate was checked once at 186, and urine output was not recorded.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (100 to 97), diastolic pressure was roughly stable (85 to 88), and heart rate rose from 50 to 57. The lowest MAP was about 85 around hour 4.2, and the lowest valid SpO2 was 88 around hour 0.2; respiratory rate rose as high as 22 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 97.6 to 98.5, white count was roughly stable (4.5 to 4.3), creatinine stayed around 0.9, lactate was checked once at 186, and urine output was not recorded.","episode_id":"iv_000292","anchor_time":34}
{"id":"TSS_iv_000293_clinical_summary_29_1","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 77 to 82, diastolic pressure rose from 64 to 72, and heart rate rose from 70 to 89. The lowest MAP was about 63 around hour 8.2, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 28 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 33.2-35.1 C, white count was roughly stable (17.3 to 14.2), creatinine stayed around 1.3, lactate fell from 234 to 2.1, and urine output fell from 320 to 140.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 87, diastolic pressure was roughly stable (59 to 66), and heart rate rose from 75 to 84. The lowest MAP was about 63 around hour 9.7, and the lowest valid SpO2 was 83 around hour 0.4; respiratory rate rose as high as 25 but ended at 10. The lower-frequency data fit that summary: temperature stayed around 38.5-40.4 C, white count was roughly stable (14.7 to 16.8), creatinine stayed around 1.0, lactate fell from 199 to 2.4, and urine output fell from 285 to 105.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 74 to 85, diastolic pressure rose from 61 to 69, and heart rate rose from 73 to 86. The lowest MAP was about 60 around hour 8.7, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 26 but ended at 11. The lower-frequency data fit that summary: temperature stayed around 36.2-38.1 C, white count was roughly stable (15.8 to 15.7), creatinine stayed around 1.1, lactate fell from 214 to 2.3, and urine output fell from 300 to 120.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 70 to 90, diastolic pressure rose from 56 to 64, and heart rate rose from 78 to 82. The lowest MAP was about 56 around hour 9.4, and the lowest valid SpO2 was 80 around hour 0.5; respiratory rate rose as high as 28 but ended at 9. The lower-frequency data fit that summary: temperature stayed around 40.7-42.6 C, white count was roughly stable (13.6 to 17.9), creatinine was roughly stable (0.8 to 1.2), lactate fell from 214 to 2.3, and urine output fell from 300 to 170.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 74 to 85, diastolic pressure rose from 61 to 69, and heart rate rose from 73 to 86. The lowest MAP was about 60 around hour 8.7, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 26 but ended at 11. The lower-frequency data fit that summary: temperature ranged from 97.2 to 100.6, white count was roughly stable (15.8 to 15.7), creatinine stayed around 1.1, lactate fell from 214 to 2.3, and urine output fell from 300 to 120.","episode_id":"iv_000293","anchor_time":29}
{"id":"TSS_iv_000299_clinical_summary_27_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. For handoff, the heart rate was roughly stable (108 to 97), while MAP fell from 115 to 82. Systolic pressure was labile, ranging 74-133, with the lowest value around hour 14.1. SpO2 briefly dipped to 89 around hour 4.4 before recovering to 92, while respiratory rate peaked at 24 and later settled at 24. The associated labs and urine output showed that white count fell from 6 to 5.6, creatinine was roughly stable (0.6 to 0.3), lactate was not available, and urine output rose from 83 to 420, with recorded outputs ranging 77-480.\nB. For handoff, the heart rate was roughly stable (103 to 98), while MAP fell from 110 to 82. Systolic pressure was labile, ranging 72-168, with the lowest value around hour 11.5. SpO2 briefly dipped to 86 around hour 4.9 before recovering to 97, while respiratory rate peaked at 21 and later settled at 21. The associated labs and urine output showed that white count fell from 7 to 4.7, creatinine was roughly stable (0.4 to 0.5), lactate was not available, and urine output rose from 78 to 350, with recorded outputs ranging 82-515.\nC. For handoff, the heart rate was roughly stable (109 to 96), while MAP fell from 116 to 83. Systolic pressure was labile, ranging 66-128, with the lowest value around hour 14.5. SpO2 briefly dipped to 92 around hour 4.5 before recovering to 91, while respiratory rate peaked at 24 and later settled at 24. The associated labs and urine output showed that white count fell from 6 to 4.3, creatinine stayed around 0.6, lactate was not available, and urine output rose from 80 to 400, with recorded outputs ranging 80-500.\nD. For handoff, the heart rate was roughly stable (105 to 100), while MAP fell from 112 to 79. Systolic pressure was labile, ranging 70-153, with the lowest value around hour 12.6. SpO2 briefly dipped to 88 around hour 3.9 before recovering to 95, while respiratory rate peaked at 22 and later settled at 22. The associated labs and urine output showed that white count fell from 7 to 5.1, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 80 to 400, with recorded outputs ranging 80-500.","answer":"D","answer_text":"For handoff, the heart rate was roughly stable (105 to 100), while MAP fell from 112 to 79. Systolic pressure was labile, ranging 70-153, with the lowest value around hour 12.6. SpO2 briefly dipped to 88 around hour 3.9 before recovering to 95, while respiratory rate peaked at 22 and later settled at 22. The associated labs and urine output showed that white count fell from 7 to 5.1, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 80 to 400, with recorded outputs ranging 80-500.","episode_id":"iv_000299","anchor_time":27}
{"id":"TSS_iv_000299_clinical_summary_27_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 112 to 79, diastolic pressure fell from 84 to 64, and heart rate was roughly stable (105 to 100). The lowest MAP was about 48 around hour 12.6, and the lowest valid SpO2 was 88 around hour 3.9; respiratory rate rose as high as 22 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 34.7-37.1 C, white count fell from 7 to 5.1, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 80 to 400.\nB. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 110 to 81, diastolic pressure fell from 82 to 62, and heart rate was roughly stable (107 to 103). The lowest MAP was about 46 around hour 13.7, and the lowest valid SpO2 was 86 around hour 2.9; respiratory rate rose as high as 21 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 37.0-39.4 C, white count fell from 7 to 5.5, creatinine was roughly stable (0.4 to 0.3), lactate was not available, and urine output rose from 82 to 385.\nC. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 116 to 75, diastolic pressure fell from 88 to 68, and heart rate was roughly stable (101 to 96). The lowest MAP was about 52 around hour 10.7, and the lowest valid SpO2 was 92 around hour 3.3; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 31.0-33.4 C, white count fell from 8 to 4.5, creatinine stayed around 0.6, lactate was not available, and urine output rose from 80 to 450.\nD. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 108 to 84, diastolic pressure fell from 80 to 61, and heart rate was roughly stable (110 to 96). The lowest MAP was about 51 around hour 13.6, and the lowest valid SpO2 was 84 around hour 4.7; respiratory rate rose as high as 20 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 39.2-41.6 C, white count fell from 6 to 5.8, creatinine was roughly stable (0.3 to 0.2), lactate was not available, and urine output rose from 84 to 370.","answer":"A","answer_text":"Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 112 to 79, diastolic pressure fell from 84 to 64, and heart rate was roughly stable (105 to 100). The lowest MAP was about 48 around hour 12.6, and the lowest valid SpO2 was 88 around hour 3.9; respiratory rate rose as high as 22 but ended at 22. The lower-frequency data fit that summary: temperature ranged from 94.5 to 98.8, white count fell from 7 to 5.1, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output rose from 80 to 400.","episode_id":"iv_000299","anchor_time":27}
{"id":"TSS_iv_000301_clinical_summary_36_1","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 74 to 80, diastolic pressure rose from 55 to 61, and heart rate stayed around 47. The lowest MAP was about 66 around hour 26.6, and the lowest valid SpO2 was 86 around hour 17.2; respiratory rate rose as high as 28 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 38.9-40.1 C, white count fell from 12 to 7.1, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 280 to 83.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 69 to 85, diastolic pressure rose from 50 to 62, and heart rate was roughly stable (52 to 53). The lowest MAP was about 63 around hour 25.6, and the lowest valid SpO2 was 83 around hour 14.7; respiratory rate rose as high as 29 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 35.9-37.1 C, white count fell from 10 to 6.6, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 260 to 80.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 71 to 83, diastolic pressure rose from 52 to 64, and heart rate stayed around 50. The lowest MAP was about 63 around hour 25.6, and the lowest valid SpO2 was 83 around hour 15.7; respiratory rate rose as high as 29 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 35.9-37.1 C, white count fell from 10 to 6.6, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 260 to 80.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 66 to 88, diastolic pressure rose from 48 to 60, and heart rate stayed around 54. The lowest MAP was about 58 around hour 23.4, and the lowest valid SpO2 was 78 around hour 13.4; respiratory rate rose as high as 31 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 31.4-32.6 C, white count fell from 8 to 5.8, creatinine was 1.1 on its only check, lactate was not available, and urine output fell from 230 to 130.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 71 to 83, diastolic pressure rose from 52 to 64, and heart rate stayed around 50. The lowest MAP was about 63 around hour 25.6, and the lowest valid SpO2 was 83 around hour 15.7; respiratory rate rose as high as 29 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 96.7 to 98.7, white count fell from 10 to 6.6, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 260 to 80.","episode_id":"iv_000301","anchor_time":36}
{"id":"TSS_iv_000301_clinical_summary_36_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 143 to 163, MAP rose from 74 to 86, and heart rate stayed around 47. SpO2 started at 88, ended at 82, and fell as low as 82 around hour 17.2; respiratory rate ranged 12-28. For labs and output, white count fell from 12 to 6.1, creatinine was 1.0 on its only check, lactate was not available, and urine output fell from 280 to 77.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 108 to 156, MAP rose from 69 to 81, and heart rate was roughly stable (52 to 53). SpO2 started at 87, ended at 85, and fell as low as 83 around hour 15.7; respiratory rate ranged 13-31. For labs and output, white count fell from 10 to 5.8, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 260 to 80.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 148 to 168, MAP rose from 75 to 87, and heart rate stayed around 46. SpO2 started at 89, ended at 81, and fell as low as 87 around hour 17.6; respiratory rate ranged 11-27. For labs and output, white count fell from 12 to 6.0, creatinine was 1.0 on its only check, lactate was not available, and urine output fell from 285 to 76.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 123 to 141, MAP rose from 71 to 83, and heart rate stayed around 50. SpO2 started at 85, ended at 85, and fell as low as 83 around hour 15.7; respiratory rate ranged 13-29. For labs and output, white count fell from 10 to 6.6, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 260 to 80.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 123 to 141, MAP rose from 71 to 83, and heart rate stayed around 50. SpO2 started at 85, ended at 85, and fell as low as 83 around hour 15.7; respiratory rate ranged 13-29. For labs and output, white count fell from 10 to 6.6, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 260 to 80.","episode_id":"iv_000301","anchor_time":36}
{"id":"TSS_iv_000301_clinical_summary_36_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Over the available measurements, the heart rate stayed around 50, MAP rose from 71 to 83, and diastolic pressure moved from 52 to 64. Systolic pressure ranged 105-148 and ended at 141, and SpO2 recovered to 85 after a low of 83 around hour 15.7. Respiratory rate ended at 19; the available labs showed white count fell from 10 to 6.6, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 260 to 80.\nB. Over the available measurements, the heart rate stayed around 48, MAP rose from 73 to 81, and diastolic pressure moved from 50 to 66. Systolic pressure ranged 103-163 and ended at 156, and SpO2 recovered to 83 after a low of 82 around hour 14.6. Respiratory rate ended at 18; the available labs showed white count fell from 11 to 5.8, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 310 to 78.\nC. Over the available measurements, the heart rate was roughly stable (54 to 53), MAP rose from 71 to 83, and diastolic pressure moved from 52 to 61. Systolic pressure ranged 105-148 and ended at 141, and SpO2 recovered to 85 after a low of 83 around hour 15.7. Respiratory rate ended at 19; the available labs showed white count fell from 10 to 6.6, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 260 to 80.\nD. Over the available measurements, the heart rate stayed around 46, MAP rose from 76 to 86, and diastolic pressure moved from 48 to 68. Systolic pressure ranged 100-178 and ended at 137, and SpO2 recovered to 80 after a low of 88 around hour 16.6. Respiratory rate ended at 17; the available labs showed white count fell from 12 to 5.8, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 290 to 76.","answer":"A","answer_text":"Over the available measurements, the heart rate stayed around 50, MAP rose from 71 to 83, and diastolic pressure moved from 52 to 64. Systolic pressure ranged 105-148 and ended at 141, and SpO2 recovered to 85 after a low of 83 around hour 15.7. Respiratory rate ended at 19; the available labs showed white count fell from 10 to 6.6, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 260 to 80.","episode_id":"iv_000301","anchor_time":36}
{"id":"TSS_iv_000302_clinical_summary_33_1","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 82 to 85, diastolic pressure rose from 18 to 76, and heart rate rose from 81 to 93. The lowest MAP was about 61 around hour 6, and the lowest valid SpO2 was 88 around hour 9.4; respiratory rate rose as high as 26 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.1-35.3 C, white count was roughly stable (17.2 to 13.4), creatinine was roughly stable (1.0 to 0.9), lactate was checked once at 1.5, and urine output rose from 113 to 300.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 77 to 87, diastolic pressure rose from 15 to 70, and heart rate rose from 86 to 88. The lowest MAP was about 61 around hour 7, and the lowest valid SpO2 was 83 around hour 11.5; respiratory rate rose as high as 24 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 38.4-40.5 C, white count was roughly stable (14.6 to 16.0), creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 1.9, and urine output rose from 108 to 265.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 83 to 86, diastolic pressure rose from 18 to 77, and heart rate rose from 80 to 94. The lowest MAP was about 62 around hour 5, and the lowest valid SpO2 was 89 around hour 8.5; respiratory rate rose as high as 27 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 32.4-34.5 C, white count was roughly stable (17.6 to 13.0), creatinine stayed around 1.0, lactate was checked once at 1.7, and urine output rose from 110 to 330.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 79 to 85, diastolic pressure rose from 16 to 73, and heart rate rose from 84 to 90. The lowest MAP was about 58 around hour 6, and the lowest valid SpO2 was 85 around hour 10.4; respiratory rate rose as high as 25 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.1-38.3 C, white count was roughly stable (15.7 to 14.9), creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 1.7, and urine output rose from 110 to 280.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 79 to 85, diastolic pressure rose from 16 to 73, and heart rate rose from 84 to 90. The lowest MAP was about 58 around hour 6, and the lowest valid SpO2 was 85 around hour 10.4; respiratory rate rose as high as 25 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 36.1 to 101, white count was roughly stable (15.7 to 14.9), creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 1.7, and urine output rose from 110 to 280.","episode_id":"iv_000302","anchor_time":33}
{"id":"TSS_iv_000305_clinical_summary_33_0","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Taken together, the heart rate rose from 80 to 94, while MAP fell from 97 to 76. Systolic pressure was labile, ranging 51-128, with the lowest value around hour 9.4. SpO2 briefly dipped to 88 around hour 1.4 before recovering to 92, while respiratory rate peaked at 20 and later settled at 16. The associated labs and urine output showed that white count rose from 9.3 to 12.8, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 0.8, and urine output fell from 140 to 0, with recorded outputs ranging 0-680.\nB. Taken together, the heart rate rose from 77 to 97, while MAP fell from 94 to 73. Systolic pressure was labile, ranging 54-148, with the lowest value around hour 8.9. SpO2 briefly dipped to 85 around hour 0.4 before recovering to 95, while respiratory rate peaked at 18 and later settled at 14. The associated labs and urine output showed that white count rose from 9.8 to 11.3, creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 0.7, and urine output was roughly stable (120 to 45), with recorded outputs ranging 40-700.\nC. Taken together, the heart rate rose from 81 to 93, while MAP fell from 98 to 77. Systolic pressure was labile, ranging 50-123, with the lowest value around hour 9.5. SpO2 briefly dipped to 89 around hour 0.5 before recovering to 91, while respiratory rate peaked at 20 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (9.2 to 10.5), creatinine rose from 0.9 to 1, lactate was checked once at 0.8, and urine output was roughly stable (145 to 41), with recorded outputs ranging 45-675.\nD. Taken together, the heart rate rose from 72 to 100, while MAP fell from 90 to 68. Systolic pressure was labile, ranging 58-178, with the lowest value around hour 8.2. SpO2 briefly dipped to 86 around hour 0.2 before recovering to 100, while respiratory rate peaked at 20 and later settled at 12. The associated labs and urine output showed that white count rose from 10.6 to 12.1, creatinine was roughly stable (0.7 to 1.1), lactate was checked once at 0.5, and urine output was roughly stable (90 to 50), with recorded outputs ranging 36-730.","answer":"B","answer_text":"Taken together, the heart rate rose from 77 to 97, while MAP fell from 94 to 73. Systolic pressure was labile, ranging 54-148, with the lowest value around hour 8.9. SpO2 briefly dipped to 85 around hour 0.4 before recovering to 95, while respiratory rate peaked at 18 and later settled at 14. The associated labs and urine output showed that white count rose from 9.8 to 11.3, creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 0.7, and urine output was roughly stable (120 to 45), with recorded outputs ranging 40-700.","episode_id":"iv_000305","anchor_time":33}
{"id":"TSS_iv_000306_clinical_summary_54_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 50 to 77, diastolic pressure rose from 37 to 61, and heart rate was roughly stable (77 to 79). The lowest MAP was about 47 around hour 9.7, and the lowest valid SpO2 was 88 around hour 2; respiratory rate rose as high as 30 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 32.6-34.4 C, white count rose from 3.8 to 7.0, creatinine rose from 0.8 to 1.0, lactate fell from 1.4 to 0.9, and urine output fell from 520 to 77.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 45 to 82, diastolic pressure rose from 32 to 62, and heart rate was roughly stable (82 to 74). The lowest MAP was about 43 around hour 9.1, and the lowest valid SpO2 was 83 around hour 2; respiratory rate rose as high as 30 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 37.9-39.6 C, white count rose from 2.9 to 7.9, creatinine rose from 0.6 to 1, lactate fell from 1.8 to 0.7, and urine output fell from 485 to 130.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 51 to 76, diastolic pressure rose from 38 to 68, and heart rate was roughly stable (76 to 79). The lowest MAP was about 49 around hour 8.1, and the lowest valid SpO2 was 89 around hour 1; respiratory rate rose as high as 30 but ended at 27. The lower-frequency data fit that summary: temperature stayed around 31.9-33.6 C, white count rose from 3.9 to 6.9, creatinine rose from 0.8 to 1.0, lactate fell from 1.4 to 0.9, and urine output fell from 525 to 76.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 47 to 80, diastolic pressure rose from 34 to 64, and heart rate was roughly stable (80 to 76). The lowest MAP was about 45 around hour 8.7, and the lowest valid SpO2 was 85 around hour 2; respiratory rate rose as high as 28 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 35.6-37.4 C, white count rose from 3.3 to 7.5, creatinine rose from 0.7 to 0.9, lactate fell from 1.6 to 0.8, and urine output fell from 500 to 80.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 47 to 80, diastolic pressure rose from 34 to 64, and heart rate was roughly stable (80 to 76). The lowest MAP was about 45 around hour 8.7, and the lowest valid SpO2 was 85 around hour 2; respiratory rate rose as high as 28 but ended at 25. The lower-frequency data fit that summary: temperature ranged from 96 to 99.3, white count rose from 3.3 to 7.5, creatinine rose from 0.7 to 0.9, lactate fell from 1.6 to 0.8, and urine output fell from 500 to 80.","episode_id":"iv_000306","anchor_time":54}
{"id":"TSS_iv_000308_clinical_summary_50_1","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 80 to 89, diastolic pressure rose from 68 to 75, and heart rate fell from 93 to 75. The lowest MAP was about 73 around hour 1.2, and the lowest valid SpO2 was 88 around hour 0.1; respiratory rate rose as high as 23 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 32.5-34.7 C, white count fell from 24.8 to 14.2, creatinine fell from 2.5 to 1.4, lactate was checked once at 1.2, and urine output was roughly stable (170 to 185)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 77 to 92, diastolic pressure rose from 65 to 72, and heart rate fell from 96 to 72. The lowest MAP was about 70 around hour 1.4, and the lowest valid SpO2 was 85 around hour 0.2; respiratory rate rose as high as 21 but ended at 11. The lower-frequency data fit that summary: temperature stayed around 35.5-37.7 C, white count fell from 23.3 to 15.7, creatinine fell from 2.3 to 1.3, lactate was checked once at 1.4, and urine output was roughly stable (150 to 135)\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 81 to 88, diastolic pressure was roughly stable (69 to 69), and heart rate fell from 92 to 76. The lowest MAP was about 73 around hour 2.4, and the lowest valid SpO2 was 89 around hour 0.1; respiratory rate rose as high as 23 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 31.8-34.0 C, white count fell from 25.2 to 13.8, creatinine fell from 2.5 to 1.6, lactate was checked once at 1.1, and urine output was roughly stable (175 to 160)\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 96, diastolic pressure rose from 60 to 68, and heart rate fell from 100 to 75. The lowest MAP was about 66 around hour 1.7, and the lowest valid SpO2 was 80 around hour 0; respiratory rate rose as high as 19 but ended at 9. The lower-frequency data fit that summary: temperature stayed around 40.0-42.2 C, white count fell from 21.1 to 17.9, creatinine fell from 2.0 to 1.0, lactate was checked once at 1.7, and urine output was roughly stable (120 to 105)","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 77 to 92, diastolic pressure rose from 65 to 72, and heart rate fell from 96 to 72. The lowest MAP was about 70 around hour 1.4, and the lowest valid SpO2 was 85 around hour 0.2; respiratory rate rose as high as 21 but ended at 11. The lower-frequency data fit that summary: temperature ranged from 35.5 to 99.9, white count fell from 23.3 to 15.7, creatinine fell from 2.3 to 1.3, lactate was checked once at 1.4, and urine output was roughly stable (150 to 135)","episode_id":"iv_000308","anchor_time":50}
{"id":"TSS_iv_000308_clinical_summary_50_3","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Clinically, the heart rate fell from 99 to 69, MAP rose from 80 to 95, and diastolic pressure moved from 62 to 75. Systolic pressure ranged 113-186 and ended at 170, and SpO2 recovered to 97 after a low of 84 around hour 0.3. Respiratory rate ended at 10; the available labs showed white count fell from 24.8 to 14.9, creatinine fell from 2.1 to 1.5, lactate was checked once at 1.6, and urine output was roughly stable (200 to 155)\nB. Clinically, the heart rate fell from 94 to 74, MAP rose from 75 to 95, and diastolic pressure moved from 67 to 70. Systolic pressure ranged 108-151 and ended at 146, and SpO2 recovered to 98 after a low of 83 around hour 1.2. Respiratory rate ended at 12; the available labs showed white count fell from 22.2 to 14.6, creatinine fell from 2.4 to 1.1, lactate was checked once at 1.2, and urine output was roughly stable (165 to 120)\nC. Clinically, the heart rate fell from 100 to 75, MAP rose from 81 to 96, and diastolic pressure moved from 61 to 69. Systolic pressure ranged 114-191 and ended at 175, and SpO2 recovered to 96 after a low of 89 around hour 0.3. Respiratory rate ended at 9; the available labs showed white count fell from 25.2 to 17.6, creatinine fell from 2.0 to 1.6, lactate was checked once at 1.6, and urine output was roughly stable (125 to 160)\nD. Clinically, the heart rate fell from 96 to 72, MAP rose from 77 to 92, and diastolic pressure moved from 65 to 72. Systolic pressure ranged 110-166 and ended at 150, and SpO2 recovered to 100 after a low of 85 around hour 0.2. Respiratory rate ended at 11; the available labs showed white count fell from 23.3 to 15.7, creatinine fell from 2.3 to 1.3, lactate was checked once at 1.4, and urine output was roughly stable (150 to 135)","answer":"D","answer_text":"Clinically, the heart rate fell from 96 to 72, MAP rose from 77 to 92, and diastolic pressure moved from 65 to 72. Systolic pressure ranged 110-166 and ended at 150, and SpO2 recovered to 100 after a low of 85 around hour 0.2. Respiratory rate ended at 11; the available labs showed white count fell from 23.3 to 15.7, creatinine fell from 2.3 to 1.3, lactate was checked once at 1.4, and urine output was roughly stable (150 to 135)","episode_id":"iv_000308","anchor_time":50}
{"id":"TSS_iv_000309_clinical_summary_32_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 194 to 146, MAP fell from 119 to 97, and heart rate rose from 97 to 114. SpO2 started at 97, ended at 97, and fell as low as 84 around hour 11.7; respiratory rate ranged 12-18. For labs and output, white count fell from 25.7 to 14.7, creatinine was roughly stable (0.9 to 0.6), lactate fell from 1.7 to 0.8, and urine output fell from 180 to 78.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 159 to 139, MAP fell from 114 to 92, and heart rate rose from 98 to 109. SpO2 started at 98, ended at 92, and fell as low as 83 around hour 14.3; respiratory rate ranged 10-20. For labs and output, white count fell from 28.3 to 12.1, creatinine stayed around 0.7, lactate fell from 1.7 to 0.7, and urine output fell from 200 to 75.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 199 to 125, MAP fell from 120 to 98, and heart rate rose from 96 to 114. SpO2 started at 96, ended at 98, and fell as low as 89 around hour 11.3; respiratory rate ranged 13-21. For labs and output, white count fell from 25.3 to 12.4, creatinine was roughly stable (0.9 to 0.6), lactate fell from 1.8 to 0.8, and urine output fell from 175 to 79.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 174 to 150, MAP fell from 116 to 94, and heart rate rose from 100 to 111. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 13.2; respiratory rate ranged 11-19. For labs and output, white count fell from 27.2 to 13.2, creatinine was roughly stable (0.8 to 0.7), lactate fell from 1.5 to 0.7, and urine output fell from 200 to 75.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 174 to 150, MAP fell from 116 to 94, and heart rate rose from 100 to 111. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 13.2; respiratory rate ranged 11-19. For labs and output, white count fell from 27.2 to 13.2, creatinine was roughly stable (0.8 to 0.7), lactate fell from 1.5 to 0.7, and urine output fell from 200 to 75.","episode_id":"iv_000309","anchor_time":32}
{"id":"TSS_iv_000310_clinical_summary_24_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 48 to 66, diastolic pressure rose from 28 to 54, and heart rate rose from 65 to 77. The lowest MAP was about 44 around hour 10.7, and the lowest valid SpO2 was 69 around hour 9.2; respiratory rate rose as high as 30 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.9-33.6 C, white count was 4.2 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output rose from 2 to 320.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 43 to 71, diastolic pressure rose from 25 to 55, and heart rate rose from 70 to 72. The lowest MAP was about 39 around hour 10.1, and the lowest valid SpO2 was 64 around hour 10.1; respiratory rate rose as high as 30 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 38.1-38.9 C, white count was 3.3 on its only check, creatinine was 1.4 on its only check, lactate was not available, and urine output rose from 0 to 350.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 49 to 65, diastolic pressure rose from 28 to 61, and heart rate rose from 64 to 77. The lowest MAP was about 45 around hour 9.1, and the lowest valid SpO2 was 70 around hour 8.7; respiratory rate rose as high as 30 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 32.1-32.9 C, white count was 4.3 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 2 to 325.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 45 to 69, diastolic pressure rose from 26 to 57, and heart rate rose from 68 to 74. The lowest MAP was about 41 around hour 9.7, and the lowest valid SpO2 was 66 around hour 9.7; respiratory rate rose as high as 28 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 35.9-36.6 C, white count was 3.7 on its only check, creatinine was 1.2 on its only check, lactate was not available, and urine output rose from 0 to 300.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 45 to 69, diastolic pressure rose from 26 to 57, and heart rate rose from 68 to 74. The lowest MAP was about 41 around hour 9.7, and the lowest valid SpO2 was 66 around hour 9.7; respiratory rate rose as high as 28 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 96.7 to 97.8, white count was 3.7 on its only check, creatinine was 1.2 on its only check, lactate was not available, and urine output rose from 0 to 300.","episode_id":"iv_000310","anchor_time":24}
{"id":"TSS_iv_000310_clinical_summary_24_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 101 to 112, MAP rose from 45 to 69, and heart rate rose from 68 to 74. SpO2 started at 100, ended at 98, and fell as low as 66 around hour 9.7; respiratory rate ranged 18-28. For labs and output, white count was 3.7 on its only check, creatinine was 1.2 on its only check, lactate was not available, and urine output rose from 0 to 300.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 99 to 114, MAP rose from 43 to 67, and heart rate rose from 70 to 72. SpO2 started at 99, ended at 96, and fell as low as 64 around hour 10.1; respiratory rate ranged 17-29. For labs and output, white count was 4.1 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output rose from 0 to 315.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 108, MAP rose from 49 to 73, and heart rate rose from 64 to 77. SpO2 started at 96, ended at 100, and fell as low as 70 around hour 9.1; respiratory rate ranged 20-30. For labs and output, white count was 3.1 on its only check, creatinine was 1.4 on its only check, lactate was not available, and urine output rose from 2 to 275.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 108, MAP rose from 40 to 72, and heart rate rose from 72 to 75. SpO2 started at 96, ended at 94, and fell as low as 65 around hour 10.4; respiratory rate ranged 16-30. For labs and output, white count was 4.5 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 0 to 330.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 101 to 112, MAP rose from 45 to 69, and heart rate rose from 68 to 74. SpO2 started at 100, ended at 98, and fell as low as 66 around hour 9.7; respiratory rate ranged 18-28. For labs and output, white count was 3.7 on its only check, creatinine was 1.2 on its only check, lactate was not available, and urine output rose from 0 to 300.","episode_id":"iv_000310","anchor_time":24}
{"id":"TSS_iv_000311_clinical_summary_55_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 80, diastolic pressure rose from 56 to 71, and heart rate rose from 77 to 91. The lowest MAP was about 57 around hour 13.1, and the lowest valid SpO2 was 85 around hour 6.5; respiratory rate rose as high as 33 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 36.4-37.3 C, white count fell from 24.9 to 20.8, creatinine fell from 1 to 0.8, lactate fell from 2.5 to 1, and urine output rose from 225 to 375.\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 70 to 82, diastolic pressure rose from 54 to 69, and heart rate rose from 79 to 89. The lowest MAP was about 55 around hour 14.2, and the lowest valid SpO2 was 83 around hour 6.9; respiratory rate rose as high as 35 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 38.6-39.5 C, white count fell from 23.8 to 21.9, creatinine was roughly stable (1 to 0.9), lactate fell from 2.6 to 1, and urine output rose from 210 to 425.\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 76 to 79, diastolic pressure rose from 60 to 75, and heart rate rose from 73 to 94. The lowest MAP was about 61 around hour 11.2, and the lowest valid SpO2 was 89 around hour 5.5; respiratory rate rose as high as 37 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 32.6-33.5 C, white count fell from 26.8 to 18.9, creatinine fell from 1 to 0.9, lactate fell from 2.2 to 1, and urine output rose from 250 to 350.\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 84, diastolic pressure rose from 52 to 68, and heart rate rose from 82 to 86. The lowest MAP was about 60 around hour 14.1, and the lowest valid SpO2 was 80 around hour 7.2; respiratory rate rose as high as 28 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 40.9-41.8 C, white count fell from 22.6 to 21.1, creatinine fell from 1 to 0.7, lactate fell from 2.8 to 1, and urine output rose from 195 to 405.","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 80, diastolic pressure rose from 56 to 71, and heart rate rose from 77 to 91. The lowest MAP was about 57 around hour 13.1, and the lowest valid SpO2 was 85 around hour 6.5; respiratory rate rose as high as 33 but ended at 22. The lower-frequency data fit that summary: temperature ranged from 97.5 to 99.1, white count fell from 24.9 to 20.8, creatinine fell from 1 to 0.8, lactate fell from 2.5 to 1, and urine output rose from 225 to 375.","episode_id":"iv_000311","anchor_time":55}
{"id":"TSS_iv_000313_clinical_summary_47_0","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Taken together, the heart rate rose from 53 to 101, while MAP rose from 58 to 77. Systolic pressure was labile, ranging 73-111, with the lowest value around hour 1.9. SpO2 briefly dipped to 88 around hour 6.4 before recovering to 88, while respiratory rate peaked at 52 and later settled at 41. The associated labs and urine output showed that white count rose from 2.8 to 12, creatinine stayed around 1, lactate fell from 1.2 to 1.0, and urine output rose from 270 to 550, with recorded outputs ranging 220-580.\nB. Taken together, the heart rate rose from 50 to 104, while MAP rose from 55 to 74. Systolic pressure was labile, ranging 76-131, with the lowest value around hour 1.7. SpO2 briefly dipped to 85 around hour 5.4 before recovering to 91, while respiratory rate peaked at 49 and later settled at 38. The associated labs and urine output showed that white count rose from 3.3 to 11, creatinine stayed around 1, lactate fell from 1.4 to 1.1, and urine output rose from 250 to 600, with recorded outputs ranging 200-600.\nC. Taken together, the heart rate rose from 54 to 100, while MAP rose from 59 to 78. Systolic pressure was labile, ranging 78-106, with the lowest value around hour 1.9. SpO2 briefly dipped to 86 around hour 6.0 before recovering to 87, while respiratory rate peaked at 51 and later settled at 42. The associated labs and urine output showed that white count rose from 2.7 to 13, creatinine stayed around 1, lactate fell from 1.1 to 0.9, and urine output rose from 275 to 575, with recorded outputs ranging 225-575.\nD. Taken together, the heart rate rose from 46 to 108, while MAP rose from 50 to 70. Systolic pressure was labile, ranging 80-161, with the lowest value around hour 1.4. SpO2 briefly dipped to 80 around hour 4.7 before recovering to 96, while respiratory rate peaked at 44 and later settled at 34. The associated labs and urine output showed that white count rose from 4.0 to 10.2, creatinine stayed around 1.1, lactate fell from 1.7 to 0.8, and urine output rose from 220 to 630, with recorded outputs ranging 250-630.","answer":"B","answer_text":"Taken together, the heart rate rose from 50 to 104, while MAP rose from 55 to 74. Systolic pressure was labile, ranging 76-131, with the lowest value around hour 1.7. SpO2 briefly dipped to 85 around hour 5.4 before recovering to 91, while respiratory rate peaked at 49 and later settled at 38. The associated labs and urine output showed that white count rose from 3.3 to 11, creatinine stayed around 1, lactate fell from 1.4 to 1.1, and urine output rose from 250 to 600, with recorded outputs ranging 200-600.","episode_id":"iv_000313","anchor_time":47}
{"id":"TSS_iv_000313_clinical_summary_47_1","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 58 to 71, diastolic pressure rose from 52 to 71, and heart rate rose from 47 to 107. The lowest MAP was about 48 around hour 29.3, and the lowest valid SpO2 was 88 around hour 4.4; respiratory rate rose as high as 52 but ended at 41. The lower-frequency data fit that summary: temperature stayed around 32.4-35.6 C, white count rose from 3.8 to 10, creatinine stayed around 1, lactate fell from 1.6 to 0.9, and urine output rose from 270 to 620.\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 53 to 76, diastolic pressure rose from 47 to 66, and heart rate rose from 52 to 102. The lowest MAP was about 43 around hour 34.5, and the lowest valid SpO2 was 83 around hour 5.8; respiratory rate rose as high as 51 but ended at 36. The lower-frequency data fit that summary: temperature stayed around 37.6-40.9 C, white count rose from 2.9 to 12, creatinine stayed around 1.1, lactate fell from 1.2 to 1.0, and urine output rose from 235 to 650.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 55 to 74, diastolic pressure rose from 49 to 68, and heart rate rose from 50 to 104. The lowest MAP was about 45 around hour 32.3, and the lowest valid SpO2 was 85 around hour 5.4; respiratory rate rose as high as 49 but ended at 38. The lower-frequency data fit that summary: temperature stayed around 35.4-38.6 C, white count rose from 3.3 to 11, creatinine stayed around 1, lactate fell from 1.4 to 1.1, and urine output rose from 250 to 600.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 50 to 78, diastolic pressure rose from 44 to 65, and heart rate rose from 54 to 100. The lowest MAP was about 48 around hour 33.3, and the lowest valid SpO2 was 80 around hour 6.2; respiratory rate rose as high as 44 but ended at 34. The lower-frequency data fit that summary: temperature stayed around 39.9-43.1 C, white count rose from 2.5 to 13, creatinine stayed around 1, lactate fell from 1.1 to 0.9, and urine output rose from 220 to 570.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 55 to 74, diastolic pressure rose from 49 to 68, and heart rate rose from 50 to 104. The lowest MAP was about 45 around hour 32.3, and the lowest valid SpO2 was 85 around hour 5.4; respiratory rate rose as high as 49 but ended at 38. The lower-frequency data fit that summary: temperature ranged from 95.7 to 101.4, white count rose from 3.3 to 11, creatinine stayed around 1, lactate fell from 1.4 to 1.1, and urine output rose from 250 to 600.","episode_id":"iv_000313","anchor_time":47}
{"id":"TSS_iv_000313_clinical_summary_47_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 81 to 95, MAP rose from 58 to 77, and heart rate rose from 47 to 107. SpO2 started at 92, ended at 94, and fell as low as 88 around hour 4.9; respiratory rate ranged 26-51. For labs and output, white count rose from 2.8 to 10.2, creatinine stayed around 1, lactate fell from 1.2 to 1.0, and urine output rose from 270 to 580.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 76 to 94, MAP rose from 53 to 77, and heart rate rose from 52 to 102. SpO2 started at 97, ended at 89, and fell as low as 84 around hour 5.8; respiratory rate ranged 23-51. For labs and output, white count rose from 3.7 to 10, creatinine stayed around 1, lactate fell from 1.5 to 1.0, and urine output rose from 235 to 615.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 82 to 94, MAP rose from 59 to 78, and heart rate rose from 46 to 108. SpO2 started at 91, ended at 95, and fell as low as 89 around hour 4.8; respiratory rate ranged 26-45. For labs and output, white count rose from 2.7 to 13, creatinine stayed around 1.1, lactate fell from 1.6 to 1.4, and urine output rose from 275 to 575.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 78 to 98, MAP rose from 55 to 74, and heart rate rose from 50 to 104. SpO2 started at 95, ended at 91, and fell as low as 85 around hour 5.4; respiratory rate ranged 24-49. For labs and output, white count rose from 3.3 to 11, creatinine stayed around 1, lactate fell from 1.4 to 1.1, and urine output rose from 250 to 600.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 78 to 98, MAP rose from 55 to 74, and heart rate rose from 50 to 104. SpO2 started at 95, ended at 91, and fell as low as 85 around hour 5.4; respiratory rate ranged 24-49. For labs and output, white count rose from 3.3 to 11, creatinine stayed around 1, lactate fell from 1.4 to 1.1, and urine output rose from 250 to 600.","episode_id":"iv_000313","anchor_time":47}
{"id":"TSS_iv_000315_clinical_summary_24_0","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. For handoff, the heart rate fell from 90 to 78, while MAP fell from 82 to 75. Systolic pressure was labile, ranging 14-119, with the lowest value around hour 5.2. SpO2 briefly dipped to 88 around hour 22.2 before recovering to 93, while respiratory rate peaked at 24 and later settled at 18. The associated labs and urine output showed that white count fell from 16.0 to 11.2, creatinine was roughly stable (0.8 to 0.8), lactate was checked once at 2.4, and urine output rose from 50 to 220, with recorded outputs ranging 50-560.\nB. For handoff, the heart rate fell from 85 to 83, while MAP was roughly stable (77 to 75). Systolic pressure was labile, ranging 16-154, with the lowest value around hour 4.3. SpO2 briefly dipped to 83 around hour 21.7 before recovering to 98, while respiratory rate peaked at 21 and later settled at 15. The associated labs and urine output showed that white count fell from 18.6 to 11, creatinine stayed around 0.6, lactate was checked once at 2.5, and urine output rose from 48 to 170, with recorded outputs ranging 47-575.\nC. For handoff, the heart rate fell from 91 to 77, while MAP fell from 83 to 76. Systolic pressure was labile, ranging 19-114, with the lowest value around hour 5.3. SpO2 briefly dipped to 86 around hour 22.6 before recovering to 92, while respiratory rate peaked at 24 and later settled at 18. The associated labs and urine output showed that white count fell from 15.6 to 14, creatinine stayed around 0.8, lactate was checked once at 2.1, and urine output rose from 54 to 245, with recorded outputs ranging 41-535.\nD. For handoff, the heart rate fell from 87 to 81, while MAP fell from 79 to 72. Systolic pressure was labile, ranging 15-139, with the lowest value around hour 4.7. SpO2 briefly dipped to 85 around hour 20.7 before recovering to 96, while respiratory rate peaked at 22 and later settled at 16. The associated labs and urine output showed that white count fell from 17.5 to 12, creatinine stayed around 0.7, lactate was checked once at 2.4, and urine output rose from 50 to 220, with recorded outputs ranging 45-560.","answer":"D","answer_text":"For handoff, the heart rate fell from 87 to 81, while MAP fell from 79 to 72. Systolic pressure was labile, ranging 15-139, with the lowest value around hour 4.7. SpO2 briefly dipped to 85 around hour 20.7 before recovering to 96, while respiratory rate peaked at 22 and later settled at 16. The associated labs and urine output showed that white count fell from 17.5 to 12, creatinine stayed around 0.7, lactate was checked once at 2.4, and urine output rose from 50 to 220, with recorded outputs ranging 45-560.","episode_id":"iv_000315","anchor_time":24}
{"id":"TSS_iv_000315_clinical_summary_24_2","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 112 to 97, MAP was roughly stable (82 to 75), and heart rate fell from 84 to 81. SpO2 started at 97, ended at 99, and fell as low as 84 around hour 19.2; respiratory rate ranged 14-20. For labs and output, white count fell from 16.0 to 14, creatinine stayed around 0.8, lactate was checked once at 2.2, and urine output rose from 53 to 240.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 109 to 101, MAP fell from 79 to 72, and heart rate fell from 87 to 81. SpO2 started at 100, ended at 96, and fell as low as 85 around hour 20.7; respiratory rate ranged 12-22. For labs and output, white count fell from 17.5 to 12, creatinine stayed around 0.7, lactate was checked once at 2.4, and urine output rose from 50 to 220.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 97, MAP fell from 83 to 76, and heart rate was roughly stable (83 to 84). SpO2 started at 96, ended at 100, and fell as low as 89 around hour 18.8; respiratory rate ranged 14-24. For labs and output, white count fell from 15.6 to 11.2, creatinine stayed around 0.8, lactate was checked once at 2.1, and urine output rose from 54 to 245.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 104 to 101, MAP fell from 74 to 68, and heart rate fell from 92 to 76. SpO2 started at 96, ended at 92, and fell as low as 80 around hour 22.9; respiratory rate ranged 10-24. For labs and output, white count fell from 19.8 to 10, creatinine was roughly stable (0.5 to 0.8), lactate was checked once at 2.6, and urine output rose from 50 to 220.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 109 to 101, MAP fell from 79 to 72, and heart rate fell from 87 to 81. SpO2 started at 100, ended at 96, and fell as low as 85 around hour 20.7; respiratory rate ranged 12-22. For labs and output, white count fell from 17.5 to 12, creatinine stayed around 0.7, lactate was checked once at 2.4, and urine output rose from 50 to 220.","episode_id":"iv_000315","anchor_time":24}
{"id":"TSS_iv_000318_clinical_summary_46_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 87 to 103, diastolic pressure rose from 66 to 79, and heart rate was roughly stable (65 to 66). The lowest MAP was about 60 around hour 5.7, and the lowest valid SpO2 was 88 around hour 2.6; respiratory rate rose as high as 24 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.8-34.7 C, white count rose from 5.9 to 6.0, creatinine stayed around 1.0, lactate was not available, and urine output fell from 570 to 37.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 82 to 108, diastolic pressure rose from 61 to 73, and heart rate was roughly stable (70 to 61). The lowest MAP was about 60 around hour 7.2, and the lowest valid SpO2 was 83 around hour 4.0; respiratory rate rose as high as 22 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 38.0-40.0 C, white count rose from 5.0 to 6.9, creatinine stayed around 0.8, lactate was not available, and urine output fell from 535 to 42.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 88 to 102, diastolic pressure rose from 67 to 80, and heart rate was roughly stable (64 to 67). The lowest MAP was about 61 around hour 5.6, and the lowest valid SpO2 was 89 around hour 3.0; respiratory rate rose as high as 25 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 32.0-34.0 C, white count rose from 6.0 to 6.5, creatinine was roughly stable (1.0 to 1), lactate was not available, and urine output fell from 550 to 90.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 84 to 106, diastolic pressure rose from 63 to 76, and heart rate was roughly stable (68 to 63). The lowest MAP was about 57 around hour 6.2, and the lowest valid SpO2 was 85 around hour 3.6; respiratory rate rose as high as 23 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 35.8-37.7 C, white count rose from 5.4 to 6.5, creatinine stayed around 0.9, lactate was not available, and urine output fell from 550 to 40.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 84 to 106, diastolic pressure rose from 63 to 76, and heart rate was roughly stable (68 to 63). The lowest MAP was about 57 around hour 6.2, and the lowest valid SpO2 was 85 around hour 3.6; respiratory rate rose as high as 23 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 96.4 to 99.8, white count rose from 5.4 to 6.5, creatinine stayed around 0.9, lactate was not available, and urine output fell from 550 to 40.","episode_id":"iv_000318","anchor_time":46}
{"id":"TSS_iv_000318_clinical_summary_46_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Viewed chronologically, the heart rate was roughly stable (71 to 66), MAP rose from 87 to 109, and diastolic pressure moved from 60 to 73. Systolic pressure ranged 113-211 and ended at 211, and SpO2 recovered to 92 after a low of 88 around hour 4.1. Respiratory rate ended at 20; the available labs showed white count rose from 5.9 to 7.0, creatinine stayed around 0.8, lactate was not available, and urine output fell from 570 to 43.\nB. Viewed chronologically, the heart rate was roughly stable (68 to 63), MAP rose from 84 to 106, and diastolic pressure moved from 63 to 76. Systolic pressure ranged 110-191 and ended at 191, and SpO2 recovered to 95 after a low of 85 around hour 3.6. Respiratory rate ended at 21; the available labs showed white count rose from 5.4 to 6.5, creatinine stayed around 0.9, lactate was not available, and urine output fell from 550 to 40.\nC. Viewed chronologically, the heart rate was roughly stable (72 to 59), MAP rose from 88 to 109, and diastolic pressure moved from 59 to 80. Systolic pressure ranged 114-216 and ended at 187, and SpO2 recovered to 91 after a low of 89 around hour 4.6. Respiratory rate ended at 19; the available labs showed white count rose from 6.0 to 7.1, creatinine stayed around 0.8, lactate was not available, and urine output fell from 575 to 44.\nD. Viewed chronologically, the heart rate was roughly stable (64 to 68), MAP rose from 80 to 102, and diastolic pressure moved from 68 to 72. Systolic pressure ranged 106-161 and ended at 161, and SpO2 recovered to 100 after a low of 84 around hour 2.9. Respiratory rate ended at 23; the available labs showed white count was roughly stable (4.7 to 5.7), creatinine stayed around 1.1, lactate was not available, and urine output fell from 600 to 36.","answer":"B","answer_text":"Viewed chronologically, the heart rate was roughly stable (68 to 63), MAP rose from 84 to 106, and diastolic pressure moved from 63 to 76. Systolic pressure ranged 110-191 and ended at 191, and SpO2 recovered to 95 after a low of 85 around hour 3.6. Respiratory rate ended at 21; the available labs showed white count rose from 5.4 to 6.5, creatinine stayed around 0.9, lactate was not available, and urine output fell from 550 to 40.","episode_id":"iv_000318","anchor_time":46}
{"id":"TSS_iv_000319_clinical_summary_93_3","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Overall, the heart rate rose from 53 to 70, MAP was roughly stable (64 to 74), and diastolic pressure moved from 48 to 62. Systolic pressure ranged 89-191 and ended at 110, and SpO2 recovered to 94 after a low of 75 around hour 0.4. Respiratory rate ended at 14; the available labs showed white count rose from 6.6 to 10.8, creatinine was roughly stable (0.9 to 1), lactate fell from 277 to 1.3, and urine output fell from 370 to 220.\nB. Overall, the heart rate rose from 48 to 75, MAP rose from 59 to 74, and diastolic pressure moved from 53 to 57. Systolic pressure ranged 84-156 and ended at 103, and SpO2 recovered to 99 after a low of 74 around hour 1.3. Respiratory rate ended at 16; the available labs showed white count rose from 5.7 to 10.5, creatinine was roughly stable (1.2 to 1), lactate fell from 242 to 1.6, and urine output fell from 305 to 185.\nC. Overall, the heart rate rose from 50 to 73, MAP was roughly stable (61 to 71), and diastolic pressure moved from 51 to 59. Systolic pressure ranged 86-171 and ended at 107, and SpO2 recovered to 97 after a low of 76 around hour 0.3. Respiratory rate ended at 15; the available labs showed white count rose from 6.1 to 11.6, creatinine was roughly stable (1.1 to 1), lactate fell from 257 to 1.5, and urine output fell from 320 to 200.\nD. Overall, the heart rate rose from 46 to 76, MAP was roughly stable (56 to 66), and diastolic pressure moved from 56 to 56. Systolic pressure ranged 82-141 and ended at 102, and SpO2 recovered to 100 after a low of 72 around hour 0.1. Respiratory rate ended at 17; the available labs showed white count rose from 5.3 to 9.3, creatinine was roughly stable (1.4 to 1), lactate fell from 227 to 1.8, and urine output fell from 290 to 170.","answer":"C","answer_text":"Overall, the heart rate rose from 50 to 73, MAP was roughly stable (61 to 71), and diastolic pressure moved from 51 to 59. Systolic pressure ranged 86-171 and ended at 107, and SpO2 recovered to 97 after a low of 76 around hour 0.3. Respiratory rate ended at 15; the available labs showed white count rose from 6.1 to 11.6, creatinine was roughly stable (1.1 to 1), lactate fell from 257 to 1.5, and urine output fell from 320 to 200.","episode_id":"iv_000319","anchor_time":93}
{"id":"TSS_iv_000320_clinical_summary_33_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Overall, the heart rate was roughly stable (74 to 71), while MAP rose from 60 to 86. Systolic pressure was labile, ranging 97-168, with the lowest value around hour 18.8. SpO2 briefly dipped to 88 around hour 0.1 before recovering to 100, while respiratory rate peaked at 23 and later settled at 10. The associated labs and urine output showed that white count fell from 16.3 to 13.2, creatinine stayed around 0.5, lactate was not available, and urine output rose from 125 to 300, with recorded outputs ranging 60-325.\nB. Overall, the heart rate was roughly stable (72 to 73), while MAP rose from 58 to 84. Systolic pressure was labile, ranging 101-183, with the lowest value around hour 17.7. SpO2 briefly dipped to 89 around hour 0.0 before recovering to 98, while respiratory rate peaked at 25 and later settled at 9. The associated labs and urine output showed that white count fell from 17.4 to 12.1, creatinine stayed around 0.4, lactate was not available, and urine output rose from 140 to 285, with recorded outputs ranging 58-310.\nC. Overall, the heart rate was roughly stable (78 to 67), while MAP rose from 64 to 89. Systolic pressure was labile, ranging 93-143, with the lowest value around hour 20.7. SpO2 briefly dipped to 92 around hour 1.1 before recovering to 96, while respiratory rate peaked at 25 and later settled at 12. The associated labs and urine output showed that white count fell from 14.4 to 12.9, creatinine stayed around 0.6, lactate was not available, and urine output rose from 100 to 250, with recorded outputs ranging 64-350.\nD. Overall, the heart rate was roughly stable (70 to 76), while MAP rose from 56 to 82. Systolic pressure was labile, ranging 100-198, with the lowest value around hour 16.6. SpO2 briefly dipped to 84 around hour 0.0 before recovering to 96, while respiratory rate peaked at 21 and later settled at 8. The associated labs and urine output showed that white count fell from 18.6 to 12.4, creatinine was roughly stable (0.3 to 0.6), lactate was not available, and urine output rose from 125 to 300, with recorded outputs ranging 110-325.","answer":"A","answer_text":"Overall, the heart rate was roughly stable (74 to 71), while MAP rose from 60 to 86. Systolic pressure was labile, ranging 97-168, with the lowest value around hour 18.8. SpO2 briefly dipped to 88 around hour 0.1 before recovering to 100, while respiratory rate peaked at 23 and later settled at 10. The associated labs and urine output showed that white count fell from 16.3 to 13.2, creatinine stayed around 0.5, lactate was not available, and urine output rose from 125 to 300, with recorded outputs ranging 60-325.","episode_id":"iv_000320","anchor_time":33}
{"id":"TSS_iv_000321_clinical_summary_24_0","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Taken together, the heart rate was roughly stable (94 to 89), while MAP rose from 96 to 116. Systolic pressure was labile, ranging 86-117, with the lowest value around hour 5.7. SpO2 briefly dipped to 91 around hour 0.6 before recovering to 91, while respiratory rate peaked at 28 and later settled at 14. The associated labs and urine output showed that white count was 14.8 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 3655 to 380, with recorded outputs ranging 400-3495.\nB. Taken together, the heart rate was roughly stable (91 to 92), while MAP rose from 93 to 113. Systolic pressure was labile, ranging 89-137, with the lowest value around hour 5.2. SpO2 briefly dipped to 88 around hour 0.5 before recovering to 94, while respiratory rate peaked at 26 and later settled at 13. The associated labs and urine output showed that white count was 16.3 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 3575 to 400, with recorded outputs ranging 350-3575.\nC. Taken together, the heart rate was roughly stable (95 to 88), while MAP rose from 97 to 117. Systolic pressure was labile, ranging 93-112, with the lowest value around hour 5.8. SpO2 briefly dipped to 89 around hour 0.6 before recovering to 90, while respiratory rate peaked at 28 and later settled at 15. The associated labs and urine output showed that white count was 14.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 3675 to 375, with recorded outputs ranging 375-3475.\nD. Taken together, the heart rate was roughly stable (86 to 96), while MAP rose from 88 to 116. Systolic pressure was labile, ranging 94-167, with the lowest value around hour 4.5. SpO2 briefly dipped to 84 around hour 1.5 before recovering to 98, while respiratory rate peaked at 24 and later settled at 11. The associated labs and urine output showed that white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 3455 to 350, with recorded outputs ranging 320-3695.","answer":"B","answer_text":"Taken together, the heart rate was roughly stable (91 to 92), while MAP rose from 93 to 113. Systolic pressure was labile, ranging 89-137, with the lowest value around hour 5.2. SpO2 briefly dipped to 88 around hour 0.5 before recovering to 94, while respiratory rate peaked at 26 and later settled at 13. The associated labs and urine output showed that white count was 16.3 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 3575 to 400, with recorded outputs ranging 350-3575.","episode_id":"iv_000321","anchor_time":24}
{"id":"TSS_iv_000321_clinical_summary_24_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 103, MAP rose from 96 to 116, and heart rate was roughly stable (88 to 95). SpO2 started at 95, ended at 97, and fell as low as 91 around hour 0.4; respiratory rate ranged 14-24. For labs and output, white count was 17.1 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 3655 to 380.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 95 to 119, MAP rose from 91 to 116, and heart rate was roughly stable (93 to 90). SpO2 started at 100, ended at 92, and fell as low as 87 around hour 0.6; respiratory rate ranged 12-27. For labs and output, white count was 17.4 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 3515 to 415.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 103, MAP rose from 97 to 117, and heart rate was roughly stable (87 to 95). SpO2 started at 94, ended at 98, and fell as low as 92 around hour 0.4; respiratory rate ranged 15-28. For labs and output, white count was 14.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 3675 to 375.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 97 to 123, MAP rose from 93 to 113, and heart rate was roughly stable (91 to 92). SpO2 started at 98, ended at 94, and fell as low as 88 around hour 0.5; respiratory rate ranged 13-26. For labs and output, white count was 16.3 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 3575 to 400.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 97 to 123, MAP rose from 93 to 113, and heart rate was roughly stable (91 to 92). SpO2 started at 98, ended at 94, and fell as low as 88 around hour 0.5; respiratory rate ranged 13-26. For labs and output, white count was 16.3 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 3575 to 400.","episode_id":"iv_000321","anchor_time":24}
{"id":"TSS_iv_000322_clinical_summary_75_3","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. For handoff, the heart rate was roughly stable (67 to 57), MAP fell from 114 to 97, and diastolic pressure moved from 69 to 75. Systolic pressure ranged 121-240 and ended at 161, and SpO2 recovered to 94 after a low of 88 around hour 26.9. Respiratory rate ended at 16; the available labs showed white count stayed around 7.7, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 1, and urine output fell from 220 to 97.\nB. For handoff, the heart rate was roughly stable (64 to 60), MAP fell from 111 to 94, and diastolic pressure moved from 72 to 72. Systolic pressure ranged 118-220 and ended at 165, and SpO2 recovered to 97 after a low of 85 around hour 25.9. Respiratory rate ended at 17; the available labs showed white count stayed around 7.2, creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 1, and urine output fell from 200 to 100.\nC. For handoff, the heart rate was roughly stable (68 to 63), MAP fell from 115 to 98, and diastolic pressure moved from 68 to 69. Systolic pressure ranged 122-245 and ended at 190, and SpO2 recovered to 93 after a low of 89 around hour 27.8. Respiratory rate ended at 15; the available labs showed white count stayed around 7.8, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 1, and urine output fell from 225 to 96.\nD. For handoff, the heart rate was roughly stable (60 to 64), MAP fell from 106 to 90, and diastolic pressure moved from 76 to 68. Systolic pressure ranged 114-190 and ended at 135, and SpO2 recovered to 100 after a low of 84 around hour 23.6. Respiratory rate ended at 19; the available labs showed white count was roughly stable (7 to 6.4), creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 1, and urine output fell from 250 to 100.","answer":"B","answer_text":"For handoff, the heart rate was roughly stable (64 to 60), MAP fell from 111 to 94, and diastolic pressure moved from 72 to 72. Systolic pressure ranged 118-220 and ended at 165, and SpO2 recovered to 97 after a low of 85 around hour 25.9. Respiratory rate ended at 17; the available labs showed white count stayed around 7.2, creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 1, and urine output fell from 200 to 100.","episode_id":"iv_000322","anchor_time":75}
{"id":"TSS_iv_000323_clinical_summary_54_2","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 116 to 122, MAP rose from 80 to 90, and heart rate rose from 57 to 89. SpO2 started at 82, ended at 100, and fell as low as 88 around hour 2.7; respiratory rate ranged 12-39. For labs and output, white count rose from 9.7 to 13.6, creatinine rose from 2.3 to 2.4, lactate rose from 1.8 to 2.5, and urine output was roughly stable (27 to 53)\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 113 to 142, MAP rose from 77 to 87, and heart rate rose from 60 to 86. SpO2 started at 85, ended at 97, and fell as low as 85 around hour 3.2; respiratory rate ranged 10-37. For labs and output, white count rose from 11.2 to 14.4, creatinine rose from 2.1 to 2.6, lactate rose from 1.6 to 2.3, and urine output was roughly stable (30 to 50)\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 117 to 120, MAP rose from 81 to 91, and heart rate rose from 56 to 90. SpO2 started at 81, ended at 100, and fell as low as 89 around hour 2.6; respiratory rate ranged 12-33. For labs and output, white count rose from 9.3 to 16.3, creatinine rose from 2.4 to 2.7, lactate rose from 1.8 to 2.5, and urine output was roughly stable (26 to 54)\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 108 to 138, MAP rose from 72 to 90, and heart rate rose from 64 to 82. SpO2 started at 90, ended at 92, and fell as low as 84 around hour 4.0; respiratory rate ranged 8-42. For labs and output, white count rose from 13.4 to 14.9, creatinine rose from 1.8 to 2.9, lactate rose from 1.3 to 2.0, and urine output was roughly stable (34 to 46)","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 113 to 142, MAP rose from 77 to 87, and heart rate rose from 60 to 86. SpO2 started at 85, ended at 97, and fell as low as 85 around hour 3.2; respiratory rate ranged 10-37. For labs and output, white count rose from 11.2 to 14.4, creatinine rose from 2.1 to 2.6, lactate rose from 1.6 to 2.3, and urine output was roughly stable (30 to 50)","episode_id":"iv_000323","anchor_time":54}
{"id":"TSS_iv_000323_clinical_summary_54_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 63 to 83, MAP rose from 80 to 90, and diastolic pressure moved from 58 to 72. Systolic pressure ranged 108-174 and ended at 162, and SpO2 recovered to 94 after a low of 84 around hour 3.7. Respiratory rate ended at 28; the available labs showed white count rose from 12.7 to 13.6, creatinine rose from 1.9 to 2.8, lactate rose from 1.8 to 2.1, and urine output was roughly stable (80 to 53)\nB. Across the recorded window, the heart rate rose from 58 to 88, MAP rose from 75 to 90, and diastolic pressure moved from 63 to 67. Systolic pressure ranged 103-139 and ended at 138, and SpO2 recovered to 99 after a low of 83 around hour 4.2. Respiratory rate ended at 30; the available labs showed white count rose from 10.1 to 13.3, creatinine rose from 2.2 to 2.5, lactate rose from 1.5 to 2.4, and urine output was roughly stable (28 to 48)\nC. Across the recorded window, the heart rate rose from 60 to 86, MAP rose from 77 to 87, and diastolic pressure moved from 61 to 69. Systolic pressure ranged 105-154 and ended at 142, and SpO2 recovered to 97 after a low of 85 around hour 3.2. Respiratory rate ended at 29; the available labs showed white count rose from 11.2 to 14.4, creatinine rose from 2.1 to 2.6, lactate rose from 1.6 to 2.3, and urine output was roughly stable (30 to 50)\nD. Across the recorded window, the heart rate rose from 56 to 89, MAP rose from 72 to 82, and diastolic pressure moved from 66 to 66. Systolic pressure ranged 100-124 and ended at 112, and SpO2 recovered to 100 after a low of 80 around hour 2.5. Respiratory rate ended at 31; the available labs showed white count rose from 8.9 to 12.2, creatinine rose from 2.4 to 2.6, lactate rose from 1.3 to 2.6, and urine output was roughly stable (26 to 46)","answer":"C","answer_text":"Across the recorded window, the heart rate rose from 60 to 86, MAP rose from 77 to 87, and diastolic pressure moved from 61 to 69. Systolic pressure ranged 105-154 and ended at 142, and SpO2 recovered to 97 after a low of 85 around hour 3.2. Respiratory rate ended at 29; the available labs showed white count rose from 11.2 to 14.4, creatinine rose from 2.1 to 2.6, lactate rose from 1.6 to 2.3, and urine output was roughly stable (30 to 50)","episode_id":"iv_000323","anchor_time":54}
{"id":"TSS_iv_000325_clinical_summary_33_0","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Clinically, the heart rate rose from 53 to 62, while MAP was roughly stable (88 to 90). Systolic pressure was labile, ranging 106-118, with the lowest value around hour 31.1. SpO2 briefly dipped to 89 around hour 0.7 before recovering to 94, while respiratory rate peaked at 23 and later settled at 20. The associated labs and urine output showed that white count rose from 5.8 to 10.0, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output stayed around 43, with recorded outputs ranging 16-200.\nB. Clinically, the heart rate rose from 50 to 65, while MAP was roughly stable (85 to 87). Systolic pressure was labile, ranging 102-138, with the lowest value around hour 29.6. SpO2 briefly dipped to 88 around hour 0.6 before recovering to 97, while respiratory rate peaked at 21 and later settled at 18. The associated labs and urine output showed that white count rose from 6.3 to 9.5, creatinine was roughly stable (0.4 to 0.5), lactate was not available, and urine output stayed around 40, with recorded outputs ranging 15-180.\nC. Clinically, the heart rate rose from 54 to 61, while MAP was roughly stable (89 to 90). Systolic pressure was labile, ranging 98-113, with the lowest value around hour 31.5. SpO2 briefly dipped to 92 around hour 1.6 before recovering to 93, while respiratory rate peaked at 23 and later settled at 20. The associated labs and urine output showed that white count rose from 5.7 to 10.1, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output was roughly stable (44 to 0), with recorded outputs ranging 0-180.\nD. Clinically, the heart rate rose from 46 to 70, while MAP was roughly stable (80 to 82). Systolic pressure was labile, ranging 106-168, with the lowest value around hour 27.4. SpO2 briefly dipped to 84 around hour 0.4 before recovering to 100, while respiratory rate peaked at 19 and later settled at 16. The associated labs and urine output showed that white count rose from 7.0 to 8.7, creatinine rose from 0.2 to 0.6, lactate was not available, and urine output stayed around 36, with recorded outputs ranging 40-150.","answer":"B","answer_text":"Clinically, the heart rate rose from 50 to 65, while MAP was roughly stable (85 to 87). Systolic pressure was labile, ranging 102-138, with the lowest value around hour 29.6. SpO2 briefly dipped to 88 around hour 0.6 before recovering to 97, while respiratory rate peaked at 21 and later settled at 18. The associated labs and urine output showed that white count rose from 6.3 to 9.5, creatinine was roughly stable (0.4 to 0.5), lactate was not available, and urine output stayed around 40, with recorded outputs ranging 15-180.","episode_id":"iv_000325","anchor_time":33}
{"id":"TSS_iv_000325_clinical_summary_33_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (156 to 118), MAP was roughly stable (88 to 90), and heart rate rose from 47 to 68. SpO2 started at 97, ended at 100, and fell as low as 91 around hour 0.5; respiratory rate ranged 8-20. For labs and output, white count rose from 5.8 to 10.0, creatinine rose from 0.5 to 0.7, lactate was not available, and urine output was roughly stable (43 to 43)\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (121 to 153), MAP was roughly stable (83 to 85), and heart rate rose from 52 to 68. SpO2 started at 98, ended at 95, and fell as low as 86 around hour 0.7; respiratory rate ranged 7-23. For labs and output, white count rose from 6.7 to 8.7, creatinine was roughly stable (0.3 to 0.6), lactate was not available, and urine output was roughly stable (38 to 38)\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (161 to 134), MAP was roughly stable (89 to 90), and heart rate rose from 46 to 69. SpO2 started at 96, ended at 100, and fell as low as 87 around hour 0.5; respiratory rate ranged 8-19. For labs and output, white count rose from 5.7 to 10.1, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output was roughly stable (44 to 44)\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (136 to 138), MAP was roughly stable (85 to 87), and heart rate rose from 50 to 65. SpO2 started at 100, ended at 97, and fell as low as 88 around hour 0.6; respiratory rate ranged 7-21. For labs and output, white count rose from 6.3 to 9.5, creatinine was roughly stable (0.4 to 0.5), lactate was not available, and urine output was roughly stable (40 to 40)","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (136 to 138), MAP was roughly stable (85 to 87), and heart rate rose from 50 to 65. SpO2 started at 100, ended at 97, and fell as low as 88 around hour 0.6; respiratory rate ranged 7-21. For labs and output, white count rose from 6.3 to 9.5, creatinine was roughly stable (0.4 to 0.5), lactate was not available, and urine output was roughly stable (40 to 40)","episode_id":"iv_000325","anchor_time":33}
{"id":"TSS_iv_000326_clinical_summary_49_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 106 to 79, diastolic pressure fell from 89 to 59, and heart rate fell from 69 to 56. The lowest MAP was about 67 around hour 25.1, and the lowest valid SpO2 was 88 around hour 11.6; respiratory rate rose as high as 36 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.7-34.8 C, white count was 15.0 on its only check, creatinine was 0.3 on its only check, lactate was checked once at 1.7, and urine output fell from 670 to 430.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 101 to 84, diastolic pressure fell from 84 to 60, and heart rate fell from 74 to 56. The lowest MAP was about 62 around hour 25.2, and the lowest valid SpO2 was 83 around hour 12.1; respiratory rate rose as high as 31 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 39.0-40.0 C, white count was 12.4 on its only check, creatinine was 0.5 on its only check, lactate was checked once at 1.4, and urine output fell from 635 to 465.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 107 to 78, diastolic pressure fell from 90 to 66, and heart rate fell from 68 to 57. The lowest MAP was about 68 around hour 22.2, and the lowest valid SpO2 was 89 around hour 11.2; respiratory rate rose as high as 35 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.0-34.0 C, white count was 15.4 on its only check, creatinine was 0.3 on its only check, lactate was checked once at 1.8, and urine output fell from 675 to 500.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 103 to 82, diastolic pressure fell from 86 to 62, and heart rate fell from 72 to 53. The lowest MAP was about 64 around hour 24.1, and the lowest valid SpO2 was 85 around hour 13.1; respiratory rate rose as high as 33 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.7-37.8 C, white count was 13.5 on its only check, creatinine was 0.4 on its only check, lactate was checked once at 1.5, and urine output fell from 650 to 450.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 103 to 82, diastolic pressure fell from 86 to 62, and heart rate fell from 72 to 53. The lowest MAP was about 64 around hour 24.1, and the lowest valid SpO2 was 85 around hour 13.1; respiratory rate rose as high as 33 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 37 to 100, white count was 13.5 on its only check, creatinine was 0.4 on its only check, lactate was checked once at 1.5, and urine output fell from 650 to 450.","episode_id":"iv_000326","anchor_time":49}
{"id":"TSS_iv_000326_clinical_summary_49_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 158 to 139, MAP fell from 103 to 82, and heart rate fell from 72 to 53. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 13.1; respiratory rate ranged 11-33. For labs and output, white count was 13.5 on its only check, creatinine was 0.4 on its only check, lactate was checked once at 1.5, and urine output fell from 650 to 450.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 123, MAP fell from 101 to 80, and heart rate fell from 74 to 51. SpO2 started at 98, ended at 92, and fell as low as 83 around hour 14.2; respiratory rate ranged 10-35. For labs and output, white count was 14.6 on its only check, creatinine was 0.3 on its only check, lactate was checked once at 1.7, and urine output fell from 665 to 435.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 183 to 114, MAP fell from 107 to 86, and heart rate fell from 68 to 56. SpO2 started at 96, ended at 98, and fell as low as 89 around hour 11.2; respiratory rate ranged 13-35. For labs and output, white count was 11.6 on its only check, creatinine was 0.5 on its only check, lactate was checked once at 1.8, and urine output fell from 625 to 475.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 128 to 108, MAP fell from 98 to 85, and heart rate fell from 76 to 48. SpO2 started at 96, ended at 90, and fell as low as 84 around hour 15.3; respiratory rate ranged 9-38. For labs and output, white count was 15.8 on its only check, creatinine was 0.2 on its only check, lactate was checked once at 1.2, and urine output fell from 680 to 420.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 158 to 139, MAP fell from 103 to 82, and heart rate fell from 72 to 53. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 13.1; respiratory rate ranged 11-33. For labs and output, white count was 13.5 on its only check, creatinine was 0.4 on its only check, lactate was checked once at 1.5, and urine output fell from 650 to 450.","episode_id":"iv_000326","anchor_time":49}
{"id":"TSS_iv_000328_clinical_summary_29_2","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 142 to 107, MAP rose from 91 to 97, and heart rate was roughly stable (80 to 84). SpO2 started at 97, ended at 97, and fell as low as 84 around hour 20; respiratory rate ranged 14-24. For labs and output, white count rose from 8.9 to 14.1, creatinine was roughly stable (0.6 to 0.5), lactate rose from 0.8 to 1.4, and urine output fell from 630 to 22.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 107 to 104, MAP rose from 86 to 92, and heart rate was roughly stable (85 to 79). SpO2 started at 98, ended at 98, and fell as low as 83 around hour 22; respiratory rate ranged 11-27. For labs and output, white count rose from 11.5 to 13.0, creatinine rose from 0.4 to 0.7, lactate rose from 0.9 to 1.0, and urine output fell from 665 to 20.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 122 to 111, MAP rose from 88 to 94, and heart rate was roughly stable (83 to 81). SpO2 started at 100, ended at 100, and fell as low as 85 around hour 21; respiratory rate ranged 12-26. For labs and output, white count rose from 10.4 to 12.6, creatinine was roughly stable (0.5 to 0.6), lactate rose from 0.7 to 1.2, and urine output fell from 650 to 21.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 92 to 89, MAP rose from 84 to 90, and heart rate was roughly stable (88 to 84). SpO2 started at 96, ended at 96, and fell as low as 80 around hour 23; respiratory rate ranged 10-28. For labs and output, white count rose from 12.7 to 14.2, creatinine was roughly stable (0.3 to 0.8), lactate rose from 0.5 to 0.9, and urine output fell from 680 to 19.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 122 to 111, MAP rose from 88 to 94, and heart rate was roughly stable (83 to 81). SpO2 started at 100, ended at 100, and fell as low as 85 around hour 21; respiratory rate ranged 12-26. For labs and output, white count rose from 10.4 to 12.6, creatinine was roughly stable (0.5 to 0.6), lactate rose from 0.7 to 1.2, and urine output fell from 650 to 21.","episode_id":"iv_000328","anchor_time":29}
{"id":"TSS_iv_000329_clinical_summary_48_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 147 to 116, MAP fell from 88 to 69, and heart rate rose from 77 to 100. SpO2 started at 97, ended at 98, and fell as low as 88 around hour 1.3; respiratory rate ranged 6-26. For labs and output, white count was roughly stable (8.7 to 9.2), creatinine was roughly stable (0.6 to 0.6), lactate stayed broadly stable from 1.8 to 1.7, and urine output was roughly stable (20 to 50)\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 112 to 109, MAP fell from 83 to 69, and heart rate rose from 82 to 96. SpO2 started at 98, ended at 93, and fell as low as 84 around hour 1.6; respiratory rate ranged 5-28. For labs and output, white count was roughly stable (9.6 to 8.3), creatinine stayed around 0.4, lactate stayed broadly stable from 1.8 to 1.5, and urine output was roughly stable (19 to 52)\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 152 to 115, MAP fell from 89 to 70, and heart rate rose from 76 to 101. SpO2 started at 96, ended at 99, and fell as low as 89 around hour 1.2; respiratory rate ranged 6-29. For labs and output, white count fell from 8.6 to 7.9, creatinine stayed around 0.6, lactate stayed broadly stable from 1.4 to 1.9, and urine output was roughly stable (22 to 46)\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 127 to 119, MAP fell from 85 to 66, and heart rate rose from 80 to 98. SpO2 started at 100, ended at 95, and fell as low as 85 around hour 1.5; respiratory rate ranged 5-27. For labs and output, white count was roughly stable (9.2 to 8.7), creatinine stayed around 0.5, lactate stayed broadly stable from 1.6 to 1.7, and urine output was roughly stable (20 to 50)","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 127 to 119, MAP fell from 85 to 66, and heart rate rose from 80 to 98. SpO2 started at 100, ended at 95, and fell as low as 85 around hour 1.5; respiratory rate ranged 5-27. For labs and output, white count was roughly stable (9.2 to 8.7), creatinine stayed around 0.5, lactate stayed broadly stable from 1.6 to 1.7, and urine output was roughly stable (20 to 50)","episode_id":"iv_000329","anchor_time":48}
{"id":"TSS_iv_000331_clinical_summary_52_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. For handoff, the heart rate was roughly stable (83 to 79), while MAP fell from 72 to 65. Systolic pressure was labile, ranging 90-110, with the lowest value around hour 29.1. SpO2 briefly dipped to 86 around hour 3.9 before recovering to 96, while respiratory rate peaked at 31 and later settled at 28. The associated labs and urine output showed that white count fell from 11.6 to 9.9, creatinine stayed around 0.8, lactate fell from 4 to 3.1, and urine output fell from 1085 to 47, with recorded outputs ranging 43-925.\nB. For handoff, the heart rate was roughly stable (78 to 84), while MAP was roughly stable (67 to 65). Systolic pressure was labile, ranging 88-145, with the lowest value around hour 26.5. SpO2 briefly dipped to 83 around hour 4.4 before recovering to 100, while respiratory rate peaked at 28 and later settled at 25. The associated labs and urine output showed that white count fell from 14.2 to 9.0, creatinine stayed around 0.6, lactate fell from 4 to 2.8, and urine output fell from 945 to 0, with recorded outputs ranging 0-1065.\nC. For handoff, the heart rate was roughly stable (84 to 78), while MAP fell from 73 to 66. Systolic pressure was labile, ranging 82-105, with the lowest value around hour 29.5. SpO2 briefly dipped to 89 around hour 4.0 before recovering to 95, while respiratory rate peaked at 31 and later settled at 28. The associated labs and urine output showed that white count fell from 11.2 to 8.6, creatinine was roughly stable (0.8 to 0.8), lactate fell from 4 to 2.9, and urine output fell from 1005 to 50, with recorded outputs ranging 50-1005.\nD. For handoff, the heart rate was roughly stable (80 to 82), while MAP fell from 69 to 62. Systolic pressure was labile, ranging 86-130, with the lowest value around hour 27.6. SpO2 briefly dipped to 85 around hour 3.4 before recovering to 99, while respiratory rate peaked at 29 and later settled at 26. The associated labs and urine output showed that white count fell from 13.1 to 9.4, creatinine stayed around 0.7, lactate fell from 4 to 2.9, and urine output fell from 1005 to 50, with recorded outputs ranging 40-1005.","answer":"D","answer_text":"For handoff, the heart rate was roughly stable (80 to 82), while MAP fell from 69 to 62. Systolic pressure was labile, ranging 86-130, with the lowest value around hour 27.6. SpO2 briefly dipped to 85 around hour 3.4 before recovering to 99, while respiratory rate peaked at 29 and later settled at 26. The associated labs and urine output showed that white count fell from 13.1 to 9.4, creatinine stayed around 0.7, lactate fell from 4 to 2.9, and urine output fell from 1005 to 50, with recorded outputs ranging 40-1005.","episode_id":"iv_000331","anchor_time":52}
{"id":"TSS_iv_000333_clinical_summary_33_0","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Clinically, the heart rate rose from 100 to 112, while MAP was roughly stable (81 to 79). Systolic pressure was labile, ranging 120-130, with the lowest value around hour 14.1. SpO2 briefly dipped to 86 around hour 1.8 before recovering to 94, while respiratory rate peaked at 24 and later settled at 20. The associated labs and urine output showed that white count rose from 2 to 12.2, creatinine was roughly stable (0.8 to 0.5), lactate was not available, and urine output was roughly stable (83 to 97), with recorded outputs ranging 32-200.\nB. Clinically, the heart rate rose from 98 to 115, while MAP was roughly stable (78 to 76). Systolic pressure was labile, ranging 116-150, with the lowest value around hour 12.6. SpO2 briefly dipped to 85 around hour 1.6 before recovering to 97, while respiratory rate peaked at 22 and later settled at 19. The associated labs and urine output showed that white count rose from 3 to 10.7, creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (80 to 100), with recorded outputs ranging 35-220.\nC. Clinically, the heart rate rose from 100 to 111, while MAP was roughly stable (82 to 79). Systolic pressure was labile, ranging 112-125, with the lowest value around hour 14.5. SpO2 briefly dipped to 89 around hour 2.6 before recovering to 93, while respiratory rate peaked at 24 and later settled at 21. The associated labs and urine output showed that white count rose from 2 to 12.6, creatinine was roughly stable (0.8 to 0.5), lactate was not available, and urine output was roughly stable (84 to 50), with recorded outputs ranging 31-195.\nD. Clinically, the heart rate rose from 94 to 120, while MAP was roughly stable (74 to 72). Systolic pressure was labile, ranging 120-180, with the lowest value around hour 10.3. SpO2 briefly dipped to 80 around hour 1.3 before recovering to 100, while respiratory rate peaked at 20 and later settled at 17. The associated labs and urine output showed that white count rose from 4 to 9.9, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (80 to 100), with recorded outputs ranging 80-220.","answer":"B","answer_text":"Clinically, the heart rate rose from 98 to 115, while MAP was roughly stable (78 to 76). Systolic pressure was labile, ranging 116-150, with the lowest value around hour 12.6. SpO2 briefly dipped to 85 around hour 1.6 before recovering to 97, while respiratory rate peaked at 22 and later settled at 19. The associated labs and urine output showed that white count rose from 3 to 10.7, creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (80 to 100), with recorded outputs ranging 35-220.","episode_id":"iv_000333","anchor_time":33}
{"id":"TSS_iv_000333_clinical_summary_33_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 161 to 132, MAP was roughly stable (81 to 79), and heart rate rose from 95 to 118. SpO2 started at 93, ended at 100, and fell as low as 84 around hour 1.4; respiratory rate ranged 12-20. For labs and output, white count rose from 2 to 12.2, creatinine was roughly stable (0.8 to 0.5), lactate was not available, and urine output was roughly stable (83 to 97)\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (126 to 151), MAP was roughly stable (76 to 74), and heart rate rose from 100 to 118. SpO2 started at 98, ended at 95, and fell as low as 83 around hour 1.8; respiratory rate ranged 10-24. For labs and output, white count rose from 3 to 9.9, creatinine was roughly stable (0.6 to 0.7), lactate was not available, and urine output was roughly stable (78 to 98)\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (166 to 111), MAP was roughly stable (82 to 80), and heart rate rose from 94 to 119. SpO2 started at 92, ended at 100, and fell as low as 89 around hour 1.4; respiratory rate ranged 13-20. For labs and output, white count rose from 2.2 to 12.6, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (80 to 100)\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (141 to 136), MAP was roughly stable (78 to 76), and heart rate rose from 98 to 115. SpO2 started at 96, ended at 97, and fell as low as 85 around hour 1.6; respiratory rate ranged 11-22. For labs and output, white count rose from 3 to 10.7, creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (80 to 100)","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (141 to 136), MAP was roughly stable (78 to 76), and heart rate rose from 98 to 115. SpO2 started at 96, ended at 97, and fell as low as 85 around hour 1.6; respiratory rate ranged 11-22. For labs and output, white count rose from 3 to 10.7, creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (80 to 100)","episode_id":"iv_000333","anchor_time":33}
{"id":"TSS_iv_000334_clinical_summary_43_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 105 to 72, diastolic pressure fell from 97 to 74, and heart rate was roughly stable (92 to 96). The lowest MAP was about 61 around hour 30.1, and the lowest valid SpO2 was 91 around hour 24.1; respiratory rate rose as high as 28 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 33.7-34.7 C, white count was roughly stable (13.9 to 9.9), creatinine was roughly stable (1.0 to 0.8), lactate fell from 207 to 3.1, and urine output was roughly stable (93 to 27)\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 77, diastolic pressure fell from 92 to 69, and heart rate was roughly stable (97 to 91). The lowest MAP was about 56 around hour 35.4, and the lowest valid SpO2 was 86 around hour 26.2; respiratory rate rose as high as 29 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 39.0-40.0 C, white count was roughly stable (11.3 to 12.5), creatinine was roughly stable (0.8 to 0.8), lactate fell from 242 to 2.8, and urine output was roughly stable (88 to 80)\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 106 to 71, diastolic pressure fell from 98 to 68, and heart rate was roughly stable (91 to 97). The lowest MAP was about 61 around hour 34.1, and the lowest valid SpO2 was 92 around hour 23.2; respiratory rate rose as high as 29 but ended at 29. The lower-frequency data fit that summary: temperature stayed around 33.0-34.0 C, white count was roughly stable (14.3 to 9.5), creatinine was roughly stable (1.0 to 0.8), lactate fell from 202 to 3.1, and urine output was roughly stable (94 to 26)\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 102 to 75, diastolic pressure fell from 94 to 71, and heart rate was roughly stable (95 to 93). The lowest MAP was about 58 around hour 33.1, and the lowest valid SpO2 was 88 around hour 25.1; respiratory rate rose as high as 27 but ended at 27. The lower-frequency data fit that summary: temperature stayed around 36.7-37.7 C, white count was roughly stable (12.4 to 11.4), creatinine was roughly stable (0.9 to 0.7), lactate fell from 227 to 2.9, and urine output was roughly stable (90 to 30)","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 102 to 75, diastolic pressure fell from 94 to 71, and heart rate was roughly stable (95 to 93). The lowest MAP was about 58 around hour 33.1, and the lowest valid SpO2 was 88 around hour 25.1; respiratory rate rose as high as 27 but ended at 27. The lower-frequency data fit that summary: temperature ranged from 98 to 99.8, white count was roughly stable (12.4 to 11.4), creatinine was roughly stable (0.9 to 0.7), lactate fell from 227 to 2.9, and urine output was roughly stable (90 to 30)","episode_id":"iv_000334","anchor_time":43}
{"id":"TSS_iv_000335_clinical_summary_30_0","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 63 to 106, while MAP rose from 74 to 86. Systolic pressure was labile, ranging 92-132, with the lowest value around hour 23.3. SpO2 briefly dipped to 88 around hour 2 before recovering to 97, while respiratory rate peaked at 28 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (9.4 to 10.1), creatinine stayed around 0.9, lactate was not available, and urine output rose from 30 to 160, with recorded outputs ranging 30-200.\nB. Viewed chronologically, the heart rate rose from 58 to 111, while MAP rose from 69 to 81. Systolic pressure was labile, ranging 99-167, with the lowest value around hour 20.7. SpO2 briefly dipped to 84 around hour 0 before recovering to 98, while respiratory rate peaked at 29 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (10.3 to 9.8), creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output rose from 28 to 145, with recorded outputs ranging 21-215.\nC. Viewed chronologically, the heart rate rose from 64 to 105, while MAP rose from 75 to 86. Systolic pressure was labile, ranging 91-127, with the lowest value around hour 23.7. SpO2 briefly dipped to 89 around hour 1 before recovering to 96, while respiratory rate peaked at 29 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (9.3 to 12.8), creatinine was roughly stable (0.9 to 0.6), lactate was not available, and urine output rose from 34 to 110, with recorded outputs ranging 18-175.\nD. Viewed chronologically, the heart rate rose from 60 to 109, while MAP rose from 71 to 83. Systolic pressure was labile, ranging 95-152, with the lowest value around hour 21.8. SpO2 briefly dipped to 85 around hour 0 before recovering to 100, while respiratory rate peaked at 27 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (9.9 to 10.9), creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 30 to 160, with recorded outputs ranging 20-200.","answer":"D","answer_text":"Viewed chronologically, the heart rate rose from 60 to 109, while MAP rose from 71 to 83. Systolic pressure was labile, ranging 95-152, with the lowest value around hour 21.8. SpO2 briefly dipped to 85 around hour 0 before recovering to 100, while respiratory rate peaked at 27 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (9.9 to 10.9), creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 30 to 160, with recorded outputs ranging 20-200.","episode_id":"iv_000335","anchor_time":30}
{"id":"TSS_iv_000336_clinical_summary_34_1","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 118 to 91, diastolic pressure fell from 95 to 63, and heart rate rose from 40 to 71. The lowest MAP was about 75 around hour 3.0, and the lowest valid SpO2 was 88 around hour 16.4; respiratory rate rose as high as 30 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.9-35.2 C, white count fell from 17.2 to 11.9, creatinine was roughly stable (1.9 to 1.3), lactate was checked once at 1.9, and urine output was roughly stable (220 to 250)\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 115 to 94, diastolic pressure fell from 92 to 60, and heart rate rose from 43 to 68. The lowest MAP was about 72 around hour 3.5, and the lowest valid SpO2 was 85 around hour 17.9; respiratory rate rose as high as 28 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 35.9-38.2 C, white count fell from 15.7 to 13.4, creatinine was roughly stable (1.7 to 1.2), lactate was checked once at 2.1, and urine output was roughly stable (200 to 200)\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 119 to 90, diastolic pressure fell from 96 to 57, and heart rate rose from 39 to 72. The lowest MAP was about 75 around hour 4.5, and the lowest valid SpO2 was 89 around hour 16.0; respiratory rate rose as high as 30 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 32.1-34.5 C, white count fell from 17.6 to 11.5, creatinine was roughly stable (1.9 to 1.4), lactate was checked once at 1.9, and urine output was roughly stable (225 to 225)\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 110 to 98, diastolic pressure fell from 88 to 56, and heart rate rose from 48 to 71. The lowest MAP was about 68 around hour 4.2, and the lowest valid SpO2 was 80 around hour 16.9; respiratory rate rose as high as 26 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 40.4-42.7 C, white count fell from 13.4 to 11.9, creatinine was roughly stable (1.4 to 0.9), lactate was checked once at 2.4, and urine output was roughly stable (170 to 170)","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 115 to 94, diastolic pressure fell from 92 to 60, and heart rate rose from 43 to 68. The lowest MAP was about 72 around hour 3.5, and the lowest valid SpO2 was 85 around hour 17.9; respiratory rate rose as high as 28 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 96.6 to 100.8, white count fell from 15.7 to 13.4, creatinine was roughly stable (1.7 to 1.2), lactate was checked once at 2.1, and urine output was roughly stable (200 to 200)","episode_id":"iv_000336","anchor_time":34}
{"id":"TSS_iv_000336_clinical_summary_34_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Taken together, the heart rate rose from 46 to 71, MAP fell from 118 to 97, and diastolic pressure moved from 89 to 57. Systolic pressure ranged 163-202 and ended at 185, and SpO2 recovered to 96 after a low of 88 around hour 19.4. Respiratory rate ended at 18; the available labs showed white count fell from 17.2 to 14.9, creatinine was roughly stable (1.5 to 1.4), lactate was checked once at 2.3, and urine output was roughly stable (180 to 220)\nB. Taken together, the heart rate rose from 41 to 70, MAP fell from 113 to 92, and diastolic pressure moved from 94 to 58. Systolic pressure ranged 128-167 and ended at 150, and SpO2 recovered to 100 after a low of 84 around hour 16.8. Respiratory rate ended at 20; the available labs showed white count fell from 14.6 to 12.6, creatinine was roughly stable (1.9 to 1.0), lactate was checked once at 2.0, and urine output was roughly stable (250 to 185)\nC. Taken together, the heart rate rose from 47 to 64, MAP fell from 119 to 97, and diastolic pressure moved from 88 to 64. Systolic pressure ranged 168-207 and ended at 161, and SpO2 recovered to 95 after a low of 89 around hour 18.9. Respiratory rate ended at 17; the available labs showed white count fell from 17.6 to 15.3, creatinine was roughly stable (1.4 to 1.4), lactate was checked once at 2.4, and urine output was roughly stable (175 to 225)\nD. Taken together, the heart rate rose from 43 to 68, MAP fell from 115 to 94, and diastolic pressure moved from 92 to 60. Systolic pressure ranged 143-182 and ended at 165, and SpO2 recovered to 99 after a low of 85 around hour 17.9. Respiratory rate ended at 19; the available labs showed white count fell from 15.7 to 13.4, creatinine was roughly stable (1.7 to 1.2), lactate was checked once at 2.1, and urine output was roughly stable (200 to 200)","answer":"D","answer_text":"Taken together, the heart rate rose from 43 to 68, MAP fell from 115 to 94, and diastolic pressure moved from 92 to 60. Systolic pressure ranged 143-182 and ended at 165, and SpO2 recovered to 99 after a low of 85 around hour 17.9. Respiratory rate ended at 19; the available labs showed white count fell from 15.7 to 13.4, creatinine was roughly stable (1.7 to 1.2), lactate was checked once at 2.1, and urine output was roughly stable (200 to 200)","episode_id":"iv_000336","anchor_time":34}
{"id":"TSS_iv_000337_clinical_summary_25_1","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 100, diastolic pressure rose from 65 to 113, and heart rate rose from 52 to 99. The lowest MAP was about 68 around hour 1.2, and the lowest valid SpO2 was 91 around hour 9.7; respiratory rate rose as high as 34 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.4-34 C, white count was 13.3 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 97 to 370.\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 69 to 135, diastolic pressure rose from 60 to 114, and heart rate rose from 57 to 99. The lowest MAP was about 69 around hour 0.3, and the lowest valid SpO2 was 86 around hour 10.2; respiratory rate rose as high as 29 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 38.6-39 C, white count was 10.7 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 98 to 335.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 71 to 120, diastolic pressure rose from 62 to 116, and heart rate rose from 55 to 96. The lowest MAP was about 71 around hour 0.2, and the lowest valid SpO2 was 88 around hour 11.2; respiratory rate rose as high as 31 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 36.4-37 C, white count was 11.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 100 to 350.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 66 to 150, diastolic pressure rose from 58 to 112, and heart rate rose from 60 to 92. The lowest MAP was about 66 around hour 0.4, and the lowest valid SpO2 was 84 around hour 13.4; respiratory rate rose as high as 33 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 40.9-42 C, white count was 9.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 96 to 400.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 71 to 120, diastolic pressure rose from 62 to 116, and heart rate rose from 55 to 96. The lowest MAP was about 71 around hour 0.2, and the lowest valid SpO2 was 88 around hour 11.2; respiratory rate rose as high as 31 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 0 to 98.6, white count was 11.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 100 to 350.","episode_id":"iv_000337","anchor_time":25}
{"id":"TSS_iv_000337_clinical_summary_25_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 107 to 115, MAP rose from 74 to 140, and heart rate rose from 52 to 99. SpO2 started at 97, ended at 100, and fell as low as 91 around hour 9.7; respiratory rate ranged 18-33. For labs and output, white count was 10.3 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 97 to 330.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 102 to 150, MAP rose from 69 to 105, and heart rate rose from 57 to 94. SpO2 started at 98, ended at 95, and fell as low as 86 around hour 12.3; respiratory rate ranged 16-33. For labs and output, white count was 12.9 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 98 to 365.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 108 to 131, MAP rose from 75 to 123, and heart rate rose from 51 to 100. SpO2 started at 96, ended at 100, and fell as low as 87 around hour 9.3; respiratory rate ranged 19-27. For labs and output, white count was 9.9 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 96 to 325.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 104 to 135, MAP rose from 71 to 120, and heart rate rose from 55 to 96. SpO2 started at 100, ended at 97, and fell as low as 88 around hour 11.2; respiratory rate ranged 17-31. For labs and output, white count was 11.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 100 to 350.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 104 to 135, MAP rose from 71 to 120, and heart rate rose from 55 to 96. SpO2 started at 100, ended at 97, and fell as low as 88 around hour 11.2; respiratory rate ranged 17-31. For labs and output, white count was 11.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 100 to 350.","episode_id":"iv_000337","anchor_time":25}
{"id":"TSS_iv_000338_clinical_summary_118_0","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. In broad terms, the heart rate was roughly stable (88 to 80), while MAP rose from 53 to 63. Systolic pressure was labile, ranging 85-102, with the lowest value around hour 68.7. SpO2 briefly dipped to 86 around hour 19.2 before recovering to 90, while respiratory rate peaked at 34 and later settled at 18. The associated labs and urine output showed that white count fell from 10.8 to 10, creatinine was roughly stable (6.3 to 5.2), lactate rose from 2.7 to 349, and urine output was not recorded.\nB. In broad terms, the heart rate was roughly stable (83 to 85), while MAP rose from 48 to 58. Systolic pressure was labile, ranging 83-137, with the lowest value around hour 63.5. SpO2 briefly dipped to 83 around hour 16.6 before recovering to 95, while respiratory rate peaked at 30 and later settled at 15. The associated labs and urine output showed that white count fell from 13.4 to 8.2, creatinine was roughly stable (5.9 to 5.8), lactate rose from 2.4 to 314, and urine output was not recorded.\nC. In broad terms, the heart rate was roughly stable (85 to 83), while MAP rose from 50 to 60. Systolic pressure was labile, ranging 81-122, with the lowest value around hour 65.7. SpO2 briefly dipped to 85 around hour 17.7 before recovering to 93, while respiratory rate peaked at 32 and later settled at 16. The associated labs and urine output showed that white count fell from 12.3 to 9, creatinine was roughly stable (5.8 to 5.7), lactate rose from 2.5 to 329, and urine output was not recorded.\nD. In broad terms, the heart rate was roughly stable (80 to 88), while MAP rose from 46 to 63. Systolic pressure was labile, ranging 86-152, with the lowest value around hour 61.2. SpO2 briefly dipped to 80 around hour 18.7 before recovering to 98, while respiratory rate peaked at 28 and later settled at 14. The associated labs and urine output showed that white count fell from 14.6 to 8, creatinine was roughly stable (5.0 to 5.6), lactate rose from 2.2 to 299, and urine output was not recorded.","answer":"C","answer_text":"In broad terms, the heart rate was roughly stable (85 to 83), while MAP rose from 50 to 60. Systolic pressure was labile, ranging 81-122, with the lowest value around hour 65.7. SpO2 briefly dipped to 85 around hour 17.7 before recovering to 93, while respiratory rate peaked at 32 and later settled at 16. The associated labs and urine output showed that white count fell from 12.3 to 9, creatinine was roughly stable (5.8 to 5.7), lactate rose from 2.5 to 329, and urine output was not recorded.","episode_id":"iv_000338","anchor_time":118}
{"id":"TSS_iv_000338_clinical_summary_118_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 53 to 57, diastolic pressure was roughly stable (49 to 44), and heart rate was roughly stable (82 to 86). The lowest MAP was about 49 around hour 83.7, and the lowest valid SpO2 was 88 around hour 16.2; respiratory rate rose as high as 35 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.4-35.5 C, white count fell from 13.8 to 8, creatinine was roughly stable (6.3 to 6.2), lactate rose from 2.3 to 349, and urine output was not recorded.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 48 to 62, diastolic pressure was roughly stable (44 to 45), and heart rate was roughly stable (87 to 81). The lowest MAP was about 44 around hour 85.0, and the lowest valid SpO2 was 83 around hour 18.8; respiratory rate rose as high as 34 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 38.6-40.8 C, white count fell from 11.2 to 9, creatinine stayed around 5.4, lactate rose from 2.5 to 329, and urine output was not recorded.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 54 to 56, diastolic pressure was roughly stable (50 to 51), and heart rate was roughly stable (81 to 86). The lowest MAP was about 50 around hour 79.0, and the lowest valid SpO2 was 89 around hour 16.7; respiratory rate rose as high as 36 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 32.6-34.8 C, white count fell from 14.2 to 8, creatinine was roughly stable (6.4 to 6.3), lactate rose from 2.2 to 354, and urine output was not recorded.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 50 to 60, diastolic pressure was roughly stable (46 to 47), and heart rate was roughly stable (85 to 83). The lowest MAP was about 46 around hour 82.7, and the lowest valid SpO2 was 85 around hour 17.7; respiratory rate rose as high as 32 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.4-38.5 C, white count fell from 12.3 to 9, creatinine was roughly stable (5.8 to 5.7), lactate rose from 2.5 to 329, and urine output was not recorded.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 50 to 60, diastolic pressure was roughly stable (46 to 47), and heart rate was roughly stable (85 to 83). The lowest MAP was about 46 around hour 82.7, and the lowest valid SpO2 was 85 around hour 17.7; respiratory rate rose as high as 32 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 97.6 to 101.3, white count fell from 12.3 to 9, creatinine was roughly stable (5.8 to 5.7), lactate rose from 2.5 to 329, and urine output was not recorded.","episode_id":"iv_000338","anchor_time":118}
{"id":"TSS_iv_000338_clinical_summary_118_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. For handoff, the heart rate was roughly stable (88 to 80), MAP rose from 53 to 63, and diastolic pressure moved from 43 to 50. Systolic pressure ranged 84-142 and ended at 97, and SpO2 recovered to 90 after a low of 88 around hour 18.7. Respiratory rate ended at 14; the available labs showed white count fell from 13.8 to 10, creatinine was roughly stable (5.3 to 6.2), lactate rose from 2.7 to 309, and urine output was not recorded.\nB. For handoff, the heart rate was roughly stable (85 to 83), MAP rose from 50 to 60, and diastolic pressure moved from 46 to 47. Systolic pressure ranged 81-122 and ended at 101, and SpO2 recovered to 93 after a low of 85 around hour 17.7. Respiratory rate ended at 16; the available labs showed white count fell from 12.3 to 9, creatinine was roughly stable (5.8 to 5.7), lactate rose from 2.5 to 329, and urine output was not recorded.\nC. For handoff, the heart rate was roughly stable (89 to 86), MAP rose from 54 to 64, and diastolic pressure moved from 42 to 44. Systolic pressure ranged 85-147 and ended at 105, and SpO2 recovered to 89 after a low of 89 around hour 19.6. Respiratory rate ended at 14; the available labs showed white count fell from 14.2 to 10, creatinine was roughly stable (5.2 to 6.3), lactate rose from 2.8 to 304, and urine output was not recorded.\nD. For handoff, the heart rate was roughly stable (80 to 88), MAP rose from 53 to 56, and diastolic pressure moved from 50 to 42. Systolic pressure ranged 76-92 and ended at 96, and SpO2 recovered to 98 after a low of 84 around hour 15.4. Respiratory rate ended at 18; the available labs showed white count fell from 10.1 to 8.2, creatinine was roughly stable (6.5 to 5.0), lactate rose from 2.2 to 359, and urine output was not recorded.","answer":"B","answer_text":"For handoff, the heart rate was roughly stable (85 to 83), MAP rose from 50 to 60, and diastolic pressure moved from 46 to 47. Systolic pressure ranged 81-122 and ended at 101, and SpO2 recovered to 93 after a low of 85 around hour 17.7. Respiratory rate ended at 16; the available labs showed white count fell from 12.3 to 9, creatinine was roughly stable (5.8 to 5.7), lactate rose from 2.5 to 329, and urine output was not recorded.","episode_id":"iv_000338","anchor_time":118}
{"id":"TSS_iv_000339_clinical_summary_96_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. For handoff, the heart rate fell from 116 to 93, while MAP fell from 106 to 92. Systolic pressure was labile, ranging 84-181, with the lowest value around hour 14.4. SpO2 briefly dipped to 86 around hour 26.4 before recovering to 90, while respiratory rate peaked at 42 and later settled at 41. The associated labs and urine output showed that white count fell from 16.6 to 13.3, creatinine was roughly stable (0.7 to 0.5), lactate was not available, and urine output was roughly stable (53 to 78), with recorded outputs ranging 50-130.\nB. For handoff, the heart rate fell from 111 to 98, while MAP fell from 101 to 92. Systolic pressure was labile, ranging 89-216, with the lowest value around hour 11.8. SpO2 briefly dipped to 81 around hour 25.9 before recovering to 95, while respiratory rate peaked at 37 and later settled at 36. The associated labs and urine output showed that white count fell from 19.2 to 13.0, creatinine fell from 0.5 to 0.4, lactate was not available, and urine output was roughly stable (48 to 25), with recorded outputs ranging 21-165.\nC. For handoff, the heart rate fell from 117 to 92, while MAP fell from 107 to 93. Systolic pressure was labile, ranging 91-176, with the lowest value around hour 14.8. SpO2 briefly dipped to 84 around hour 26.8 before recovering to 89, while respiratory rate peaked at 41 and later settled at 42. The associated labs and urine output showed that white count fell from 16.2 to 16.0, creatinine fell from 0.7 to 0.3, lactate was not available, and urine output was roughly stable (54 to 79), with recorded outputs ranging 18-125.\nD. For handoff, the heart rate fell from 113 to 96, while MAP fell from 103 to 89. Systolic pressure was labile, ranging 87-201, with the lowest value around hour 12.9. SpO2 briefly dipped to 83 around hour 24.9 before recovering to 93, while respiratory rate peaked at 39 and later settled at 38. The associated labs and urine output showed that white count fell from 18.1 to 14.1, creatinine fell from 0.6 to 0.4, lactate was not available, and urine output was roughly stable (50 to 75), with recorded outputs ranging 20-150.","answer":"D","answer_text":"For handoff, the heart rate fell from 113 to 96, while MAP fell from 103 to 89. Systolic pressure was labile, ranging 87-201, with the lowest value around hour 12.9. SpO2 briefly dipped to 83 around hour 24.9 before recovering to 93, while respiratory rate peaked at 39 and later settled at 38. The associated labs and urine output showed that white count fell from 18.1 to 14.1, creatinine fell from 0.6 to 0.4, lactate was not available, and urine output was roughly stable (50 to 75), with recorded outputs ranging 20-150.","episode_id":"iv_000339","anchor_time":96}
{"id":"TSS_iv_000341_clinical_summary_118_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 167 to 100, MAP fell from 100 to 65, and heart rate fell from 100 to 94. SpO2 started at 97, ended at 99, and fell as low as 76 around hour 10.3; respiratory rate ranged 14-27. For labs and output, white count rose from 7.2 to 9.9, creatinine fell from 0.8 to 0.4, lactate was checked once at 404, and urine output was roughly stable (220 to 180)\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 132 to 106, MAP fell from 95 to 60, and heart rate fell from 135 to 94. SpO2 started at 98, ended at 94, and fell as low as 75 around hour 12.9; respiratory rate ranged 11-32. For labs and output, white count was roughly stable (8.1 to 8.6), creatinine fell from 0.6 to 0.5, lactate was checked once at 369, and urine output was roughly stable (185 to 215)\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 172 to 100, MAP fell from 100 to 66, and heart rate fell from 95 to 92. SpO2 started at 96, ended at 100, and fell as low as 81 around hour 9.9; respiratory rate ranged 14-26. For labs and output, white count rose from 7.1 to 10.0, creatinine was roughly stable (0.8 to 0.6), lactate was checked once at 384.2, and urine output was roughly stable (225 to 175)\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 147 to 104, MAP fell from 97 to 62, and heart rate fell from 120 to 91. SpO2 started at 100, ended at 96, and fell as low as 77 around hour 11.8; respiratory rate ranged 12-30. For labs and output, white count rose from 7.7 to 9.4, creatinine fell from 0.7 to 0.5, lactate was checked once at 384, and urine output was roughly stable (200 to 200)","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 147 to 104, MAP fell from 97 to 62, and heart rate fell from 120 to 91. SpO2 started at 100, ended at 96, and fell as low as 77 around hour 11.8; respiratory rate ranged 12-30. For labs and output, white count rose from 7.7 to 9.4, creatinine fell from 0.7 to 0.5, lactate was checked once at 384, and urine output was roughly stable (200 to 200)","episode_id":"iv_000341","anchor_time":118}
{"id":"TSS_iv_000342_clinical_summary_148_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 158 to 143, MAP fell from 120 to 101, and heart rate rose from 50 to 104. SpO2 started at 84, ended at 94, and fell as low as 84 around hour 0.1; respiratory rate ranged 5-37. For labs and output, white count rose from 3 to 4.4, creatinine fell from 2.7 to 2.1, lactate stayed broadly stable from 1.4 to 1.8, and urine output rose from 80 to 220.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 123, MAP fell from 105 to 99, and heart rate rose from 52 to 107. SpO2 started at 86, ended at 92, and fell as low as 82 around hour 0.2; respiratory rate ranged 5-39. For labs and output, white count stayed around 3.6, creatinine fell from 2.7 to 2.1, lactate stayed broadly stable from 1.4 to 1.8, and urine output rose from 80 to 220.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 183 to 139, MAP fell from 145 to 104, and heart rate rose from 46 to 108. SpO2 started at 80, ended at 98, and fell as low as 83 around hour 0.0; respiratory rate ranged 6-33. For labs and output, white count rose from 2 to 5.0, creatinine fell from 3.0 to 1.9, lactate stayed broadly stable from 1.6 to 2.0, and urine output rose from 76 to 245.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 128 to 108, MAP fell from 90 to 87, and heart rate rose from 54 to 100. SpO2 started at 88, ended at 90, and fell as low as 80 around hour 0.2; respiratory rate ranged 4-42. For labs and output, white count rose from 4 to 4.5, creatinine fell from 2.4 to 2.2, lactate stayed broadly stable from 1.6 to 1.5, and urine output rose from 84 to 190.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 158 to 143, MAP fell from 120 to 101, and heart rate rose from 50 to 104. SpO2 started at 84, ended at 94, and fell as low as 84 around hour 0.1; respiratory rate ranged 5-37. For labs and output, white count rose from 3 to 4.4, creatinine fell from 2.7 to 2.1, lactate stayed broadly stable from 1.4 to 1.8, and urine output rose from 80 to 220.","episode_id":"iv_000342","anchor_time":148}
{"id":"TSS_iv_000343_clinical_summary_38_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Overall, the heart rate fell from 53 to 31, MAP fell from 167 to 60, and diastolic pressure moved from 124 to 47. Systolic pressure ranged 81-216 and ended at 81, and SpO2 recovered to 73 after a low of 79 around hour 40.2. Respiratory rate ended at 14; the available labs showed white count rose from 16.3 to 19.1, creatinine was roughly stable (0.3 to 0.6), lactate was not available, and urine output was not recorded.\nB. Overall, the heart rate fell from 48 to 29, MAP fell from 132 to 60, and diastolic pressure moved from 159 to 48. Systolic pressure ranged 74-181 and ended at 74, and SpO2 recovered to 78 after a low of 74 around hour 38. Respiratory rate ended at 17; the available labs showed white count rose from 13.7 to 16.5, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output was not recorded.\nC. Overall, the heart rate fell from 50 to 28, MAP fell from 147 to 57, and diastolic pressure moved from 144 to 50. Systolic pressure ranged 78-196 and ended at 78, and SpO2 recovered to 76 after a low of 76 around hour 37.2. Respiratory rate ended at 16; the available labs showed white count rose from 14.8 to 17.6, creatinine was roughly stable (0.4 to 0.5), lactate was not available, and urine output was not recorded.\nD. Overall, the heart rate fell from 46 to 30, MAP fell from 117 to 52, and diastolic pressure moved from 174 to 47. Systolic pressure ranged 74-166 and ended at 74, and SpO2 recovered to 80 after a low of 75 around hour 32.7. Respiratory rate ended at 18; the available labs showed white count rose from 12.6 to 16.8, creatinine was roughly stable (0.6 to 0.3), lactate was not available, and urine output was not recorded.","answer":"C","answer_text":"Overall, the heart rate fell from 50 to 28, MAP fell from 147 to 57, and diastolic pressure moved from 144 to 50. Systolic pressure ranged 78-196 and ended at 78, and SpO2 recovered to 76 after a low of 76 around hour 37.2. Respiratory rate ended at 16; the available labs showed white count rose from 14.8 to 17.6, creatinine was roughly stable (0.4 to 0.5), lactate was not available, and urine output was not recorded.","episode_id":"iv_000343","anchor_time":38}
{"id":"TSS_iv_000344_clinical_summary_34_1","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 85 to 66, diastolic pressure fell from 79 to 62, and heart rate fell from 89 to 80. The lowest MAP was about 60 around hour 6.7, and the lowest valid SpO2 was 88 around hour 0.2; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.6-34.4 C, white count fell from 18.1 to 12.1, creatinine fell from 1.9 to 1, lactate was not available, and urine output fell from 280 to 33.\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 82 to 69, diastolic pressure fell from 76 to 59, and heart rate fell from 92 to 77. The lowest MAP was about 57 around hour 7.2, and the lowest valid SpO2 was 85 around hour 1.2; respiratory rate rose as high as 26 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.6-37.4 C, white count fell from 16.6 to 13.6, creatinine fell from 1.7 to 1, lactate was not available, and urine output fell from 300 to 30.\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 65, diastolic pressure fell from 80 to 56, and heart rate fell from 88 to 81. The lowest MAP was about 60 around hour 8.2, and the lowest valid SpO2 was 89 around hour 0.9; respiratory rate rose as high as 28 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 32.9-33.6 C, white count fell from 18.5 to 11.7, creatinine fell from 1.9 to 1, lactate was not available, and urine output fell from 275 to 34.\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 78 to 74, diastolic pressure fell from 72 to 54, and heart rate fell from 96 to 72. The lowest MAP was about 52 around hour 8.0, and the lowest valid SpO2 was 80 around hour 1.5; respiratory rate rose as high as 28 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 41.1-41.9 C, white count fell from 14.4 to 12.9, creatinine fell from 1.4 to 1.1, lactate was not available, and urine output fell from 330 to 80.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 82 to 69, diastolic pressure fell from 76 to 59, and heart rate fell from 92 to 77. The lowest MAP was about 57 around hour 7.2, and the lowest valid SpO2 was 85 around hour 1.2; respiratory rate rose as high as 26 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 97.8 to 99.4, white count fell from 16.6 to 13.6, creatinine fell from 1.7 to 1, lactate was not available, and urine output fell from 300 to 30.","episode_id":"iv_000344","anchor_time":34}
{"id":"TSS_iv_000344_clinical_summary_34_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Taken together, the heart rate fell from 95 to 74, MAP fell from 85 to 72, and diastolic pressure moved from 73 to 62. Systolic pressure ranged 72-155 and ended at 94, and SpO2 recovered to 92 after a low of 88 around hour 2.2. Respiratory rate ended at 16; the available labs showed white count fell from 18.1 to 15.1, creatinine fell from 1.5 to 1, lactate was not available, and urine output fell from 320 to 27.\nB. Taken together, the heart rate fell from 90 to 79, MAP fell from 80 to 67, and diastolic pressure moved from 78 to 57. Systolic pressure ranged 67-120 and ended at 96, and SpO2 recovered to 97 after a low of 84 around hour 1.0. Respiratory rate ended at 18; the available labs showed white count fell from 15.5 to 12.8, creatinine fell from 1.9 to 1, lactate was not available, and urine output fell from 350 to 32.\nC. Taken together, the heart rate fell from 96 to 80, MAP fell from 86 to 73, and diastolic pressure moved from 72 to 56. Systolic pressure ranged 73-160 and ended at 100, and SpO2 recovered to 91 after a low of 89 around hour 1.4. Respiratory rate ended at 15; the available labs showed white count fell from 18.5 to 15.5, creatinine fell from 1.4 to 1, lactate was not available, and urine output fell from 325 to 26.\nD. Taken together, the heart rate fell from 92 to 77, MAP fell from 82 to 69, and diastolic pressure moved from 76 to 59. Systolic pressure ranged 69-135 and ended at 98, and SpO2 recovered to 95 after a low of 85 around hour 1.2. Respiratory rate ended at 17; the available labs showed white count fell from 16.6 to 13.6, creatinine fell from 1.7 to 1, lactate was not available, and urine output fell from 300 to 30.","answer":"D","answer_text":"Taken together, the heart rate fell from 92 to 77, MAP fell from 82 to 69, and diastolic pressure moved from 76 to 59. Systolic pressure ranged 69-135 and ended at 98, and SpO2 recovered to 95 after a low of 85 around hour 1.2. Respiratory rate ended at 17; the available labs showed white count fell from 16.6 to 13.6, creatinine fell from 1.7 to 1, lactate was not available, and urine output fell from 300 to 30.","episode_id":"iv_000344","anchor_time":34}
{"id":"TSS_iv_000347_clinical_summary_35_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. For handoff, the heart rate fell from 113 to 52, while MAP fell from 66 to 41. Systolic pressure was labile, ranging 37-103, with the lowest value around hour 28.9. SpO2 briefly dipped to 83 around hour 30.9 before recovering to 88, while respiratory rate peaked at 34 and later settled at 18. The associated labs and urine output showed that white count was 17.0 on its only check, creatinine rose from 2.3 to 2.5, lactate was checked once at 1.1, and urine output fell from 220 to 28, with recorded outputs ranging 27-180.\nB. For handoff, the heart rate fell from 108 to 57, while MAP fell from 61 to 41. Systolic pressure was labile, ranging 42-138, with the lowest value around hour 26.3. SpO2 briefly dipped to 78 around hour 30.4 before recovering to 93, while respiratory rate peaked at 29 and later settled at 16. The associated labs and urine output showed that white count was 19.6 on its only check, creatinine was roughly stable (2.0 to 2.1), lactate was checked once at 1.5, and urine output fell from 185 to 0, with recorded outputs ranging 0-215.\nC. For handoff, the heart rate fell from 114 to 51, while MAP fell from 67 to 42. Systolic pressure was labile, ranging 44-98, with the lowest value around hour 29.3. SpO2 briefly dipped to 81 around hour 31.3 before recovering to 87, while respiratory rate peaked at 33 and later settled at 19. The associated labs and urine output showed that white count was 16.6 on its only check, creatinine was roughly stable (2.4 to 2.5), lactate was checked once at 1.1, and urine output fell from 225 to 29, with recorded outputs ranging 13-175.\nD. For handoff, the heart rate fell from 110 to 55, while MAP fell from 63 to 38. Systolic pressure was labile, ranging 40-123, with the lowest value around hour 27.4. SpO2 briefly dipped to 80 around hour 29.4 before recovering to 91, while respiratory rate peaked at 31 and later settled at 17. The associated labs and urine output showed that white count was 18.5 on its only check, creatinine was roughly stable (2.1 to 2.2), lactate was checked once at 1.3, and urine output fell from 200 to 27, with recorded outputs ranging 15-200.","answer":"D","answer_text":"For handoff, the heart rate fell from 110 to 55, while MAP fell from 63 to 38. Systolic pressure was labile, ranging 40-123, with the lowest value around hour 27.4. SpO2 briefly dipped to 80 around hour 29.4 before recovering to 91, while respiratory rate peaked at 31 and later settled at 17. The associated labs and urine output showed that white count was 18.5 on its only check, creatinine was roughly stable (2.1 to 2.2), lactate was checked once at 1.3, and urine output fell from 200 to 27, with recorded outputs ranging 15-200.","episode_id":"iv_000347","anchor_time":35}
{"id":"TSS_iv_000347_clinical_summary_35_2","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 91 to 49, MAP fell from 66 to 41, and heart rate fell from 107 to 58. SpO2 started at 90, ended at 94, and fell as low as 83 around hour 27.9; respiratory rate ranged 16-28. For labs and output, white count was 17.0 on its only check, creatinine rose from 2.3 to 2.5, lactate was checked once at 1.5, and urine output fell from 220 to 28.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 88 to 52, MAP fell from 63 to 38, and heart rate fell from 110 to 55. SpO2 started at 93, ended at 91, and fell as low as 80 around hour 29.4; respiratory rate ranged 15-31. For labs and output, white count was 18.5 on its only check, creatinine was roughly stable (2.1 to 2.2), lactate was checked once at 1.3, and urine output fell from 200 to 27.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 92 to 48, MAP fell from 67 to 41, and heart rate fell from 106 to 59. SpO2 started at 89, ended at 95, and fell as low as 79 around hour 27.5; respiratory rate ranged 17-27. For labs and output, white count was 16.6 on its only check, creatinine was roughly stable (2.4 to 2.5), lactate was checked once at 1.1, and urine output fell from 225 to 29.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 84 to 56, MAP fell from 58 to 34, and heart rate fell from 114 to 58. SpO2 started at 98, ended at 86, and fell as low as 76 around hour 31.6; respiratory rate ranged 13-33. For labs and output, white count was 20.8 on its only check, creatinine was roughly stable (1.8 to 1.9), lactate was checked once at 1.6, and urine output fell from 170 to 25.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 88 to 52, MAP fell from 63 to 38, and heart rate fell from 110 to 55. SpO2 started at 93, ended at 91, and fell as low as 80 around hour 29.4; respiratory rate ranged 15-31. For labs and output, white count was 18.5 on its only check, creatinine was roughly stable (2.1 to 2.2), lactate was checked once at 1.3, and urine output fell from 200 to 27.","episode_id":"iv_000347","anchor_time":35}
{"id":"TSS_iv_000347_clinical_summary_35_3","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 113 to 58, MAP fell from 66 to 41, and diastolic pressure moved from 51 to 26. Systolic pressure ranged 43-143 and ended at 55, and SpO2 recovered to 88 after a low of 83 around hour 30.9. Respiratory rate ended at 16; the available labs showed white count was 20.0 on its only check, creatinine was roughly stable (2.3 to 2.0), lactate was checked once at 1.5, and urine output fell from 220 to 26.\nB. Across the recorded window, the heart rate fell from 108 to 57, MAP fell from 61 to 36, and diastolic pressure moved from 56 to 28. Systolic pressure ranged 38-108 and ended at 50, and SpO2 recovered to 93 after a low of 79 around hour 28.3. Respiratory rate ended at 18; the available labs showed white count was 17.4 on its only check, creatinine was roughly stable (2.0 to 2.4), lactate was checked once at 1.1, and urine output fell from 250 to 28.\nC. Across the recorded window, the heart rate fell from 110 to 55, MAP fell from 63 to 38, and diastolic pressure moved from 54 to 29. Systolic pressure ranged 40-123 and ended at 52, and SpO2 recovered to 91 after a low of 80 around hour 29.4. Respiratory rate ended at 17; the available labs showed white count was 18.5 on its only check, creatinine was roughly stable (2.1 to 2.2), lactate was checked once at 1.3, and urine output fell from 200 to 27.\nD. Across the recorded window, the heart rate fell from 106 to 60, MAP fell from 58 to 41, and diastolic pressure moved from 58 to 27. Systolic pressure ranged 36-93 and ended at 48, and SpO2 recovered to 96 after a low of 76 around hour 30.4. Respiratory rate ended at 19; the available labs showed white count was 16.2 on its only check, creatinine was roughly stable (1.8 to 2.5), lactate was checked once at 1.0, and urine output fell from 170 to 29.","answer":"C","answer_text":"Across the recorded window, the heart rate fell from 110 to 55, MAP fell from 63 to 38, and diastolic pressure moved from 54 to 29. Systolic pressure ranged 40-123 and ended at 52, and SpO2 recovered to 91 after a low of 80 around hour 29.4. Respiratory rate ended at 17; the available labs showed white count was 18.5 on its only check, creatinine was roughly stable (2.1 to 2.2), lactate was checked once at 1.3, and urine output fell from 200 to 27.","episode_id":"iv_000347","anchor_time":35}
{"id":"TSS_iv_000349_clinical_summary_65_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 171 to 112, MAP fell from 99 to 85, and heart rate fell from 73 to 6. SpO2 started at 97, ended at 64, and fell as low as 63 around hour 56.6; respiratory rate ranged 6-26. For labs and output, white count fell from 9.1 to 7.9, creatinine was roughly stable (1.3 to 1), lactate was not available, and urine output rose from 58 to 220.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 136 to 117, MAP fell from 94 to 80, and heart rate fell from 78 to 9. SpO2 started at 98, ended at 59, and fell as low as 58 around hour 61.9; respiratory rate ranged 5-30. For labs and output, white count fell from 10.0 to 7.9, creatinine fell from 1.0 to 0.8, lactate was not available, and urine output rose from 53 to 185.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 176 to 111, MAP fell from 100 to 85, and heart rate fell from 72 to 7. SpO2 started at 96, ended at 65, and fell as low as 59 around hour 55.9; respiratory rate ranged 6-26. For labs and output, white count was roughly stable (9.0 to 9.3), creatinine fell from 1.4 to 0.8, lactate was not available, and urine output rose from 59 to 225.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 151 to 115, MAP fell from 96 to 82, and heart rate fell from 76 to 6. SpO2 started at 100, ended at 61, and fell as low as 60 around hour 59.6; respiratory rate ranged 5-28. For labs and output, white count was roughly stable (9.6 to 8.7), creatinine fell from 1.1 to 0.9, lactate was not available, and urine output rose from 55 to 200.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 151 to 115, MAP fell from 96 to 82, and heart rate fell from 76 to 6. SpO2 started at 100, ended at 61, and fell as low as 60 around hour 59.6; respiratory rate ranged 5-28. For labs and output, white count was roughly stable (9.6 to 8.7), creatinine fell from 1.1 to 0.9, lactate was not available, and urine output rose from 55 to 200.","episode_id":"iv_000349","anchor_time":65}
{"id":"TSS_iv_000350_clinical_summary_111_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 96 to 72, diastolic pressure fell from 78 to 57, and heart rate fell from 77 to 65. The lowest MAP was about 27 around hour 94.6, and the lowest valid SpO2 was 86 around hour 65.6; respiratory rate rose as high as 35 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 33.6-35 C, white count rose from 8 to 10.1, creatinine was roughly stable (1.6 to 2.1), lactate rose from 0.8 to 1.4, and urine output rose from 97 to 230.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 91 to 77, diastolic pressure fell from 73 to 58, and heart rate fell from 82 to 65. The lowest MAP was about 23 around hour 95.8, and the lowest valid SpO2 was 81 around hour 67.6; respiratory rate rose as high as 30 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 38.9-40 C, white count rose from 7 to 12.7, creatinine was roughly stable (1.2 to 1.8), lactate rose from 1.0 to 1.2, and urine output rose from 98 to 265.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 97 to 71, diastolic pressure fell from 79 to 64, and heart rate fell from 76 to 66. The lowest MAP was about 26 around hour 89.8, and the lowest valid SpO2 was 87 around hour 64.8; respiratory rate rose as high as 34 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 32.9-34 C, white count rose from 8 to 9.7, creatinine was roughly stable (1.6 to 2), lactate rose from 0.8 to 1.4, and urine output rose from 96 to 300.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 75, diastolic pressure fell from 75 to 60, and heart rate fell from 80 to 62. The lowest MAP was about 24 around hour 93.6, and the lowest valid SpO2 was 83 around hour 68.6; respiratory rate rose as high as 32 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 36.6-38 C, white count rose from 7 to 11.6, creatinine was roughly stable (1.4 to 1.9), lactate rose from 0.9 to 1.2, and urine output rose from 100 to 250.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 75, diastolic pressure fell from 75 to 60, and heart rate fell from 80 to 62. The lowest MAP was about 24 around hour 93.6, and the lowest valid SpO2 was 83 around hour 68.6; respiratory rate rose as high as 32 but ended at 15. The lower-frequency data fit that summary: temperature ranged from 97.8 to 100.4, white count rose from 7 to 11.6, creatinine was roughly stable (1.4 to 1.9), lactate rose from 0.9 to 1.2, and urine output rose from 100 to 250.","episode_id":"iv_000350","anchor_time":111}
{"id":"TSS_iv_000355_clinical_summary_27_0","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. For handoff, the heart rate was roughly stable (55 to 47), while MAP fell from 95 to 86. Systolic pressure was labile, ranging 106-177, with the lowest value around hour 4.2. SpO2 briefly dipped to 93 around hour 5.2 before recovering to 90, while respiratory rate peaked at 24 and later settled at 18. The associated labs and urine output showed that white count fell from 6 to 4.8, creatinine was roughly stable (2 to 1.9), lactate was checked once at 1.4, and urine output was roughly stable (370 to 280), with recorded outputs ranging 300-380.\nB. For handoff, the heart rate was roughly stable (50 to 52), while MAP fell from 90 to 86. Systolic pressure was labile, ranging 141-212, with the lowest value around hour 3.3. SpO2 briefly dipped to 88 around hour 5.7 before recovering to 95, while respiratory rate peaked at 21 and later settled at 16. The associated labs and urine output showed that white count fell from 7 to 5.2, creatinine fell from 2 to 1.8, lactate was checked once at 1.0, and urine output fell from 335 to 250, with recorded outputs ranging 235-415.\nC. For handoff, the heart rate was roughly stable (56 to 46), while MAP fell from 96 to 87. Systolic pressure was labile, ranging 130-172, with the lowest value around hour 4.3. SpO2 briefly dipped to 91 around hour 5.3 before recovering to 89, while respiratory rate peaked at 24 and later settled at 19. The associated labs and urine output showed that white count fell from 6 to 5.5, creatinine fell from 2 to 1.6, lactate was checked once at 1.4, and urine output was roughly stable (375 to 275), with recorded outputs ranging 275-375.\nD. For handoff, the heart rate was roughly stable (52 to 50), while MAP fell from 92 to 83. Systolic pressure was labile, ranging 126-197, with the lowest value around hour 3.7. SpO2 briefly dipped to 90 around hour 4.7 before recovering to 93, while respiratory rate peaked at 22 and later settled at 17. The associated labs and urine output showed that white count fell from 7 to 5.6, creatinine fell from 2 to 1.8, lactate was checked once at 1.2, and urine output was roughly stable (350 to 300), with recorded outputs ranging 250-400.","answer":"D","answer_text":"For handoff, the heart rate was roughly stable (52 to 50), while MAP fell from 92 to 83. Systolic pressure was labile, ranging 126-197, with the lowest value around hour 3.7. SpO2 briefly dipped to 90 around hour 4.7 before recovering to 93, while respiratory rate peaked at 22 and later settled at 17. The associated labs and urine output showed that white count fell from 7 to 5.6, creatinine fell from 2 to 1.8, lactate was checked once at 1.2, and urine output was roughly stable (350 to 300), with recorded outputs ranging 250-400.","episode_id":"iv_000355","anchor_time":27}
{"id":"TSS_iv_000355_clinical_summary_27_3","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Across the recorded window, the heart rate was roughly stable (55 to 53), MAP fell from 95 to 86, and diastolic pressure moved from 49 to 49. Systolic pressure ranged 146-217 and ended at 188, and SpO2 recovered to 90 after a low of 93 around hour 5.2. Respiratory rate ended at 16; the available labs showed white count fell from 8 to 6.1, creatinine fell from 2 to 1.8, lactate was checked once at 1.4, and urine output was roughly stable (330 to 320)\nB. Across the recorded window, the heart rate was roughly stable (50 to 52), MAP fell from 90 to 81, and diastolic pressure moved from 54 to 50. Systolic pressure ranged 111-182 and ended at 153, and SpO2 recovered to 95 after a low of 89 around hour 4.3. Respiratory rate ended at 18; the available labs showed white count fell from 7 to 4.8, creatinine fell from 2 to 1.6, lactate was checked once at 1.0, and urine output fell from 400 to 285.\nC. Across the recorded window, the heart rate was roughly stable (52 to 50), MAP fell from 92 to 83, and diastolic pressure moved from 52 to 52. Systolic pressure ranged 126-197 and ended at 168, and SpO2 recovered to 93 after a low of 90 around hour 4.7. Respiratory rate ended at 17; the available labs showed white count fell from 7 to 5.6, creatinine fell from 2 to 1.8, lactate was checked once at 1.2, and urine output was roughly stable (350 to 300)\nD. Across the recorded window, the heart rate was roughly stable (48 to 54), MAP fell from 88 to 86, and diastolic pressure moved from 56 to 48. Systolic pressure ranged 96-167 and ended at 164, and SpO2 recovered to 98 after a low of 86 around hour 5.7. Respiratory rate ended at 19; the available labs showed white count fell from 6 to 4.8, creatinine fell from 2 to 1.5, lactate was checked once at 0.9, and urine output was roughly stable (380 to 270)","answer":"C","answer_text":"Across the recorded window, the heart rate was roughly stable (52 to 50), MAP fell from 92 to 83, and diastolic pressure moved from 52 to 52. Systolic pressure ranged 126-197 and ended at 168, and SpO2 recovered to 93 after a low of 90 around hour 4.7. Respiratory rate ended at 17; the available labs showed white count fell from 7 to 5.6, creatinine fell from 2 to 1.8, lactate was checked once at 1.2, and urine output was roughly stable (350 to 300)","episode_id":"iv_000355","anchor_time":27}
{"id":"TSS_iv_000356_clinical_summary_25_1","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 89, diastolic pressure fell from 88 to 81, and heart rate fell from 75 to 53. The lowest MAP was about 83 around hour 1.9, and the lowest valid SpO2 was 91 around hour 1.5; respiratory rate rose as high as 25 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 33.5-34.1 C, white count was 14.7 on its only check, creatinine fell from 0.9 to 0.7, lactate was not available, and urine output was not recorded.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 98 to 92, diastolic pressure fell from 85 to 78, and heart rate fell from 78 to 50. The lowest MAP was about 80 around hour 2.1, and the lowest valid SpO2 was 88 around hour 1.7; respiratory rate rose as high as 23 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 36.5-37.1 C, white count was 13.2 on its only check, creatinine fell from 0.8 to 0.6, lactate was not available, and urine output was not recorded.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 88, diastolic pressure fell from 89 to 82, and heart rate fell from 74 to 53. The lowest MAP was about 84 around hour 1.9, and the lowest valid SpO2 was 87 around hour 0.7; respiratory rate rose as high as 25 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 32.8-33.4 C, white count was 15.1 on its only check, creatinine fell from 0.7 to 0.6, lactate was not available, and urine output was not recorded.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 91, diastolic pressure fell from 80 to 75, and heart rate fell from 82 to 46. The lowest MAP was about 83 around hour 3.1, and the lowest valid SpO2 was 84 around hour 2.0; respiratory rate rose as high as 21 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 41.0-41.6 C, white count was 10.9 on its only check, creatinine fell from 1.0 to 0.4, lactate was not available, and urine output was not recorded.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 98 to 92, diastolic pressure fell from 85 to 78, and heart rate fell from 78 to 50. The lowest MAP was about 80 around hour 2.1, and the lowest valid SpO2 was 88 around hour 1.7; respiratory rate rose as high as 23 but ended at 23. The lower-frequency data fit that summary: temperature ranged from 97.7 to 98.7, white count was 13.2 on its only check, creatinine fell from 0.8 to 0.6, lactate was not available, and urine output was not recorded.","episode_id":"iv_000356","anchor_time":25}
{"id":"TSS_iv_000356_clinical_summary_25_2","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (146 to 100), MAP fell from 100 to 95, and heart rate fell from 75 to 53. SpO2 started at 95, ended at 91, and fell as low as 91 around hour 1.5; respiratory rate ranged 22-24. For labs and output, white count was 11.7 on its only check, creatinine was roughly stable (0.9 to 0.7), lactate was not available, and urine output was not recorded.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 111 to 108, MAP was roughly stable (96 to 95), and heart rate fell from 80 to 48. SpO2 started at 100, ended at 86, and fell as low as 87 around hour 1.9; respiratory rate ranged 22-24. For labs and output, white count was 14.3 on its only check, creatinine fell from 0.7 to 0.5, lactate was not available, and urine output was not recorded.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (126 to 120), MAP fell from 98 to 92, and heart rate fell from 78 to 50. SpO2 started at 98, ended at 88, and fell as low as 88 around hour 1.7; respiratory rate ranged 23-23. For labs and output, white count was 13.2 on its only check, creatinine fell from 0.8 to 0.6, lactate was not available, and urine output was not recorded.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (96 to 150), MAP fell from 94 to 88, and heart rate fell from 82 to 53. SpO2 started at 100, ended at 84, and fell as low as 84 around hour 2.0; respiratory rate ranged 21-25. For labs and output, white count was 15.4 on its only check, creatinine fell from 0.7 to 0.4, lactate was not available, and urine output was not recorded.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (126 to 120), MAP fell from 98 to 92, and heart rate fell from 78 to 50. SpO2 started at 98, ended at 88, and fell as low as 88 around hour 1.7; respiratory rate ranged 23-23. For labs and output, white count was 13.2 on its only check, creatinine fell from 0.8 to 0.6, lactate was not available, and urine output was not recorded.","episode_id":"iv_000356","anchor_time":25}
{"id":"TSS_iv_000356_clinical_summary_25_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Clinically, the heart rate fell from 81 to 47, MAP fell from 100 to 95, and diastolic pressure moved from 82 to 81. Systolic pressure ranged 109-158 and ended at 140, and SpO2 recovered to 87 after a low of 87 around hour 1.9. Respiratory rate ended at 22; the available labs showed white count was 14.7 on its only check, creatinine fell from 0.9 to 0.5, lactate was not available, and urine output was not recorded.\nB. Clinically, the heart rate fell from 76 to 53, MAP fell from 96 to 90, and diastolic pressure moved from 87 to 75. Systolic pressure ranged 104-123 and ended at 105, and SpO2 recovered to 90 after a low of 86 around hour 1.5. Respiratory rate ended at 24; the available labs showed white count was 12.1 on its only check, creatinine fell from 0.7 to 0.6, lactate was not available, and urine output was not recorded.\nC. Clinically, the heart rate fell from 82 to 46, MAP was roughly stable (100 to 95), and diastolic pressure moved from 81 to 82. Systolic pressure ranged 110-163 and ended at 116, and SpO2 recovered to 84 after a low of 92 around hour 2.7. Respiratory rate ended at 21; the available labs showed white count was 15.1 on its only check, creatinine fell from 0.9 to 0.5, lactate was not available, and urine output was not recorded.\nD. Clinically, the heart rate fell from 78 to 50, MAP fell from 98 to 92, and diastolic pressure moved from 85 to 78. Systolic pressure ranged 106-138 and ended at 120, and SpO2 recovered to 88 after a low of 88 around hour 1.7. Respiratory rate ended at 23; the available labs showed white count was 13.2 on its only check, creatinine fell from 0.8 to 0.6, lactate was not available, and urine output was not recorded.","answer":"D","answer_text":"Clinically, the heart rate fell from 78 to 50, MAP fell from 98 to 92, and diastolic pressure moved from 85 to 78. Systolic pressure ranged 106-138 and ended at 120, and SpO2 recovered to 88 after a low of 88 around hour 1.7. Respiratory rate ended at 23; the available labs showed white count was 13.2 on its only check, creatinine fell from 0.8 to 0.6, lactate was not available, and urine output was not recorded.","episode_id":"iv_000356","anchor_time":25}
{"id":"TSS_iv_000357_clinical_summary_60_0","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Clinically, the heart rate was roughly stable (99 to 97), while MAP rose from 71 to 81. Systolic pressure was labile, ranging 104-133, with the lowest value around hour 29.4. SpO2 briefly dipped to 86 around hour 8.4 before recovering to 93, while respiratory rate peaked at 34 and later settled at 35. The associated labs and urine output showed that white count fell from 11.9 to 10.4, creatinine fell from 1.7 to 1.0, lactate rose from 2.5 to 236, and urine output fell from 580 to 53, with recorded outputs ranging 12-620.\nB. Clinically, the heart rate was roughly stable (96 to 100), while MAP rose from 68 to 78. Systolic pressure was labile, ranging 100-153, with the lowest value around hour 27.9. SpO2 briefly dipped to 85 around hour 7.9 before recovering to 96, while respiratory rate peaked at 32 and later settled at 32. The associated labs and urine output showed that white count fell from 13.4 to 11.6, creatinine fell from 1.5 to 1.2, lactate rose from 2.3 to 216, and urine output fell from 600 to 50, with recorded outputs ranging 10-600.\nC. Clinically, the heart rate was roughly stable (100 to 96), while MAP rose from 72 to 81. Systolic pressure was labile, ranging 96-128, with the lowest value around hour 29.8. SpO2 briefly dipped to 89 around hour 8.9 before recovering to 92, while respiratory rate peaked at 36 and later settled at 36. The associated labs and urine output showed that white count fell from 11.5 to 10.0, creatinine fell from 1.8 to 0.9, lactate rose from 2.5 to 241, and urine output fell from 575 to 0, with recorded outputs ranging 0-625.\nD. Clinically, the heart rate was roughly stable (92 to 96), while MAP rose from 64 to 74. Systolic pressure was labile, ranging 96-183, with the lowest value around hour 25.6. SpO2 briefly dipped to 80 around hour 7.2 before recovering to 100, while respiratory rate peaked at 28 and later settled at 28. The associated labs and urine output showed that white count fell from 15.7 to 10.8, creatinine fell from 1.2 to 1.0, lactate rose from 2.0 to 186, and urine output fell from 630 to 46, with recorded outputs ranging 50-570.","answer":"B","answer_text":"Clinically, the heart rate was roughly stable (96 to 100), while MAP rose from 68 to 78. Systolic pressure was labile, ranging 100-153, with the lowest value around hour 27.9. SpO2 briefly dipped to 85 around hour 7.9 before recovering to 96, while respiratory rate peaked at 32 and later settled at 32. The associated labs and urine output showed that white count fell from 13.4 to 11.6, creatinine fell from 1.5 to 1.2, lactate rose from 2.3 to 216, and urine output fell from 600 to 50, with recorded outputs ranging 10-600.","episode_id":"iv_000357","anchor_time":60}
{"id":"TSS_iv_000357_clinical_summary_60_1","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 71 to 75, diastolic pressure rose from 55 to 65, and heart rate was roughly stable (93 to 97). The lowest MAP was about 50 around hour 27.4, and the lowest valid SpO2 was 88 around hour 7.4; respiratory rate rose as high as 34 but ended at 35. The lower-frequency data fit that summary: temperature stayed around 32.9-34.7 C, white count fell from 14.9 to 10.1, creatinine fell from 1.7 to 1.3, lactate rose from 2.1 to 236, and urine output fell from 620 to 100.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 66 to 80, diastolic pressure rose from 50 to 59, and heart rate was roughly stable (98 to 98). The lowest MAP was about 50 around hour 29.9, and the lowest valid SpO2 was 83 around hour 8.3; respiratory rate rose as high as 30 but ended at 30. The lower-frequency data fit that summary: temperature stayed around 38.1-40.0 C, white count fell from 12.3 to 10.8, creatinine fell from 1.4 to 1.0, lactate rose from 2.4 to 201, and urine output fell from 585 to 52.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 78, diastolic pressure rose from 52 to 62, and heart rate was roughly stable (96 to 100). The lowest MAP was about 47 around hour 28.9, and the lowest valid SpO2 was 85 around hour 7.9; respiratory rate rose as high as 32 but ended at 32. The lower-frequency data fit that summary: temperature stayed around 35.9-37.7 C, white count fell from 13.4 to 11.6, creatinine fell from 1.5 to 1.2, lactate rose from 2.3 to 216, and urine output fell from 600 to 50.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 64 to 82, diastolic pressure rose from 48 to 58, and heart rate rose from 100 to 103. The lowest MAP was about 42 around hour 31.1, and the lowest valid SpO2 was 80 around hour 6.9; respiratory rate rose as high as 28 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 40.4-42.2 C, white count fell from 11.2 to 9.7, creatinine fell from 1.2 to 0.9, lactate rose from 2.6 to 186, and urine output fell from 570 to 54.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 78, diastolic pressure rose from 52 to 62, and heart rate was roughly stable (96 to 100). The lowest MAP was about 47 around hour 28.9, and the lowest valid SpO2 was 85 around hour 7.9; respiratory rate rose as high as 32 but ended at 32. The lower-frequency data fit that summary: temperature ranged from 96.6 to 99.8, white count fell from 13.4 to 11.6, creatinine fell from 1.5 to 1.2, lactate rose from 2.3 to 216, and urine output fell from 600 to 50.","episode_id":"iv_000357","anchor_time":60}
{"id":"TSS_iv_000357_clinical_summary_60_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 120 to 140, MAP rose from 71 to 81, and heart rate was roughly stable (93 to 97). SpO2 started at 93, ended at 99, and fell as low as 88 around hour 7.4; respiratory rate ranged 14-29. For labs and output, white count fell from 11.9 to 10.4, creatinine fell from 1.7 to 1.3, lactate rose from 2.5 to 236, and urine output fell from 580 to 53.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 115 to 144, MAP rose from 66 to 76, and heart rate rose from 98 to 103. SpO2 started at 98, ended at 94, and fell as low as 83 around hour 8.3; respiratory rate ranged 12-34. For labs and output, white count fell from 14.5 to 10.8, creatinine fell from 1.4 to 1.2, lactate rose from 2.1 to 201, and urine output fell from 615 to 48.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 121 to 125, MAP rose from 72 to 81, and heart rate was roughly stable (92 to 96). SpO2 started at 92, ended at 100, and fell as low as 84 around hour 7.3; respiratory rate ranged 15-28. For labs and output, white count fell from 11.5 to 10.0, creatinine fell from 1.8 to 0.9, lactate rose from 2.5 to 241, and urine output fell from 575 to 54.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 117 to 129, MAP rose from 68 to 78, and heart rate was roughly stable (96 to 100). SpO2 started at 96, ended at 96, and fell as low as 85 around hour 7.9; respiratory rate ranged 13-32. For labs and output, white count fell from 13.4 to 11.6, creatinine fell from 1.5 to 1.2, lactate rose from 2.3 to 216, and urine output fell from 600 to 50.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 117 to 129, MAP rose from 68 to 78, and heart rate was roughly stable (96 to 100). SpO2 started at 96, ended at 96, and fell as low as 85 around hour 7.9; respiratory rate ranged 13-32. For labs and output, white count fell from 13.4 to 11.6, creatinine fell from 1.5 to 1.2, lactate rose from 2.3 to 216, and urine output fell from 600 to 50.","episode_id":"iv_000357","anchor_time":60}
{"id":"TSS_iv_000357_clinical_summary_60_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (96 to 100), MAP rose from 68 to 78, and diastolic pressure moved from 52 to 62. Systolic pressure ranged 100-153 and ended at 129, and SpO2 recovered to 96 after a low of 85 around hour 7.9. Respiratory rate ended at 32; the available labs showed white count fell from 13.4 to 11.6, creatinine fell from 1.5 to 1.2, lactate rose from 2.3 to 216, and urine output fell from 600 to 50.\nB. Over the available measurements, the heart rate was roughly stable (94 to 98), MAP rose from 66 to 81, and diastolic pressure moved from 54 to 60. Systolic pressure ranged 98-138 and ended at 125, and SpO2 recovered to 98 after a low of 83 around hour 8.9. Respiratory rate ended at 34; the available labs showed white count fell from 12.3 to 10.5, creatinine fell from 1.6 to 1.0, lactate rose from 2.1 to 231, and urine output fell from 585 to 48.\nC. Over the available measurements, the heart rate was roughly stable (100 to 96), MAP rose from 72 to 82, and diastolic pressure moved from 48 to 66. Systolic pressure ranged 96-178 and ended at 154, and SpO2 recovered to 92 after a low of 84 around hour 8.5. Respiratory rate ended at 28; the available labs showed white count fell from 15.3 to 10.8, creatinine fell from 1.2 to 1.0, lactate rose from 2.5 to 191, and urine output fell from 650 to 54.\nD. Over the available measurements, the heart rate rose from 92 to 103, MAP rose from 64 to 74, and diastolic pressure moved from 56 to 59. Systolic pressure ranged 96-123 and ended at 99, and SpO2 recovered to 100 after a low of 80 around hour 7.2. Respiratory rate ended at 36; the available labs showed white count fell from 11.2 to 9.3, creatinine fell from 1.8 to 0.9, lactate rose from 2.0 to 246, and urine output fell from 570 to 46.","answer":"A","answer_text":"Over the available measurements, the heart rate was roughly stable (96 to 100), MAP rose from 68 to 78, and diastolic pressure moved from 52 to 62. Systolic pressure ranged 100-153 and ended at 129, and SpO2 recovered to 96 after a low of 85 around hour 7.9. Respiratory rate ended at 32; the available labs showed white count fell from 13.4 to 11.6, creatinine fell from 1.5 to 1.2, lactate rose from 2.3 to 216, and urine output fell from 600 to 50.","episode_id":"iv_000357","anchor_time":60}
{"id":"TSS_iv_000359_clinical_summary_70_0","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 97 to 79, while MAP fell from 157 to 92. Systolic pressure was labile, ranging 61-180, with the lowest value around hour 0.3. SpO2 briefly dipped to 81 around hour 1.5 before recovering to 93, while respiratory rate peaked at 41 and later settled at 24. The associated labs and urine output showed that white count rose from 11.2 to 21.7, creatinine rose from 1.4 to 1.6, lactate rose from 4.7 to 366, and urine output fell from 440 to 90, with recorded outputs ranging 2-480.\nB. Viewed chronologically, the heart rate fell from 98 to 84, while MAP fell from 122 to 87. Systolic pressure was labile, ranging 66-215, with the lowest value around hour 0.1. SpO2 briefly dipped to 76 around hour 0.4 before recovering to 98, while respiratory rate peaked at 36 and later settled at 21. The associated labs and urine output showed that white count rose from 13.8 to 19.4, creatinine rose from 1.0 to 1.6, lactate rose from 3.8 to 331, and urine output fell from 475 to 125, with recorded outputs ranging 50-445.\nC. Viewed chronologically, the heart rate fell from 96 to 78, while MAP fell from 162 to 93. Systolic pressure was labile, ranging 68-175, with the lowest value around hour 0.3. SpO2 briefly dipped to 79 around hour 0.6 before recovering to 92, while respiratory rate peaked at 40 and later settled at 24. The associated labs and urine output showed that white count rose from 10.8 to 22.1, creatinine rose from 1.4 to 1.6, lactate rose from 4.8 to 371, and urine output fell from 435 to 165, with recorded outputs ranging 2-485.\nD. Viewed chronologically, the heart rate fell from 100 to 82, while MAP fell from 137 to 89. Systolic pressure was labile, ranging 64-200, with the lowest value around hour 0.2. SpO2 briefly dipped to 78 around hour 0.5 before recovering to 96, while respiratory rate peaked at 38 and later settled at 22. The associated labs and urine output showed that white count rose from 12.7 to 20.2, creatinine rose from 1.2 to 1.5, lactate rose from 4.2 to 346, and urine output fell from 460 to 140, with recorded outputs ranging 0-460.","answer":"D","answer_text":"Viewed chronologically, the heart rate fell from 100 to 82, while MAP fell from 137 to 89. Systolic pressure was labile, ranging 64-200, with the lowest value around hour 0.2. SpO2 briefly dipped to 78 around hour 0.5 before recovering to 96, while respiratory rate peaked at 38 and later settled at 22. The associated labs and urine output showed that white count rose from 12.7 to 20.2, creatinine rose from 1.2 to 1.5, lactate rose from 4.2 to 346, and urine output fell from 460 to 140, with recorded outputs ranging 0-460.","episode_id":"iv_000359","anchor_time":70}
{"id":"TSS_iv_000362_clinical_summary_25_0","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. In broad terms, the heart rate fell from 89 to 69, while MAP fell from 97 to 71. Systolic pressure was labile, ranging 90-119, with the lowest value around hour 9.1. SpO2 briefly dipped to 96 around hour 26.1 before recovering to 90, while respiratory rate peaked at 38 and later settled at 22. The associated labs and urine output showed that white count was 8.9 on its only check, creatinine was 1.3 on its only check, lactate was not available, and urine output rose from 240 to 430, with recorded outputs ranging 150-730.\nB. In broad terms, the heart rate fell from 84 to 74, while MAP fell from 97 to 66. Systolic pressure was labile, ranging 97-154, with the lowest value around hour 8.2. SpO2 briefly dipped to 91 around hour 23.5 before recovering to 95, while respiratory rate peaked at 37 and later settled at 20. The associated labs and urine output showed that white count was 11.5 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output rose from 205 to 465, with recorded outputs ranging 98-765.\nC. In broad terms, the heart rate fell from 86 to 72, while MAP fell from 94 to 68. Systolic pressure was labile, ranging 93-139, with the lowest value around hour 8.6. SpO2 briefly dipped to 93 around hour 24.6 before recovering to 93, while respiratory rate peaked at 35 and later settled at 21. The associated labs and urine output showed that white count was 10.4 on its only check, creatinine was 1.1 on its only check, lactate was not available, and urine output rose from 220 to 450, with recorded outputs ranging 100-750.\nD. In broad terms, the heart rate fell from 82 to 76, while MAP fell from 90 to 71. Systolic pressure was labile, ranging 98-169, with the lowest value around hour 7.8. SpO2 briefly dipped to 88 around hour 25 before recovering to 98, while respiratory rate peaked at 30 and later settled at 19. The associated labs and urine output showed that white count was 12.7 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 190 to 400, with recorded outputs ranging 96-780.","answer":"C","answer_text":"In broad terms, the heart rate fell from 86 to 72, while MAP fell from 94 to 68. Systolic pressure was labile, ranging 93-139, with the lowest value around hour 8.6. SpO2 briefly dipped to 93 around hour 24.6 before recovering to 93, while respiratory rate peaked at 35 and later settled at 21. The associated labs and urine output showed that white count was 10.4 on its only check, creatinine was 1.1 on its only check, lactate was not available, and urine output rose from 220 to 450, with recorded outputs ranging 100-750.","episode_id":"iv_000362","anchor_time":25}
{"id":"TSS_iv_000362_clinical_summary_25_3","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. For handoff, the heart rate fell from 89 to 69, MAP fell from 97 to 71, and diastolic pressure moved from 70 to 63. Systolic pressure ranged 96-159 and ended at 105, and SpO2 recovered to 90 after a low of 92 around hour 26.1. Respiratory rate ended at 20; the available labs showed white count was 11.9 on its only check, creatinine was 1.3 on its only check, lactate was not available, and urine output rose from 270 to 470.\nB. For handoff, the heart rate fell from 86 to 72, MAP fell from 94 to 68, and diastolic pressure moved from 73 to 60. Systolic pressure ranged 93-139 and ended at 102, and SpO2 recovered to 93 after a low of 93 around hour 24.6. Respiratory rate ended at 21; the available labs showed white count was 10.4 on its only check, creatinine was 1.1 on its only check, lactate was not available, and urine output rose from 220 to 450.\nC. For handoff, the heart rate fell from 90 to 75, MAP fell from 98 to 72, and diastolic pressure moved from 69 to 57. Systolic pressure ranged 97-164 and ended at 106, and SpO2 recovered to 89 after a low of 97 around hour 26.5. Respiratory rate ended at 19; the available labs showed white count was 12.3 on its only check, creatinine was 1.4 on its only check, lactate was not available, and urine output rose from 195 to 475.\nD. For handoff, the heart rate fell from 82 to 76, MAP fell from 90 to 71, and diastolic pressure moved from 78 to 56. Systolic pressure ranged 88-109 and ended at 98, and SpO2 recovered to 98 after a low of 88 around hour 25. Respiratory rate ended at 23; the available labs showed white count was 8.2 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 250 to 420.","answer":"B","answer_text":"For handoff, the heart rate fell from 86 to 72, MAP fell from 94 to 68, and diastolic pressure moved from 73 to 60. Systolic pressure ranged 93-139 and ended at 102, and SpO2 recovered to 93 after a low of 93 around hour 24.6. Respiratory rate ended at 21; the available labs showed white count was 10.4 on its only check, creatinine was 1.1 on its only check, lactate was not available, and urine output rose from 220 to 450.","episode_id":"iv_000362","anchor_time":25}
{"id":"TSS_iv_000363_clinical_summary_21_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. For handoff, the heart rate was roughly stable (72 to 67), while MAP rose from 83 to 89. Systolic pressure was labile, ranging 104-111, with the lowest value around hour 7.1. SpO2 briefly dipped to 89 around hour 1.8 before recovering to 93, while respiratory rate peaked at 24 and later settled at 20. The associated labs and urine output showed that white count was 12.2 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 2930 to 380, with recorded outputs ranging 420-2770.\nB. For handoff, the heart rate was roughly stable (67 to 72), while MAP rose from 78 to 84. Systolic pressure was labile, ranging 98-135, with the lowest value around hour 6.2. SpO2 briefly dipped to 89 around hour 1.5 before recovering to 98, while respiratory rate peaked at 21 and later settled at 17. The associated labs and urine output showed that white count was 14.8 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 2790 to 415, with recorded outputs ranging 385-2910.\nC. For handoff, the heart rate was roughly stable (73 to 66), while MAP rose from 84 to 89. Systolic pressure was labile, ranging 96-106, with the lowest value around hour 7.2. SpO2 briefly dipped to 92 around hour 2.6 before recovering to 92, while respiratory rate peaked at 24 and later settled at 20. The associated labs and urine output showed that white count was 11.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 2950 to 350, with recorded outputs ranging 350-2750.\nD. For handoff, the heart rate was roughly stable (69 to 70), while MAP rose from 80 to 86. Systolic pressure was labile, ranging 100-131, with the lowest value around hour 6.6. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 96, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count was 13.7 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 2850 to 400, with recorded outputs ranging 400-2850.","answer":"D","answer_text":"For handoff, the heart rate was roughly stable (69 to 70), while MAP rose from 80 to 86. Systolic pressure was labile, ranging 100-131, with the lowest value around hour 6.6. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 96, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count was 13.7 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 2850 to 400, with recorded outputs ranging 400-2850.","episode_id":"iv_000363","anchor_time":21}
{"id":"TSS_iv_000363_clinical_summary_21_2","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (142 to 121), MAP rose from 83 to 89, and heart rate was roughly stable (66 to 73). SpO2 started at 97, ended at 99, and fell as low as 87 around hour 1.4; respiratory rate ranged 18-20. For labs and output, white count was 12.2 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 2930 to 380.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (122 to 125), MAP rose from 80 to 86, and heart rate was roughly stable (69 to 70). SpO2 started at 100, ended at 96, and fell as low as 88 around hour 1.6; respiratory rate ranged 16-22. For labs and output, white count was 13.7 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 2850 to 400.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 118 to 121, MAP rose from 84 to 90, and heart rate was roughly stable (65 to 74). SpO2 started at 96, ended at 100, and fell as low as 92 around hour 1.4; respiratory rate ranged 18-20. For labs and output, white count was 11.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 2950 to 375.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (92 to 155), MAP rose from 76 to 82, and heart rate was roughly stable (74 to 73). SpO2 started at 96, ended at 92, and fell as low as 84 around hour 1.9; respiratory rate ranged 14-24. For labs and output, white count was 15.9 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output fell from 2730 to 430.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (122 to 125), MAP rose from 80 to 86, and heart rate was roughly stable (69 to 70). SpO2 started at 100, ended at 96, and fell as low as 88 around hour 1.6; respiratory rate ranged 16-22. For labs and output, white count was 13.7 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 2850 to 400.","episode_id":"iv_000363","anchor_time":21}
{"id":"TSS_iv_000364_clinical_summary_69_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 40 to 50, while MAP fell from 107 to 97. Systolic pressure was labile, ranging 126-164, with the lowest value around hour 21.4. SpO2 briefly dipped to 88 around hour 1.4 before recovering to 88, while respiratory rate peaked at 22 and later settled at 16. The associated labs and urine output showed that white count fell from 13 to 11.4, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 500 to 600, with recorded outputs ranging 300-700.\nB. Across the recorded window, the heart rate rose from 38 to 52, while MAP fell from 105 to 95. Systolic pressure was labile, ranging 130-179, with the lowest value around hour 20.3. SpO2 briefly dipped to 87 around hour 1.2 before recovering to 90, while respiratory rate peaked at 24 and later settled at 15. The associated labs and urine output showed that white count fell from 14 to 10.3, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output rose from 485 to 585, with recorded outputs ranging 315-715.\nC. Across the recorded window, the heart rate rose from 44 to 46, while MAP fell from 111 to 100. Systolic pressure was labile, ranging 101-139, with the lowest value around hour 23.3. SpO2 briefly dipped to 92 around hour 2.4 before recovering to 84, while respiratory rate peaked at 24 and later settled at 18. The associated labs and urine output showed that white count fell from 11 to 9.5, creatinine was roughly stable (0.9 to 0.6), lactate was not available, and urine output was roughly stable (525 to 550), with recorded outputs ranging 275-675.\nD. Across the recorded window, the heart rate rose from 36 to 54, while MAP fell from 102 to 92. Systolic pressure was labile, ranging 156-194, with the lowest value around hour 19.1. SpO2 briefly dipped to 84 around hour 1.1 before recovering to 92, while respiratory rate peaked at 20 and later settled at 14. The associated labs and urine output showed that white count fell from 15 to 10.6, creatinine stayed around 0.7, lactate was not available, and urine output rose from 500 to 600, with recorded outputs ranging 350-700.","answer":"A","answer_text":"Across the recorded window, the heart rate rose from 40 to 50, while MAP fell from 107 to 97. Systolic pressure was labile, ranging 126-164, with the lowest value around hour 21.4. SpO2 briefly dipped to 88 around hour 1.4 before recovering to 88, while respiratory rate peaked at 22 and later settled at 16. The associated labs and urine output showed that white count fell from 13 to 11.4, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output rose from 500 to 600, with recorded outputs ranging 300-700.","episode_id":"iv_000364","anchor_time":69}
{"id":"TSS_iv_000365_clinical_summary_32_0","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Clinically, the heart rate stayed around 53, while MAP rose from 55 to 88. Systolic pressure was labile, ranging 142-207, with the lowest value around hour 0.8. SpO2 briefly dipped to 82 around hour 9.7 before recovering to 97, while respiratory rate peaked at 20 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (7.0 to 6.7), creatinine was roughly stable (3.1 to 4), lactate was checked once at 1.6, and urine output fell from 220 to 25, with recorded outputs ranging 25-305.\nB. Clinically, the heart rate stayed around 50, while MAP rose from 58 to 85. Systolic pressure was labile, ranging 122-187, with the lowest value around hour 0.7. SpO2 briefly dipped to 85 around hour 8.7 before recovering to 100, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (6.5 to 7.2), creatinine was roughly stable (2.9 to 3), lactate was checked once at 1.8, and urine output fell from 200 to 75, with recorded outputs ranging 75-325.\nC. Clinically, the heart rate stayed around 54, while MAP rose from 54 to 89. Systolic pressure was labile, ranging 147-212, with the lowest value around hour 0.8. SpO2 briefly dipped to 81 around hour 9.3 before recovering to 96, while respiratory rate peaked at 20 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (7.1 to 6.4), creatinine rose from 3.1 to 3.6, lactate was checked once at 1.6, and urine output fell from 225 to 79, with recorded outputs ranging 71-300.\nD. Clinically, the heart rate stayed around 46, while MAP rose from 62 to 80. Systolic pressure was labile, ranging 92-157, with the lowest value around hour 0.5. SpO2 briefly dipped to 90 around hour 7.9 before recovering to 96, while respiratory rate peaked at 24 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (5.8 to 8.0), creatinine was roughly stable (2.6 to 2), lactate was checked once at 2.1, and urine output fell from 170 to 70, with recorded outputs ranging 80-355.","answer":"B","answer_text":"Clinically, the heart rate stayed around 50, while MAP rose from 58 to 85. Systolic pressure was labile, ranging 122-187, with the lowest value around hour 0.7. SpO2 briefly dipped to 85 around hour 8.7 before recovering to 100, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (6.5 to 7.2), creatinine was roughly stable (2.9 to 3), lactate was checked once at 1.8, and urine output fell from 200 to 75, with recorded outputs ranging 75-325.","episode_id":"iv_000365","anchor_time":32}
{"id":"TSS_iv_000365_clinical_summary_32_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 142 to 183, MAP rose from 61 to 88, and heart rate stayed around 47. SpO2 started at 100, ended at 97, and fell as low as 84 around hour 9.2; respiratory rate ranged 10-20. For labs and output, white count was roughly stable (7.0 to 6.7), creatinine was roughly stable (3.1 to 4), lactate was checked once at 1.6, and urine output fell from 220 to 78.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 107 to 202, MAP rose from 56 to 83, and heart rate was roughly stable (52 to 53). SpO2 started at 98, ended at 100, and fell as low as 85 around hour 8.7; respiratory rate ranged 11-24. For labs and output, white count was roughly stable (6.5 to 6.4), creatinine was roughly stable (2.9 to 3), lactate was checked once at 1.8, and urine output fell from 200 to 75.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 147 to 191, MAP rose from 62 to 89, and heart rate stayed around 46. SpO2 started at 100, ended at 96, and fell as low as 89 around hour 9.3; respiratory rate ranged 9-20. For labs and output, white count was roughly stable (7.1 to 6.6), creatinine rose from 3.1 to 3.6, lactate was checked once at 2, and urine output fell from 225 to 79.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 122 to 187, MAP rose from 58 to 85, and heart rate stayed around 50. SpO2 started at 98, ended at 100, and fell as low as 85 around hour 8.7; respiratory rate ranged 11-22. For labs and output, white count was roughly stable (6.5 to 7.2), creatinine was roughly stable (2.9 to 3), lactate was checked once at 1.8, and urine output fell from 200 to 75.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 122 to 187, MAP rose from 58 to 85, and heart rate stayed around 50. SpO2 started at 98, ended at 100, and fell as low as 85 around hour 8.7; respiratory rate ranged 11-22. For labs and output, white count was roughly stable (6.5 to 7.2), creatinine was roughly stable (2.9 to 3), lactate was checked once at 1.8, and urine output fell from 200 to 75.","episode_id":"iv_000365","anchor_time":32}
{"id":"TSS_iv_000365_clinical_summary_32_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Over the available measurements, the heart rate stayed around 50, MAP rose from 58 to 85, and diastolic pressure moved from 38 to 49. Systolic pressure ranged 122-187 and ended at 187, and SpO2 recovered to 100 after a low of 85 around hour 8.7. Respiratory rate ended at 18; the available labs showed white count was roughly stable (6.5 to 7.2), creatinine was roughly stable (2.9 to 3), lactate was checked once at 1.8, and urine output fell from 200 to 75.\nB. Over the available measurements, the heart rate was roughly stable (48 to 53), MAP rose from 58 to 85, and diastolic pressure moved from 38 to 46. Systolic pressure ranged 122-187 and ended at 187, and SpO2 recovered to 100 after a low of 85 around hour 8.7. Respiratory rate ended at 18; the available labs showed white count was roughly stable (6.5 to 7.2), creatinine was roughly stable (2.9 to 3), lactate was checked once at 1.8, and urine output fell from 200 to 75.\nC. Over the available measurements, the heart rate stayed around 54, MAP rose from 54 to 89, and diastolic pressure moved from 42 to 45. Systolic pressure ranged 147-162 and ended at 162, and SpO2 recovered to 96 after a low of 84 around hour 9.3. Respiratory rate ended at 20; the available labs showed white count was roughly stable (5.9 to 6.4), creatinine was roughly stable (3.1 to 2), lactate was checked once at 2.0, and urine output fell from 250 to 71.\nD. Over the available measurements, the heart rate stayed around 46, MAP rose from 62 to 88, and diastolic pressure moved from 34 to 54. Systolic pressure ranged 92-217 and ended at 183, and SpO2 recovered to 96 after a low of 90 around hour 9.7. Respiratory rate ended at 16; the available labs showed white count was roughly stable (7.2 to 6.5), creatinine was roughly stable (2.6 to 4), lactate was checked once at 1.5, and urine output fell from 170 to 80.","answer":"A","answer_text":"Over the available measurements, the heart rate stayed around 50, MAP rose from 58 to 85, and diastolic pressure moved from 38 to 49. Systolic pressure ranged 122-187 and ended at 187, and SpO2 recovered to 100 after a low of 85 around hour 8.7. Respiratory rate ended at 18; the available labs showed white count was roughly stable (6.5 to 7.2), creatinine was roughly stable (2.9 to 3), lactate was checked once at 1.8, and urine output fell from 200 to 75.","episode_id":"iv_000365","anchor_time":32}
{"id":"TSS_iv_000366_clinical_summary_33_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (73 to 62), diastolic pressure fell from 53 to 47, and heart rate rose from 98 to 110. The lowest MAP was about 40 around hour 11.6, and the lowest valid SpO2 was 88 around hour 1.1; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33-34.8 C, white count fell from 26 to 21.1, creatinine was roughly stable (1.7 to 1.6), lactate stayed broadly stable from 1.3 to 4.8, and urine output was roughly stable (100 to 64)\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (68 to 67), diastolic pressure fell from 48 to 42, and heart rate rose from 103 to 110. The lowest MAP was about 35 around hour 14.2, and the lowest valid SpO2 was 83 around hour 0.3; respiratory rate rose as high as 26 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 38-40.0 C, white count fell from 23 to 21.5, creatinine stayed around 1.4, lactate stayed broadly stable from 1.1 to 5.2, and urine output fell from 98 to 13.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (74 to 61), diastolic pressure fell from 54 to 41, and heart rate rose from 97 to 111. The lowest MAP was about 40 around hour 14.1, and the lowest valid SpO2 was 89 around hour 1.1; respiratory rate rose as high as 29 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 32-34.0 C, white count fell from 26 to 20.7, creatinine stayed around 1.8, lactate stayed broadly stable from 1.6 to 4.2, and urine output fell from 96 to 16.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (70 to 65), diastolic pressure fell from 50 to 44, and heart rate rose from 101 to 107. The lowest MAP was about 37 around hour 13.1, and the lowest valid SpO2 was 85 around hour 1.3; respiratory rate rose as high as 27 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36-37.8 C, white count fell from 24 to 22.6, creatinine stayed around 1.5, lactate stayed broadly stable from 1.3 to 4.8, and urine output fell from 100 to 14.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (70 to 65), diastolic pressure fell from 50 to 44, and heart rate rose from 101 to 107. The lowest MAP was about 37 around hour 13.1, and the lowest valid SpO2 was 85 around hour 1.3; respiratory rate rose as high as 27 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 96.8 to 100.1, white count fell from 24 to 22.6, creatinine stayed around 1.5, lactate stayed broadly stable from 1.3 to 4.8, and urine output fell from 100 to 14.","episode_id":"iv_000366","anchor_time":33}
{"id":"TSS_iv_000367_clinical_summary_34_2","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 152 to 105, MAP was roughly stable (95 to 96), and heart rate fell from 70 to 66. SpO2 started at 93, ended at 100, and fell as low as 99 around hour 8.7; respiratory rate ranged 18-20. For labs and output, white count rose from 10.3 to 13.6, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output was not recorded.\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 132 to 125, MAP was roughly stable (92 to 93), and heart rate fell from 73 to 63. SpO2 started at 96, ended at 97, and fell as low as 96 around hour 9.2; respiratory rate ranged 16-18. For labs and output, white count rose from 11.8 to 14.4, creatinine was roughly stable (0.4 to 0.5), lactate was not available, and urine output was not recorded.\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 157 to 121, MAP was roughly stable (96 to 96), and heart rate fell from 69 to 67. SpO2 started at 92, ended at 100, and fell as low as 95 around hour 8.6; respiratory rate ranged 16-18. For labs and output, white count rose from 9.9 to 16.3, creatinine was roughly stable (0.5 to 0.4), lactate was not available, and urine output was not recorded.\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 102 to 82, MAP was roughly stable (88 to 88), and heart rate fell from 78 to 58. SpO2 started at 100, ended at 92, and fell as low as 92 around hour 9.9; respiratory rate ranged 14-20. For labs and output, white count rose from 14.1 to 15.6, creatinine rose from 0.2 to 0.6, lactate was not available, and urine output was not recorded.","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 132 to 125, MAP was roughly stable (92 to 93), and heart rate fell from 73 to 63. SpO2 started at 96, ended at 97, and fell as low as 96 around hour 9.2; respiratory rate ranged 16-18. For labs and output, white count rose from 11.8 to 14.4, creatinine was roughly stable (0.4 to 0.5), lactate was not available, and urine output was not recorded.","episode_id":"iv_000367","anchor_time":34}
{"id":"TSS_iv_000368_clinical_summary_29_1","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 97 to 79, diastolic pressure rose from 70 to 78, and heart rate rose from 64 to 86. The lowest MAP was about 68 around hour 25.4, and the lowest valid SpO2 was 88 around hour 1.0; respiratory rate rose as high as 27 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 33.3-34 C, white count was 14.0 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 2830 to 350.\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 82, diastolic pressure rose from 67 to 75, and heart rate rose from 67 to 83. The lowest MAP was about 65 around hour 26.9, and the lowest valid SpO2 was 85 around hour 1.2; respiratory rate rose as high as 25 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 36.3-37 C, white count was 12.5 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 2750 to 300.\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 98 to 78, diastolic pressure rose from 71 to 79, and heart rate rose from 63 to 86. The lowest MAP was about 69 around hour 25.0, and the lowest valid SpO2 was 89 around hour 0.2; respiratory rate rose as high as 27 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 32.5-33 C, white count was 14.4 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 2850 to 325.\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 86, diastolic pressure was roughly stable (62 to 72), and heart rate rose from 72 to 78. The lowest MAP was about 68 around hour 27.9, and the lowest valid SpO2 was 80 around hour 1.5; respiratory rate rose as high as 23 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 40.8-42 C, white count was 10.2 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 2630 to 270.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 82, diastolic pressure rose from 67 to 75, and heart rate rose from 67 to 83. The lowest MAP was about 65 around hour 26.9, and the lowest valid SpO2 was 85 around hour 1.2; respiratory rate rose as high as 25 but ended at 14. The lower-frequency data fit that summary: temperature ranged from 97.4 to 98.6, white count was 12.5 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 2750 to 300.","episode_id":"iv_000368","anchor_time":29}
{"id":"TSS_iv_000369_clinical_summary_27_1","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (69 to 67), diastolic pressure was roughly stable (62 to 65), and heart rate was roughly stable (87 to 95). The lowest MAP was about 65 around hour 7.7, and the lowest valid SpO2 was 86 around hour 1.0; respiratory rate rose as high as 25 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.8-34.7 C, white count rose from 4.8 to 7.6, creatinine was roughly stable (0.7 to 0.7), lactate fell from 349 to 2.2, and urine output rose from 400 to 550.\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (64 to 72), diastolic pressure stayed around 57, and heart rate was roughly stable (90 to 92). The lowest MAP was about 65 around hour 9.2, and the lowest valid SpO2 was 83 around hour 1.2; respiratory rate rose as high as 23 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.8-37.7 C, white count rose from 4.3 to 8.1, creatinine stayed around 0.6, lactate fell from 349 to 2.2, and urine output rose from 400 to 500.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (66 to 70), diastolic pressure was roughly stable (59 to 62), and heart rate was roughly stable (90 to 92). The lowest MAP was about 62 around hour 8.2, and the lowest valid SpO2 was 83 around hour 1.2; respiratory rate rose as high as 23 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.8-37.7 C, white count rose from 4.3 to 8.1, creatinine stayed around 0.6, lactate fell from 349 to 2.2, and urine output rose from 400 to 500.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (62 to 74), diastolic pressure was roughly stable (54 to 58), and heart rate was roughly stable (94 to 95). The lowest MAP was about 58 around hour 8.9, and the lowest valid SpO2 was 78 around hour 0.2; respiratory rate rose as high as 21 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 41.3-42.2 C, white count rose from 3.5 to 8.8, creatinine stayed around 0.4, lactate fell from 319 to 2.5, and urine output rose from 370 to 470.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (66 to 70), diastolic pressure was roughly stable (59 to 62), and heart rate was roughly stable (90 to 92). The lowest MAP was about 62 around hour 8.2, and the lowest valid SpO2 was 83 around hour 1.2; respiratory rate rose as high as 23 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 37 to 99.9, white count rose from 4.3 to 8.1, creatinine stayed around 0.6, lactate fell from 349 to 2.2, and urine output rose from 400 to 500.","episode_id":"iv_000369","anchor_time":27}
{"id":"TSS_iv_000369_clinical_summary_27_2","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 93 to 95, MAP was roughly stable (69 to 73), and heart rate was roughly stable (87 to 95). SpO2 started at 97, ended at 99, and fell as low as 86 around hour 1.0; respiratory rate ranged 12-25. For labs and output, white count rose from 3.8 to 7.3, creatinine stayed around 0.7, lactate fell from 329 to 2.4, and urine output rose from 420 to 480.\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 88 to 100, MAP was roughly stable (64 to 68), and heart rate was roughly stable (92 to 90). SpO2 started at 98, ended at 94, and fell as low as 81 around hour 1.4; respiratory rate ranged 9-24. For labs and output, white count rose from 4.7 to 7.7, creatinine was roughly stable (0.5 to 0.7), lactate fell from 349.2 to 2.2, and urine output rose from 400 to 500.\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (94 to 94), MAP rose from 70 to 73, and heart rate was roughly stable (86 to 96). SpO2 started at 96, ended at 100, and fell as low as 82 around hour 0.9; respiratory rate ranged 12-21. For labs and output, white count rose from 3.7 to 8.7, creatinine stayed around 0.7, lactate fell from 324 to 2.5, and urine output rose from 425 to 475.\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 90 to 98, MAP was roughly stable (66 to 70), and heart rate was roughly stable (90 to 92). SpO2 started at 100, ended at 96, and fell as low as 83 around hour 1.2; respiratory rate ranged 10-23. For labs and output, white count rose from 4.3 to 8.1, creatinine stayed around 0.6, lactate fell from 349 to 2.2, and urine output rose from 400 to 500.","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 90 to 98, MAP was roughly stable (66 to 70), and heart rate was roughly stable (90 to 92). SpO2 started at 100, ended at 96, and fell as low as 83 around hour 1.2; respiratory rate ranged 10-23. For labs and output, white count rose from 4.3 to 8.1, creatinine stayed around 0.6, lactate fell from 349 to 2.2, and urine output rose from 400 to 500.","episode_id":"iv_000369","anchor_time":27}
{"id":"TSS_iv_000369_clinical_summary_27_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. In broad terms, the heart rate was roughly stable (90 to 92), MAP was roughly stable (66 to 70), and diastolic pressure moved from 59 to 62. Systolic pressure ranged 85-140 and ended at 98, and SpO2 recovered to 96 after a low of 83 around hour 1.2. Respiratory rate ended at 16; the available labs showed white count rose from 4.3 to 8.1, creatinine stayed around 0.6, lactate fell from 349 to 2.2, and urine output rose from 400 to 500.\nB. In broad terms, the heart rate was roughly stable (88 to 94), MAP rose from 64 to 73, and diastolic pressure moved from 61 to 60. Systolic pressure ranged 83-125 and ended at 94, and SpO2 recovered to 98 after a low of 81 around hour 2.2. Respiratory rate ended at 17; the available labs showed white count rose from 3.9 to 7.7, creatinine stayed around 0.7, lactate fell from 334 to 2.1, and urine output rose from 415 to 485.\nC. In broad terms, the heart rate was roughly stable (94 to 95), MAP was roughly stable (70 to 74), and diastolic pressure moved from 55 to 59. Systolic pressure ranged 89-165 and ended at 100, and SpO2 recovered to 92 after a low of 87 around hour 1.4. Respiratory rate ended at 14; the available labs showed white count rose from 4.9 to 8.7, creatinine stayed around 0.5, lactate fell from 374 to 2.5, and urine output rose from 375 to 525.\nD. In broad terms, the heart rate was roughly stable (86 to 96), MAP was roughly stable (62 to 66), and diastolic pressure moved from 64 to 58. Systolic pressure ranged 80-110 and ended at 94, and SpO2 recovered to 100 after a low of 82 around hour 0.9. Respiratory rate ended at 18; the available labs showed white count rose from 3.5 to 7.3, creatinine stayed around 0.8, lactate fell from 319 to 1.9, and urine output was roughly stable (450 to 470)","answer":"A","answer_text":"In broad terms, the heart rate was roughly stable (90 to 92), MAP was roughly stable (66 to 70), and diastolic pressure moved from 59 to 62. Systolic pressure ranged 85-140 and ended at 98, and SpO2 recovered to 96 after a low of 83 around hour 1.2. Respiratory rate ended at 16; the available labs showed white count rose from 4.3 to 8.1, creatinine stayed around 0.6, lactate fell from 349 to 2.2, and urine output rose from 400 to 500.","episode_id":"iv_000369","anchor_time":27}
{"id":"TSS_iv_000372_clinical_summary_37_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Clinically, the heart rate fell from 81 to 66, MAP was roughly stable (97 to 97), and diastolic pressure moved from 83 to 86. Systolic pressure ranged 95-174 and ended at 137, and SpO2 recovered to 96 after a low of 88 around hour 1.4. Respiratory rate ended at 20; the available labs showed white count fell from 15.9 to 13.3, creatinine rose from 0.8 to 1.3, lactate fell from 1309 to 517, and urine output was roughly stable (170 to 145)\nB. Clinically, the heart rate fell from 76 to 72, MAP fell from 98 to 92, and diastolic pressure moved from 88 to 80. Systolic pressure ranged 90-139 and ended at 126, and SpO2 recovered to 100 after a low of 83 around hour 0.3. Respiratory rate ended at 22; the available labs showed white count fell from 13.3 to 10.7, creatinine rose from 1.0 to 1.2, lactate fell from 1169 to 552, and urine output was roughly stable (135 to 110)\nC. Clinically, the heart rate fell from 82 to 65, MAP fell from 96 to 93, and diastolic pressure moved from 82 to 87. Systolic pressure ranged 96-179 and ended at 166, and SpO2 recovered to 95 after a low of 84 around hour 0.5. Respiratory rate ended at 19; the available labs showed white count fell from 16.3 to 11, creatinine rose from 0.8 to 1.4, lactate fell from 1329 to 512, and urine output was roughly stable (200 to 150)\nD. Clinically, the heart rate fell from 78 to 69, MAP fell from 100 to 94, and diastolic pressure moved from 86 to 83. Systolic pressure ranged 92-154 and ended at 141, and SpO2 recovered to 99 after a low of 85 around hour 0.4. Respiratory rate ended at 21; the available labs showed white count fell from 14.4 to 11.8, creatinine rose from 0.9 to 1.1, lactate fell from 1229 to 537, and urine output was roughly stable (150 to 125)","answer":"D","answer_text":"Clinically, the heart rate fell from 78 to 69, MAP fell from 100 to 94, and diastolic pressure moved from 86 to 83. Systolic pressure ranged 92-154 and ended at 141, and SpO2 recovered to 99 after a low of 85 around hour 0.4. Respiratory rate ended at 21; the available labs showed white count fell from 14.4 to 11.8, creatinine rose from 0.9 to 1.1, lactate fell from 1229 to 537, and urine output was roughly stable (150 to 125)","episode_id":"iv_000372","anchor_time":37}
{"id":"TSS_iv_000373_clinical_summary_33_1","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 71 to 90, diastolic pressure rose from 56 to 82, and heart rate rose from 75 to 104. The lowest MAP was about 67 around hour 5.1, and the lowest valid SpO2 was 93 around hour 15.3; respiratory rate rose as high as 28 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 33.4-34.1 C, white count fell from 12.1 to 8.6, creatinine rose from 0.7 to 1.0, lactate stayed broadly stable from 1.6 to 2, and urine output rose from 78 to 180.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 66 to 95, diastolic pressure rose from 51 to 77, and heart rate rose from 80 to 99. The lowest MAP was about 62 around hour 6.0, and the lowest valid SpO2 was 88 around hour 17.4; respiratory rate rose as high as 29 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 38.6-39.4 C, white count fell from 9.5 to 9.0, creatinine rose from 0.5 to 1, lactate stayed broadly stable from 2.0 to 2, and urine output rose from 73 to 250.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 93, diastolic pressure rose from 53 to 79, and heart rate rose from 78 to 101. The lowest MAP was about 64 around hour 5.6, and the lowest valid SpO2 was 90 around hour 16.3; respiratory rate rose as high as 27 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 36.4-37.1 C, white count fell from 10.6 to 9.1, creatinine rose from 0.6 to 0.9, lactate stayed broadly stable from 1.8 to 2, and urine output rose from 75 to 200.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 64 to 98, diastolic pressure rose from 48 to 76, and heart rate rose from 82 to 96. The lowest MAP was about 67 around hour 6.6, and the lowest valid SpO2 was 86 around hour 18.6; respiratory rate rose as high as 25 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 40.9-41.6 C, white count fell from 8.3 to 7.8, creatinine rose from 0.4 to 0.8, lactate stayed broadly stable from 2.1 to 2, and urine output rose from 70 to 230.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 93, diastolic pressure rose from 53 to 79, and heart rate rose from 78 to 101. The lowest MAP was about 64 around hour 5.6, and the lowest valid SpO2 was 90 around hour 16.3; respiratory rate rose as high as 27 but ended at 24. The lower-frequency data fit that summary: temperature ranged from 97.6 to 98.8, white count fell from 10.6 to 9.1, creatinine rose from 0.6 to 0.9, lactate stayed broadly stable from 1.8 to 2, and urine output rose from 75 to 200.","episode_id":"iv_000373","anchor_time":33}
{"id":"TSS_iv_000373_clinical_summary_33_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 104 to 132, MAP rose from 71 to 96, and heart rate rose from 75 to 104. SpO2 started at 94, ended at 96, and fell as low as 89 around hour 14.8; respiratory rate ranged 6-26. For labs and output, white count fell from 9.1 to 8.6, creatinine rose from 0.7 to 0.8, lactate stayed broadly stable from 2.0 to 2, and urine output rose from 72 to 220.\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 99 to 151, MAP rose from 66 to 91, and heart rate rose from 80 to 99. SpO2 started at 99, ended at 91, and fell as low as 88 around hour 17.4; respiratory rate ranged 6-29. For labs and output, white count fell from 11.7 to 8.7, creatinine rose from 0.5 to 1, lactate stayed broadly stable from 2 to 2, and urine output rose from 77 to 185.\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 111, MAP rose from 72 to 97, and heart rate rose from 74 to 104. SpO2 started at 93, ended at 97, and fell as low as 94 around hour 14.4; respiratory rate ranged 7-29. For labs and output, white count fell from 8.7 to 8.3, creatinine rose from 0.7 to 0.8, lactate stayed broadly stable from 2.0 to 2, and urine output rose from 71 to 225.\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 101 to 136, MAP rose from 68 to 93, and heart rate rose from 78 to 101. SpO2 started at 97, ended at 93, and fell as low as 90 around hour 16.3; respiratory rate ranged 6-27. For labs and output, white count fell from 10.6 to 9.1, creatinine rose from 0.6 to 0.9, lactate stayed broadly stable from 1.8 to 2, and urine output rose from 75 to 200.","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 101 to 136, MAP rose from 68 to 93, and heart rate rose from 78 to 101. SpO2 started at 97, ended at 93, and fell as low as 90 around hour 16.3; respiratory rate ranged 6-27. For labs and output, white count fell from 10.6 to 9.1, creatinine rose from 0.6 to 0.9, lactate stayed broadly stable from 1.8 to 2, and urine output rose from 75 to 200.","episode_id":"iv_000373","anchor_time":33}
{"id":"TSS_iv_000374_clinical_summary_38_0","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (98 to 93), while MAP rose from 79 to 93. Systolic pressure was labile, ranging 68-118, with the lowest value around hour 22.1. SpO2 briefly dipped to 86 around hour 11.6 before recovering to 95, while respiratory rate peaked at 27 and later settled at 26. The associated labs and urine output showed that white count fell from 12.8 to 2, creatinine was roughly stable (0.7 to 0.6), lactate stayed broadly stable from 6.9 to 4.2, and urine output fell from 805 to 170, with recorded outputs ranging 16-845.\nB. Over the available measurements, the heart rate was roughly stable (93 to 98), while MAP rose from 74 to 88. Systolic pressure was labile, ranging 66-153, with the lowest value around hour 19.5. SpO2 briefly dipped to 83 around hour 9.0 before recovering to 100, while respiratory rate peaked at 24 and later settled at 24. The associated labs and urine output showed that white count fell from 15.4 to 1.2, creatinine rose from 0.5 to 0.8, lactate stayed broadly stable from 6.0 to 3.3, and urine output fell from 840 to 135, with recorded outputs ranging 64-810.\nC. Over the available measurements, the heart rate was roughly stable (95 to 96), while MAP rose from 76 to 90. Systolic pressure was labile, ranging 64-138, with the lowest value around hour 20.6. SpO2 briefly dipped to 85 around hour 10.1 before recovering to 98, while respiratory rate peaked at 25 and later settled at 25. The associated labs and urine output showed that white count fell from 14.3 to 2, creatinine was roughly stable (0.6 to 0.7), lactate stayed broadly stable from 6.4 to 3.7, and urine output fell from 825 to 150, with recorded outputs ranging 14-825.\nD. Over the available measurements, the heart rate was roughly stable (90 to 100), while MAP rose from 72 to 93. Systolic pressure was labile, ranging 68-168, with the lowest value around hour 18.4. SpO2 briefly dipped to 80 around hour 11.1 before recovering to 100, while respiratory rate peaked at 23 and later settled at 23. The associated labs and urine output showed that white count fell from 16.6 to 2, creatinine was roughly stable (0.4 to 0.8), lactate stayed broadly stable from 5.7 to 3.0, and urine output fell from 855 to 100, with recorded outputs ranging 12-795.","answer":"C","answer_text":"Over the available measurements, the heart rate was roughly stable (95 to 96), while MAP rose from 76 to 90. Systolic pressure was labile, ranging 64-138, with the lowest value around hour 20.6. SpO2 briefly dipped to 85 around hour 10.1 before recovering to 98, while respiratory rate peaked at 25 and later settled at 25. The associated labs and urine output showed that white count fell from 14.3 to 2, creatinine was roughly stable (0.6 to 0.7), lactate stayed broadly stable from 6.4 to 3.7, and urine output fell from 825 to 150, with recorded outputs ranging 14-825.","episode_id":"iv_000374","anchor_time":38}
{"id":"TSS_iv_000374_clinical_summary_38_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 79 to 87, diastolic pressure was roughly stable (74 to 73), and heart rate was roughly stable (92 to 99). The lowest MAP was about 48 around hour 19.1, and the lowest valid SpO2 was 88 around hour 9.1; respiratory rate rose as high as 26 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 31.2-34.3 C, white count fell from 15.8 to 2, creatinine was roughly stable (0.7 to 0.8), lactate stayed broadly stable from 5.9 to 4.2, and urine output fell from 845 to 130.\nB. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 74 to 92, diastolic pressure was roughly stable (69 to 68), and heart rate was roughly stable (97 to 94). The lowest MAP was about 43 around hour 21.7, and the lowest valid SpO2 was 83 around hour 11.2; respiratory rate rose as high as 27 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 36.5-39.5 C, white count fell from 13.2 to 2, creatinine rose from 0.5 to 0.8, lactate stayed broadly stable from 6.8 to 3.3, and urine output fell from 810 to 200.\nC. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 80 to 86, diastolic pressure was roughly stable (75 to 67), and heart rate was roughly stable (91 to 100). The lowest MAP was about 48 around hour 21.6, and the lowest valid SpO2 was 89 around hour 8.2; respiratory rate rose as high as 27 but ended at 27. The lower-frequency data fit that summary: temperature stayed around 30.5-33.5 C, white count fell from 16.2 to 2, creatinine was roughly stable (0.7 to 0.8), lactate stayed broadly stable from 5.8 to 4.3, and urine output fell from 850 to 125.\nD. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 76 to 90, diastolic pressure was roughly stable (71 to 70), and heart rate was roughly stable (95 to 96). The lowest MAP was about 45 around hour 20.6, and the lowest valid SpO2 was 85 around hour 10.1; respiratory rate rose as high as 25 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 34.2-37.3 C, white count fell from 14.3 to 2, creatinine was roughly stable (0.6 to 0.7), lactate stayed broadly stable from 6.4 to 3.7, and urine output fell from 825 to 150.","answer":"D","answer_text":"Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 76 to 90, diastolic pressure was roughly stable (71 to 70), and heart rate was roughly stable (95 to 96). The lowest MAP was about 45 around hour 20.6, and the lowest valid SpO2 was 85 around hour 10.1; respiratory rate rose as high as 25 but ended at 25. The lower-frequency data fit that summary: temperature ranged from 34.2 to 97.5, white count fell from 14.3 to 2, creatinine was roughly stable (0.6 to 0.7), lactate stayed broadly stable from 6.4 to 3.7, and urine output fell from 825 to 150.","episode_id":"iv_000374","anchor_time":38}
{"id":"TSS_iv_000375_clinical_summary_64_3","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Overall, the heart rate fell from 76 to 57, MAP was roughly stable (91 to 89), and diastolic pressure moved from 77 to 85. Systolic pressure ranged 91-154 and ended at 112, and SpO2 recovered to 82 after a low of 74 around hour 64. Respiratory rate ended at 24; the available labs showed white count was roughly stable (7.1 to 6.1), creatinine stayed around 0.8, lactate fell from 228 to 2.1, and urine output rose from 105 to 300.\nB. Overall, the heart rate fell from 71 to 63, MAP was roughly stable (86 to 84), and diastolic pressure moved from 82 to 79. Systolic pressure ranged 86-119 and ended at 114, and SpO2 recovered to 87 after a low of 69 around hour 61.4. Respiratory rate ended at 26; the available labs showed white count was roughly stable (6.2 to 5.2), creatinine stayed around 1.0, lactate fell from 193 to 1.8, and urine output rose from 140 to 265.\nC. Overall, the heart rate fell from 73 to 60, MAP was roughly stable (88 to 86), and diastolic pressure moved from 80 to 82. Systolic pressure ranged 88-134 and ended at 116, and SpO2 recovered to 85 after a low of 71 around hour 63.6. Respiratory rate ended at 25; the available labs showed white count was roughly stable (6.6 to 5.6), creatinine stayed around 0.9, lactate fell from 208 to 1.9, and urine output rose from 125 to 280.\nD. Overall, the heart rate fell from 68 to 64, MAP was roughly stable (84 to 82), and diastolic pressure moved from 84 to 78. Systolic pressure ranged 84-104 and ended at 112, and SpO2 recovered to 90 after a low of 70 around hour 59.1. Respiratory rate ended at 27; the available labs showed white count fell from 5.8 to 4.8, creatinine stayed around 1.1, lactate fell from 178 to 1.6, and urine output rose from 175 to 250.","answer":"C","answer_text":"Overall, the heart rate fell from 73 to 60, MAP was roughly stable (88 to 86), and diastolic pressure moved from 80 to 82. Systolic pressure ranged 88-134 and ended at 116, and SpO2 recovered to 85 after a low of 71 around hour 63.6. Respiratory rate ended at 25; the available labs showed white count was roughly stable (6.6 to 5.6), creatinine stayed around 0.9, lactate fell from 208 to 1.9, and urine output rose from 125 to 280.","episode_id":"iv_000375","anchor_time":64}
{"id":"TSS_iv_000376_clinical_summary_36_1","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 105 to 80, diastolic pressure fell from 79 to 59, and heart rate fell from 88 to 43. The lowest MAP was about 77 around hour 34, and the lowest valid SpO2 was 88 around hour 8; respiratory rate rose as high as 28 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.8-34.4 C, white count rose from 4.4 to 5.4, creatinine fell from 1.5 to 1.3, lactate stayed broadly stable from 6.3 to 2.6, and urine output was roughly stable (280 to 180)\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 102 to 83, diastolic pressure fell from 76 to 62, and heart rate fell from 91 to 40. The lowest MAP was about 74 around hour 33, and the lowest valid SpO2 was 85 around hour 8; respiratory rate rose as high as 26 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.8-37.4 C, white count rose from 3.9 to 5.9, creatinine fell from 1.3 to 1.1, lactate stayed broadly stable from 6.8 to 2.4, and urine output was roughly stable (260 to 200)\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 106 to 79, diastolic pressure fell from 80 to 66, and heart rate fell from 87 to 43. The lowest MAP was about 78 around hour 29, and the lowest valid SpO2 was 89 around hour 7; respiratory rate rose as high as 28 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.0-33.6 C, white count rose from 4.5 to 5.3, creatinine fell from 1.6 to 1.4, lactate stayed broadly stable from 6.2 to 2.6, and urine output was roughly stable (285 to 175)\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 98 to 88, diastolic pressure fell from 72 to 58, and heart rate fell from 96 to 36. The lowest MAP was about 70 around hour 38, and the lowest valid SpO2 was 80 around hour 9; respiratory rate rose as high as 28 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 41.3-41.9 C, white count rose from 3.1 to 6.7, creatinine was roughly stable (1.0 to 1.2), lactate stayed broadly stable from 7.5 to 2.1, and urine output was roughly stable (230 to 250)","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 102 to 83, diastolic pressure fell from 76 to 62, and heart rate fell from 91 to 40. The lowest MAP was about 74 around hour 33, and the lowest valid SpO2 was 85 around hour 8; respiratory rate rose as high as 26 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 98.3 to 99.3, white count rose from 3.9 to 5.9, creatinine fell from 1.3 to 1.1, lactate stayed broadly stable from 6.8 to 2.4, and urine output was roughly stable (260 to 200)","episode_id":"iv_000376","anchor_time":36}
{"id":"TSS_iv_000376_clinical_summary_36_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Taken together, the heart rate fell from 94 to 37, MAP fell from 105 to 86, and diastolic pressure moved from 73 to 65. Systolic pressure ranged 117-201 and ended at 157, and SpO2 recovered to 85 after a low of 84 around hour 8. Respiratory rate ended at 16; the available labs showed white count rose from 4.4 to 5.1, creatinine fell from 1.1 to 0.9, lactate stayed broadly stable from 7.3 to 2.2, and urine output fell from 310 to 220.\nB. Taken together, the heart rate fell from 89 to 42, MAP fell from 100 to 86, and diastolic pressure moved from 78 to 60. Systolic pressure ranged 112-166 and ended at 133, and SpO2 recovered to 90 after a low of 83 around hour 9. Respiratory rate ended at 19; the available labs showed white count rose from 3.5 to 5.5, creatinine fell from 1.5 to 1.0, lactate stayed broadly stable from 6.4 to 2.5, and urine output was roughly stable (245 to 185)\nC. Taken together, the heart rate fell from 95 to 43, MAP fell from 106 to 87, and diastolic pressure moved from 72 to 59. Systolic pressure ranged 118-206 and ended at 162, and SpO2 recovered to 84 after a low of 89 around hour 9. Respiratory rate ended at 16; the available labs showed white count rose from 4.5 to 6.5, creatinine fell from 1.1 to 0.9, lactate stayed broadly stable from 7.4 to 2.1, and urine output was roughly stable (285 to 225)\nD. Taken together, the heart rate fell from 91 to 40, MAP fell from 102 to 83, and diastolic pressure moved from 76 to 62. Systolic pressure ranged 114-181 and ended at 137, and SpO2 recovered to 88 after a low of 85 around hour 8. Respiratory rate ended at 18; the available labs showed white count rose from 3.9 to 5.9, creatinine fell from 1.3 to 1.1, lactate stayed broadly stable from 6.8 to 2.4, and urine output was roughly stable (260 to 200)","answer":"D","answer_text":"Taken together, the heart rate fell from 91 to 40, MAP fell from 102 to 83, and diastolic pressure moved from 76 to 62. Systolic pressure ranged 114-181 and ended at 137, and SpO2 recovered to 88 after a low of 85 around hour 8. Respiratory rate ended at 18; the available labs showed white count rose from 3.9 to 5.9, creatinine fell from 1.3 to 1.1, lactate stayed broadly stable from 6.8 to 2.4, and urine output was roughly stable (260 to 200)","episode_id":"iv_000376","anchor_time":36}
{"id":"TSS_iv_000378_clinical_summary_40_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. For handoff, the heart rate rose from 70 to 72, MAP rose from 60 to 67, and diastolic pressure moved from 42 to 51. Systolic pressure ranged 81-159 and ended at 112, and SpO2 recovered to 93 after a low of 88 around hour 1.5. Respiratory rate ended at 14; the available labs showed white count rose from 2 to 12, creatinine fell from 37 to 2.0, lactate fell from 304 to 1.3, and urine output fell from 420 to 97.\nB. For handoff, the heart rate rose from 67 to 75, MAP rose from 57 to 64, and diastolic pressure moved from 45 to 48. Systolic pressure ranged 78-139 and ended at 116, and SpO2 recovered to 96 after a low of 85 around hour 0.5. Respiratory rate ended at 16; the available labs showed white count rose from 0 to 11, creatinine fell from 40 to 1.8, lactate fell from 284 to 1.5, and urine output fell from 400 to 100.\nC. For handoff, the heart rate rose from 71 to 74, MAP rose from 61 to 68, and diastolic pressure moved from 41 to 52. Systolic pressure ranged 82-164 and ended at 120, and SpO2 recovered to 92 after a low of 84 around hour 0.6. Respiratory rate ended at 14; the available labs showed white count rose from 2 to 10.2, creatinine fell from 36 to 2.0, lactate fell from 309 to 1.2, and urine output fell from 450 to 96.\nD. For handoff, the heart rate rose from 62 to 78, MAP rose from 52 to 60, and diastolic pressure moved from 50 to 45. Systolic pressure ranged 74-109 and ended at 112, and SpO2 recovered to 100 after a low of 80 around hour 0.3. Respiratory rate ended at 18; the available labs showed white count rose from 0 to 9, creatinine fell from 44 to 1.5, lactate fell from 254 to 1.8, and urine output fell from 370 to 96.","answer":"B","answer_text":"For handoff, the heart rate rose from 67 to 75, MAP rose from 57 to 64, and diastolic pressure moved from 45 to 48. Systolic pressure ranged 78-139 and ended at 116, and SpO2 recovered to 96 after a low of 85 around hour 0.5. Respiratory rate ended at 16; the available labs showed white count rose from 0 to 11, creatinine fell from 40 to 1.8, lactate fell from 284 to 1.5, and urine output fell from 400 to 100.","episode_id":"iv_000378","anchor_time":40}
{"id":"TSS_iv_000380_clinical_summary_32_1","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 65 to 97, diastolic pressure rose from 58 to 86, and heart rate fell from 102 to 93. The lowest MAP was about 65 around hour 0.5, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 35 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.9-33.9 C, white count fell from 40.8 to 25.3, creatinine fell from 2.5 to 1.5, lactate fell from 311 to 2, and urine output was roughly stable (83 to 57)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 62 to 100, diastolic pressure rose from 55 to 83, and heart rate fell from 105 to 90. The lowest MAP was about 62 around hour 0.6, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 32 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 35.9-36.9 C, white count fell from 37.8 to 26.8, creatinine fell from 2.3 to 1.3, lactate fell from 331 to 2, and urine output was roughly stable (80 to 60)\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 66 to 96, diastolic pressure rose from 59 to 80, and heart rate fell from 101 to 94. The lowest MAP was about 66 around hour 1.6, and the lowest valid SpO2 was 89 around hour 0.2; respiratory rate rose as high as 36 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.1-33.1 C, white count fell from 41.5 to 24.9, creatinine fell from 2.5 to 1.6, lactate fell from 306 to 2, and urine output was roughly stable (84 to 56)\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 58 to 96, diastolic pressure rose from 50 to 78, and heart rate fell from 110 to 86. The lowest MAP was about 58 around hour 0.8, and the lowest valid SpO2 was 80 around hour 0.5; respiratory rate rose as high as 34 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 40.4-41.4 C, white count fell from 33.3 to 29.1, creatinine fell from 2.0 to 1.4, lactate fell from 361 to 2, and urine output was roughly stable (76 to 110)","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 62 to 100, diastolic pressure rose from 55 to 83, and heart rate fell from 105 to 90. The lowest MAP was about 62 around hour 0.6, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 32 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 96.6 to 98.5, white count fell from 37.8 to 26.8, creatinine fell from 2.3 to 1.3, lactate fell from 331 to 2, and urine output was roughly stable (80 to 60)","episode_id":"iv_000380","anchor_time":32}
{"id":"TSS_iv_000380_clinical_summary_32_2","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 132, MAP rose from 65 to 97, and heart rate fell from 102 to 93. SpO2 started at 82, ended at 100, and fell as low as 88 around hour 0.2; respiratory rate ranged 10-29. For labs and output, white count fell from 34.8 to 28.3, creatinine fell from 2.5 to 1.4, lactate fell from 331.2 to 2, and urine output was roughly stable (77 to 63)\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 148, MAP rose from 60 to 103, and heart rate fell from 107 to 88. SpO2 started at 87, ended at 95, and fell as low as 84 around hour 0.4; respiratory rate ranged 9-34. For labs and output, white count fell from 40.0 to 25.7, creatinine fell from 2.1 to 1.5, lactate fell from 316 to 2, and urine output was roughly stable (82 to 58)\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 98 to 152, MAP rose from 62 to 100, and heart rate fell from 105 to 90. SpO2 started at 85, ended at 97, and fell as low as 85 around hour 0.3; respiratory rate ranged 9-32. For labs and output, white count fell from 37.8 to 26.8, creatinine fell from 2.3 to 1.3, lactate fell from 331 to 2, and urine output was roughly stable (80 to 60)\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 94 to 182, MAP rose from 58 to 96, and heart rate fell from 110 to 93. SpO2 started at 90, ended at 92, and fell as low as 80 around hour 0.5; respiratory rate ranged 8-34. For labs and output, white count fell from 42.3 to 26, creatinine fell from 2.0 to 1.6, lactate fell from 301 to 2, and urine output was roughly stable (84 to 56)","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 98 to 152, MAP rose from 62 to 100, and heart rate fell from 105 to 90. SpO2 started at 85, ended at 97, and fell as low as 85 around hour 0.3; respiratory rate ranged 9-32. For labs and output, white count fell from 37.8 to 26.8, creatinine fell from 2.3 to 1.3, lactate fell from 331 to 2, and urine output was roughly stable (80 to 60)","episode_id":"iv_000380","anchor_time":32}
{"id":"TSS_iv_000380_clinical_summary_32_3","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Clinically, the heart rate fell from 108 to 87, MAP rose from 65 to 97, and diastolic pressure moved from 52 to 86. Systolic pressure ranged 91-177 and ended at 172, and SpO2 recovered to 94 after a low of 84 around hour 0.4. Respiratory rate ended at 16; the available labs showed white count fell from 40.8 to 26, creatinine fell from 2.1 to 1.5, lactate fell from 351 to 2, and urine output was roughly stable (130 to 63)\nB. Clinically, the heart rate fell from 103 to 92, MAP rose from 60 to 103, and diastolic pressure moved from 57 to 81. Systolic pressure ranged 86-142 and ended at 148, and SpO2 recovered to 99 after a low of 83 around hour 1.3. Respiratory rate ended at 19; the available labs showed white count fell from 35.5 to 25.7, creatinine fell from 2.4 to 1.1, lactate fell from 316 to 2, and urine output was roughly stable (78 to 58)\nC. Clinically, the heart rate fell from 109 to 93, MAP rose from 66 to 96, and diastolic pressure moved from 51 to 80. Systolic pressure ranged 92-182 and ended at 177, and SpO2 recovered to 93 after a low of 89 around hour 0.4. Respiratory rate ended at 16; the available labs showed white count fell from 41.5 to 28.7, creatinine fell from 2.0 to 1.6, lactate fell from 356 to 2, and urine output was roughly stable (84 to 64)\nD. Clinically, the heart rate fell from 105 to 90, MAP rose from 62 to 100, and diastolic pressure moved from 55 to 83. Systolic pressure ranged 88-157 and ended at 152, and SpO2 recovered to 97 after a low of 85 around hour 0.3. Respiratory rate ended at 18; the available labs showed white count fell from 37.8 to 26.8, creatinine fell from 2.3 to 1.3, lactate fell from 331 to 2, and urine output was roughly stable (80 to 60)","answer":"D","answer_text":"Clinically, the heart rate fell from 105 to 90, MAP rose from 62 to 100, and diastolic pressure moved from 55 to 83. Systolic pressure ranged 88-157 and ended at 152, and SpO2 recovered to 97 after a low of 85 around hour 0.3. Respiratory rate ended at 18; the available labs showed white count fell from 37.8 to 26.8, creatinine fell from 2.3 to 1.3, lactate fell from 331 to 2, and urine output was roughly stable (80 to 60)","episode_id":"iv_000380","anchor_time":32}
{"id":"TSS_iv_000381_clinical_summary_26_1","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 73 to 76, diastolic pressure rose from 20 to 69, and heart rate fell from 84 to 68. The lowest MAP was about 59 around hour 21.3, and the lowest valid SpO2 was 88 around hour 1.5; respiratory rate rose as high as 30 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 31.5-34 C, white count rose from 12.7 to 14.2, creatinine rose from 0.9 to 1, lactate stayed broadly stable from 1.1 to 1.7, and urine output was roughly stable (33 to 97)\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 68 to 78, diastolic pressure rose from 17 to 63, and heart rate fell from 89 to 63. The lowest MAP was about 59 around hour 23.8, and the lowest valid SpO2 was 83 around hour 2.6; respiratory rate rose as high as 27 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 36.8-39 C, white count rose from 10.1 to 13.6, creatinine rose from 0.7 to 1, lactate stayed broadly stable from 1.5 to 1.4, and urine output was roughly stable (28 to 98)\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 70 to 76, diastolic pressure rose from 18 to 66, and heart rate fell from 87 to 65. The lowest MAP was about 56 around hour 22.8, and the lowest valid SpO2 was 85 around hour 2.5; respiratory rate rose as high as 28 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 34.5-37 C, white count rose from 11.2 to 12.5, creatinine rose from 0.8 to 1, lactate stayed broadly stable from 1.3 to 1.5, and urine output was roughly stable (30 to 100)\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 66 to 80, diastolic pressure rose from 16 to 62, and heart rate fell from 92 to 60. The lowest MAP was about 52 around hour 25.1, and the lowest valid SpO2 was 80 around hour 2.8; respiratory rate rose as high as 30 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 39.0-42 C, white count rose from 8.9 to 14.8, creatinine rose from 0.7 to 1.1, lactate stayed broadly stable from 1.6 to 1.2, and urine output rose from 26 to 150.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 70 to 76, diastolic pressure rose from 18 to 66, and heart rate fell from 87 to 65. The lowest MAP was about 56 around hour 22.8, and the lowest valid SpO2 was 85 around hour 2.5; respiratory rate rose as high as 28 but ended at 22. The lower-frequency data fit that summary: temperature ranged from 34.5 to 98.1, white count rose from 11.2 to 12.5, creatinine rose from 0.8 to 1, lactate stayed broadly stable from 1.3 to 1.5, and urine output was roughly stable (30 to 100)","episode_id":"iv_000381","anchor_time":26}
{"id":"TSS_iv_000381_clinical_summary_26_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 45 to 97, MAP rose from 73 to 79, and heart rate fell from 84 to 68. SpO2 started at 97, ended at 100, and fell as low as 84 around hour 2.3; respiratory rate ranged 12-26. For labs and output, white count rose from 9.7 to 14.0, creatinine rose from 0.9 to 1, lactate stayed broadly stable from 1.5 to 1.7, and urine output was roughly stable (27 to 97)\nB. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 40 to 103, MAP rose from 68 to 74, and heart rate fell from 89 to 68. SpO2 started at 98, ended at 95, and fell as low as 83 around hour 2.6; respiratory rate ranged 9-30. For labs and output, white count was roughly stable (12.3 to 11.7), creatinine rose from 0.7 to 1, lactate stayed broadly stable from 1.1 to 1.4, and urine output was roughly stable (32 to 98)\nC. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 46 to 97, MAP rose from 74 to 80, and heart rate fell from 83 to 69. SpO2 started at 96, ended at 100, and fell as low as 89 around hour 2.2; respiratory rate ranged 12-26. For labs and output, white count rose from 9.3 to 14.4, creatinine rose from 0.9 to 1.1, lactate stayed broadly stable from 1.5 to 1.8, and urine output was roughly stable (26 to 96)\nD. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 42 to 101, MAP rose from 70 to 76, and heart rate fell from 87 to 65. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 2.5; respiratory rate ranged 10-28. For labs and output, white count rose from 11.2 to 12.5, creatinine rose from 0.8 to 1, lactate stayed broadly stable from 1.3 to 1.5, and urine output was roughly stable (30 to 100)","answer":"D","answer_text":"For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 42 to 101, MAP rose from 70 to 76, and heart rate fell from 87 to 65. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 2.5; respiratory rate ranged 10-28. For labs and output, white count rose from 11.2 to 12.5, creatinine rose from 0.8 to 1, lactate stayed broadly stable from 1.3 to 1.5, and urine output was roughly stable (30 to 100)","episode_id":"iv_000381","anchor_time":26}
{"id":"TSS_iv_000384_clinical_summary_32_2","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 88 to 39, MAP fell from 67 to 40, and heart rate rose from 47 to 152. SpO2 started at 90, ended at 98, and fell as low as 91 around hour 10.2; respiratory rate ranged 12-37. For labs and output, white count rose from 24.3 to 65.5, creatinine rose from 0.9 to 2.1, lactate stayed broadly stable from 7.6 to 16.6, and urine output fell from 180 to 8.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 83 to 44, MAP fell from 62 to 35, and heart rate rose from 52 to 135. SpO2 started at 95, ended at 93, and fell as low as 86 around hour 12.8; respiratory rate ranged 10-42. For labs and output, white count rose from 26.9 to 61.7, creatinine rose from 0.7 to 2, lactate stayed broadly stable from 7.0 to 14.0, and urine output fell from 215 to 8.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 85 to 42, MAP fell from 64 to 37, and heart rate rose from 50 to 132. SpO2 started at 93, ended at 95, and fell as low as 88 around hour 11.7; respiratory rate ranged 11-40. For labs and output, white count rose from 25.8 to 62.5, creatinine rose from 0.8 to 2, lactate stayed broadly stable from 7.4 to 15.1, and urine output fell from 200 to 8.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 80 to 38, MAP fell from 60 to 40, and heart rate rose from 54 to 102. SpO2 started at 98, ended at 90, and fell as low as 87 around hour 13.9; respiratory rate ranged 9-44. For labs and output, white count rose from 28.1 to 58.0, creatinine rose from 0.7 to 2, lactate stayed broadly stable from 6.7 to 12.8, and urine output fell from 230 to 7.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 85 to 42, MAP fell from 64 to 37, and heart rate rose from 50 to 132. SpO2 started at 93, ended at 95, and fell as low as 88 around hour 11.7; respiratory rate ranged 11-40. For labs and output, white count rose from 25.8 to 62.5, creatinine rose from 0.8 to 2, lactate stayed broadly stable from 7.4 to 15.1, and urine output fell from 200 to 8.","episode_id":"iv_000384","anchor_time":32}
{"id":"TSS_iv_000384_clinical_summary_32_3","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Taken together, the heart rate rose from 53 to 135, MAP fell from 67 to 40, and diastolic pressure moved from 55 to 29. Systolic pressure ranged 45-160 and ended at 45, and SpO2 recovered to 92 after a low of 91 around hour 13.2. Respiratory rate ended at 10; the available labs showed white count rose from 27.3 to 65.5, creatinine rose from 0.7 to 2, lactate stayed broadly stable from 7.9 to 13.6, and urine output fell from 220 to 8.\nB. Taken together, the heart rate rose from 48 to 147, MAP fell from 62 to 40, and diastolic pressure moved from 60 to 30. Systolic pressure ranged 38-125 and ended at 38, and SpO2 recovered to 97 after a low of 86 around hour 12.7. Respiratory rate ended at 13; the available labs showed white count rose from 24.7 to 60.2, creatinine rose from 0.9 to 2, lactate stayed broadly stable from 7.0 to 16.2, and urine output fell from 185 to 8.\nC. Taken together, the heart rate rose from 54 to 107, MAP fell from 68 to 41, and diastolic pressure moved from 54 to 36. Systolic pressure ranged 46-165 and ended at 46, and SpO2 recovered to 91 after a low of 87 around hour 13.6. Respiratory rate ended at 10; the available labs showed white count rose from 27.7 to 61.7, creatinine rose from 0.7 to 2, lactate stayed broadly stable from 8.0 to 13.2, and urine output fell from 250 to 9.\nD. Taken together, the heart rate rose from 50 to 132, MAP fell from 64 to 37, and diastolic pressure moved from 58 to 32. Systolic pressure ranged 42-140 and ended at 42, and SpO2 recovered to 95 after a low of 88 around hour 11.7. Respiratory rate ended at 12; the available labs showed white count rose from 25.8 to 62.5, creatinine rose from 0.8 to 2, lactate stayed broadly stable from 7.4 to 15.1, and urine output fell from 200 to 8.","answer":"D","answer_text":"Taken together, the heart rate rose from 50 to 132, MAP fell from 64 to 37, and diastolic pressure moved from 58 to 32. Systolic pressure ranged 42-140 and ended at 42, and SpO2 recovered to 95 after a low of 88 around hour 11.7. Respiratory rate ended at 12; the available labs showed white count rose from 25.8 to 62.5, creatinine rose from 0.8 to 2, lactate stayed broadly stable from 7.4 to 15.1, and urine output fell from 200 to 8.","episode_id":"iv_000384","anchor_time":32}
{"id":"TSS_iv_000385_clinical_summary_27_1","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 98 to 103, diastolic pressure rose from 86 to 98, and heart rate rose from 47 to 66. The lowest MAP was about 84 around hour 20, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 26 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 33.5-34.4 C, white count was 6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (520 to 520)\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 93 to 108, diastolic pressure rose from 81 to 93, and heart rate rose from 52 to 61. The lowest MAP was about 79 around hour 23, and the lowest valid SpO2 was 83 around hour 0.4; respiratory rate rose as high as 26 but ended at 9. The lower-frequency data fit that summary: temperature stayed around 38.8-39.6 C, white count was 6 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output was roughly stable (485 to 550)\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 95 to 106, diastolic pressure rose from 83 to 95, and heart rate rose from 50 to 63. The lowest MAP was about 81 around hour 22, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 24 but ended at 10. The lower-frequency data fit that summary: temperature stayed around 36.5-37.4 C, white count was 6 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output was roughly stable (500 to 500)\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 90 to 110, diastolic pressure rose from 78 to 92, and heart rate rose from 54 to 58. The lowest MAP was about 84 around hour 23, and the lowest valid SpO2 was 80 around hour 0.5; respiratory rate rose as high as 22 but ended at 8. The lower-frequency data fit that summary: temperature stayed around 41.0-41.9 C, white count was 5 on its only check, creatinine was 1.1 on its only check, lactate was not available, and urine output was roughly stable (470 to 470)","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 95 to 106, diastolic pressure rose from 83 to 95, and heart rate rose from 50 to 63. The lowest MAP was about 81 around hour 22, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 24 but ended at 10. The lower-frequency data fit that summary: temperature ranged from 97.7 to 99.3, white count was 6 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output was roughly stable (500 to 500)","episode_id":"iv_000385","anchor_time":27}
{"id":"TSS_iv_000385_clinical_summary_27_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (143 to 129), MAP rose from 98 to 109, and heart rate rose from 47 to 66. SpO2 started at 82, ended at 97, and fell as low as 84 around hour 0.2; respiratory rate ranged 8-22. For labs and output, white count was 6 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output was roughly stable (520 to 480)\nB. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 108 to 148, MAP rose from 92 to 104, and heart rate rose from 52 to 61. SpO2 started at 87, ended at 98, and fell as low as 83 around hour 0.4; respiratory rate ranged 7-25. For labs and output, white count was 6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output was roughly stable (485 to 515)\nC. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 148 to 168, MAP rose from 99 to 110, and heart rate rose from 46 to 66. SpO2 started at 81, ended at 96, and fell as low as 89 around hour 0.2; respiratory rate ranged 8-26. For labs and output, white count was 5 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output was roughly stable (525 to 475)\nD. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 123 to 133, MAP rose from 95 to 106, and heart rate rose from 50 to 63. SpO2 started at 85, ended at 100, and fell as low as 85 around hour 0.3; respiratory rate ranged 7-24. For labs and output, white count was 6 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output was roughly stable (500 to 500)","answer":"D","answer_text":"Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 123 to 133, MAP rose from 95 to 106, and heart rate rose from 50 to 63. SpO2 started at 85, ended at 100, and fell as low as 85 around hour 0.3; respiratory rate ranged 7-24. For labs and output, white count was 6 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output was roughly stable (500 to 500)","episode_id":"iv_000385","anchor_time":27}
{"id":"TSS_iv_000386_clinical_summary_70_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 65 to 51, diastolic pressure rose from 14 to 36, and heart rate was roughly stable (79 to 90). The lowest MAP was about 50 around hour 66.7, and the lowest valid SpO2 was 88 around hour 3.7; respiratory rate rose as high as 34 but ended at 30. The lower-frequency data fit that summary: temperature stayed around 32.4-35.3 C, white count fell from 11.7 to 8.0, creatinine rose from 1.0 to 1.8, lactate fell from 3.3 to 1, and urine output fell from 310 to 37.\nB. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 60 to 56, diastolic pressure rose from 11 to 37, and heart rate was roughly stable (84 to 85). The lowest MAP was about 45 around hour 68.0, and the lowest valid SpO2 was 83 around hour 4.6; respiratory rate rose as high as 33 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 37.6-40.5 C, white count fell from 9.1 to 8.9, creatinine rose from 0.8 to 1.7, lactate fell from 4.2 to 1, and urine output fell from 275 to 90.\nC. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 66 to 50, diastolic pressure rose from 14 to 43, and heart rate rose from 78 to 90. The lowest MAP was about 51 around hour 62.0, and the lowest valid SpO2 was 89 around hour 3.2; respiratory rate rose as high as 35 but ended at 31. The lower-frequency data fit that summary: temperature stayed around 31.6-34.5 C, white count fell from 12.1 to 7.9, creatinine rose from 1.0 to 1.9, lactate fell from 3.2 to 1, and urine output fell from 315 to 36.\nD. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 62 to 54, diastolic pressure rose from 12 to 39, and heart rate was roughly stable (82 to 87). The lowest MAP was about 47 around hour 65.7, and the lowest valid SpO2 was 85 around hour 4.2; respiratory rate rose as high as 31 but ended at 29. The lower-frequency data fit that summary: temperature stayed around 35.4-38.3 C, white count fell from 10.2 to 8.5, creatinine rose from 0.9 to 1.6, lactate fell from 3.8 to 1, and urine output fell from 290 to 40.","answer":"D","answer_text":"Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 62 to 54, diastolic pressure rose from 12 to 39, and heart rate was roughly stable (82 to 87). The lowest MAP was about 47 around hour 65.7, and the lowest valid SpO2 was 85 around hour 4.2; respiratory rate rose as high as 31 but ended at 29. The lower-frequency data fit that summary: temperature ranged from 36 to 97.5, white count fell from 10.2 to 8.5, creatinine rose from 0.9 to 1.6, lactate fell from 3.8 to 1, and urine output fell from 290 to 40.","episode_id":"iv_000386","anchor_time":70}
{"id":"TSS_iv_000387_clinical_summary_23_3","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 149 to 83, MAP rose from 94 to 112, and diastolic pressure moved from 77 to 96. Systolic pressure ranged 111-185 and ended at 147, and SpO2 recovered to 96 after a low of 91 around hour 2.8. Respiratory rate ended at 14; the available labs showed white count was 9.6 on its only check, creatinine fell from 0.9 to 0.5, lactate was checked once at 3.6, and urine output fell from 920 to 380.\nB. Across the recorded window, the heart rate fell from 114 to 88, MAP rose from 89 to 107, and diastolic pressure moved from 82 to 91. Systolic pressure ranged 106-150 and ended at 136, and SpO2 recovered to 100 after a low of 87 around hour 1.6. Respiratory rate ended at 16; the available labs showed white count was 8.7 on its only check, creatinine fell from 0.7 to 0.6, lactate was checked once at 2.7, and urine output fell from 950 to 415.\nC. Across the recorded window, the heart rate fell from 129 to 86, MAP rose from 91 to 109, and diastolic pressure moved from 80 to 93. Systolic pressure ranged 108-165 and ended at 151, and SpO2 recovered to 99 after a low of 88 around hour 1.8. Respiratory rate ended at 15; the available labs showed white count was 9.1 on its only check, creatinine fell from 0.8 to 0.6, lactate was checked once at 3.1, and urine output fell from 900 to 400.\nD. Across the recorded window, the heart rate fell from 99 to 89, MAP rose from 86 to 104, and diastolic pressure moved from 84 to 90. Systolic pressure ranged 104-135 and ended at 121, and SpO2 recovered to 100 after a low of 84 around hour 1.5. Respiratory rate ended at 17; the available labs showed white count was 8.3 on its only check, creatinine fell from 0.7 to 0.6, lactate was checked once at 2.4, and urine output fell from 870 to 430.","answer":"C","answer_text":"Across the recorded window, the heart rate fell from 129 to 86, MAP rose from 91 to 109, and diastolic pressure moved from 80 to 93. Systolic pressure ranged 108-165 and ended at 151, and SpO2 recovered to 99 after a low of 88 around hour 1.8. Respiratory rate ended at 15; the available labs showed white count was 9.1 on its only check, creatinine fell from 0.8 to 0.6, lactate was checked once at 3.1, and urine output fell from 900 to 400.","episode_id":"iv_000387","anchor_time":23}
{"id":"TSS_iv_000388_clinical_summary_30_1","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 61, diastolic pressure fell from 68 to 55, and heart rate fell from 77 to 74. The lowest MAP was about 55 around hour 24.2, and the lowest valid SpO2 was 88 around hour 3.1; respiratory rate rose as high as 22 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.4-34.4 C, white count fell from 13.2 to 8.6, creatinine rose from 1.3 to 1.5, lactate was not available, and urine output was roughly stable (47 to 80)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 87 to 64, diastolic pressure fell from 65 to 52, and heart rate fell from 80 to 71. The lowest MAP was about 52 around hour 25.7, and the lowest valid SpO2 was 85 around hour 3.6; respiratory rate rose as high as 20 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 36.4-37.4 C, white count fell from 11.7 to 9.1, creatinine was roughly stable (1.1 to 1.2), lactate was not available, and urine output was roughly stable (50 to 30)\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 91 to 60, diastolic pressure fell from 69 to 49, and heart rate fell from 76 to 75. The lowest MAP was about 55 around hour 26.7, and the lowest valid SpO2 was 89 around hour 3.0; respiratory rate rose as high as 22 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 32.6-33.6 C, white count fell from 13.6 to 8.5, creatinine was roughly stable (1.4 to 1.4), lactate was not available, and urine output was roughly stable (46 to 34)\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 82 to 68, diastolic pressure fell from 60 to 48, and heart rate fell from 84 to 74. The lowest MAP was about 48 around hour 27.9, and the lowest valid SpO2 was 80 around hour 2.6; respiratory rate rose as high as 18 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 40.9-41.9 C, white count fell from 9.4 to 8.9, creatinine was roughly stable (0.8 to 0.9), lactate was not available, and urine output was roughly stable (54 to 26)","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 87 to 64, diastolic pressure fell from 65 to 52, and heart rate fell from 80 to 71. The lowest MAP was about 52 around hour 25.7, and the lowest valid SpO2 was 85 around hour 3.6; respiratory rate rose as high as 20 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 97.6 to 99.4, white count fell from 11.7 to 9.1, creatinine was roughly stable (1.1 to 1.2), lactate was not available, and urine output was roughly stable (50 to 30)","episode_id":"iv_000388","anchor_time":30}
{"id":"TSS_iv_000391_clinical_summary_38_1","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 91 to 82, diastolic pressure fell from 77 to 61, and heart rate rose from 40 to 72. The lowest MAP was about 70 around hour 26.8, and the lowest valid SpO2 was 85 around hour 0; respiratory rate rose as high as 25 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.4-37.2 C, white count fell from 14.6 to 13, creatinine stayed around 1.3, lactate fell from 227 to 1.1, and urine output fell from 375 to 225.\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 89 to 84, diastolic pressure fell from 75 to 59, and heart rate rose from 42 to 75. The lowest MAP was about 68 around hour 27.9, and the lowest valid SpO2 was 83 around hour 2; respiratory rate rose as high as 24 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 38.6-39.5 C, white count fell from 13.5 to 12, creatinine stayed around 1.1, lactate fell from 212 to 1.2, and urine output fell from 360 to 210.\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 95 to 78, diastolic pressure fell from 81 to 65, and heart rate rose from 36 to 76. The lowest MAP was about 74 around hour 24.9, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 27 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.6-33.5 C, white count fell from 16.5 to 11, creatinine was roughly stable (1.6 to 1.4), lactate fell from 227 to 1.1, and urine output fell from 375 to 275.\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 83, diastolic pressure fell from 72 to 58, and heart rate rose from 44 to 68. The lowest MAP was about 73 around hour 27.8, and the lowest valid SpO2 was 80 around hour 3; respiratory rate rose as high as 23 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 40.9-41.7 C, white count fell from 12.3 to 11, creatinine stayed around 1.0, lactate fell from 197 to 1.4, and urine output fell from 345 to 195.","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 91 to 82, diastolic pressure fell from 77 to 61, and heart rate rose from 40 to 72. The lowest MAP was about 70 around hour 26.8, and the lowest valid SpO2 was 85 around hour 0; respiratory rate rose as high as 25 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 97.5 to 99, white count fell from 14.6 to 13, creatinine stayed around 1.3, lactate fell from 227 to 1.1, and urine output fell from 375 to 225.","episode_id":"iv_000391","anchor_time":38}
{"id":"TSS_iv_000391_clinical_summary_38_2","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 164 to 128, MAP fell from 94 to 85, and heart rate rose from 37 to 75. SpO2 started at 82, ended at 99, and fell as low as 84 around hour 0; respiratory rate ranged 12-24. For labs and output, white count fell from 13.1 to 12, creatinine stayed around 1.5, lactate fell from 207 to 1.3, and urine output fell from 395 to 205.\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 144 to 132, MAP fell from 91 to 82, and heart rate rose from 40 to 72. SpO2 started at 85, ended at 96, and fell as low as 85 around hour 0; respiratory rate ranged 10-25. For labs and output, white count fell from 14.6 to 13, creatinine stayed around 1.3, lactate fell from 227 to 1.1, and urine output fell from 375 to 225.\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 169 to 107, MAP fell from 95 to 86, and heart rate rose from 36 to 75. SpO2 started at 81, ended at 100, and fell as low as 89 around hour 0; respiratory rate ranged 12-27. For labs and output, white count fell from 12.7 to 12.2, creatinine stayed around 1.6, lactate fell from 202 to 1.4, and urine output fell from 400 to 200.\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 114 to 94, MAP fell from 86 to 78, and heart rate rose from 44 to 68. SpO2 started at 90, ended at 92, and fell as low as 80 around hour 3; respiratory rate ranged 8-27. For labs and output, white count fell from 16.9 to 11, creatinine was roughly stable (1.0 to 1.4), lactate fell from 227.2 to 1.1, and urine output fell from 375 to 225.","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 144 to 132, MAP fell from 91 to 82, and heart rate rose from 40 to 72. SpO2 started at 85, ended at 96, and fell as low as 85 around hour 0; respiratory rate ranged 10-25. For labs and output, white count fell from 14.6 to 13, creatinine stayed around 1.3, lactate fell from 227 to 1.1, and urine output fell from 375 to 225.","episode_id":"iv_000391","anchor_time":38}
{"id":"TSS_iv_000391_clinical_summary_38_3","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Overall, the heart rate rose from 43 to 69, MAP fell from 94 to 85, and diastolic pressure moved from 74 to 64. Systolic pressure ranged 106-184 and ended at 128, and SpO2 recovered to 93 after a low of 88 around hour 1. Respiratory rate ended at 16; the available labs showed white count fell from 16.1 to 14, creatinine stayed around 1.1, lactate fell from 247 to 1.3, and urine output fell from 355 to 245.\nB. Overall, the heart rate rose from 38 to 74, MAP fell from 89 to 80, and diastolic pressure moved from 79 to 59. Systolic pressure ranged 101-149 and ended at 117, and SpO2 recovered to 98 after a low of 84 around hour 0. Respiratory rate ended at 19; the available labs showed white count fell from 13.5 to 12.2, creatinine stayed around 1.5, lactate fell from 212 to 1.0, and urine output fell from 425 to 210.\nC. Overall, the heart rate rose from 40 to 72, MAP fell from 91 to 82, and diastolic pressure moved from 77 to 61. Systolic pressure ranged 103-164 and ended at 132, and SpO2 recovered to 96 after a low of 85 around hour 0. Respiratory rate ended at 18; the available labs showed white count fell from 14.6 to 13, creatinine stayed around 1.3, lactate fell from 227 to 1.1, and urine output fell from 375 to 225.\nD. Overall, the heart rate rose from 36 to 75, MAP fell from 86 to 78, and diastolic pressure moved from 82 to 58. Systolic pressure ranged 98-134 and ended at 102, and SpO2 recovered to 100 after a low of 80 around hour 0. Respiratory rate ended at 20; the available labs showed white count fell from 12.3 to 11, creatinine stayed around 1.6, lactate fell from 197 to 0.8, and urine output fell from 405 to 195.","answer":"C","answer_text":"Overall, the heart rate rose from 40 to 72, MAP fell from 91 to 82, and diastolic pressure moved from 77 to 61. Systolic pressure ranged 103-164 and ended at 132, and SpO2 recovered to 96 after a low of 85 around hour 0. Respiratory rate ended at 18; the available labs showed white count fell from 14.6 to 13, creatinine stayed around 1.3, lactate fell from 227 to 1.1, and urine output fell from 375 to 225.","episode_id":"iv_000391","anchor_time":38}
{"id":"TSS_iv_000392_clinical_summary_43_1","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (73 to 72), diastolic pressure was roughly stable (62 to 65), and heart rate was roughly stable (78 to 78). The lowest MAP was about 44 around hour 20.7, and the lowest valid SpO2 was 88 around hour 10.2; respiratory rate rose as high as 33 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.6-35.3 C, white count was roughly stable (9.7 to 8.7), creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 152, and urine output rose from 520 to 1080.\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (70 to 75), diastolic pressure was roughly stable (59 to 62), and heart rate fell from 81 to 75. The lowest MAP was about 41 around hour 22.2, and the lowest valid SpO2 was 85 around hour 11.2; respiratory rate rose as high as 30 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 36.6-38.3 C, white count was roughly stable (9.2 to 10.2), creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 172, and urine output rose from 500 to 1000.\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (74 to 71), diastolic pressure was roughly stable (63 to 66), and heart rate fell from 77 to 74. The lowest MAP was about 45 around hour 20.3, and the lowest valid SpO2 was 89 around hour 9.3; respiratory rate rose as high as 32 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 32.9-34.5 C, white count was roughly stable (9.8 to 8.3), creatinine rose from 0.8 to 0.9, lactate was checked once at 147, and urine output rose from 525 to 1050.\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (66 to 80), diastolic pressure stayed around 54, and heart rate fell from 81 to 75. The lowest MAP was about 44 around hour 23.2, and the lowest valid SpO2 was 85 around hour 11.2; respiratory rate rose as high as 30 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 36.6-38.3 C, white count was roughly stable (9.2 to 10.2), creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 172, and urine output rose from 500 to 1000.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (70 to 75), diastolic pressure was roughly stable (59 to 62), and heart rate fell from 81 to 75. The lowest MAP was about 41 around hour 22.2, and the lowest valid SpO2 was 85 around hour 11.2; respiratory rate rose as high as 30 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 97.8 to 101, white count was roughly stable (9.2 to 10.2), creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 172, and urine output rose from 500 to 1000.","episode_id":"iv_000392","anchor_time":43}
{"id":"TSS_iv_000392_clinical_summary_43_2","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 97 to 119, MAP rose from 73 to 78, and heart rate fell from 78 to 75. SpO2 started at 92, ended at 99, and fell as low as 84 around hour 9.7; respiratory rate ranged 14-27. For labs and output, white count was roughly stable (8.7 to 11.7), creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 192, and urine output rose from 520 to 920.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 98 to 138, MAP was roughly stable (68 to 73), and heart rate was roughly stable (83 to 78). SpO2 started at 97, ended at 94, and fell as low as 83 around hour 12.3; respiratory rate ranged 12-32. For labs and output, white count was roughly stable (9.6 to 9.4), creatinine was roughly stable (0.6 to 0.9), lactate was checked once at 157, and urine output rose from 485 to 1060.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 123, MAP was roughly stable (70 to 75), and heart rate fell from 81 to 75. SpO2 started at 95, ended at 96, and fell as low as 85 around hour 11.2; respiratory rate ranged 13-30. For labs and output, white count was roughly stable (9.2 to 10.2), creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 172, and urine output rose from 500 to 1000.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 153, MAP was roughly stable (66 to 70), and heart rate fell from 86 to 70. SpO2 started at 100, ended at 92, and fell as low as 80 around hour 13.4; respiratory rate ranged 11-34. For labs and output, white count was roughly stable (9.9 to 7.9), creatinine rose from 0.5 to 0.9, lactate was checked once at 172.2, and urine output rose from 470 to 1120.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 123, MAP was roughly stable (70 to 75), and heart rate fell from 81 to 75. SpO2 started at 95, ended at 96, and fell as low as 85 around hour 11.2; respiratory rate ranged 13-30. For labs and output, white count was roughly stable (9.2 to 10.2), creatinine was roughly stable (0.7 to 0.8), lactate was checked once at 172, and urine output rose from 500 to 1000.","episode_id":"iv_000392","anchor_time":43}
{"id":"TSS_iv_000394_clinical_summary_42_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (98 to 101), MAP was roughly stable (69 to 68), and heart rate rose from 50 to 74. SpO2 started at 85, ended at 100, and fell as low as 85 around hour 1.4; respiratory rate ranged 10-23. For labs and output, white count was roughly stable (7 to 7.7), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (150 to 200)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (96 to 103), MAP was roughly stable (67 to 66), and heart rate rose from 52 to 72. SpO2 started at 87, ended at 98, and fell as low as 83 around hour 1.5; respiratory rate ranged 9-24. For labs and output, white count stayed around 7.7, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (150 to 200)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (100 to 97), MAP was roughly stable (73 to 72), and heart rate rose from 46 to 77. SpO2 started at 81, ended at 96, and fell as low as 89 around hour 1.1; respiratory rate ranged 12-25. For labs and output, white count was roughly stable (6 to 6.9), creatinine was roughly stable (0.8 to 0.5), lactate was not available, and urine output was roughly stable (175 to 225)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (94 to 97), MAP was roughly stable (64 to 71), and heart rate rose from 54 to 70. SpO2 started at 90, ended at 96, and fell as low as 84 around hour 1.7; respiratory rate ranged 8-25. For labs and output, white count stayed around 7.7, creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (150 to 200)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (98 to 101), MAP was roughly stable (69 to 68), and heart rate rose from 50 to 74. SpO2 started at 85, ended at 100, and fell as low as 85 around hour 1.4; respiratory rate ranged 10-23. For labs and output, white count was roughly stable (7 to 7.7), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (150 to 200)","episode_id":"iv_000394","anchor_time":42}
{"id":"TSS_iv_000395_clinical_summary_78_3","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Across the recorded window, the heart rate was roughly stable (70 to 72), MAP fell from 119 to 75, and diastolic pressure moved from 110 to 58. Systolic pressure ranged 76-193 and ended at 107, and SpO2 recovered to 94 after a low of 88 around hour 0.8. Respiratory rate ended at 16; the available labs showed white count rose from 11.8 to 18, creatinine was roughly stable (0.5 to 0.6), lactate was checked once at 1.9, and urine output was roughly stable (97 to 97)\nB. Across the recorded window, the heart rate was roughly stable (65 to 71), MAP fell from 114 to 75, and diastolic pressure moved from 115 to 59. Systolic pressure ranged 71-158 and ended at 100, and SpO2 recovered to 99 after a low of 83 around hour 1.6. Respiratory rate ended at 18; the available labs showed white count rose from 9.2 to 16, creatinine was roughly stable (0.7 to 0.4), lactate was checked once at 1.5, and urine output was roughly stable (98 to 98)\nC. Across the recorded window, the heart rate was roughly stable (67 to 69), MAP fell from 116 to 72, and diastolic pressure moved from 113 to 61. Systolic pressure ranged 73-173 and ended at 104, and SpO2 recovered to 97 after a low of 85 around hour 0.7. Respiratory rate ended at 17; the available labs showed white count rose from 10.3 to 17, creatinine was roughly stable (0.6 to 0.5), lactate was checked once at 1.7, and urine output was roughly stable (100 to 100)\nD. Across the recorded window, the heart rate was roughly stable (62 to 74), MAP fell from 112 to 68, and diastolic pressure moved from 118 to 56. Systolic pressure ranged 68-143 and ended at 100, and SpO2 recovered to 100 after a low of 84 around hour 0.5. Respiratory rate ended at 19; the available labs showed white count rose from 8.1 to 16.2, creatinine was roughly stable (0.8 to 0.3), lactate was checked once at 1.4, and urine output was roughly stable (150 to 96)","answer":"C","answer_text":"Across the recorded window, the heart rate was roughly stable (67 to 69), MAP fell from 116 to 72, and diastolic pressure moved from 113 to 61. Systolic pressure ranged 73-173 and ended at 104, and SpO2 recovered to 97 after a low of 85 around hour 0.7. Respiratory rate ended at 17; the available labs showed white count rose from 10.3 to 17, creatinine was roughly stable (0.6 to 0.5), lactate was checked once at 1.7, and urine output was roughly stable (100 to 100)","episode_id":"iv_000395","anchor_time":78}
{"id":"TSS_iv_000396_clinical_summary_26_1","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 114 to 76, diastolic pressure fell from 104 to 59, and heart rate fell from 116 to 71. The lowest MAP was about 69 around hour 17.3, and the lowest valid SpO2 was 96 around hour 12.7; respiratory rate rose as high as 34 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.5-34.8 C, white count fell from 6.4 to 3.9, creatinine stayed around 1.9, lactate stayed broadly stable from 359 to 306, and urine output rose from 170 to 320.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 111 to 79, diastolic pressure fell from 101 to 62, and heart rate fell from 136 to 68. The lowest MAP was about 66 around hour 16.3, and the lowest valid SpO2 was 93 around hour 14.2; respiratory rate rose as high as 31 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 36.5-37.8 C, white count fell from 5.9 to 4.4, creatinine stayed around 1.7, lactate stayed broadly stable from 339 to 326, and urine output rose from 150 to 300.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 115 to 75, diastolic pressure fell from 105 to 66, and heart rate fell from 111 to 71. The lowest MAP was about 70 around hour 14.4, and the lowest valid SpO2 was 97 around hour 13.2; respiratory rate rose as high as 35 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 32.8-34.0 C, white count fell from 6.5 to 3.8, creatinine stayed around 1.9, lactate stayed broadly stable from 364 to 301, and urine output rose from 175 to 325.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 106 to 84, diastolic pressure fell from 96 to 58, and heart rate fell from 166 to 64. The lowest MAP was about 62 around hour 18.6, and the lowest valid SpO2 was 88 around hour 16.4; respiratory rate rose as high as 33 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 41.0-42.3 C, white count fell from 5.2 to 4.7, creatinine was roughly stable (1.4 to 1.8), lactate stayed broadly stable from 339 to 326, and urine output rose from 150 to 350.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 111 to 79, diastolic pressure fell from 101 to 62, and heart rate fell from 136 to 68. The lowest MAP was about 66 around hour 16.3, and the lowest valid SpO2 was 93 around hour 14.2; respiratory rate rose as high as 31 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 97.7 to 100.1, white count fell from 5.9 to 4.4, creatinine stayed around 1.7, lactate stayed broadly stable from 339 to 326, and urine output rose from 150 to 300.","episode_id":"iv_000396","anchor_time":26}
{"id":"TSS_iv_000396_clinical_summary_26_2","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 168 to 112, MAP fell from 114 to 82, and heart rate fell from 116 to 71. SpO2 started at 91, ended at 99, and fell as low as 96 around hour 12.7; respiratory rate ranged 16-28. For labs and output, white count fell from 5.4 to 4.9, creatinine was roughly stable (1.9 to 1.8), lactate stayed broadly stable from 339.2 to 326, and urine output rose from 150 to 300.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 133 to 113, MAP fell from 109 to 77, and heart rate fell from 151 to 71. SpO2 started at 96, ended at 94, and fell as low as 91 around hour 15.3; respiratory rate ranged 14-33. For labs and output, white count fell from 6.3 to 3.6, creatinine stayed around 1.5, lactate stayed broadly stable from 354 to 311, and urine output rose from 135 to 315.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 148 to 132, MAP fell from 111 to 79, and heart rate fell from 136 to 68. SpO2 started at 94, ended at 96, and fell as low as 93 around hour 14.2; respiratory rate ranged 15-31. For labs and output, white count fell from 5.9 to 4.4, creatinine stayed around 1.7, lactate stayed broadly stable from 339 to 326, and urine output rose from 150 to 300.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 118 to 98, MAP fell from 106 to 82, and heart rate fell from 166 to 64. SpO2 started at 98, ended at 92, and fell as low as 92 around hour 16.4; respiratory rate ranged 13-36. For labs and output, white count fell from 6.7 to 3.7, creatinine stayed around 1.4, lactate stayed broadly stable from 369 to 296, and urine output rose from 120 to 330.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 148 to 132, MAP fell from 111 to 79, and heart rate fell from 136 to 68. SpO2 started at 94, ended at 96, and fell as low as 93 around hour 14.2; respiratory rate ranged 15-31. For labs and output, white count fell from 5.9 to 4.4, creatinine stayed around 1.7, lactate stayed broadly stable from 339 to 326, and urine output rose from 150 to 300.","episode_id":"iv_000396","anchor_time":26}
{"id":"TSS_iv_000398_clinical_summary_39_0","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (78 to 75), while MAP fell from 143 to 105. Systolic pressure was labile, ranging 102-174, with the lowest value around hour 20.6. SpO2 briefly dipped to 89 around hour 1 before recovering to 92, while respiratory rate peaked at 27 and later settled at 20. The associated labs and urine output showed that white count rose from 14.7 to 100, creatinine fell from 8.2 to 5.6, lactate was checked once at 0.7, and urine output stayed around 33, with recorded outputs ranging 27-28.\nB. Over the available measurements, the heart rate was roughly stable (73 to 80), while MAP fell from 108 to 105. Systolic pressure was labile, ranging 100-209, with the lowest value around hour 18.0. SpO2 briefly dipped to 86 around hour 2 before recovering to 97, while respiratory rate peaked at 24 and later settled at 17. The associated labs and urine output showed that white count rose from 17.3 to 96, creatinine fell from 7.3 to 6.5, lactate was checked once at 0.5, and urine output was roughly stable (28 to 0), with recorded outputs ranging 0-30.\nC. Over the available measurements, the heart rate was roughly stable (75 to 78), while MAP fell from 123 to 102. Systolic pressure was labile, ranging 98-194, with the lowest value around hour 19.1. SpO2 briefly dipped to 88 around hour 1 before recovering to 95, while respiratory rate peaked at 25 and later settled at 18. The associated labs and urine output showed that white count rose from 16.2 to 98, creatinine fell from 7.7 to 6.1, lactate was checked once at 0.6, and urine output stayed around 30, with recorded outputs ranging 30-30.\nD. Over the available measurements, the heart rate was roughly stable (70 to 82), while MAP fell from 93 to 90. Systolic pressure was labile, ranging 100-224, with the lowest value around hour 16.9. SpO2 briefly dipped to 84 around hour 1 before recovering to 100, while respiratory rate peaked at 23 and later settled at 16. The associated labs and urine output showed that white count rose from 18.4 to 97.2, creatinine fell from 7.0 to 6.2, lactate was checked once at 0.4, and urine output stayed around 26, with recorded outputs ranging 34-80.","answer":"C","answer_text":"Over the available measurements, the heart rate was roughly stable (75 to 78), while MAP fell from 123 to 102. Systolic pressure was labile, ranging 98-194, with the lowest value around hour 19.1. SpO2 briefly dipped to 88 around hour 1 before recovering to 95, while respiratory rate peaked at 25 and later settled at 18. The associated labs and urine output showed that white count rose from 16.2 to 98, creatinine fell from 7.7 to 6.1, lactate was checked once at 0.6, and urine output stayed around 30, with recorded outputs ranging 30-30.","episode_id":"iv_000398","anchor_time":39}
{"id":"TSS_iv_000403_clinical_summary_28_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 59, diastolic pressure rose from 17 to 62, and heart rate was roughly stable (70 to 69). The lowest MAP was about 53 around hour 14.7, and the lowest valid SpO2 was 85 around hour 3.7; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 35.7-38.5 C, white count fell from 15.2 to 9, creatinine stayed around 1.1, lactate fell from 4.7 to 3.2, and urine output fell from 1500 to 40.\nB. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 57, diastolic pressure rose from 18 to 60, and heart rate was roughly stable (68 to 72). The lowest MAP was about 51 around hour 13.6, and the lowest valid SpO2 was 83 around hour 2.7; respiratory rate rose as high as 25 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 33.5-36.2 C, white count fell from 14.1 to 9, creatinine stayed around 1.2, lactate fell from 4.3 to 2.8, and urine output fell from 1560 to 38.\nC. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 63, diastolic pressure rose from 15 to 66, and heart rate was roughly stable (74 to 65). The lowest MAP was about 57 around hour 16.6, and the lowest valid SpO2 was 89 around hour 4.3; respiratory rate rose as high as 26 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 39.5-42.2 C, white count fell from 17.1 to 10, creatinine rose from 1 to 1.2, lactate fell from 4.7 to 3.2, and urine output fell from 1500 to 90.\nD. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 54, diastolic pressure rose from 19 to 59, and heart rate was roughly stable (66 to 74). The lowest MAP was about 56 around hour 15.7, and the lowest valid SpO2 was 80 around hour 3.0; respiratory rate rose as high as 26 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 31.2-34.0 C, white count fell from 12.9 to 8, creatinine stayed around 1.4, lactate fell from 4.0 to 2.5, and urine output fell from 1620 to 36.","answer":"A","answer_text":"Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 59, diastolic pressure rose from 17 to 62, and heart rate was roughly stable (70 to 69). The lowest MAP was about 53 around hour 14.7, and the lowest valid SpO2 was 85 around hour 3.7; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature ranged from 35.7 to 98.3, white count fell from 15.2 to 9, creatinine stayed around 1.1, lactate fell from 4.7 to 3.2, and urine output fell from 1500 to 40.","episode_id":"iv_000403","anchor_time":28}
{"id":"TSS_iv_000403_clinical_summary_28_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate was roughly stable (73 to 66), MAP stayed around 62, and diastolic pressure moved from 18 to 59. Systolic pressure ranged 30-111 and ended at 108, and SpO2 recovered to 99 after a low of 84 around hour 4.2. Respiratory rate ended at 26; the available labs showed white count fell from 13.7 to 8.2, creatinine stayed around 1.3, lactate fell from 4.2 to 3.7, and urine output fell from 1550 to 37.\nB. Across the recorded window, the heart rate was roughly stable (68 to 72), MAP stayed around 57, and diastolic pressure moved from 16 to 59. Systolic pressure ranged 27-116 and ended at 113, and SpO2 recovered to 94 after a low of 87 around hour 3.3. Respiratory rate ended at 23; the available labs showed white count fell from 16.3 to 9, creatinine stayed around 1.0, lactate fell from 5.1 to 2.8, and urine output fell from 1440 to 42.\nC. Across the recorded window, the heart rate was roughly stable (70 to 69), MAP stayed around 59, and diastolic pressure moved from 17 to 62. Systolic pressure ranged 28-114 and ended at 111, and SpO2 recovered to 96 after a low of 85 around hour 3.7. Respiratory rate ended at 24; the available labs showed white count fell from 15.2 to 9, creatinine stayed around 1.1, lactate fell from 4.7 to 3.2, and urine output fell from 1500 to 40.\nD. Across the recorded window, the heart rate was roughly stable (66 to 74), MAP was roughly stable (54 to 62), and diastolic pressure moved from 17 to 62. Systolic pressure ranged 28-114 and ended at 107, and SpO2 recovered to 96 after a low of 85 around hour 4.7. Respiratory rate ended at 24; the available labs showed white count fell from 15.2 to 9, creatinine stayed around 1.1, lactate fell from 4.7 to 3.2, and urine output fell from 1500 to 40.","answer":"C","answer_text":"Across the recorded window, the heart rate was roughly stable (70 to 69), MAP stayed around 59, and diastolic pressure moved from 17 to 62. Systolic pressure ranged 28-114 and ended at 111, and SpO2 recovered to 96 after a low of 85 around hour 3.7. Respiratory rate ended at 24; the available labs showed white count fell from 15.2 to 9, creatinine stayed around 1.1, lactate fell from 4.7 to 3.2, and urine output fell from 1500 to 40.","episode_id":"iv_000403","anchor_time":28}
{"id":"TSS_iv_000405_clinical_summary_25_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Over the available measurements, the heart rate was roughly stable (80 to 78), MAP was roughly stable (69 to 70), and diastolic pressure moved from 49 to 52. Systolic pressure ranged 99-148 and ended at 127, and SpO2 recovered to 94 after a low of 85 around hour 3.4. Respiratory rate ended at 16; the available labs showed white count rose from 10.9 to 14.6, creatinine rose from 1.5 to 2, lactate fell from 1.6 to 1.3, and urine output fell from 160 to 40.\nB. Over the available measurements, the heart rate was roughly stable (78 to 80), MAP was roughly stable (67 to 73), and diastolic pressure moved from 51 to 50. Systolic pressure ranged 97-133 and ended at 123, and SpO2 recovered to 96 after a low of 83 around hour 4.4. Respiratory rate ended at 17; the available labs showed white count rose from 9.8 to 13.5, creatinine rose from 1.6 to 2, lactate fell from 1.5 to 1.3, and urine output fell from 145 to 38.\nC. Over the available measurements, the heart rate was roughly stable (84 to 81), MAP was roughly stable (73 to 74), and diastolic pressure moved from 45 to 49. Systolic pressure ranged 100-173 and ended at 152, and SpO2 recovered to 90 after a low of 89 around hour 4.0. Respiratory rate ended at 14; the available labs showed white count rose from 12.8 to 16.5, creatinine rose from 1.2 to 2, lactate fell from 1.9 to 1.1, and urine output fell from 185 to 44.\nD. Over the available measurements, the heart rate was roughly stable (76 to 82), MAP was roughly stable (64 to 66), and diastolic pressure moved from 54 to 48. Systolic pressure ranged 94-118 and ended at 97, and SpO2 recovered to 98 after a low of 84 around hour 2.6. Respiratory rate ended at 18; the available labs showed white count rose from 8.7 to 13.8, creatinine rose from 1.8 to 2, lactate fell from 1.3 to 1.1, and urine output fell from 210 to 36.","answer":"A","answer_text":"Over the available measurements, the heart rate was roughly stable (80 to 78), MAP was roughly stable (69 to 70), and diastolic pressure moved from 49 to 52. Systolic pressure ranged 99-148 and ended at 127, and SpO2 recovered to 94 after a low of 85 around hour 3.4. Respiratory rate ended at 16; the available labs showed white count rose from 10.9 to 14.6, creatinine rose from 1.5 to 2, lactate fell from 1.6 to 1.3, and urine output fell from 160 to 40.","episode_id":"iv_000405","anchor_time":25}
{"id":"TSS_iv_000407_clinical_summary_33_2","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 159 to 108, MAP fell from 104 to 79, and heart rate rose from 86 to 98. SpO2 started at 97, ended at 97, and fell as low as 88 around hour 4; respiratory rate ranged 4-28. For labs and output, white count rose from 9.7 to 20.1, creatinine was roughly stable (0.8 to 0.8), lactate rose from 1.6 to 2.2, and urine output was roughly stable (120 to 185)\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 139 to 111, MAP fell from 101 to 76, and heart rate rose from 89 to 95. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 4; respiratory rate ranged 4-29. For labs and output, white count rose from 11.2 to 18.6, creatinine stayed around 0.7, lactate rose from 1.4 to 2.2, and urine output was roughly stable (120 to 185)\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 164 to 107, MAP fell from 105 to 79, and heart rate rose from 85 to 99. SpO2 started at 96, ended at 98, and fell as low as 84 around hour 3; respiratory rate ranged 5-27. For labs and output, white count rose from 9.3 to 20.5, creatinine stayed around 0.8, lactate rose from 1.1 to 2.5, and urine output was roughly stable (145 to 160)\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 109 to 106, MAP fell from 96 to 72, and heart rate rose from 94 to 98. SpO2 started at 96, ended at 90, and fell as low as 80 around hour 5; respiratory rate ranged 3-31. For labs and output, white count rose from 13.4 to 17.8, creatinine stayed around 0.5, lactate rose from 1.7 to 1.9, and urine output was roughly stable (90 to 215)","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 139 to 111, MAP fell from 101 to 76, and heart rate rose from 89 to 95. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 4; respiratory rate ranged 4-29. For labs and output, white count rose from 11.2 to 18.6, creatinine stayed around 0.7, lactate rose from 1.4 to 2.2, and urine output was roughly stable (120 to 185)","episode_id":"iv_000407","anchor_time":33}
{"id":"TSS_iv_000408_clinical_summary_33_2","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 149 to 118, MAP was roughly stable (91 to 91), and heart rate fell from 134 to 104. SpO2 started at 100, ended at 94, and fell as low as 87 around hour 5.4; respiratory rate ranged 9-23. For labs and output, white count was roughly stable (17.6 to 18.4), creatinine fell from 0.7 to 0.5, lactate fell from 182 to 1, and urine output rose from 50 to 220.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 114 to 94, MAP stayed around 86, and heart rate fell from 119 to 106. SpO2 started at 98, ended at 96, and fell as low as 86 around hour 5.0; respiratory rate ranged 9-24. For labs and output, white count was roughly stable (16.5 to 19.5), creatinine was roughly stable (0.6 to 0.6), lactate fell from 182.2 to 1, and urine output rose from 48 to 235.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 129 to 122, MAP stayed around 88, and heart rate fell from 134 to 104. SpO2 started at 100, ended at 94, and fell as low as 88 around hour 5.4; respiratory rate ranged 9-23. For labs and output, white count was roughly stable (17.6 to 18.4), creatinine fell from 0.7 to 0.5, lactate fell from 182 to 1, and urine output rose from 50 to 220.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 99 to 79, MAP stayed around 84, and heart rate fell from 104 to 101. SpO2 started at 96, ended at 98, and fell as low as 84 around hour 4.7; respiratory rate ranged 10-25. For labs and output, white count stayed around 15.4, creatinine fell from 0.7 to 0.5, lactate fell from 182 to 1, and urine output rose from 50 to 220.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 129 to 122, MAP stayed around 88, and heart rate fell from 134 to 104. SpO2 started at 100, ended at 94, and fell as low as 88 around hour 5.4; respiratory rate ranged 9-23. For labs and output, white count was roughly stable (17.6 to 18.4), creatinine fell from 0.7 to 0.5, lactate fell from 182 to 1, and urine output rose from 50 to 220.","episode_id":"iv_000408","anchor_time":33}
{"id":"TSS_iv_000409_clinical_summary_52_0","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Taken together, the heart rate was roughly stable (83 to 75), while MAP rose from 65 to 76. Systolic pressure was labile, ranging 94-107, with the lowest value around hour 50.7. SpO2 briefly dipped to 86 around hour 2 before recovering to 93, while respiratory rate peaked at 28 and later settled at 22. The associated labs and urine output showed that white count fell from 20.4 to 2.4, creatinine rose from 1.6 to 1.8, lactate fell from 3156 to 1661, and urine output fell from 580 to 370, with recorded outputs ranging 33-620.\nB. Taken together, the heart rate was roughly stable (80 to 78), while MAP rose from 62 to 73. Systolic pressure was labile, ranging 90-127, with the lowest value around hour 47.7. SpO2 briefly dipped to 85 around hour 0 before recovering to 96, while respiratory rate peaked at 26 and later settled at 21. The associated labs and urine output showed that white count fell from 21.9 to 2.2, creatinine rose from 1.4 to 1.8, lactate fell from 3076 to 1581, and urine output fell from 600 to 350, with recorded outputs ranging 30-600.\nC. Taken together, the heart rate was roughly stable (84 to 74), while MAP rose from 66 to 77. Systolic pressure was labile, ranging 86-102, with the lowest value around hour 51.5. SpO2 briefly dipped to 89 around hour 2 before recovering to 92, while respiratory rate peaked at 28 and later settled at 23. The associated labs and urine output showed that white count fell from 20.0 to 1.4, creatinine rose from 1.6 to 1.9, lactate fell from 3176 to 1681, and urine output fell from 575 to 375, with recorded outputs ranging 80-625.\nD. Taken together, the heart rate was roughly stable (76 to 82), while MAP rose from 58 to 76. Systolic pressure was labile, ranging 94-157, with the lowest value around hour 43.2. SpO2 briefly dipped to 80 around hour 1 before recovering to 100, while respiratory rate peaked at 24 and later settled at 19. The associated labs and urine output showed that white count fell from 24.1 to 1.9, creatinine rose from 1.1 to 2.1, lactate fell from 2956 to 1461, and urine output fell from 630 to 300, with recorded outputs ranging 26-570.","answer":"B","answer_text":"Taken together, the heart rate was roughly stable (80 to 78), while MAP rose from 62 to 73. Systolic pressure was labile, ranging 90-127, with the lowest value around hour 47.7. SpO2 briefly dipped to 85 around hour 0 before recovering to 96, while respiratory rate peaked at 26 and later settled at 21. The associated labs and urine output showed that white count fell from 21.9 to 2.2, creatinine rose from 1.4 to 1.8, lactate fell from 3076 to 1581, and urine output fell from 600 to 350, with recorded outputs ranging 30-600.","episode_id":"iv_000409","anchor_time":52}
{"id":"TSS_iv_000410_clinical_summary_47_0","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. In broad terms, the heart rate rose from 73 to 75, while MAP rose from 95 to 106. Systolic pressure was labile, ranging 72-169, with the lowest value around hour 4. SpO2 briefly dipped to 88 around hour 1 before recovering to 92, while respiratory rate peaked at 39 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (7.4 to 9.0), creatinine fell from 7.8 to 4.3, lactate was not available, and urine output was not recorded.\nB. In broad terms, the heart rate rose from 68 to 80, while MAP rose from 90 to 101. Systolic pressure was labile, ranging 77-193, with the lowest value around hour 4. SpO2 briefly dipped to 83 around hour 0 before recovering to 97, while respiratory rate peaked at 34 and later settled at 17. The associated labs and urine output showed that white count was roughly stable (8.3 to 7.7), creatinine fell from 6.9 to 4.9, lactate was not available, and urine output was not recorded.\nC. In broad terms, the heart rate rose from 70 to 78, while MAP rose from 92 to 103. Systolic pressure was labile, ranging 75-189, with the lowest value around hour 4. SpO2 briefly dipped to 85 around hour 0 before recovering to 95, while respiratory rate peaked at 36 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (7.9 to 8.5), creatinine fell from 7.3 to 4.8, lactate was not available, and urine output was not recorded.\nD. In broad terms, the heart rate rose from 66 to 82, while MAP rose from 88 to 100. Systolic pressure was labile, ranging 79-219, with the lowest value around hour 3. SpO2 briefly dipped to 80 around hour 0 before recovering to 100, while respiratory rate peaked at 38 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (8.7 to 7.8), creatinine fell from 6.5 to 5.5, lactate was not available, and urine output was not recorded.","answer":"C","answer_text":"In broad terms, the heart rate rose from 70 to 78, while MAP rose from 92 to 103. Systolic pressure was labile, ranging 75-189, with the lowest value around hour 4. SpO2 briefly dipped to 85 around hour 0 before recovering to 95, while respiratory rate peaked at 36 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (7.9 to 8.5), creatinine fell from 7.3 to 4.8, lactate was not available, and urine output was not recorded.","episode_id":"iv_000410","anchor_time":47}
{"id":"TSS_iv_000412_clinical_summary_34_1","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 81 to 66, diastolic pressure fell from 69 to 59, and heart rate fell from 87 to 53. The lowest MAP was about 58 around hour 2, and the lowest valid SpO2 was 88 around hour 0.7; respiratory rate rose as high as 29 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.3-34.7 C, white count was roughly stable (5.0 to 4.1), creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 820 to 300.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 78 to 69, diastolic pressure fell from 66 to 56, and heart rate fell from 90 to 50. The lowest MAP was about 55 around hour 2, and the lowest valid SpO2 was 85 around hour 0.8; respiratory rate rose as high as 27 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 36.3-37.7 C, white count was roughly stable (4.5 to 4.6), creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 800 to 250.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 82 to 65, diastolic pressure fell from 70 to 53, and heart rate fell from 86 to 54. The lowest MAP was about 58 around hour 3, and the lowest valid SpO2 was 89 around hour 0.7; respiratory rate rose as high as 29 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.5-34.0 C, white count was roughly stable (5.1 to 4.0), creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 825 to 225.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 74 to 71, diastolic pressure fell from 62 to 52, and heart rate fell from 94 to 53. The lowest MAP was about 50 around hour 2, and the lowest valid SpO2 was 80 around hour 0; respiratory rate rose as high as 25 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 40.8-42.2 C, white count was roughly stable (3.8 to 5.3), creatinine was 0.4 on its only check, lactate was not available, and urine output fell from 770 to 280.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 78 to 69, diastolic pressure fell from 66 to 56, and heart rate fell from 90 to 50. The lowest MAP was about 55 around hour 2, and the lowest valid SpO2 was 85 around hour 0.8; respiratory rate rose as high as 27 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 97.4 to 99.9, white count was roughly stable (4.5 to 4.6), creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 800 to 250.","episode_id":"iv_000412","anchor_time":34}
{"id":"TSS_iv_000412_clinical_summary_34_2","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 118 to 103, MAP fell from 81 to 72, and heart rate fell from 87 to 53. SpO2 started at 95, ended at 93, and fell as low as 84 around hour 0.7; respiratory rate ranged 12-26. For labs and output, white count was roughly stable (4.0 to 5.1), creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 780 to 270.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 109, MAP fell from 76 to 67, and heart rate fell from 92 to 48. SpO2 started at 100, ended at 88, and fell as low as 83 around hour 0.9; respiratory rate ranged 9-28. For labs and output, white count was roughly stable (3.7 to 4.2), creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 815 to 235.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 107, MAP fell from 78 to 69, and heart rate fell from 90 to 50. SpO2 started at 98, ended at 90, and fell as low as 85 around hour 0.8; respiratory rate ranged 10-27. For labs and output, white count was roughly stable (4.5 to 4.6), creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 800 to 250.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 110 to 107, MAP fell from 74 to 64, and heart rate fell from 94 to 53. SpO2 started at 100, ended at 86, and fell as low as 80 around hour 1.0; respiratory rate ranged 8-29. For labs and output, white count was roughly stable (5.2 to 3.8), creatinine was 0.4 on its only check, lactate was not available, and urine output fell from 830 to 220.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 107, MAP fell from 78 to 69, and heart rate fell from 90 to 50. SpO2 started at 98, ended at 90, and fell as low as 85 around hour 0.8; respiratory rate ranged 10-27. For labs and output, white count was roughly stable (4.5 to 4.6), creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 800 to 250.","episode_id":"iv_000412","anchor_time":34}
{"id":"TSS_iv_000413_clinical_summary_33_1","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (108 to 101), diastolic pressure was roughly stable (92 to 85), and heart rate rose from 84 to 96. The lowest MAP was about 59 around hour 13.3, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 26 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 32.9-35.2 C, white count fell from 20.2 to 11.6, creatinine was roughly stable (1.4 to 1.3), lactate fell from 1.3 to 1.0, and urine output rose from 345 to 480.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (103 to 106), diastolic pressure was roughly stable (87 to 86), and heart rate rose from 89 to 96. The lowest MAP was about 54 around hour 13.4, and the lowest valid SpO2 was 83 around hour 2; respiratory rate rose as high as 23 but ended at 10. The lower-frequency data fit that summary: temperature stayed around 38.1-40.5 C, white count fell from 17.6 to 14.2, creatinine was roughly stable (1.0 to 1.0), lactate fell from 1.6 to 0.8, and urine output rose from 310 to 515.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (105 to 104), diastolic pressure was roughly stable (89 to 88), and heart rate rose from 87 to 93. The lowest MAP was about 56 around hour 12.3, and the lowest valid SpO2 was 85 around hour 0; respiratory rate rose as high as 24 but ended at 11. The lower-frequency data fit that summary: temperature stayed around 35.9-38.2 C, white count fell from 18.7 to 13.1, creatinine was roughly stable (1.2 to 1.1), lactate fell from 1.5 to 0.9, and urine output rose from 325 to 500.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (100 to 108), diastolic pressure was roughly stable (84 to 84), and heart rate rose from 92 to 95. The lowest MAP was about 52 around hour 14.6, and the lowest valid SpO2 was 80 around hour 3; respiratory rate rose as high as 26 but ended at 9. The lower-frequency data fit that summary: temperature stayed around 40.4-42.7 C, white count fell from 16.4 to 15.3, creatinine stayed around 0.9, lactate fell from 1.5 to 0.9, and urine output rose from 325 to 550.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (105 to 104), diastolic pressure was roughly stable (89 to 88), and heart rate rose from 87 to 93. The lowest MAP was about 56 around hour 12.3, and the lowest valid SpO2 was 85 around hour 0; respiratory rate rose as high as 24 but ended at 11. The lower-frequency data fit that summary: temperature ranged from 96.7 to 100.8, white count fell from 18.7 to 13.1, creatinine was roughly stable (1.2 to 1.1), lactate fell from 1.5 to 0.9, and urine output rose from 325 to 500.","episode_id":"iv_000413","anchor_time":33}
{"id":"TSS_iv_000414_clinical_summary_17_0","question":"Which summary should be used for rounds based on the recorded course?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 88 to 59, while MAP was roughly stable (95 to 96). Systolic pressure was labile, ranging 111-131, with the lowest value around hour 1.7. SpO2 briefly dipped to 88 around hour 0.2 before recovering to 93, while respiratory rate peaked at 28 and later settled at 18. The associated labs and urine output showed that white count fell from 10.2 to 2, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 855 to 270, with recorded outputs ranging 80-895.\nB. Over the available measurements, the heart rate fell from 83 to 64, while MAP was roughly stable (96 to 96). Systolic pressure was labile, ranging 116-166, with the lowest value around hour 1.4. SpO2 briefly dipped to 83 around hour 1.1 before recovering to 98, while respiratory rate peaked at 26 and later settled at 16. The associated labs and urine output showed that white count fell from 12.8 to 0, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 890 to 200, with recorded outputs ranging 28-860.\nC. Over the available measurements, the heart rate fell from 85 to 62, while MAP was roughly stable (98 to 93). Systolic pressure was labile, ranging 114-151, with the lowest value around hour 1.5. SpO2 briefly dipped to 85 around hour 0.1 before recovering to 96, while respiratory rate peaked at 27 and later settled at 17. The associated labs and urine output showed that white count fell from 11.7 to 0, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 875 to 250, with recorded outputs ranging 30-875.\nD. Over the available measurements, the heart rate fell from 80 to 66, while MAP was roughly stable (94 to 88). Systolic pressure was labile, ranging 118-181, with the lowest value around hour 1.2. SpO2 briefly dipped to 86 around hour 0.0 before recovering to 100, while respiratory rate peaked at 29 and later settled at 15. The associated labs and urine output showed that white count fell from 13.9 to 0, creatinine was 0.5 on its only check, lactate was not available, and urine output fell from 905 to 220, with recorded outputs ranging 26-845.","answer":"C","answer_text":"Over the available measurements, the heart rate fell from 85 to 62, while MAP was roughly stable (98 to 93). Systolic pressure was labile, ranging 114-151, with the lowest value around hour 1.5. SpO2 briefly dipped to 85 around hour 0.1 before recovering to 96, while respiratory rate peaked at 27 and later settled at 17. The associated labs and urine output showed that white count fell from 11.7 to 0, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 875 to 250, with recorded outputs ranging 30-875.","episode_id":"iv_000414","anchor_time":17}
{"id":"TSS_iv_000414_clinical_summary_17_3","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 88 to 65, MAP was roughly stable (100 to 96), and diastolic pressure moved from 67 to 61. Systolic pressure ranged 117-171 and ended at 161, and SpO2 recovered to 93 after a low of 88 around hour 0.2. Respiratory rate ended at 16; the available labs showed white count fell from 13.2 to 2, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 895 to 270.\nB. Viewed chronologically, the heart rate fell from 85 to 62, MAP was roughly stable (98 to 93), and diastolic pressure moved from 70 to 64. Systolic pressure ranged 114-151 and ended at 141, and SpO2 recovered to 96 after a low of 85 around hour 0.1. Respiratory rate ended at 17; the available labs showed white count fell from 11.7 to 0, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 875 to 250.\nC. Viewed chronologically, the heart rate fell from 89 to 58, MAP was roughly stable (100 to 97), and diastolic pressure moved from 66 to 68. Systolic pressure ranged 118-176 and ended at 166, and SpO2 recovered to 92 after a low of 84 around hour 0.2. Respiratory rate ended at 15; the available labs showed white count fell from 13.6 to 2, creatinine was 0.6 on its only check, lactate was not available, and urine output fell from 925 to 275.\nD. Viewed chronologically, the heart rate fell from 80 to 66, MAP was roughly stable (94 to 96), and diastolic pressure moved from 74 to 60. Systolic pressure ranged 110-121 and ended at 137, and SpO2 recovered to 100 after a low of 80 around hour 1.1. Respiratory rate ended at 19; the available labs showed white count fell from 9.4 to 0, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 845 to 220.","answer":"B","answer_text":"Viewed chronologically, the heart rate fell from 85 to 62, MAP was roughly stable (98 to 93), and diastolic pressure moved from 70 to 64. Systolic pressure ranged 114-151 and ended at 141, and SpO2 recovered to 96 after a low of 85 around hour 0.1. Respiratory rate ended at 17; the available labs showed white count fell from 11.7 to 0, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 875 to 250.","episode_id":"iv_000414","anchor_time":17}
{"id":"TSS_iv_000415_clinical_summary_50_2","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 155 to 101, MAP fell from 97 to 92, and heart rate stayed around 86. SpO2 started at 99, ended at 91, and fell as low as 88 around hour 0.2; respiratory rate ranged 10-24. For labs and output, white count rose from 12.7 to 14.2, creatinine stayed around 1.0, lactate was not available, and urine output rose from 0 to 450.\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 135 to 121, MAP fell from 100 to 89, and heart rate stayed around 89. SpO2 started at 96, ended at 94, and fell as low as 85 around hour 0.1; respiratory rate ranged 12-25. For labs and output, white count rose from 11.2 to 13.3, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 50 to 450.\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 160 to 117, MAP fell from 96 to 92, and heart rate stayed around 85. SpO2 started at 100, ended at 90, and fell as low as 84 around hour 0.2; respiratory rate ranged 10-23. For labs and output, white count rose from 13.1 to 14.6, creatinine was roughly stable (1.0 to 0.9), lactate was not available, and urine output rose from 46 to 475.\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 105 to 85, MAP fell from 96 to 84, and heart rate was roughly stable (94 to 92). SpO2 started at 96, ended at 94, and fell as low as 85 around hour 0.1; respiratory rate ranged 12-27. For labs and output, white count rose from 11.2 to 12.5, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 50 to 450.","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 135 to 121, MAP fell from 100 to 89, and heart rate stayed around 89. SpO2 started at 96, ended at 94, and fell as low as 85 around hour 0.1; respiratory rate ranged 12-25. For labs and output, white count rose from 11.2 to 13.3, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 50 to 450.","episode_id":"iv_000415","anchor_time":50}
{"id":"TSS_iv_000415_clinical_summary_50_3","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Overall, the heart rate stayed around 92, MAP fell from 97 to 92, and diastolic pressure moved from 80 to 77. Systolic pressure ranged 97-129 and ended at 101, and SpO2 recovered to 97 after a low of 84 around hour 0.2. Respiratory rate ended at 22; the available labs showed white count rose from 9.7 to 12.5, creatinine was roughly stable (1.0 to 0.7), lactate was not available, and urine output rose from 100 to 470.\nB. Overall, the heart rate stayed around 87, MAP fell from 98 to 92, and diastolic pressure moved from 75 to 82. Systolic pressure ranged 98-164 and ended at 117, and SpO2 recovered to 92 after a low of 87 around hour 1.1. Respiratory rate ended at 19; the available labs showed white count rose from 12.3 to 13.8, creatinine was roughly stable (0.8 to 0.9), lactate was not available, and urine output rose from 48 to 435.\nC. Overall, the heart rate stayed around 89, MAP fell from 100 to 89, and diastolic pressure moved from 77 to 80. Systolic pressure ranged 100-149 and ended at 121, and SpO2 recovered to 94 after a low of 85 around hour 0.1. Respiratory rate ended at 20; the available labs showed white count rose from 11.2 to 13.3, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 50 to 450.\nD. Overall, the heart rate was roughly stable (84 to 92), MAP fell from 100 to 89, and diastolic pressure moved from 77 to 77. Systolic pressure ranged 100-149 and ended at 121, and SpO2 recovered to 94 after a low of 85 around hour 0.1. Respiratory rate ended at 20; the available labs showed white count rose from 11.2 to 13.3, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 50 to 450.","answer":"C","answer_text":"Overall, the heart rate stayed around 89, MAP fell from 100 to 89, and diastolic pressure moved from 77 to 80. Systolic pressure ranged 100-149 and ended at 121, and SpO2 recovered to 94 after a low of 85 around hour 0.1. Respiratory rate ended at 20; the available labs showed white count rose from 11.2 to 13.3, creatinine was roughly stable (0.9 to 0.8), lactate was not available, and urine output rose from 50 to 450.","episode_id":"iv_000415","anchor_time":50}
{"id":"TSS_iv_000417_clinical_summary_30_0","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Taken together, the heart rate fell from 87 to 43, while MAP fell from 93 to 79. Systolic pressure was labile, ranging 94-123, with the lowest value around hour 24.6. SpO2 briefly dipped to 89 around hour 0.4 before recovering to 95, while respiratory rate peaked at 26 and later settled at 22. The associated labs and urine output showed that white count was 17.1 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output stayed around 520, with recorded outputs ranging 480-500.\nB. Taken together, the heart rate fell from 84 to 46, while MAP fell from 90 to 76. Systolic pressure was labile, ranging 90-143, with the lowest value around hour 23.1. SpO2 briefly dipped to 88 around hour 0.3 before recovering to 98, while respiratory rate peaked at 24 and later settled at 20. The associated labs and urine output showed that white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output stayed around 500, with recorded outputs ranging 500-500.\nC. Taken together, the heart rate fell from 88 to 42, while MAP fell from 94 to 80. Systolic pressure was labile, ranging 86-118, with the lowest value around hour 25.0. SpO2 briefly dipped to 92 around hour 0.4 before recovering to 94, while respiratory rate peaked at 26 and later settled at 22. The associated labs and urine output showed that white count was 16.7 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (450 to 475), with recorded outputs ranging 450-550.\nD. Taken together, the heart rate fell from 80 to 50, while MAP fell from 86 to 79. Systolic pressure was labile, ranging 94-173, with the lowest value around hour 20.9. SpO2 briefly dipped to 84 around hour 1.3 before recovering to 100, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count was 20.9 on its only check, creatinine was 0.3 on its only check, lactate was not available, and urine output was roughly stable (470 to 450), with recorded outputs ranging 450-500.","answer":"B","answer_text":"Taken together, the heart rate fell from 84 to 46, while MAP fell from 90 to 76. Systolic pressure was labile, ranging 90-143, with the lowest value around hour 23.1. SpO2 briefly dipped to 88 around hour 0.3 before recovering to 98, while respiratory rate peaked at 24 and later settled at 20. The associated labs and urine output showed that white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output stayed around 500, with recorded outputs ranging 500-500.","episode_id":"iv_000417","anchor_time":30}
{"id":"TSS_iv_000417_clinical_summary_30_1","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 73, diastolic pressure fell from 78 to 58, and heart rate fell from 81 to 49. The lowest MAP was about 67 around hour 23.1, and the lowest valid SpO2 was 91 around hour 0.2; respiratory rate rose as high as 26 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.4-34.4 C, white count was 20.1 on its only check, creatinine was 0.4 on its only check, lactate was not available, and urine output was roughly stable (520 to 520)\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 88 to 78, diastolic pressure fell from 73 to 59, and heart rate fell from 86 to 44. The lowest MAP was about 62 around hour 23.2, and the lowest valid SpO2 was 86 around hour 0.4; respiratory rate rose as high as 26 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 38.6-39.6 C, white count was 17.5 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output was roughly stable (485 to 550)\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 76, diastolic pressure fell from 75 to 61, and heart rate fell from 84 to 46. The lowest MAP was about 64 around hour 22.1, and the lowest valid SpO2 was 88 around hour 0.3; respiratory rate rose as high as 24 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 36.4-37.4 C, white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (500 to 500)\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 80, diastolic pressure fell from 70 to 56, and heart rate fell from 88 to 49. The lowest MAP was about 60 around hour 24.4, and the lowest valid SpO2 was 84 around hour 0; respiratory rate rose as high as 22 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 40.9-41.9 C, white count was 16.4 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (470 to 470)","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 76, diastolic pressure fell from 75 to 61, and heart rate fell from 84 to 46. The lowest MAP was about 64 around hour 22.1, and the lowest valid SpO2 was 88 around hour 0.3; respiratory rate rose as high as 24 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 97.5 to 99.4, white count was 18.6 on its only check, creatinine was 0.5 on its only check, lactate was not available, and urine output was roughly stable (500 to 500)","episode_id":"iv_000417","anchor_time":30}
{"id":"TSS_iv_000418_clinical_summary_65_2","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 104 to 126, MAP rose from 69 to 78, and heart rate rose from 50 to 91. SpO2 started at 85, ended at 98, and fell as low as 85 around hour 0.1; respiratory rate ranged 14-28. For labs and output, white count was roughly stable (5.2 to 4.3), creatinine was roughly stable (0.6 to 0.5), lactate rose from 1.9 to 351, and urine output was roughly stable (200 to 125)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 102 to 141, MAP rose from 67 to 76, and heart rate rose from 52 to 94. SpO2 started at 87, ended at 96, and fell as low as 83 around hour 0.2; respiratory rate ranged 13-30. For labs and output, white count fell from 5.6 to 3.5, creatinine was roughly stable (0.5 to 0.6), lactate rose from 1.8 to 336, and urine output was roughly stable (215 to 110)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 108 to 111, MAP rose from 73 to 82, and heart rate rose from 46 to 95. SpO2 started at 81, ended at 100, and fell as low as 89 around hour 0.0; respiratory rate ranged 16-26. For labs and output, white count was roughly stable (4.6 to 4.9), creatinine stayed around 0.7, lactate rose from 2.1 to 351, and urine output was roughly stable (200 to 125)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 122, MAP rose from 64 to 81, and heart rate rose from 54 to 86. SpO2 started at 90, ended at 94, and fell as low as 84 around hour 0.2; respiratory rate ranged 12-30. For labs and output, white count was roughly stable (6.0 to 3.5), creatinine was roughly stable (0.4 to 0.7), lactate rose from 1.6 to 321, and urine output was roughly stable (230 to 95)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 104 to 126, MAP rose from 69 to 78, and heart rate rose from 50 to 91. SpO2 started at 85, ended at 98, and fell as low as 85 around hour 0.1; respiratory rate ranged 14-28. For labs and output, white count was roughly stable (5.2 to 4.3), creatinine was roughly stable (0.6 to 0.5), lactate rose from 1.9 to 351, and urine output was roughly stable (200 to 125)","episode_id":"iv_000418","anchor_time":65}
{"id":"TSS_iv_000418_clinical_summary_65_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. For handoff, the heart rate rose from 53 to 94, MAP rose from 72 to 81, and diastolic pressure moved from 55 to 64. Systolic pressure ranged 75-152 and ended at 146, and SpO2 recovered to 95 after a low of 88 around hour 0.2. Respiratory rate ended at 16; the available labs showed white count was roughly stable (5.7 to 4.8), creatinine was roughly stable (0.5 to 0.6), lactate rose from 2.1 to 331, and urine output was roughly stable (220 to 145)\nB. For handoff, the heart rate rose from 50 to 91, MAP rose from 69 to 78, and diastolic pressure moved from 58 to 67. Systolic pressure ranged 72-132 and ended at 126, and SpO2 recovered to 98 after a low of 85 around hour 0.1. Respiratory rate ended at 18; the available labs showed white count was roughly stable (5.2 to 4.3), creatinine was roughly stable (0.6 to 0.5), lactate rose from 1.9 to 351, and urine output was roughly stable (200 to 125)\nC. For handoff, the heart rate rose from 54 to 87, MAP rose from 73 to 82, and diastolic pressure moved from 54 to 71. Systolic pressure ranged 76-157 and ended at 151, and SpO2 recovered to 94 after a low of 84 around hour 0.2. Respiratory rate ended at 16; the available labs showed white count fell from 5.8 to 3.5, creatinine was roughly stable (0.5 to 0.6), lactate rose from 2.1 to 326, and urine output fell from 250 to 150.\nD. For handoff, the heart rate rose from 46 to 96, MAP rose from 64 to 81, and diastolic pressure moved from 62 to 62. Systolic pressure ranged 68-102 and ended at 122, and SpO2 recovered to 100 after a low of 80 around hour 1.1. Respiratory rate ended at 20; the available labs showed white count was roughly stable (4.5 to 3.5), creatinine was roughly stable (0.8 to 0.3), lactate rose from 1.6 to 381, and urine output was roughly stable (170 to 95)","answer":"B","answer_text":"For handoff, the heart rate rose from 50 to 91, MAP rose from 69 to 78, and diastolic pressure moved from 58 to 67. Systolic pressure ranged 72-132 and ended at 126, and SpO2 recovered to 98 after a low of 85 around hour 0.1. Respiratory rate ended at 18; the available labs showed white count was roughly stable (5.2 to 4.3), creatinine was roughly stable (0.6 to 0.5), lactate rose from 1.9 to 351, and urine output was roughly stable (200 to 125)","episode_id":"iv_000418","anchor_time":65}
{"id":"TSS_iv_000419_clinical_summary_68_2","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (121 to 116), MAP was roughly stable (69 to 70), and heart rate was roughly stable (98 to 108). SpO2 started at 93, ended at 97, and fell as low as 84 around hour 3.2; respiratory rate ranged 12-26. For labs and output, white count rose from 4 to 7.1, creatinine stayed around 0.8, lactate fell from 2 to 1.5, and urine output was roughly stable (83 to 97)\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (118 to 120), MAP was roughly stable (66 to 67), and heart rate was roughly stable (101 to 105). SpO2 started at 96, ended at 94, and fell as low as 85 around hour 3.7; respiratory rate ranged 10-28. For labs and output, white count rose from 5 to 6.6, creatinine stayed around 0.7, lactate fell from 2 to 1.3, and urine output was roughly stable (80 to 100)\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (122 to 95), MAP was roughly stable (70 to 71), and heart rate rose from 97 to 108. SpO2 started at 92, ended at 98, and fell as low as 89 around hour 3.1; respiratory rate ranged 12-30. For labs and output, white count stayed around 5.8, creatinine stayed around 0.7, lactate fell from 2 to 1.3, and urine output was roughly stable (80 to 100)\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (114 to 150), MAP was roughly stable (62 to 62), and heart rate was roughly stable (106 to 100). SpO2 started at 100, ended at 90, and fell as low as 80 around hour 4.5; respiratory rate ranged 8-30. For labs and output, white count rose from 6 to 6.5, creatinine was roughly stable (0.5 to 0.8), lactate fell from 2.2 to 1.3, and urine output was roughly stable (80 to 100)","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (118 to 120), MAP was roughly stable (66 to 67), and heart rate was roughly stable (101 to 105). SpO2 started at 96, ended at 94, and fell as low as 85 around hour 3.7; respiratory rate ranged 10-28. For labs and output, white count rose from 5 to 6.6, creatinine stayed around 0.7, lactate fell from 2 to 1.3, and urine output was roughly stable (80 to 100)","episode_id":"iv_000419","anchor_time":68}
{"id":"TSS_iv_000420_clinical_summary_26_0","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 50 to 68, while MAP fell from 94 to 88. Systolic pressure was labile, ranging 103-148, with the lowest value around hour 13.3. SpO2 briefly dipped to 85 around hour 0.5 before recovering to 100, while respiratory rate peaked at 22 and later settled at 19. The associated labs and urine output showed that white count was 15.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 800 to 350, with recorded outputs ranging 50-800.\nB. Across the recorded window, the heart rate rose from 48 to 70, while MAP fell from 92 to 86. Systolic pressure was labile, ranging 107-163, with the lowest value around hour 12.2. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 98, while respiratory rate peaked at 24 and later settled at 18. The associated labs and urine output showed that white count was 16.5 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 785 to 365, with recorded outputs ranging 48-815.\nC. Across the recorded window, the heart rate rose from 54 to 64, while MAP fell from 98 to 92. Systolic pressure was labile, ranging 99-123, with the lowest value around hour 15.2. SpO2 briefly dipped to 89 around hour 0.6 before recovering to 96, while respiratory rate peaked at 24 and later settled at 21. The associated labs and urine output showed that white count was 13.5 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 825 to 325, with recorded outputs ranging 100-775.\nD. Across the recorded window, the heart rate rose from 46 to 72, while MAP was roughly stable (90 to 91). Systolic pressure was labile, ranging 108-178, with the lowest value around hour 11.1. SpO2 briefly dipped to 80 around hour 1.5 before recovering to 96, while respiratory rate peaked at 20 and later settled at 17. The associated labs and urine output showed that white count was 17.6 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 770 to 300, with recorded outputs ranging 46-830.","answer":"A","answer_text":"Across the recorded window, the heart rate rose from 50 to 68, while MAP fell from 94 to 88. Systolic pressure was labile, ranging 103-148, with the lowest value around hour 13.3. SpO2 briefly dipped to 85 around hour 0.5 before recovering to 100, while respiratory rate peaked at 22 and later settled at 19. The associated labs and urine output showed that white count was 15.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 800 to 350, with recorded outputs ranging 50-800.","episode_id":"iv_000420","anchor_time":26}
{"id":"TSS_iv_000420_clinical_summary_26_1","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 97 to 85, diastolic pressure rose from 68 to 71, and heart rate rose from 47 to 71. The lowest MAP was about 61 around hour 2.8, and the lowest valid SpO2 was 88 around hour 0.4; respiratory rate rose as high as 24 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.7-34 C, white count was 16.9 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 820 to 370.\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 88, diastolic pressure rose from 65 to 74, and heart rate rose from 50 to 68. The lowest MAP was about 58 around hour 1.8, and the lowest valid SpO2 was 85 around hour 0.5; respiratory rate rose as high as 22 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 36.7-37 C, white count was 15.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 800 to 350.\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 98 to 84, diastolic pressure rose from 69 to 78, and heart rate rose from 46 to 71. The lowest MAP was about 62 around hour 1.6, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 24 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 33.0-33 C, white count was 17.3 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 825 to 375.\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 87, diastolic pressure rose from 60 to 70, and heart rate rose from 54 to 64. The lowest MAP was about 54 around hour 2.1, and the lowest valid SpO2 was 80 around hour 0.7; respiratory rate rose as high as 24 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 41.2-42 C, white count was 13.2 on its only check, creatinine was 1.0 on its only check, lactate was not available, and urine output fell from 770 to 400.","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 88, diastolic pressure rose from 65 to 74, and heart rate rose from 50 to 68. The lowest MAP was about 58 around hour 1.8, and the lowest valid SpO2 was 85 around hour 0.5; respiratory rate rose as high as 22 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 98 to 98.6, white count was 15.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 800 to 350.","episode_id":"iv_000420","anchor_time":26}
{"id":"TSS_iv_000420_clinical_summary_26_2","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 167 to 108, MAP fell from 97 to 91, and heart rate rose from 47 to 71. SpO2 started at 85, ended at 97, and fell as low as 88 around hour 0.4; respiratory rate ranged 10-24. For labs and output, white count was 13.9 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 820 to 330.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 132 to 112, MAP fell from 92 to 86, and heart rate rose from 52 to 66. SpO2 started at 90, ended at 98, and fell as low as 83 around hour 0.6; respiratory rate ranged 9-20. For labs and output, white count was 16.5 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 850 to 365.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 147 to 128, MAP fell from 94 to 88, and heart rate rose from 50 to 68. SpO2 started at 88, ended at 100, and fell as low as 85 around hour 0.5; respiratory rate ranged 9-22. For labs and output, white count was 15.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 800 to 350.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 117 to 97, MAP was roughly stable (90 to 91), and heart rate rose from 54 to 64. SpO2 started at 92, ended at 96, and fell as low as 84 around hour 0.7; respiratory rate ranged 8-24. For labs and output, white count was 17.6 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 770 to 380.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 147 to 128, MAP fell from 94 to 88, and heart rate rose from 50 to 68. SpO2 started at 88, ended at 100, and fell as low as 85 around hour 0.5; respiratory rate ranged 9-22. For labs and output, white count was 15.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 800 to 350.","episode_id":"iv_000420","anchor_time":26}
{"id":"TSS_iv_000422_clinical_summary_28_3","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Viewed chronologically, the heart rate fell from 83 to 68, MAP rose from 66 to 72, and diastolic pressure moved from 10 to 58. Systolic pressure ranged 26-116 and ended at 109, and SpO2 recovered to 88 after a low of 88 around hour 11.2. Respiratory rate ended at 18; the available labs showed white count was roughly stable (13.9 to 14.0), creatinine stayed around 0.9, lactate fell from 1.7 to 1.3, and urine output fell from 680 to 48.\nB. Viewed chronologically, the heart rate fell from 80 to 71, MAP rose from 63 to 69, and diastolic pressure moved from 11 to 55. Systolic pressure ranged 24-113 and ended at 113, and SpO2 recovered to 91 after a low of 85 around hour 10.2. Respiratory rate ended at 19; the available labs showed white count was roughly stable (12.4 to 12.5), creatinine stayed around 1.1, lactate fell from 1.5 to 1.1, and urine output fell from 700 to 45.\nC. Viewed chronologically, the heart rate fell from 84 to 74, MAP rose from 67 to 73, and diastolic pressure moved from 9 to 52. Systolic pressure ranged 26-117 and ended at 117, and SpO2 recovered to 87 after a low of 89 around hour 12.1. Respiratory rate ended at 17; the available labs showed white count was roughly stable (14.3 to 14.4), creatinine stayed around 0.9, lactate fell from 1.8 to 1.4, and urine output fell from 675 to 49.\nD. Viewed chronologically, the heart rate fell from 76 to 73, MAP rose from 58 to 64, and diastolic pressure moved from 13 to 50. Systolic pressure ranged 22-108 and ended at 108, and SpO2 recovered to 96 after a low of 84 around hour 7.9. Respiratory rate ended at 21; the available labs showed white count was roughly stable (10.2 to 11.7), creatinine stayed around 1.4, lactate fell from 1.2 to 0.8, and urine output fell from 750 to 40.","answer":"B","answer_text":"Viewed chronologically, the heart rate fell from 80 to 71, MAP rose from 63 to 69, and diastolic pressure moved from 11 to 55. Systolic pressure ranged 24-113 and ended at 113, and SpO2 recovered to 91 after a low of 85 around hour 10.2. Respiratory rate ended at 19; the available labs showed white count was roughly stable (12.4 to 12.5), creatinine stayed around 1.1, lactate fell from 1.5 to 1.1, and urine output fell from 700 to 45.","episode_id":"iv_000422","anchor_time":28}
{"id":"TSS_iv_000423_clinical_summary_25_2","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 167 to 125, MAP fell from 109 to 90, and heart rate rose from 47 to 104. SpO2 started at 82, ended at 96, and fell as low as 84 around hour 0.0; respiratory rate ranged 12-22. For labs and output, white count fell from 12.1 to 8.8, creatinine stayed around 1.0, lactate was checked once at 610, and urine output rose from 220 to 320.\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 147 to 129, MAP fell from 106 to 87, and heart rate rose from 50 to 101. SpO2 started at 85, ended at 93, and fell as low as 85 around hour 0.1; respiratory rate ranged 11-23. For labs and output, white count fell from 13.6 to 8.3, creatinine stayed around 0.9, lactate was checked once at 630, and urine output rose from 200 to 300.\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 172 to 104, MAP fell from 110 to 91, and heart rate rose from 46 to 104. SpO2 started at 81, ended at 97, and fell as low as 89 around hour 0.0; respiratory rate ranged 13-25. For labs and output, white count fell from 11.7 to 7.5, creatinine stayed around 1.0, lactate was checked once at 605, and urine output rose from 225 to 325.\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 117 to 97, MAP fell from 102 to 82, and heart rate rose from 54 to 96. SpO2 started at 90, ended at 88, and fell as low as 80 around hour 0.2; respiratory rate ranged 9-25. For labs and output, white count fell from 15.8 to 7.6, creatinine was roughly stable (0.8 to 1), lactate was checked once at 630.2, and urine output rose from 200 to 300.","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 147 to 129, MAP fell from 106 to 87, and heart rate rose from 50 to 101. SpO2 started at 85, ended at 93, and fell as low as 85 around hour 0.1; respiratory rate ranged 11-23. For labs and output, white count fell from 13.6 to 8.3, creatinine stayed around 0.9, lactate was checked once at 630, and urine output rose from 200 to 300.","episode_id":"iv_000423","anchor_time":25}
{"id":"TSS_iv_000425_clinical_summary_25_0","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Taken together, the heart rate rose from 63 to 75, while MAP fell from 89 to 77. Systolic pressure was labile, ranging 94-120, with the lowest value around hour 14. SpO2 briefly dipped to 91 around hour 1.2 before recovering to 92, while respiratory rate peaked at 24 and later settled at 20. The associated labs and urine output showed that white count was 3.8 on its only check, creatinine was roughly stable (1.0 to 0.9), lactate was checked once at 0.9, and urine output fell from 420 to 0, with recorded outputs ranging 0-380.\nB. Taken together, the heart rate rose from 60 to 78, while MAP fell from 86 to 74. Systolic pressure was labile, ranging 97-140, with the lowest value around hour 12. SpO2 briefly dipped to 88 around hour 0.2 before recovering to 95, while respiratory rate peaked at 22 and later settled at 19. The associated labs and urine output showed that white count was 4.3 on its only check, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 1.1, and urine output fell from 400 to 50, with recorded outputs ranging 25-400.\nC. Taken together, the heart rate rose from 64 to 74, while MAP fell from 90 to 78. Systolic pressure was labile, ranging 93-115, with the lowest value around hour 14. SpO2 briefly dipped to 92 around hour 0.3 before recovering to 91, while respiratory rate peaked at 24 and later settled at 21. The associated labs and urine output showed that white count was 3.7 on its only check, creatinine stayed around 1.0, lactate was checked once at 1.1, and urine output fell from 400 to 50, with recorded outputs ranging 54-400.\nD. Taken together, the heart rate rose from 56 to 82, while MAP fell from 82 to 70. Systolic pressure was labile, ranging 101-170, with the lowest value around hour 10. SpO2 briefly dipped to 84 around hour 0.0 before recovering to 100, while respiratory rate peaked at 24 and later settled at 17. The associated labs and urine output showed that white count was 5.0 on its only check, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 1.4, and urine output fell from 370 to 46, with recorded outputs ranging 27-430.","answer":"B","answer_text":"Taken together, the heart rate rose from 60 to 78, while MAP fell from 86 to 74. Systolic pressure was labile, ranging 97-140, with the lowest value around hour 12. SpO2 briefly dipped to 88 around hour 0.2 before recovering to 95, while respiratory rate peaked at 22 and later settled at 19. The associated labs and urine output showed that white count was 4.3 on its only check, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 1.1, and urine output fell from 400 to 50, with recorded outputs ranging 25-400.","episode_id":"iv_000425","anchor_time":25}
{"id":"TSS_iv_000425_clinical_summary_25_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. In broad terms, the heart rate rose from 60 to 78, MAP fell from 86 to 74, and diastolic pressure moved from 69 to 58. Systolic pressure ranged 97-140 and ended at 122, and SpO2 recovered to 95 after a low of 88 around hour 0.2. Respiratory rate ended at 19; the available labs showed white count was 4.3 on its only check, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 1.1, and urine output fell from 400 to 50.\nB. In broad terms, the heart rate rose from 58 to 81, MAP fell from 84 to 72, and diastolic pressure moved from 71 to 55. Systolic pressure ranged 95-125 and ended at 107, and SpO2 recovered to 97 after a low of 86 around hour 0.1. Respiratory rate ended at 20; the available labs showed white count was 3.9 on its only check, creatinine was roughly stable (0.8 to 0.9), lactate was checked once at 1.0, and urine output fell from 385 to 52.\nC. In broad terms, the heart rate rose from 64 to 74, MAP fell from 90 to 77, and diastolic pressure moved from 65 to 62. Systolic pressure ranged 100-165 and ended at 118, and SpO2 recovered to 91 after a low of 92 around hour 1.2. Respiratory rate ended at 17; the available labs showed white count was 4.9 on its only check, creatinine was roughly stable (1.0 to 0.7), lactate was checked once at 1.4, and urine output fell from 425 to 46.\nD. In broad terms, the heart rate rose from 56 to 82, MAP fell from 82 to 70, and diastolic pressure moved from 74 to 54. Systolic pressure ranged 92-110 and ended at 92, and SpO2 recovered to 100 after a low of 87 around hour 0.0. Respiratory rate ended at 21; the available labs showed white count was 3.5 on its only check, creatinine was roughly stable (0.8 to 1.0), lactate was checked once at 0.8, and urine output fell from 450 to 54.","answer":"A","answer_text":"In broad terms, the heart rate rose from 60 to 78, MAP fell from 86 to 74, and diastolic pressure moved from 69 to 58. Systolic pressure ranged 97-140 and ended at 122, and SpO2 recovered to 95 after a low of 88 around hour 0.2. Respiratory rate ended at 19; the available labs showed white count was 4.3 on its only check, creatinine was roughly stable (0.9 to 0.8), lactate was checked once at 1.1, and urine output fell from 400 to 50.","episode_id":"iv_000425","anchor_time":25}
{"id":"TSS_iv_000426_clinical_summary_72_0","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. In broad terms, the heart rate was roughly stable (53 to 50), while MAP fell from 74 to 66. Systolic pressure was labile, ranging 87-136, with the lowest value around hour 18.5. SpO2 briefly dipped to 85 around hour 0 before recovering to 85, while respiratory rate peaked at 40 and later settled at 21. The associated labs and urine output showed that white count fell from 10.8 to 9.1, creatinine fell from 1.7 to 1.1, lactate fell from 1.3 to 1, and urine output rose from 35 to 160, with recorded outputs ranging 15-500.\nB. In broad terms, the heart rate stayed around 48, while MAP was roughly stable (76 to 69). Systolic pressure was labile, ranging 81-121, with the lowest value around hour 17.4. SpO2 briefly dipped to 87 around hour 1 before recovering to 83, while respiratory rate peaked at 40 and later settled at 20. The associated labs and urine output showed that white count fell from 9.7 to 9.5, creatinine fell from 1.5 to 1.0, lactate fell from 1.5 to 1, and urine output was roughly stable (33 to 110), with recorded outputs ranging 14-515.\nC. In broad terms, the heart rate stayed around 50, while MAP fell from 74 to 66. Systolic pressure was labile, ranging 83-136, with the lowest value around hour 18.5. SpO2 briefly dipped to 85 around hour 0 before recovering to 85, while respiratory rate peaked at 38 and later settled at 21. The associated labs and urine output showed that white count fell from 10.8 to 9.1, creatinine fell from 1.7 to 1.1, lactate fell from 1.3 to 1, and urine output rose from 35 to 160, with recorded outputs ranging 15-500.\nD. In broad terms, the heart rate stayed around 46, while MAP fell from 78 to 62. Systolic pressure was labile, ranging 78-106, with the lowest value around hour 16.2. SpO2 briefly dipped to 90 around hour 0 before recovering to 80, while respiratory rate peaked at 42 and later settled at 19. The associated labs and urine output showed that white count fell from 8.6 to 8.3, creatinine fell from 1.4 to 1.2, lactate fell from 1.6 to 1, and urine output rose from 30 to 190, with recorded outputs ranging 35-530.","answer":"C","answer_text":"In broad terms, the heart rate stayed around 50, while MAP fell from 74 to 66. Systolic pressure was labile, ranging 83-136, with the lowest value around hour 18.5. SpO2 briefly dipped to 85 around hour 0 before recovering to 85, while respiratory rate peaked at 38 and later settled at 21. The associated labs and urine output showed that white count fell from 10.8 to 9.1, creatinine fell from 1.7 to 1.1, lactate fell from 1.3 to 1, and urine output rose from 35 to 160, with recorded outputs ranging 15-500.","episode_id":"iv_000426","anchor_time":72}
{"id":"TSS_iv_000426_clinical_summary_72_2","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 134 to 124, MAP fell from 74 to 66, and heart rate stayed around 50. SpO2 started at 85, ended at 85, and fell as low as 85 around hour 0; respiratory rate ranged 14-38. For labs and output, white count fell from 10.8 to 9.1, creatinine fell from 1.7 to 1.1, lactate fell from 1.3 to 1, and urine output rose from 35 to 160.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 119 to 99, MAP fell from 72 to 64, and heart rate stayed around 52. SpO2 started at 83, ended at 87, and fell as low as 83 around hour 0; respiratory rate ranged 15-40. For labs and output, white count fell from 9.7 to 9.5, creatinine fell from 1.5 to 1.2, lactate fell from 1.5 to 1, and urine output rose from 33 to 175.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 159 to 99, MAP fell from 78 to 70, and heart rate was roughly stable (46 to 53). SpO2 started at 81, ended at 89, and fell as low as 85 around hour 0; respiratory rate ranged 14-40. For labs and output, white count fell from 10.8 to 8.3, creatinine fell from 1.7 to 1.1, lactate fell from 1.3 to 1, and urine output rose from 35 to 160.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 104 to 84, MAP was roughly stable (70 to 69), and heart rate stayed around 54. SpO2 started at 80, ended at 90, and fell as low as 84 around hour 0; respiratory rate ranged 16-42. For labs and output, white count fell from 8.6 to 8.1, creatinine fell from 1.4 to 0.8, lactate fell from 1.6 to 1, and urine output rose from 30 to 190.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 134 to 124, MAP fell from 74 to 66, and heart rate stayed around 50. SpO2 started at 85, ended at 85, and fell as low as 85 around hour 0; respiratory rate ranged 14-38. For labs and output, white count fell from 10.8 to 9.1, creatinine fell from 1.7 to 1.1, lactate fell from 1.3 to 1, and urine output rose from 35 to 160.","episode_id":"iv_000426","anchor_time":72}
{"id":"TSS_iv_000427_clinical_summary_351_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (63 to 66), diastolic pressure rose from 49 to 56, and heart rate was roughly stable (86 to 91). The lowest MAP was about 55 around hour 303.1, and the lowest valid SpO2 was 85 around hour 302.3; respiratory rate rose as high as 39 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 36.2-38.4 C, white count rose from 9.5 to 11.5, creatinine was roughly stable (3.5 to 2.4), lactate was checked once at 1, and urine output fell from 550 to 100.\nB. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (61 to 68), diastolic pressure was roughly stable (47 to 53), and heart rate was roughly stable (88 to 89). The lowest MAP was about 58 around hour 304.1, and the lowest valid SpO2 was 83 around hour 317.3; respiratory rate rose as high as 37 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 38.5-40.6 C, white count rose from 9.1 to 12.6, creatinine was roughly stable (3.1 to 2.2), lactate was checked once at 1, and urine output fell from 535 to 98.\nC. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (67 to 62), diastolic pressure rose from 53 to 60, and heart rate rose from 82 to 94. The lowest MAP was about 59 around hour 278.1, and the lowest valid SpO2 was 89 around hour 301.3; respiratory rate rose as high as 43 but ended at 27. The lower-frequency data fit that summary: temperature stayed around 32.5-34.6 C, white count rose from 10.1 to 11.6, creatinine was roughly stable (4.1 to 2.6), lactate was checked once at 1, and urine output fell from 575 to 96.\nD. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (58 to 70), diastolic pressure rose from 44 to 52, and heart rate was roughly stable (90 to 86). The lowest MAP was about 50 around hour 333.1, and the lowest valid SpO2 was 80 around hour 332.3; respiratory rate rose as high as 41 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 40.7-42.9 C, white count rose from 8.8 to 13.8, creatinine was roughly stable (2.8 to 2.5), lactate was checked once at 1, and urine output fell from 520 to 150.","answer":"A","answer_text":"Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (63 to 66), diastolic pressure rose from 49 to 56, and heart rate was roughly stable (86 to 91). The lowest MAP was about 55 around hour 303.1, and the lowest valid SpO2 was 85 around hour 302.3; respiratory rate rose as high as 39 but ended at 25. The lower-frequency data fit that summary: temperature ranged from 97.1 to 101.1, white count rose from 9.5 to 11.5, creatinine was roughly stable (3.5 to 2.4), lactate was checked once at 1, and urine output fell from 550 to 100.","episode_id":"iv_000427","anchor_time":351}
{"id":"TSS_iv_000427_clinical_summary_351_2","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 111 to 94, MAP was roughly stable (66 to 69), and heart rate was roughly stable (83 to 94). SpO2 started at 97, ended at 97, and fell as low as 88 around hour 282.3; respiratory rate ranged 12-36. For labs and output, white count rose from 9.0 to 13.0, creatinine was roughly stable (4.0 to 2.5), lactate was checked once at 1.2, and urine output fell from 570 to 97.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 108 to 97, MAP was roughly stable (63 to 66), and heart rate was roughly stable (86 to 91). SpO2 started at 100, ended at 100, and fell as low as 85 around hour 302.3; respiratory rate ranged 10-39. For labs and output, white count rose from 9.5 to 11.5, creatinine was roughly stable (3.5 to 2.4), lactate was checked once at 1, and urine output fell from 550 to 100.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 112 to 93, MAP was roughly stable (67 to 70), and heart rate rose from 82 to 94. SpO2 started at 96, ended at 96, and fell as low as 89 around hour 277.3; respiratory rate ranged 12-41. For labs and output, white count rose from 8.9 to 10.7, creatinine was roughly stable (4.1 to 2.1), lactate was checked once at 1, and urine output fell from 575 to 96.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 104 to 93, MAP rose from 58 to 69, and heart rate was roughly stable (90 to 86). SpO2 started at 96, ended at 96, and fell as low as 84 around hour 332.3; respiratory rate ranged 8-44. For labs and output, white count rose from 10.2 to 11.7, creatinine was roughly stable (2.8 to 2.7), lactate was checked once at 1, and urine output fell from 520 to 96.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 108 to 97, MAP was roughly stable (63 to 66), and heart rate was roughly stable (86 to 91). SpO2 started at 100, ended at 100, and fell as low as 85 around hour 302.3; respiratory rate ranged 10-39. For labs and output, white count rose from 9.5 to 11.5, creatinine was roughly stable (3.5 to 2.4), lactate was checked once at 1, and urine output fell from 550 to 100.","episode_id":"iv_000427","anchor_time":351}
{"id":"TSS_iv_000427_clinical_summary_351_3","question":"Which option correctly summarizes the serial measurements for this ICU stay?\n\nOptions:\nA. Across the recorded window, the heart rate rose from 89 to 94, MAP was roughly stable (66 to 69), and diastolic pressure moved from 46 to 53. Systolic pressure ranged 95-181 and ended at 100, and SpO2 recovered to 97 after a low of 88 around hour 322.3. Respiratory rate ended at 24; the available labs showed white count rose from 10.0 to 13.0, creatinine was roughly stable (3.0 to 2.6), lactate was checked once at 1, and urine output fell from 530 to 97.\nB. Across the recorded window, the heart rate was roughly stable (84 to 93), MAP was roughly stable (61 to 64), and diastolic pressure moved from 51 to 54. Systolic pressure ranged 90-146 and ended at 95, and SpO2 recovered to 98 after a low of 84 around hour 287.3. Respiratory rate ended at 26; the available labs showed white count rose from 9.1 to 10.7, creatinine was roughly stable (3.9 to 2.2), lactate was checked once at 1, and urine output fell from 600 to 98.\nC. Across the recorded window, the heart rate was roughly stable (86 to 91), MAP was roughly stable (63 to 66), and diastolic pressure moved from 49 to 56. Systolic pressure ranged 92-161 and ended at 97, and SpO2 recovered to 100 after a low of 85 around hour 302.3. Respiratory rate ended at 25; the available labs showed white count rose from 9.5 to 11.5, creatinine was roughly stable (3.5 to 2.4), lactate was checked once at 1, and urine output fell from 550 to 100.\nD. Across the recorded window, the heart rate was roughly stable (82 to 96), MAP rose from 58 to 69, and diastolic pressure moved from 54 to 52. Systolic pressure ranged 88-131 and ended at 93, and SpO2 recovered to 96 after a low of 80 around hour 303.3. Respiratory rate ended at 27; the available labs showed white count rose from 8.8 to 9.2, creatinine was roughly stable (4.2 to 2.1), lactate was checked once at 1, and urine output fell from 580 to 96.","answer":"C","answer_text":"Across the recorded window, the heart rate was roughly stable (86 to 91), MAP was roughly stable (63 to 66), and diastolic pressure moved from 49 to 56. Systolic pressure ranged 92-161 and ended at 97, and SpO2 recovered to 100 after a low of 85 around hour 302.3. Respiratory rate ended at 25; the available labs showed white count rose from 9.5 to 11.5, creatinine was roughly stable (3.5 to 2.4), lactate was checked once at 1, and urine output fell from 550 to 100.","episode_id":"iv_000427","anchor_time":351}
{"id":"TSS_iv_000429_clinical_summary_52_1","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 107 to 64, diastolic pressure fell from 88 to 63, and heart rate rose from 57 to 102. The lowest MAP was about 52 around hour 41.5, and the lowest valid SpO2 was 84 around hour 38.5; respiratory rate rose as high as 30 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.1-33.8 C, white count fell from 14.8 to 8.1, creatinine was roughly stable (0.8 to 0.7), lactate was checked once at 0.7, and urine output fell from 540 to 53.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 102 to 69, diastolic pressure fell from 83 to 58, and heart rate rose from 62 to 97. The lowest MAP was about 47 around hour 46.8, and the lowest valid SpO2 was 79 around hour 41.8; respiratory rate rose as high as 30 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 38.4-39.0 C, white count fell from 12.2 to 9.0, creatinine stayed around 0.6, lactate was checked once at 0.8, and urine output fell from 520 to 100.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 104 to 67, diastolic pressure fell from 85 to 60, and heart rate rose from 60 to 99. The lowest MAP was about 49 around hour 44.5, and the lowest valid SpO2 was 81 around hour 39.5; respiratory rate rose as high as 28 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.1-36.8 C, white count fell from 13.3 to 8.6, creatinine was roughly stable (0.7 to 0.6), lactate was checked once at 0.8, and urine output fell from 520 to 50.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 72, diastolic pressure fell from 80 to 57, and heart rate rose from 64 to 94. The lowest MAP was about 52 around hour 45.5, and the lowest valid SpO2 was 76 around hour 44.0; respiratory rate rose as high as 26 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 40.6-41.3 C, white count fell from 11.1 to 9.3, creatinine was roughly stable (0.5 to 0.4), lactate was checked once at 1.0, and urine output fell from 490 to 46.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 104 to 67, diastolic pressure fell from 85 to 60, and heart rate rose from 60 to 99. The lowest MAP was about 49 around hour 44.5, and the lowest valid SpO2 was 81 around hour 39.5; respiratory rate rose as high as 28 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 97 to 98.3, white count fell from 13.3 to 8.6, creatinine was roughly stable (0.7 to 0.6), lactate was checked once at 0.8, and urine output fell from 520 to 50.","episode_id":"iv_000429","anchor_time":52}
{"id":"TSS_iv_000429_clinical_summary_52_3","question":"Which handoff summary best matches the measured ICU course?\n\nOptions:\nA. Over the available measurements, the heart rate rose from 60 to 99, MAP fell from 104 to 67, and diastolic pressure moved from 85 to 60. Systolic pressure ranged 78-135 and ended at 90, and SpO2 recovered to 98 after a low of 81 around hour 39.5. Respiratory rate ended at 17; the available labs showed white count fell from 13.3 to 8.6, creatinine was roughly stable (0.7 to 0.6), lactate was checked once at 0.8, and urine output fell from 520 to 50.\nB. Over the available measurements, the heart rate rose from 58 to 100, MAP fell from 102 to 70, and diastolic pressure moved from 87 to 58. Systolic pressure ranged 76-120 and ended at 86, and SpO2 recovered to 100 after a low of 79 around hour 40.5. Respiratory rate ended at 18; the available labs showed white count fell from 12.2 to 8.2, creatinine was roughly stable (0.8 to 0.5), lactate was checked once at 0.7, and urine output fell from 535 to 48.\nC. Over the available measurements, the heart rate rose from 64 to 102, MAP fell from 108 to 71, and diastolic pressure moved from 81 to 57. Systolic pressure ranged 82-160 and ended at 94, and SpO2 recovered to 94 after a low of 85 around hour 43.2. Respiratory rate ended at 15; the available labs showed white count fell from 15.2 to 9.2, creatinine was roughly stable (0.6 to 0.7), lactate was checked once at 0.9, and urine output fell from 495 to 54.\nD. Over the available measurements, the heart rate rose from 56 to 100, MAP fell from 100 to 62, and diastolic pressure moved from 90 to 56. Systolic pressure ranged 74-105 and ended at 86, and SpO2 recovered to 100 after a low of 80 around hour 35.0. Respiratory rate ended at 19; the available labs showed white count fell from 11.1 to 7.8, creatinine was roughly stable (0.8 to 0.4), lactate was checked once at 0.7, and urine output fell from 570 to 46.","answer":"A","answer_text":"Over the available measurements, the heart rate rose from 60 to 99, MAP fell from 104 to 67, and diastolic pressure moved from 85 to 60. Systolic pressure ranged 78-135 and ended at 90, and SpO2 recovered to 98 after a low of 81 around hour 39.5. Respiratory rate ended at 17; the available labs showed white count fell from 13.3 to 8.6, creatinine was roughly stable (0.7 to 0.6), lactate was checked once at 0.8, and urine output fell from 520 to 50.","episode_id":"iv_000429","anchor_time":52}
{"id":"TSS_iv_000432_clinical_summary_44_1","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 94, diastolic pressure rose from 61 to 91, and heart rate rose from 79 to 118. The lowest MAP was about 50 around hour 20.8, and the lowest valid SpO2 was 91 around hour 0.9; respiratory rate rose as high as 37 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 32.7-34.8 C, white count was roughly stable (12 to 9.0), creatinine stayed around 0.6, lactate fell from 4.1 to 2.4, and urine output fell from 600 to 330.\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 69 to 97, diastolic pressure rose from 58 to 88, and heart rate rose from 82 to 115. The lowest MAP was about 47 around hour 22.3, and the lowest valid SpO2 was 88 around hour 1.1; respiratory rate rose as high as 35 but ended at 27. The lower-frequency data fit that summary: temperature stayed around 35.7-37.8 C, white count was roughly stable (11 to 10.5), creatinine was roughly stable (0.5 to 0.4), lactate fell from 4.1 to 2.4, and urine output fell from 600 to 280.\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 73 to 93, diastolic pressure rose from 62 to 92, and heart rate rose from 78 to 118. The lowest MAP was about 51 around hour 20.4, and the lowest valid SpO2 was 92 around hour 0.1; respiratory rate rose as high as 39 but ended at 29. The lower-frequency data fit that summary: temperature stayed around 32.0-34.0 C, white count was roughly stable (13 to 8.6), creatinine was roughly stable (0.6 to 0.5), lactate fell from 3.5 to 2.6, and urine output fell from 625 to 255.\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 64 to 100, diastolic pressure rose from 54 to 85, and heart rate rose from 86 to 110. The lowest MAP was about 50 around hour 23.3, and the lowest valid SpO2 was 84 around hour 1.4; respiratory rate rose as high as 30 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 40.2-42.3 C, white count was roughly stable (9 to 12.8), creatinine was roughly stable (0.3 to 0.2), lactate fell from 4.8 to 2.1, and urine output fell from 570 to 310.","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 69 to 97, diastolic pressure rose from 58 to 88, and heart rate rose from 82 to 115. The lowest MAP was about 47 around hour 22.3, and the lowest valid SpO2 was 88 around hour 1.1; respiratory rate rose as high as 35 but ended at 27. The lower-frequency data fit that summary: temperature ranged from 96.2 to 100.1, white count was roughly stable (11 to 10.5), creatinine was roughly stable (0.5 to 0.4), lactate fell from 4.1 to 2.4, and urine output fell from 600 to 280.","episode_id":"iv_000432","anchor_time":44}
{"id":"TSS_iv_000432_clinical_summary_44_2","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 93 to 123, MAP rose from 72 to 100, and heart rate rose from 79 to 118. SpO2 started at 94, ended at 99, and fell as low as 87 around hour 0.9; respiratory rate ranged 8-32. For labs and output, white count was roughly stable (10 to 12.0), creatinine was roughly stable (0.6 to 0.3), lactate fell from 4.6 to 2.6, and urine output fell from 580 to 300.\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 88 to 142, MAP rose from 67 to 95, and heart rate rose from 84 to 118. SpO2 started at 99, ended at 94, and fell as low as 86 around hour 1.2; respiratory rate ranged 8-37. For labs and output, white count fell from 12 to 9.7, creatinine was roughly stable (0.4 to 0.5), lactate fell from 3.7 to 2.2, and urine output fell from 615 to 265.\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 90 to 127, MAP rose from 69 to 97, and heart rate rose from 82 to 115. SpO2 started at 97, ended at 96, and fell as low as 88 around hour 1.1; respiratory rate ranged 8-35. For labs and output, white count was roughly stable (11 to 10.5), creatinine was roughly stable (0.5 to 0.4), lactate fell from 4.1 to 2.4, and urine output fell from 600 to 280.\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 86 to 157, MAP rose from 64 to 92, and heart rate rose from 86 to 110. SpO2 started at 100, ended at 92, and fell as low as 84 around hour 1.4; respiratory rate ranged 7-40. For labs and output, white count was roughly stable (13 to 8.2), creatinine stayed around 0.3, lactate fell from 4.3 to 2.4, and urine output fell from 600 to 280.","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 90 to 127, MAP rose from 69 to 97, and heart rate rose from 82 to 115. SpO2 started at 97, ended at 96, and fell as low as 88 around hour 1.1; respiratory rate ranged 8-35. For labs and output, white count was roughly stable (11 to 10.5), creatinine was roughly stable (0.5 to 0.4), lactate fell from 4.1 to 2.4, and urine output fell from 600 to 280.","episode_id":"iv_000432","anchor_time":44}
{"id":"TSS_iv_000434_clinical_summary_35_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 160, MAP rose from 100 to 111, and heart rate rose from 60 to 105. SpO2 started at 85, ended at 99, and fell as low as 85 around hour 0; respiratory rate ranged 12-22. For labs and output, white count rose from 9.2 to 15.2, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (400 to 350)\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 145, MAP rose from 98 to 109, and heart rate rose from 58 to 107. SpO2 started at 84, ended at 100, and fell as low as 84 around hour 0; respiratory rate ranged 13-23. For labs and output, white count rose from 8.8 to 16.3, creatinine was roughly stable (0.6 to 0.8), lactate was not available, and urine output was roughly stable (400 to 350)\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (185 to 156), MAP rose from 100 to 114, and heart rate rose from 60 to 105. SpO2 started at 85, ended at 99, and fell as low as 84 around hour 0; respiratory rate ranged 12-22. For labs and output, white count rose from 9.2 to 15.2, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (400 to 350)\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 130, MAP rose from 96 to 106, and heart rate rose from 56 to 108. SpO2 started at 80, ended at 100, and fell as low as 80 around hour 0; respiratory rate ranged 14-24. For labs and output, white count rose from 8.4 to 14.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (370 to 380)","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 160, MAP rose from 100 to 111, and heart rate rose from 60 to 105. SpO2 started at 85, ended at 99, and fell as low as 85 around hour 0; respiratory rate ranged 12-22. For labs and output, white count rose from 9.2 to 15.2, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (400 to 350)","episode_id":"iv_000434","anchor_time":35}
{"id":"TSS_iv_000434_clinical_summary_35_3","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. For handoff, the heart rate rose from 63 to 102, MAP rose from 97 to 114, and diastolic pressure moved from 79 to 96. Systolic pressure ranged 100-215 and ended at 156, and SpO2 recovered to 96 after a low of 88 around hour 1. Respiratory rate ended at 16; the available labs showed white count rose from 9.7 to 16.7, creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (420 to 370)\nB. For handoff, the heart rate rose from 60 to 105, MAP rose from 100 to 111, and diastolic pressure moved from 82 to 93. Systolic pressure ranged 99-195 and ended at 160, and SpO2 recovered to 99 after a low of 85 around hour 0. Respiratory rate ended at 18; the available labs showed white count rose from 9.2 to 15.2, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (400 to 350)\nC. For handoff, the heart rate rose from 64 to 108, MAP rose from 96 to 115, and diastolic pressure moved from 78 to 90. Systolic pressure ranged 100-220 and ended at 185, and SpO2 recovered to 95 after a low of 89 around hour 2. Respiratory rate ended at 16; the available labs showed white count rose from 9.8 to 17.1, creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (425 to 375)\nD. For handoff, the heart rate rose from 56 to 110, MAP rose from 96 to 106, and diastolic pressure moved from 86 to 88. Systolic pressure ranged 94-165 and ended at 130, and SpO2 recovered to 100 after a low of 84 around hour 0. Respiratory rate ended at 20; the available labs showed white count rose from 8.4 to 14.4, creatinine stayed around 0.8, lactate was not available, and urine output fell from 450 to 320.","answer":"B","answer_text":"For handoff, the heart rate rose from 60 to 105, MAP rose from 100 to 111, and diastolic pressure moved from 82 to 93. Systolic pressure ranged 99-195 and ended at 160, and SpO2 recovered to 99 after a low of 85 around hour 0. Respiratory rate ended at 18; the available labs showed white count rose from 9.2 to 15.2, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (400 to 350)","episode_id":"iv_000434","anchor_time":35}
{"id":"TSS_iv_000441_clinical_summary_37_1","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 148 to 87, diastolic pressure fell from 143 to 72, and heart rate fell from 93 to 84. The lowest MAP was about 67 around hour 5.3, and the lowest valid SpO2 was 88 around hour 0.6; respiratory rate rose as high as 30 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 33.4-34.2 C, white count rose from 23.1 to 23.6, creatinine fell from 1.4 to 0.9, lactate was checked once at 1.6, and urine output fell from 720 to 160.\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 113 to 92, diastolic pressure fell from 108 to 73, and heart rate fell from 98 to 79. The lowest MAP was about 62 around hour 4.7, and the lowest valid SpO2 was 83 around hour 0.8; respiratory rate rose as high as 30 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 38.6-39.5 C, white count rose from 20.5 to 26.2, creatinine fell from 1.0 to 0.9, lactate was checked once at 2.0, and urine output fell from 685 to 190.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 128 to 90, diastolic pressure fell from 123 to 75, and heart rate fell from 96 to 81. The lowest MAP was about 64 around hour 4.3, and the lowest valid SpO2 was 85 around hour 0.7; respiratory rate rose as high as 28 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 36.4-37.2 C, white count rose from 21.6 to 25.1, creatinine fell from 1.2 to 0.8, lactate was checked once at 1.8, and urine output fell from 700 to 140.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 98 to 94, diastolic pressure fell from 93 to 70, and heart rate fell from 100 to 84. The lowest MAP was about 60 around hour 5.0, and the lowest valid SpO2 was 80 around hour 0; respiratory rate rose as high as 26 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 40.9-41.7 C, white count rose from 19.4 to 27.4, creatinine fell from 0.9 to 0.7, lactate was checked once at 2.1, and urine output fell from 670 to 110.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 128 to 90, diastolic pressure fell from 123 to 75, and heart rate fell from 96 to 81. The lowest MAP was about 64 around hour 4.3, and the lowest valid SpO2 was 85 around hour 0.7; respiratory rate rose as high as 28 but ended at 22. The lower-frequency data fit that summary: temperature ranged from 97.5 to 99, white count rose from 21.6 to 25.1, creatinine fell from 1.2 to 0.8, lactate was checked once at 1.8, and urine output fell from 700 to 140.","episode_id":"iv_000441","anchor_time":37}
{"id":"TSS_iv_000443_clinical_summary_26_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate was roughly stable (83 to 82), MAP was roughly stable (89 to 84), and diastolic pressure moved from 65 to 66. Systolic pressure ranged 85-194 and ended at 113, and SpO2 recovered to 97 after a low of 88 around hour 4.7. Respiratory rate ended at 22; the available labs showed white count fell from 22 to 18.3, creatinine rose from 0.7 to 1.3, lactate stayed broadly stable from 2.1 to 2, and urine output fell from 445 to 26.\nB. Across the recorded window, the heart rate was roughly stable (78 to 81), MAP was roughly stable (84 to 79), and diastolic pressure moved from 70 to 67. Systolic pressure ranged 80-159 and ended at 108, and SpO2 recovered to 98 after a low of 84 around hour 3.8. Respiratory rate ended at 25; the available labs showed white count fell from 19 to 16, creatinine rose from 0.9 to 1.0, lactate stayed broadly stable from 1.8 to 2, and urine output fell from 475 to 24.\nC. Across the recorded window, the heart rate was roughly stable (80 to 79), MAP was roughly stable (86 to 81), and diastolic pressure moved from 68 to 69. Systolic pressure ranged 82-174 and ended at 110, and SpO2 recovered to 100 after a low of 85 around hour 4.2. Respiratory rate ended at 24; the available labs showed white count fell from 20 to 16.8, creatinine rose from 0.8 to 1.1, lactate stayed broadly stable from 1.9 to 2, and urine output fell from 425 to 25.\nD. Across the recorded window, the heart rate was roughly stable (76 to 84), MAP was roughly stable (82 to 84), and diastolic pressure moved from 72 to 64. Systolic pressure ranged 78-144 and ended at 106, and SpO2 recovered to 96 after a low of 80 around hour 5.2. Respiratory rate ended at 26; the available labs showed white count fell from 18 to 14.6, creatinine rose from 1.0 to 1.2, lactate stayed broadly stable from 1.6 to 2, and urine output fell from 395 to 23.","answer":"C","answer_text":"Across the recorded window, the heart rate was roughly stable (80 to 79), MAP was roughly stable (86 to 81), and diastolic pressure moved from 68 to 69. Systolic pressure ranged 82-174 and ended at 110, and SpO2 recovered to 100 after a low of 85 around hour 4.2. Respiratory rate ended at 24; the available labs showed white count fell from 20 to 16.8, creatinine rose from 0.8 to 1.1, lactate stayed broadly stable from 1.9 to 2, and urine output fell from 425 to 25.","episode_id":"iv_000443","anchor_time":26}
{"id":"TSS_iv_000444_clinical_summary_38_1","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was not recorded, diastolic pressure was roughly stable (63 to 57), and heart rate rose from 50 to 84. The lowest MAP was about not recorded around hour unknown, and the lowest valid SpO2 was 85 around hour 38; respiratory rate rose as high as 16 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 37.2-37.2 C, white count fell from 9.7 to 5.6, creatinine rose from 1 to 1.6, lactate was not available, and urine output was roughly stable (220 to 200)\nB. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was not recorded, diastolic pressure stayed around 60, and heart rate rose from 50 to 84. The lowest MAP was about not recorded around hour unknown, and the lowest valid SpO2 was 85 around hour 38; respiratory rate rose as high as 17 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 37.2-37.2 C, white count fell from 9.7 to 5.6, creatinine rose from 1 to 1.6, lactate was not available, and urine output was roughly stable (200 to 200)\nC. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was not recorded, diastolic pressure stayed around 64, and heart rate rose from 46 to 87. The lowest MAP was about not recorded around hour unknown, and the lowest valid SpO2 was 81 around hour 37; respiratory rate rose as high as 19 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 41.0-33.5 C, white count fell from 9.1 to 6.2, creatinine rose from 1 to 1.4, lactate was not available, and urine output was roughly stable (225 to 225)\nD. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was not recorded, diastolic pressure stayed around 56, and heart rate rose from 54 to 80. The lowest MAP was about not recorded around hour unknown, and the lowest valid SpO2 was 90 around hour 34; respiratory rate rose as high as 19 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 32.7-41.7 C, white count fell from 10.4 to 4.8, creatinine rose from 1 to 1.7, lactate was not available, and urine output was roughly stable (170 to 250)","answer":"B","answer_text":"Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was not recorded, diastolic pressure stayed around 60, and heart rate rose from 50 to 84. The lowest MAP was about not recorded around hour unknown, and the lowest valid SpO2 was 85 around hour 38; respiratory rate rose as high as 17 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 99 to 99, white count fell from 9.7 to 5.6, creatinine rose from 1 to 1.6, lactate was not available, and urine output was roughly stable (200 to 200)","episode_id":"iv_000444","anchor_time":38}
{"id":"TSS_iv_000448_clinical_summary_31_1","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 86 to 94, diastolic pressure rose from 66 to 76, and heart rate fell from 77 to 72. The lowest MAP was about 65 around hour 8.3, and the lowest valid SpO2 was 88 around hour 6.4; respiratory rate rose as high as 26 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 33.3-33.9 C, white count was roughly stable (19.1 to 15.3), creatinine was roughly stable (1.0 to 1), lactate fell from 1.5 to 1.3, and urine output was roughly stable (97 to 27)\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 83 to 97, diastolic pressure rose from 63 to 79, and heart rate fell from 80 to 69. The lowest MAP was about 62 around hour 7.3, and the lowest valid SpO2 was 85 around hour 6.9; respiratory rate rose as high as 25 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 36.3-36.9 C, white count was roughly stable (17.6 to 16.8), creatinine was roughly stable (0.9 to 1), lactate fell from 1.7 to 1.4, and urine output was roughly stable (100 to 30)\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 87 to 93, diastolic pressure rose from 67 to 83, and heart rate fell from 76 to 72. The lowest MAP was about 66 around hour 6.7, and the lowest valid SpO2 was 89 around hour 5.9; respiratory rate rose as high as 27 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 32.5-33.1 C, white count was roughly stable (19.5 to 14.9), creatinine was roughly stable (1.0 to 1), lactate fell from 1.4 to 1.2, and urine output was roughly stable (96 to 26)\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 78 to 100, diastolic pressure rose from 58 to 74, and heart rate fell from 84 to 64. The lowest MAP was about 58 around hour 8.1, and the lowest valid SpO2 was 80 around hour 7.7; respiratory rate rose as high as 27 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 40.8-41.4 C, white count was roughly stable (15.4 to 19.1), creatinine rose from 0.8 to 1.1, lactate fell from 2.0 to 1.1, and urine output was roughly stable (96 to 80)","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 83 to 97, diastolic pressure rose from 63 to 79, and heart rate fell from 80 to 69. The lowest MAP was about 62 around hour 7.3, and the lowest valid SpO2 was 85 around hour 6.9; respiratory rate rose as high as 25 but ended at 24. The lower-frequency data fit that summary: temperature ranged from 97.4 to 98.5, white count was roughly stable (17.6 to 16.8), creatinine was roughly stable (0.9 to 1), lactate fell from 1.7 to 1.4, and urine output was roughly stable (100 to 30)","episode_id":"iv_000448","anchor_time":31}
{"id":"TSS_iv_000449_clinical_summary_47_1","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 107 to 77, diastolic pressure fell from 72 to 61, and heart rate rose from 37 to 79. The lowest MAP was about 78 around hour 10.3, and the lowest valid SpO2 was 91 around hour 0.1; respiratory rate rose as high as 38 but ended at 8. The lower-frequency data fit that summary: temperature stayed around 33.4-33.9 C, white count was 12.2 on its only check, creatinine was 0.6 on its only check, lactate was not available, and urine output rose from 195 to 720.\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 102 to 82, diastolic pressure was roughly stable (67 to 62), and heart rate rose from 42 to 74. The lowest MAP was about 73 around hour 9.7, and the lowest valid SpO2 was 86 around hour 0.3; respiratory rate rose as high as 37 but ended at 8. The lower-frequency data fit that summary: temperature stayed around 38.6-39.1 C, white count was 9.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 160 to 750.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 104 to 80, diastolic pressure was roughly stable (69 to 64), and heart rate rose from 40 to 76. The lowest MAP was about 75 around hour 9.3, and the lowest valid SpO2 was 88 around hour 0.2; respiratory rate rose as high as 35 but ended at 8. The lower-frequency data fit that summary: temperature stayed around 36.4-36.9 C, white count was 10.7 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 175 to 700.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 100 to 84, diastolic pressure was roughly stable (64 to 60), and heart rate rose from 44 to 79. The lowest MAP was about 70 around hour 10.1, and the lowest valid SpO2 was 87 around hour 0; respiratory rate rose as high as 30 but ended at 7. The lower-frequency data fit that summary: temperature stayed around 40.9-41.4 C, white count was 8.4 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 145 to 670.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 104 to 80, diastolic pressure was roughly stable (69 to 64), and heart rate rose from 40 to 76. The lowest MAP was about 75 around hour 9.3, and the lowest valid SpO2 was 88 around hour 0.2; respiratory rate rose as high as 35 but ended at 8. The lower-frequency data fit that summary: temperature ranged from 97.6 to 98.5, white count was 10.7 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 175 to 700.","episode_id":"iv_000449","anchor_time":47}
{"id":"TSS_iv_000450_clinical_summary_89_3","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. For handoff, the heart rate fell from 114 to 84, MAP fell from 95 to 80, and diastolic pressure moved from 64 to 64. Systolic pressure ranged 99-193 and ended at 155, and SpO2 recovered to 95 after a low of 84 around hour 89.7. Respiratory rate ended at 20; the available labs showed white count fell from 6 to 4.2, creatinine was roughly stable (0.5 to 0.6), lactate fell from 284 to 0.5, and urine output was roughly stable (200 to 220)\nB. For handoff, the heart rate fell from 111 to 87, MAP fell from 92 to 77, and diastolic pressure moved from 67 to 61. Systolic pressure ranged 96-173 and ended at 135, and SpO2 recovered to 98 after a low of 85 around hour 86.7. Respiratory rate ended at 21; the available labs showed white count was roughly stable (6 to 5), creatinine was roughly stable (0.6 to 0.5), lactate fell from 264 to 0.6, and urine output was roughly stable (150 to 200)\nC. For handoff, the heart rate fell from 115 to 83, MAP fell from 96 to 80, and diastolic pressure moved from 63 to 65. Systolic pressure ranged 100-198 and ended at 131, and SpO2 recovered to 94 after a low of 89 around hour 87.7. Respiratory rate ended at 19; the available labs showed white count was roughly stable (7 to 6), creatinine was roughly stable (0.5 to 0.6), lactate fell from 289 to 0.5, and urine output was roughly stable (175 to 225)\nD. For handoff, the heart rate fell from 106 to 90, MAP fell from 88 to 72, and diastolic pressure moved from 72 to 58. Systolic pressure ranged 92-143 and ended at 105, and SpO2 recovered to 100 after a low of 80 around hour 82.2. Respiratory rate ended at 23; the available labs showed white count was roughly stable (5 to 4), creatinine was roughly stable (0.8 to 0.3), lactate fell from 234 to 0.8, and urine output was roughly stable (120 to 170)","answer":"B","answer_text":"For handoff, the heart rate fell from 111 to 87, MAP fell from 92 to 77, and diastolic pressure moved from 67 to 61. Systolic pressure ranged 96-173 and ended at 135, and SpO2 recovered to 98 after a low of 85 around hour 86.7. Respiratory rate ended at 21; the available labs showed white count was roughly stable (6 to 5), creatinine was roughly stable (0.6 to 0.5), lactate fell from 264 to 0.6, and urine output was roughly stable (150 to 200)","episode_id":"iv_000450","anchor_time":89}
{"id":"TSS_iv_000451_clinical_summary_31_2","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 93 to 100, MAP was roughly stable (72 to 81), and heart rate rose from 67 to 85. SpO2 started at 97, ended at 96, and fell as low as 88 around hour 11.9; respiratory rate ranged 8-30. For labs and output, white count rose from 8 to 10.3, creatinine was roughly stable (0.7 to 0.6), lactate rose from 1.0 to 1.5, and urine output fell from 765 to 63.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 90 to 120, MAP was roughly stable (69 to 78), and heart rate rose from 70 to 82. SpO2 started at 100, ended at 93, and fell as low as 85 around hour 13.4; respiratory rate ranged 8-28. For labs and output, white count rose from 9 to 11.1, creatinine was roughly stable (0.6 to 0.7), lactate rose from 0.9 to 1.3, and urine output fell from 785 to 60.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 94 to 116, MAP rose from 73 to 81, and heart rate rose from 66 to 86. SpO2 started at 96, ended at 97, and fell as low as 84 around hour 11.5; respiratory rate ranged 9-26. For labs and output, white count rose from 8 to 13.0, creatinine was roughly stable (0.7 to 0.6), lactate rose from 1.0 to 1.6, and urine output fell from 760 to 64.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 86 to 150, MAP was roughly stable (64 to 74), and heart rate rose from 74 to 78. SpO2 started at 96, ended at 88, and fell as low as 80 around hour 15.7; respiratory rate ranged 7-30. For labs and output, white count rose from 10 to 11.5, creatinine rose from 0.4 to 0.8, lactate stayed broadly stable from 1.1 to 1.0, and urine output fell from 815 to 56.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 90 to 120, MAP was roughly stable (69 to 78), and heart rate rose from 70 to 82. SpO2 started at 100, ended at 93, and fell as low as 85 around hour 13.4; respiratory rate ranged 8-28. For labs and output, white count rose from 9 to 11.1, creatinine was roughly stable (0.6 to 0.7), lactate rose from 0.9 to 1.3, and urine output fell from 785 to 60.","episode_id":"iv_000451","anchor_time":31}
{"id":"TSS_iv_000453_clinical_summary_49_0","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Clinically, the heart rate fell from 108 to 93, while MAP was roughly stable (87 to 80). Systolic pressure was labile, ranging 83-104, with the lowest value around hour 48.4. SpO2 briefly dipped to 88 around hour 3.6 before recovering to 95, while respiratory rate peaked at 35 and later settled at 26. The associated labs and urine output showed that white count rose from 4 to 34.7, creatinine fell from 24 to 0.2, lactate was checked once at 223, and urine output rose from 320 to 450, with recorded outputs ranging 97-480.\nB. Clinically, the heart rate fell from 105 to 96, while MAP fell from 84 to 77. Systolic pressure was labile, ranging 86-124, with the lowest value around hour 45.4. SpO2 briefly dipped to 85 around hour 2.6 before recovering to 98, while respiratory rate peaked at 32 and later settled at 24. The associated labs and urine output showed that white count rose from 5 to 31.7, creatinine fell from 22 to 0.3, lactate was checked once at 203, and urine output rose from 300 to 500, with recorded outputs ranging 100-500.\nC. Clinically, the heart rate fell from 109 to 92, while MAP fell from 88 to 81. Systolic pressure was labile, ranging 90-99, with the lowest value around hour 49.1. SpO2 briefly dipped to 86 around hour 2.9 before recovering to 94, while respiratory rate peaked at 34 and later settled at 26. The associated labs and urine output showed that white count rose from 4 to 35.5, creatinine fell from 24 to 0.2, lactate was checked once at 228, and urine output rose from 325 to 475, with recorded outputs ranging 96-475.\nD. Clinically, the heart rate fell from 100 to 97, while MAP fell from 80 to 72. Systolic pressure was labile, ranging 90-154, with the lowest value around hour 40.9. SpO2 briefly dipped to 80 around hour 2.3 before recovering to 100, while respiratory rate peaked at 28 and later settled at 22. The associated labs and urine output showed that white count rose from 6 to 30.9, creatinine fell from 20 to 0.4, lactate was checked once at 173, and urine output rose from 270 to 530, with recorded outputs ranging 150-530.","answer":"B","answer_text":"Clinically, the heart rate fell from 105 to 96, while MAP fell from 84 to 77. Systolic pressure was labile, ranging 86-124, with the lowest value around hour 45.4. SpO2 briefly dipped to 85 around hour 2.6 before recovering to 98, while respiratory rate peaked at 32 and later settled at 24. The associated labs and urine output showed that white count rose from 5 to 31.7, creatinine fell from 22 to 0.3, lactate was checked once at 203, and urine output rose from 300 to 500, with recorded outputs ranging 100-500.","episode_id":"iv_000453","anchor_time":49}
{"id":"TSS_iv_000454_clinical_summary_27_2","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 109, MAP rose from 70 to 77, and heart rate stayed around 66. SpO2 started at 96, ended at 99, and fell as low as 95 around hour 0.3; respiratory rate ranged 20-33. For labs and output, white count was 13.7 on its only check, creatinine was 3.6 on its only check, lactate fell from 578 to 4.9, and urine output fell from 110 to 15.\nB. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 98 to 111, MAP rose from 68 to 75, and heart rate stayed around 68. SpO2 started at 94, ended at 100, and fell as low as 93 around hour 0.2; respiratory rate ranged 21-35. For labs and output, white count was 12.6 on its only check, creatinine was 4.0 on its only check, lactate fell from 578.2 to 4.5, and urine output fell from 112 to 14.\nC. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 105, MAP rose from 74 to 81, and heart rate was roughly stable (62 to 69). SpO2 started at 96, ended at 99, and fell as low as 95 around hour 0.3; respiratory rate ranged 20-35. For labs and output, white count was 13.7 on its only check, creatinine was 3.6 on its only check, lactate fell from 578 to 4.9, and urine output fell from 110 to 15.\nD. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (96 to 105), MAP rose from 66 to 80, and heart rate stayed around 70. SpO2 started at 92, ended at 100, and fell as low as 94 around hour 0.1; respiratory rate ranged 22-38. For labs and output, white count was 11.4 on its only check, creatinine was 4.3 on its only check, lactate fell from 548 to 4.2, and urine output fell from 114 to 13.","answer":"A","answer_text":"Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 109, MAP rose from 70 to 77, and heart rate stayed around 66. SpO2 started at 96, ended at 99, and fell as low as 95 around hour 0.3; respiratory rate ranged 20-33. For labs and output, white count was 13.7 on its only check, creatinine was 3.6 on its only check, lactate fell from 578 to 4.9, and urine output fell from 110 to 15.","episode_id":"iv_000454","anchor_time":27}
{"id":"TSS_iv_000455_clinical_summary_46_2","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 137, MAP rose from 69 to 108, and heart rate rose from 64 to 81. SpO2 started at 97, ended at 99, and fell as low as 73 around hour 22.4; respiratory rate ranged 8-50. For labs and output, white count fell from 10.4 to 8.9, creatinine fell from 1 to 0.7, lactate fell from 2.3 to 1.4, and urine output fell from 510 to 97.\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 97 to 141, MAP rose from 66 to 105, and heart rate rose from 67 to 78. SpO2 started at 100, ended at 96, and fell as low as 74 around hour 23.9; respiratory rate ranged 8-53. For labs and output, white count fell from 11.9 to 10.3, creatinine fell from 1 to 0.8, lactate fell from 2.1 to 1.2, and urine output fell from 530 to 100.\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 116, MAP rose from 70 to 109, and heart rate rose from 63 to 82. SpO2 started at 96, ended at 100, and fell as low as 73 around hour 22.0; respiratory rate ranged 9-49. For labs and output, white count fell from 10.0 to 8.5, creatinine was roughly stable (1 to 0.9), lactate fell from 2.3 to 1.4, and urine output fell from 505 to 96.\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 92 to 171, MAP rose from 62 to 100, and heart rate rose from 72 to 81. SpO2 started at 96, ended at 92, and fell as low as 70 around hour 26.1; respiratory rate ranged 7-55. For labs and output, white count fell from 14.2 to 9.5, creatinine fell from 1 to 0.8, lactate fell from 1.8 to 0.9, and urine output fell from 560 to 96.","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 97 to 141, MAP rose from 66 to 105, and heart rate rose from 67 to 78. SpO2 started at 100, ended at 96, and fell as low as 74 around hour 23.9; respiratory rate ranged 8-53. For labs and output, white count fell from 11.9 to 10.3, creatinine fell from 1 to 0.8, lactate fell from 2.1 to 1.2, and urine output fell from 530 to 100.","episode_id":"iv_000455","anchor_time":46}
{"id":"TSS_iv_000455_clinical_summary_46_3","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Overall, the heart rate rose from 70 to 75, MAP rose from 69 to 108, and diastolic pressure moved from 45 to 92. Systolic pressure ranged 79-161 and ended at 137, and SpO2 recovered to 93 after a low of 77 around hour 24.9. Respiratory rate ended at 24; the available labs showed white count fell from 13.4 to 11.8, creatinine fell from 1 to 0.9, lactate fell from 2.3 to 1.0, and urine output fell from 550 to 97.\nB. Overall, the heart rate rose from 65 to 81, MAP rose from 64 to 103, and diastolic pressure moved from 50 to 86. Systolic pressure ranged 74-126 and ended at 126, and SpO2 recovered to 98 after a low of 72 around hour 22.8. Respiratory rate ended at 27; the available labs showed white count fell from 10.8 to 9.2, creatinine fell from 1 to 0.7, lactate fell from 2.0 to 1.4, and urine output fell from 515 to 98.\nC. Overall, the heart rate rose from 67 to 78, MAP rose from 66 to 105, and diastolic pressure moved from 48 to 89. Systolic pressure ranged 76-141 and ended at 141, and SpO2 recovered to 96 after a low of 74 around hour 23.9. Respiratory rate ended at 26; the available labs showed white count fell from 11.9 to 10.3, creatinine fell from 1 to 0.8, lactate fell from 2.1 to 1.2, and urine output fell from 530 to 100.\nD. Overall, the heart rate rose from 62 to 82, MAP rose from 62 to 100, and diastolic pressure moved from 52 to 84. Systolic pressure ranged 72-111 and ended at 111, and SpO2 recovered to 100 after a low of 73 around hour 21.6. Respiratory rate ended at 28; the available labs showed white count fell from 9.7 to 9.5, creatinine fell from 1 to 0.7, lactate fell from 1.8 to 1.5, and urine output fell from 580 to 96.","answer":"C","answer_text":"Overall, the heart rate rose from 67 to 78, MAP rose from 66 to 105, and diastolic pressure moved from 48 to 89. Systolic pressure ranged 76-141 and ended at 141, and SpO2 recovered to 96 after a low of 74 around hour 23.9. Respiratory rate ended at 26; the available labs showed white count fell from 11.9 to 10.3, creatinine fell from 1 to 0.8, lactate fell from 2.1 to 1.2, and urine output fell from 530 to 100.","episode_id":"iv_000455","anchor_time":46}
{"id":"TSS_iv_000457_clinical_summary_45_0","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Taken together, the heart rate rose from 69 to 82, while MAP rose from 74 to 81. Systolic pressure was labile, ranging 84-105, with the lowest value around hour 9.8. SpO2 briefly dipped to 88 around hour 2.3 before recovering to 96, while respiratory rate peaked at 34 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (5.2 to 5.7), creatinine stayed around 1.0, lactate was not available, and urine output was roughly stable (180 to 150), with recorded outputs ranging 100-500.\nB. Taken together, the heart rate rose from 66 to 85, while MAP rose from 71 to 78. Systolic pressure was labile, ranging 87-125, with the lowest value around hour 9.3. SpO2 briefly dipped to 85 around hour 1.3 before recovering to 99, while respiratory rate peaked at 31 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (5.7 to 5.2), creatinine stayed around 0.9, lactate was not available, and urine output stayed around 200, with recorded outputs ranging 100-500.\nC. Taken together, the heart rate rose from 70 to 81, while MAP rose from 75 to 82. Systolic pressure was labile, ranging 83-100, with the lowest value around hour 9.9. SpO2 briefly dipped to 89 around hour 1.6 before recovering to 95, while respiratory rate peaked at 35 and later settled at 24. The associated labs and urine output showed that white count fell from 5.1 to 4.4, creatinine was roughly stable (1.0 to 1), lactate was not available, and urine output stayed around 200, with recorded outputs ranging 150-500.\nD. Taken together, the heart rate rose from 62 to 90, while MAP rose from 66 to 74. Systolic pressure was labile, ranging 91-155, with the lowest value around hour 8.6. SpO2 briefly dipped to 86 around hour 1.0 before recovering to 100, while respiratory rate peaked at 33 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (6.5 to 4.5), creatinine stayed around 0.8, lactate was not available, and urine output stayed around 230, with recorded outputs ranging 96-530.","answer":"B","answer_text":"Taken together, the heart rate rose from 66 to 85, while MAP rose from 71 to 78. Systolic pressure was labile, ranging 87-125, with the lowest value around hour 9.3. SpO2 briefly dipped to 85 around hour 1.3 before recovering to 99, while respiratory rate peaked at 31 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (5.7 to 5.2), creatinine stayed around 0.9, lactate was not available, and urine output stayed around 200, with recorded outputs ranging 100-500.","episode_id":"iv_000457","anchor_time":45}
{"id":"TSS_iv_000459_clinical_summary_75_1","question":"Which summary best preserves the direction and size of the recorded changes?\n\nOptions:\nA. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (90 to 94), diastolic pressure rose from 69 to 79, and heart rate rose from 60 to 104. The lowest MAP was about 55 around hour 14.7, and the lowest valid SpO2 was 85 around hour 24.2; respiratory rate rose as high as 100 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 36.3-38.7 C, white count rose from 6.8 to 8.7, creatinine was roughly stable (0.8 to 0.7), lactate rose from 0.9 to 1.2, and urine output fell from 450 to 50.\nB. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (88 to 96), diastolic pressure rose from 67 to 77, and heart rate rose from 62 to 107. The lowest MAP was about 53 around hour 15.8, and the lowest valid SpO2 was 83 around hour 23.2; respiratory rate rose as high as 98 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 38.5-41.0 C, white count rose from 6.4 to 9.1, creatinine was roughly stable (0.7 to 0.6), lactate rose from 1.0 to 1.2, and urine output fell from 435 to 52.\nC. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (94 to 90), diastolic pressure rose from 73 to 76, and heart rate rose from 56 to 108. The lowest MAP was about 58 around hour 15.7, and the lowest valid SpO2 was 89 around hour 22.3; respiratory rate rose as high as 96 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.5-35.0 C, white count rose from 7.4 to 8.1, creatinine was roughly stable (0.9 to 0.8), lactate rose from 0.8 to 1.4, and urine output fell from 475 to 46.\nD. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (86 to 98), diastolic pressure rose from 64 to 74, and heart rate rose from 64 to 100. The lowest MAP was about 50 around hour 16.9, and the lowest valid SpO2 was 80 around hour 26.4; respiratory rate rose as high as 102 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 40.8-43.2 C, white count rose from 6.0 to 9.4, creatinine stayed around 0.7, lactate rose from 0.9 to 1.2, and urine output fell from 450 to 100.","answer":"A","answer_text":"Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (90 to 94), diastolic pressure rose from 69 to 79, and heart rate rose from 60 to 104. The lowest MAP was about 55 around hour 14.7, and the lowest valid SpO2 was 85 around hour 24.2; respiratory rate rose as high as 100 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 36.3 to 98.8, white count rose from 6.8 to 8.7, creatinine was roughly stable (0.8 to 0.7), lactate rose from 0.9 to 1.2, and urine output fell from 450 to 50.","episode_id":"iv_000459","anchor_time":75}
{"id":"TSS_iv_000461_clinical_summary_111_1","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 59 to 73, diastolic pressure rose from 48 to 64, and heart rate stayed around 74. The lowest MAP was about 29 around hour 84.6, and the lowest valid SpO2 was 88 around hour 34.6; respiratory rate rose as high as 28 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 39.3-40 C, white count rose from 15.2 to 22.4, creatinine rose from 9.1 to 100, lactate rose from 476 to 496, and urine output was roughly stable (97 to 48)\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 54 to 78, diastolic pressure rose from 43 to 65, and heart rate was roughly stable (79 to 80). The lowest MAP was about 26 around hour 83.6, and the lowest valid SpO2 was 85 around hour 30.6; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.3-37 C, white count rose from 13.7 to 20.9, creatinine rose from 9.6 to 97, lactate rose from 456 to 478, and urine output was roughly stable (100 to 45)\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 56 to 76, diastolic pressure rose from 45 to 67, and heart rate stayed around 77. The lowest MAP was about 26 around hour 83.6, and the lowest valid SpO2 was 85 around hour 31.6; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.3-37 C, white count rose from 13.7 to 20.9, creatinine rose from 9.6 to 97, lactate rose from 456 to 478, and urine output was roughly stable (100 to 45)\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 52 to 80, diastolic pressure rose from 40 to 62, and heart rate stayed around 82. The lowest MAP was about 24 around hour 79.1, and the lowest valid SpO2 was 80 around hour 27.1; respiratory rate rose as high as 31 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 31.8-32 C, white count rose from 11.4 to 18.6, creatinine rose from 10.3 to 97.1, lactate rose from 426 to 508, and urine output was roughly stable (96 to 95)","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 56 to 76, diastolic pressure rose from 45 to 67, and heart rate stayed around 77. The lowest MAP was about 26 around hour 83.6, and the lowest valid SpO2 was 85 around hour 31.6; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 97.4 to 98.6, white count rose from 13.7 to 20.9, creatinine rose from 9.6 to 97, lactate rose from 456 to 478, and urine output was roughly stable (100 to 45)","episode_id":"iv_000461","anchor_time":111}
{"id":"TSS_iv_000462_clinical_summary_70_0","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 89 to 72, while MAP was roughly stable (91 to 89). Systolic pressure was labile, ranging 103-152, with the lowest value around hour 8.0. SpO2 briefly dipped to 91 around hour 7.3 before recovering to 95, while respiratory rate peaked at 30 and later settled at 20. The associated labs and urine output showed that white count rose from 9.1 to 12.8, creatinine fell from 1 to 0.5, lactate fell from 243 to 1, and urine output rose from 97 to 275, with recorded outputs ranging 38-820.\nB. Over the available measurements, the heart rate fell from 84 to 77, while MAP was roughly stable (86 to 84). Systolic pressure was labile, ranging 110-187, with the lowest value around hour 7.1. SpO2 briefly dipped to 89 around hour 5.9 before recovering to 100, while respiratory rate peaked at 30 and later settled at 17. The associated labs and urine output showed that white count rose from 10.0 to 10.2, creatinine fell from 1 to 0.7, lactate fell from 208 to 1, and urine output rose from 98 to 310, with recorded outputs ranging 33-785.\nC. Over the available measurements, the heart rate fell from 86 to 75, while MAP was roughly stable (88 to 86). Systolic pressure was labile, ranging 106-172, with the lowest value around hour 7.5. SpO2 briefly dipped to 88 around hour 6.3 before recovering to 98, while respiratory rate peaked at 28 and later settled at 18. The associated labs and urine output showed that white count rose from 9.6 to 11.3, creatinine fell from 1 to 0.6, lactate fell from 223 to 1, and urine output rose from 100 to 325, with recorded outputs ranging 35-800.\nD. Over the available measurements, the heart rate fell from 82 to 80, while MAP was roughly stable (84 to 82). Systolic pressure was labile, ranging 110-202, with the lowest value around hour 6.8. SpO2 briefly dipped to 84 around hour 5.5 before recovering to 100, while respiratory rate peaked at 26 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (10.3 to 10.5), creatinine fell from 1 to 0.7, lactate fell from 193 to 1, and urine output rose from 96 to 295, with recorded outputs ranging 85-770.","answer":"C","answer_text":"Over the available measurements, the heart rate fell from 86 to 75, while MAP was roughly stable (88 to 86). Systolic pressure was labile, ranging 106-172, with the lowest value around hour 7.5. SpO2 briefly dipped to 88 around hour 6.3 before recovering to 98, while respiratory rate peaked at 28 and later settled at 18. The associated labs and urine output showed that white count rose from 9.6 to 11.3, creatinine fell from 1 to 0.6, lactate fell from 223 to 1, and urine output rose from 100 to 325, with recorded outputs ranging 35-800.","episode_id":"iv_000462","anchor_time":70}
{"id":"TSS_iv_000463_clinical_summary_53_1","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (85 to 86), diastolic pressure fell from 75 to 68, and heart rate fell from 103 to 73. The lowest MAP was about 63 around hour 14.5, and the lowest valid SpO2 was 85 around hour 22.5; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.3-36.9 C, white count fell from 16.7 to 13.5, creatinine stayed around 0.7, lactate was checked once at 2.9, and urine output was roughly stable (600 to 600)\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (83 to 88), diastolic pressure fell from 73 to 66, and heart rate fell from 105 to 71. The lowest MAP was about 61 around hour 15.6, and the lowest valid SpO2 was 83 around hour 23.6; respiratory rate rose as high as 30 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 38.5-39.1 C, white count fell from 15.6 to 14.6, creatinine was roughly stable (0.6 to 0.8), lactate was checked once at 2.9, and urine output was roughly stable (585 to 650)\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (89 to 82), diastolic pressure fell from 79 to 65, and heart rate fell from 99 to 77. The lowest MAP was about 66 around hour 15.5, and the lowest valid SpO2 was 89 around hour 20.6; respiratory rate rose as high as 30 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.5-33.1 C, white count fell from 18.6 to 11.6, creatinine stayed around 0.8, lactate was checked once at 3.1, and urine output was roughly stable (575 to 625)\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (80 to 90), diastolic pressure fell from 70 to 64, and heart rate fell from 108 to 76. The lowest MAP was about 58 around hour 16.8, and the lowest valid SpO2 was 80 around hour 21.5; respiratory rate rose as high as 26 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 40.8-41.4 C, white count fell from 14.4 to 12.9, creatinine stayed around 0.5, lactate was checked once at 2.6, and urine output was roughly stable (630 to 570)","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (85 to 86), diastolic pressure fell from 75 to 68, and heart rate fell from 103 to 73. The lowest MAP was about 63 around hour 14.5, and the lowest valid SpO2 was 85 around hour 22.5; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 97.4 to 98.4, white count fell from 16.7 to 13.5, creatinine stayed around 0.7, lactate was checked once at 2.9, and urine output was roughly stable (600 to 600)","episode_id":"iv_000463","anchor_time":53}
{"id":"TSS_iv_000463_clinical_summary_53_2","question":"Which option gives the best clinical synopsis of these ICU measurements?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 116 to 117, MAP was roughly stable (88 to 89), and heart rate fell from 100 to 76. SpO2 started at 97, ended at 97, and fell as low as 88 around hour 21.0; respiratory rate ranged 12-26. For labs and output, white count fell from 15.2 to 15.0, creatinine was roughly stable (0.8 to 0.8), lactate was checked once at 3.1, and urine output was roughly stable (620 to 600)\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 113 to 137, MAP was roughly stable (85 to 86), and heart rate fell from 103 to 73. SpO2 started at 100, ended at 100, and fell as low as 85 around hour 22.5; respiratory rate ranged 11-28. For labs and output, white count fell from 16.7 to 13.5, creatinine stayed around 0.7, lactate was checked once at 2.9, and urine output was roughly stable (600 to 600)\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 117 to 120, MAP was roughly stable (89 to 90), and heart rate fell from 99 to 76. SpO2 started at 96, ended at 96, and fell as low as 89 around hour 20.6; respiratory rate ranged 13-30. For labs and output, white count fell from 14.8 to 12.7, creatinine stayed around 0.8, lactate was checked once at 2.6, and urine output was roughly stable (625 to 625)\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 108 to 133, MAP was roughly stable (80 to 89), and heart rate fell from 108 to 68. SpO2 started at 96, ended at 96, and fell as low as 84 around hour 24.8; respiratory rate ranged 9-30. For labs and output, white count fell from 18.9 to 11.2, creatinine stayed around 0.5, lactate was checked once at 3.2, and urine output was roughly stable (570 to 570)","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 113 to 137, MAP was roughly stable (85 to 86), and heart rate fell from 103 to 73. SpO2 started at 100, ended at 100, and fell as low as 85 around hour 22.5; respiratory rate ranged 11-28. For labs and output, white count fell from 16.7 to 13.5, creatinine stayed around 0.7, lactate was checked once at 2.9, and urine output was roughly stable (600 to 600)","episode_id":"iv_000463","anchor_time":53}
{"id":"TSS_iv_000463_clinical_summary_53_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Overall, the heart rate fell from 106 to 70, MAP was roughly stable (88 to 89), and diastolic pressure moved from 72 to 71. Systolic pressure ranged 107-185 and ended at 133, and SpO2 recovered to 97 after a low of 88 around hour 23.5. Respiratory rate ended at 16; the available labs showed white count fell from 18.2 to 15.0, creatinine stayed around 0.6, lactate was checked once at 3.1, and urine output was roughly stable (620 to 580)\nB. Overall, the heart rate fell from 101 to 76, MAP was roughly stable (83 to 84), and diastolic pressure moved from 77 to 65. Systolic pressure ranged 102-150 and ended at 122, and SpO2 recovered to 98 after a low of 83 around hour 21.4. Respiratory rate ended at 19; the available labs showed white count fell from 15.6 to 12.4, creatinine stayed around 0.8, lactate was checked once at 2.8, and urine output was roughly stable (585 to 615)\nC. Overall, the heart rate fell from 103 to 73, MAP was roughly stable (85 to 86), and diastolic pressure moved from 75 to 68. Systolic pressure ranged 104-165 and ended at 137, and SpO2 recovered to 100 after a low of 85 around hour 22.5. Respiratory rate ended at 18; the available labs showed white count fell from 16.7 to 13.5, creatinine stayed around 0.7, lactate was checked once at 2.9, and urine output was roughly stable (600 to 600)\nD. Overall, the heart rate fell from 98 to 78, MAP was roughly stable (80 to 82), and diastolic pressure moved from 80 to 64. Systolic pressure ranged 100-135 and ended at 107, and SpO2 recovered to 96 after a low of 84 around hour 20.2. Respiratory rate ended at 20; the available labs showed white count fell from 14.4 to 12.7, creatinine stayed around 0.8, lactate was checked once at 2.6, and urine output was roughly stable (650 to 630)","answer":"C","answer_text":"Overall, the heart rate fell from 103 to 73, MAP was roughly stable (85 to 86), and diastolic pressure moved from 75 to 68. Systolic pressure ranged 104-165 and ended at 137, and SpO2 recovered to 100 after a low of 85 around hour 22.5. Respiratory rate ended at 18; the available labs showed white count fell from 16.7 to 13.5, creatinine stayed around 0.7, lactate was checked once at 2.9, and urine output was roughly stable (600 to 600)","episode_id":"iv_000463","anchor_time":53}
{"id":"TSS_iv_000464_clinical_summary_38_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Overall, the heart rate rose from 40 to 80, while MAP was roughly stable (87 to 84). Systolic pressure was labile, ranging 93-154, with the lowest value around hour 12.6. SpO2 briefly dipped to 80 around hour 25.6 before recovering to 100, while respiratory rate peaked at 31 and later settled at 29. The associated labs and urine output showed that white count was roughly stable (5.9 to 6.8), creatinine stayed around 0.9, lactate was checked once at 0.8, and urine output fell from 450 to 200, with recorded outputs ranging 200-450.\nB. Overall, the heart rate rose from 38 to 82, while MAP was roughly stable (85 to 82). Systolic pressure was labile, ranging 97-169, with the lowest value around hour 11.5. SpO2 briefly dipped to 81 around hour 24.5 before recovering to 98, while respiratory rate peaked at 33 and later settled at 28. The associated labs and urine output showed that white count was roughly stable (6.3 to 6.4), creatinine stayed around 0.8, lactate was checked once at 0.9, and urine output fell from 435 to 185, with recorded outputs ranging 215-465.\nC. Overall, the heart rate rose from 44 to 76, while MAP was roughly stable (91 to 88). Systolic pressure was labile, ranging 89-129, with the lowest value around hour 14.5. SpO2 briefly dipped to 84 around hour 27.5 before recovering to 96, while respiratory rate peaked at 35 and later settled at 31. The associated labs and urine output showed that white count was roughly stable (5.3 to 6), creatinine rose from 1.0 to 1.1, lactate was checked once at 0.8, and urine output fell from 450 to 175, with recorded outputs ranging 200-450.\nD. Overall, the heart rate rose from 36 to 84, while MAP stayed around 82. Systolic pressure was labile, ranging 93-154, with the lowest value around hour 12.6. SpO2 briefly dipped to 80 around hour 26.6 before recovering to 100, while respiratory rate peaked at 31 and later settled at 29. The associated labs and urine output showed that white count was roughly stable (5.9 to 6.8), creatinine stayed around 0.9, lactate was checked once at 0.8, and urine output fell from 450 to 150, with recorded outputs ranging 150-450.","answer":"A","answer_text":"Overall, the heart rate rose from 40 to 80, while MAP was roughly stable (87 to 84). Systolic pressure was labile, ranging 93-154, with the lowest value around hour 12.6. SpO2 briefly dipped to 80 around hour 25.6 before recovering to 100, while respiratory rate peaked at 31 and later settled at 29. The associated labs and urine output showed that white count was roughly stable (5.9 to 6.8), creatinine stayed around 0.9, lactate was checked once at 0.8, and urine output fell from 450 to 200, with recorded outputs ranging 200-450.","episode_id":"iv_000464","anchor_time":38}
{"id":"TSS_iv_000465_clinical_summary_33_0","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Taken together, the heart rate rose from 63 to 69, while MAP was roughly stable (107 to 105). Systolic pressure was labile, ranging 98-145, with the lowest value around hour 24.8. SpO2 briefly dipped to 91 around hour 2.5 before recovering to 97, while respiratory rate peaked at 22 and later settled at 22. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 750 to 520, with recorded outputs ranging 400-820.\nB. Taken together, the heart rate rose from 60 to 72, while MAP was roughly stable (104 to 102). Systolic pressure was labile, ranging 101-149, with the lowest value around hour 23.3. SpO2 briefly dipped to 88 around hour 2.3 before recovering to 100, while respiratory rate peaked at 20 and later settled at 20. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 800 to 500, with recorded outputs ranging 350-800.\nC. Taken together, the heart rate rose from 64 to 68, while MAP was roughly stable (108 to 105). Systolic pressure was labile, ranging 97-124, with the lowest value around hour 25.2. SpO2 briefly dipped to 92 around hour 3.3 before recovering to 96, while respiratory rate peaked at 22 and later settled at 22. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 775 to 450, with recorded outputs ranging 375-825.\nD. Taken together, the heart rate rose from 56 to 76, while MAP was roughly stable (100 to 98). Systolic pressure was labile, ranging 105-179, with the lowest value around hour 21.1. SpO2 briefly dipped to 89 around hour 2.0 before recovering to 96, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 830 to 470, with recorded outputs ranging 320-770.","answer":"B","answer_text":"Taken together, the heart rate rose from 60 to 72, while MAP was roughly stable (104 to 102). Systolic pressure was labile, ranging 101-149, with the lowest value around hour 23.3. SpO2 briefly dipped to 88 around hour 2.3 before recovering to 100, while respiratory rate peaked at 20 and later settled at 20. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 800 to 500, with recorded outputs ranging 350-800.","episode_id":"iv_000465","anchor_time":33}
{"id":"TSS_iv_000470_clinical_summary_73_0","question":"Which summary best combines the vital-sign trends with the available labs and output?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 82 to 51, while MAP rose from 80 to 83. Systolic pressure was labile, ranging 97-124, with the lowest value around hour 6.3. SpO2 briefly dipped to 91 around hour 2.6 before recovering to 93, while respiratory rate peaked at 30 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (8 to 9.7), creatinine was roughly stable (1.4 to 0.9), lactate was not available, and urine output stayed around 220, with recorded outputs ranging 1-500.\nB. Over the available measurements, the heart rate fell from 77 to 56, while MAP was roughly stable (75 to 78). Systolic pressure was labile, ranging 98-159, with the lowest value around hour 5.4. SpO2 briefly dipped to 86 around hour 1.5 before recovering to 98, while respiratory rate peaked at 28 and later settled at 18. The associated labs and urine output showed that white count fell from 11 to 8.4, creatinine stayed around 1.0, lactate was not available, and urine output was roughly stable (200 to 250), with recorded outputs ranging 51-500.\nC. Over the available measurements, the heart rate fell from 79 to 54, while MAP was roughly stable (77 to 80). Systolic pressure was labile, ranging 100-144, with the lowest value around hour 5.8. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 96, while respiratory rate peaked at 29 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (10 to 9.2), creatinine was roughly stable (1.2 to 1.1), lactate was not available, and urine output was roughly stable (200 to 250), with recorded outputs ranging 1-500.\nD. Over the available measurements, the heart rate fell from 74 to 58, while MAP was roughly stable (72 to 76). Systolic pressure was labile, ranging 103-174, with the lowest value around hour 5.0. SpO2 briefly dipped to 89 around hour 1.3 before recovering to 100, while respiratory rate peaked at 31 and later settled at 17. The associated labs and urine output showed that white count was roughly stable (12 to 8.4), creatinine was roughly stable (0.9 to 1.4), lactate was not available, and urine output was roughly stable (170 to 220), with recorded outputs ranging 1-530.","answer":"C","answer_text":"Over the available measurements, the heart rate fell from 79 to 54, while MAP was roughly stable (77 to 80). Systolic pressure was labile, ranging 100-144, with the lowest value around hour 5.8. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 96, while respiratory rate peaked at 29 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (10 to 9.2), creatinine was roughly stable (1.2 to 1.1), lactate was not available, and urine output was roughly stable (200 to 250), with recorded outputs ranging 1-500.","episode_id":"iv_000470","anchor_time":73}
{"id":"TSS_iv_000471_clinical_summary_61_2","question":"After reviewing the serial ICU measurements, which summary is most accurate?\n\nOptions:\nA. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 121 to 141, MAP rose from 80 to 92, and heart rate rose from 64 to 85. SpO2 started at 85, ended at 100, and fell as low as 91 around hour 0.1; respiratory rate ranged 12-31. For labs and output, white count fell from 8.9 to 8.7, creatinine was roughly stable (0.7 to 0.4), lactate fell from 154 to 1.5, and urine output fell from 480 to 170.\nB. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 118 to 125, MAP rose from 77 to 89, and heart rate rose from 67 to 82. SpO2 started at 88, ended at 97, and fell as low as 88 around hour 0.2; respiratory rate ranged 11-29. For labs and output, white count was roughly stable (10.4 to 9.5), creatinine was roughly stable (0.6 to 0.5), lactate fell from 134 to 1.3, and urine output fell from 500 to 150.\nC. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 122 to 142, MAP rose from 81 to 93, and heart rate rose from 63 to 86. SpO2 started at 84, ended at 100, and fell as low as 92 around hour 0.1; respiratory rate ranged 13-27. For labs and output, white count was roughly stable (8.5 to 10.1), creatinine stayed around 0.7, lactate fell from 134.2 to 1.3, and urine output fell from 500 to 150.\nD. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (114 to 121), MAP rose from 72 to 92, and heart rate rose from 72 to 78. SpO2 started at 92, ended at 92, and fell as low as 87 around hour 0.4; respiratory rate ranged 9-31. For labs and output, white count was roughly stable (12.7 to 8.8), creatinine was roughly stable (0.4 to 0.7), lactate fell from 104 to 1.0, and urine output fell from 530 to 120.","answer":"B","answer_text":"Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 118 to 125, MAP rose from 77 to 89, and heart rate rose from 67 to 82. SpO2 started at 88, ended at 97, and fell as low as 88 around hour 0.2; respiratory rate ranged 11-29. For labs and output, white count was roughly stable (10.4 to 9.5), creatinine was roughly stable (0.6 to 0.5), lactate fell from 134 to 1.3, and urine output fell from 500 to 150.","episode_id":"iv_000471","anchor_time":61}
{"id":"TSS_iv_000472_clinical_summary_58_1","question":"Which summary most accurately describes the patient's changes over the episode?\n\nOptions:\nA. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 54 to 80, diastolic pressure rose from 40 to 76, and heart rate fell from 148 to 142. The lowest MAP was about 54 around hour 1, and the lowest valid SpO2 was 88 around hour 0.0; respiratory rate rose as high as 43 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 31.8-33.8 C, white count was roughly stable (0.4 to 0.1), creatinine stayed around 0.7, lactate fell from 460 to 311.8, and urine output was roughly stable (270 to 235)\nB. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 51 to 83, diastolic pressure rose from 37 to 79, and heart rate fell from 168 to 122. The lowest MAP was about 51 around hour 0, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 40 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 34.8-36.8 C, white count was roughly stable (0.3 to 0.2), creatinine stayed around 0.6, lactate fell from 440 to 312, and urine output was roughly stable (250 to 215)\nC. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 55 to 79, diastolic pressure rose from 41 to 83, and heart rate fell from 143 to 123. The lowest MAP was about 55 around hour 0, and the lowest valid SpO2 was 89 around hour 0.0; respiratory rate rose as high as 42 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 31.0-33.0 C, white count was roughly stable (0.4 to 0.1), creatinine was roughly stable (0.7 to 0.7), lactate fell from 440 to 312, and urine output was roughly stable (250 to 265)\nD. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 46 to 88, diastolic pressure rose from 32 to 74, and heart rate fell from 198 to 125. The lowest MAP was about 46 around hour 3, and the lowest valid SpO2 was 80 around hour 0; respiratory rate rose as high as 36 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 39.3-41.3 C, white count was roughly stable (0.1 to 0.4), creatinine stayed around 0.4, lactate fell from 410 to 342, and urine output was roughly stable (220 to 185)","answer":"B","answer_text":"For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 51 to 83, diastolic pressure rose from 37 to 79, and heart rate fell from 168 to 122. The lowest MAP was about 51 around hour 0, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 40 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 94.7 to 98.2, white count was roughly stable (0.3 to 0.2), creatinine stayed around 0.6, lactate fell from 440 to 312, and urine output was roughly stable (250 to 215)","episode_id":"iv_000472","anchor_time":58}
{"id":"TSS_iv_000472_clinical_summary_58_2","question":"Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 118 to 82, MAP rose from 54 to 86, and heart rate fell from 148 to 142. SpO2 started at 90, ended at 96, and fell as low as 84 around hour 0.0; respiratory rate ranged 16-37. For labs and output, white count was roughly stable (0.2 to 0.3), creatinine stayed around 0.7, lactate fell from 420 to 332, and urine output was roughly stable (270 to 195)\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 88, MAP rose from 49 to 81, and heart rate fell from 183 to 125. SpO2 started at 95, ended at 91, and fell as low as 83 around hour 0.2; respiratory rate ranged 13-42. For labs and output, white count was roughly stable (0.4 to 0), creatinine stayed around 0.5, lactate fell from 455 to 297, and urine output was roughly stable (235 to 230)\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 86, MAP rose from 51 to 83, and heart rate fell from 168 to 122. SpO2 started at 93, ended at 93, and fell as low as 85 around hour 0.1; respiratory rate ranged 14-40. For labs and output, white count was roughly stable (0.3 to 0.2), creatinine stayed around 0.6, lactate fell from 440 to 312, and urine output was roughly stable (250 to 215)\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 110 to 90, MAP rose from 46 to 78, and heart rate fell from 198 to 92. SpO2 started at 98, ended at 88, and fell as low as 80 around hour 0.2; respiratory rate ranged 12-44. For labs and output, white count was roughly stable (0.5 to 0.0), creatinine was roughly stable (0.4 to 0.7), lactate fell from 440.2 to 312, and urine output was roughly stable (250 to 215)","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 86, MAP rose from 51 to 83, and heart rate fell from 168 to 122. SpO2 started at 93, ended at 93, and fell as low as 85 around hour 0.1; respiratory rate ranged 14-40. For labs and output, white count was roughly stable (0.3 to 0.2), creatinine stayed around 0.6, lactate fell from 440 to 312, and urine output was roughly stable (250 to 215)","episode_id":"iv_000472","anchor_time":58}
{"id":"TSS_iv_000475_clinical_summary_26_2","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 150 to 170, MAP fell from 95 to 85, and heart rate rose from 63 to 83. SpO2 started at 94, ended at 100, and fell as low as 88 around hour 3.6; respiratory rate ranged 16-38. For labs and output, white count fell from 16.9 to 15.4, creatinine stayed around 0.8, lactate rose from 1.0 to 2.0, and urine output fell from 660 to 47.\nB. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 130 to 145, MAP fell from 92 to 82, and heart rate rose from 66 to 80. SpO2 started at 97, ended at 97, and fell as low as 85 around hour 4.1; respiratory rate ranged 14-36. For labs and output, white count fell from 18.4 to 16.2, creatinine stayed around 0.7, lactate rose from 1.2 to 1.8, and urine output fell from 640 to 50.\nC. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 155 to 175, MAP fell from 96 to 86, and heart rate rose from 62 to 84. SpO2 started at 93, ended at 100, and fell as low as 84 around hour 3.5; respiratory rate ranged 16-32. For labs and output, white count fell from 16.5 to 15.0, creatinine was roughly stable (0.8 to 0.8), lactate rose from 1.4 to 1.8, and urine output fell from 640 to 50.\nD. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 141, MAP fell from 88 to 85, and heart rate rose from 70 to 76. SpO2 started at 100, ended at 92, and fell as low as 84 around hour 4.8; respiratory rate ranged 12-40. For labs and output, white count fell from 20.6 to 13.9, creatinine stayed around 0.5, lactate rose from 1.5 to 1.7, and urine output fell from 610 to 54.","answer":"B","answer_text":"Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 130 to 145, MAP fell from 92 to 82, and heart rate rose from 66 to 80. SpO2 started at 97, ended at 97, and fell as low as 85 around hour 4.1; respiratory rate ranged 14-36. For labs and output, white count fell from 18.4 to 16.2, creatinine stayed around 0.7, lactate rose from 1.2 to 1.8, and urine output fell from 640 to 50.","episode_id":"iv_000475","anchor_time":26}
{"id":"TSS_iv_000476_clinical_summary_116_2","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 122 to 102, MAP was roughly stable (73 to 66), and heart rate fell from 92 to 89. SpO2 started at 97, ended at 97, and fell as low as 84 around hour 10.2; respiratory rate ranged 14-28. For labs and output, white count fell from 9.3 to 8.8, creatinine rose from 1.5 to 1.7, lactate was not available, and urine output fell from 370 to 180.\nB. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 117 to 108, MAP fell from 68 to 61, and heart rate fell from 97 to 84. SpO2 started at 98, ended at 92, and fell as low as 84 around hour 12.8; respiratory rate ranged 11-30. For labs and output, white count fell from 11.9 to 8.4, creatinine rose from 1.1 to 2, lactate was not available, and urine output fell from 335 to 145.\nC. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 119 to 106, MAP fell from 70 to 63, and heart rate fell from 95 to 86. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 11.7; respiratory rate ranged 12-29. For labs and output, white count fell from 10.8 to 8.8, creatinine rose from 1.3 to 1.9, lactate was not available, and urine output fell from 350 to 160.\nD. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 114 to 110, MAP fell from 66 to 58, and heart rate fell from 100 to 89. SpO2 started at 96, ended at 90, and fell as low as 80 around hour 13.9; respiratory rate ranged 10-31. For labs and output, white count fell from 13.1 to 8, creatinine rose from 1.0 to 2.2, lactate was not available, and urine output fell from 320 to 130.","answer":"C","answer_text":"In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 119 to 106, MAP fell from 70 to 63, and heart rate fell from 95 to 86. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 11.7; respiratory rate ranged 12-29. For labs and output, white count fell from 10.8 to 8.8, creatinine rose from 1.3 to 1.9, lactate was not available, and urine output fell from 350 to 160.","episode_id":"iv_000476","anchor_time":116}
{"id":"TSS_iv_000478_clinical_summary_35_3","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. Viewed chronologically, the heart rate rose from 53 to 111, MAP rose from 84 to 97, and diastolic pressure moved from 61 to 87. Systolic pressure ranged 93-170 and ended at 111, and SpO2 recovered to 95 after a low of 88 around hour 0.2. Respiratory rate ended at 16; the available labs showed white count rose from 8.1 to 10, creatinine was roughly stable (0.7 to 1.0), lactate was not available, and urine output rose from 200 to 290.\nB. Viewed chronologically, the heart rate rose from 50 to 108, MAP rose from 81 to 94, and diastolic pressure moved from 64 to 90. Systolic pressure ranged 90-150 and ended at 108, and SpO2 recovered to 98 after a low of 85 around hour 0.1. Respiratory rate ended at 18; the available labs showed white count rose from 7.6 to 9, creatinine was roughly stable (0.8 to 0.9), lactate was not available, and urine output rose from 180 to 310.\nC. Viewed chronologically, the heart rate rose from 54 to 104, MAP rose from 85 to 98, and diastolic pressure moved from 60 to 94. Systolic pressure ranged 94-175 and ended at 112, and SpO2 recovered to 94 after a low of 84 around hour 0.2. Respiratory rate ended at 16; the available labs showed white count was roughly stable (8.2 to 8.2), creatinine was roughly stable (0.7 to 1.0), lactate was not available, and urine output rose from 230 to 285.\nD. Viewed chronologically, the heart rate rose from 46 to 112, MAP rose from 76 to 97, and diastolic pressure moved from 68 to 86. Systolic pressure ranged 86-120 and ended at 104, and SpO2 recovered to 100 after a low of 80 around hour 1.1. Respiratory rate ended at 20; the available labs showed white count rose from 6.8 to 8, creatinine was roughly stable (1.0 to 0.8), lactate was not available, and urine output rose from 150 to 340.","answer":"B","answer_text":"Viewed chronologically, the heart rate rose from 50 to 108, MAP rose from 81 to 94, and diastolic pressure moved from 64 to 90. Systolic pressure ranged 90-150 and ended at 108, and SpO2 recovered to 98 after a low of 85 around hour 0.1. Respiratory rate ended at 18; the available labs showed white count rose from 7.6 to 9, creatinine was roughly stable (0.8 to 0.9), lactate was not available, and urine output rose from 180 to 310.","episode_id":"iv_000478","anchor_time":35}
{"id":"TSS_iv_000481_clinical_summary_47_1","question":"After checking the full sequence of measurements, which handoff is most accurate?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 84 to 71, diastolic pressure fell from 65 to 56, and heart rate rose from 72 to 100. The lowest MAP was about 70 around hour 45.8, and the lowest valid SpO2 was 88 around hour 11.3; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.4-33.9 C, white count was roughly stable (11.8 to 8.6), creatinine stayed around 0.8, lactate stayed broadly stable from 1.9 to 1.3, and urine output fell from 530 to 220.\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 79 to 76, diastolic pressure was roughly stable (60 to 57), and heart rate rose from 77 to 101. The lowest MAP was about 65 around hour 47.0, and the lowest valid SpO2 was 83 around hour 11.8; respiratory rate rose as high as 26 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 38.6-39.1 C, white count was roughly stable (9.2 to 11.2), creatinine stayed around 0.6, lactate stayed broadly stable from 1.5 to 1.6, and urine output fell from 495 to 185.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 81 to 74, diastolic pressure was roughly stable (62 to 59), and heart rate rose from 75 to 98. The lowest MAP was about 67 around hour 44.8, and the lowest valid SpO2 was 85 around hour 12.8; respiratory rate rose as high as 27 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.4-36.9 C, white count was roughly stable (10.3 to 10.1), creatinine stayed around 0.7, lactate stayed broadly stable from 1.7 to 1.5, and urine output fell from 510 to 200.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 76 to 73, diastolic pressure was roughly stable (58 to 54), and heart rate rose from 80 to 94. The lowest MAP was about 62 around hour 49.3, and the lowest valid SpO2 was 80 around hour 15.1; respiratory rate rose as high as 29 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 40.9-41.4 C, white count was roughly stable (8.1 to 12.3), creatinine was roughly stable (0.5 to 0.8), lactate stayed broadly stable from 1.7 to 1.5, and urine output fell from 510 to 250.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 81 to 74, diastolic pressure was roughly stable (62 to 59), and heart rate rose from 75 to 98. The lowest MAP was about 67 around hour 44.8, and the lowest valid SpO2 was 85 around hour 12.8; respiratory rate rose as high as 27 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 97.6 to 98.5, white count was roughly stable (10.3 to 10.1), creatinine stayed around 0.7, lactate stayed broadly stable from 1.7 to 1.5, and urine output fell from 510 to 200.","episode_id":"iv_000481","anchor_time":47}
{"id":"TSS_iv_000482_clinical_summary_28_0","question":"Which summary best captures the overall course shown by the serial data?\n\nOptions:\nA. In broad terms, the heart rate fell from 99 to 56, while MAP was roughly stable (93 to 85). Systolic pressure was labile, ranging 94-119, with the lowest value around hour 26.9. SpO2 briefly dipped to 91 around hour 1.2 before recovering to 91, while respiratory rate peaked at 38 and later settled at 14. The associated labs and urine output showed that white count rose from 8.8 to 15.2, creatinine stayed around 0.7, lactate was not available, and urine output fell from 3270 to 450, with recorded outputs ranging 22-3430.\nB. In broad terms, the heart rate fell from 94 to 61, while MAP fell from 88 to 80. Systolic pressure was labile, ranging 99-154, with the lowest value around hour 24.3. SpO2 briefly dipped to 86 around hour 0.1 before recovering to 96, while respiratory rate peaked at 33 and later settled at 11. The associated labs and urine output showed that white count rose from 9.7 to 12.9, creatinine was roughly stable (0.5 to 0.7), lactate was not available, and urine output fell from 3350 to 500, with recorded outputs ranging 70-3350.\nC. In broad terms, the heart rate fell from 96 to 59, while MAP fell from 90 to 82. Systolic pressure was labile, ranging 97-139, with the lowest value around hour 25.4. SpO2 briefly dipped to 88 around hour 0.2 before recovering to 94, while respiratory rate peaked at 35 and later settled at 12. The associated labs and urine output showed that white count rose from 9.3 to 13.7, creatinine stayed around 0.6, lactate was not available, and urine output fell from 3350 to 500, with recorded outputs ranging 20-3350.\nD. In broad terms, the heart rate fell from 92 to 64, while MAP fell from 86 to 78. Systolic pressure was labile, ranging 101-169, with the lowest value around hour 23.1. SpO2 briefly dipped to 89 around hour 0.0 before recovering to 98, while respiratory rate peaked at 37 and later settled at 10. The associated labs and urine output showed that white count rose from 10.1 to 11.4, creatinine stayed around 0.4, lactate was not available, and urine output fell from 3470 to 470, with recorded outputs ranging 18-3230.","answer":"C","answer_text":"In broad terms, the heart rate fell from 96 to 59, while MAP fell from 90 to 82. Systolic pressure was labile, ranging 97-139, with the lowest value around hour 25.4. SpO2 briefly dipped to 88 around hour 0.2 before recovering to 94, while respiratory rate peaked at 35 and later settled at 12. The associated labs and urine output showed that white count rose from 9.3 to 13.7, creatinine stayed around 0.6, lactate was not available, and urine output fell from 3350 to 500, with recorded outputs ranging 20-3350.","episode_id":"iv_000482","anchor_time":28}
{"id":"TSS_iv_000483_clinical_summary_28_3","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate was roughly stable (79 to 77), MAP fell from 93 to 76, and diastolic pressure moved from 64 to 57. Systolic pressure ranged 86-163 and ended at 147, and SpO2 recovered to 97 after a low of 84 around hour 4. Respiratory rate ended at 24; the available labs showed white count was roughly stable (14.9 to 12.4), creatinine stayed around 0.7, lactate was checked once at 1.8, and urine output was roughly stable (190 to 105)\nB. Across the recorded window, the heart rate rose from 74 to 83, MAP fell from 88 to 71, and diastolic pressure moved from 69 to 51. Systolic pressure ranged 81-128 and ended at 112, and SpO2 recovered to 98 after a low of 83 around hour 3. Respiratory rate ended at 27; the available labs showed white count was roughly stable (12.3 to 12.1), creatinine stayed around 0.9, lactate was checked once at 1.5, and urine output was roughly stable (125 to 140)\nC. Across the recorded window, the heart rate was roughly stable (76 to 80), MAP fell from 90 to 73, and diastolic pressure moved from 67 to 54. Systolic pressure ranged 83-143 and ended at 127, and SpO2 recovered to 100 after a low of 85 around hour 3. Respiratory rate ended at 26; the available labs showed white count was roughly stable (13.4 to 13.2), creatinine stayed around 0.8, lactate was checked once at 1.6, and urine output was roughly stable (140 to 125)\nD. Across the recorded window, the heart rate was roughly stable (72 to 84), MAP fell from 86 to 76, and diastolic pressure moved from 72 to 50. Systolic pressure ranged 78-113 and ended at 123, and SpO2 recovered to 96 after a low of 80 around hour 4. Respiratory rate ended at 28; the available labs showed white count was roughly stable (11.2 to 10.9), creatinine stayed around 1.0, lactate was checked once at 1.3, and urine output was roughly stable (110 to 155)","answer":"C","answer_text":"Across the recorded window, the heart rate was roughly stable (76 to 80), MAP fell from 90 to 73, and diastolic pressure moved from 67 to 54. Systolic pressure ranged 83-143 and ended at 127, and SpO2 recovered to 100 after a low of 85 around hour 3. Respiratory rate ended at 26; the available labs showed white count was roughly stable (13.4 to 13.2), creatinine stayed around 0.8, lactate was checked once at 1.6, and urine output was roughly stable (140 to 125)","episode_id":"iv_000483","anchor_time":28}
{"id":"TSS_iv_000484_clinical_summary_41_0","question":"Which clinical summary is best supported by the time-stamped measurements?\n\nOptions:\nA. Across the recorded window, the heart rate fell from 112 to 95, while MAP fell from 104 to 91. Systolic pressure was labile, ranging 95-166, with the lowest value around hour 4.5. SpO2 briefly dipped to 88 around hour 0.4 before recovering to 95, while respiratory rate peaked at 37 and later settled at 19. The associated labs and urine output showed that white count was 13.7 on its only check, creatinine fell from 10 to 0.8, lactate rose from 3 to 706, and urine output fell from 260 to 45, with recorded outputs ranging 30-400.\nB. Across the recorded window, the heart rate fell from 110 to 97, while MAP fell from 102 to 94. Systolic pressure was labile, ranging 97-181, with the lowest value around hour 4.1. SpO2 briefly dipped to 86 around hour 1.4 before recovering to 97, while respiratory rate peaked at 35 and later settled at 18. The associated labs and urine output showed that white count was 14.8 on its only check, creatinine fell from 9 to 0.7, lactate rose from 3 to 691, and urine output fell from 245 to 0, with recorded outputs ranging 0-415.\nC. Across the recorded window, the heart rate fell from 116 to 91, while MAP fell from 108 to 95. Systolic pressure was labile, ranging 91-141, with the lowest value around hour 5.1. SpO2 briefly dipped to 92 around hour 0.5 before recovering to 91, while respiratory rate peaked at 41 and later settled at 21. The associated labs and urine output showed that white count was 11.8 on its only check, creatinine fell from 12 to 0.9, lactate rose from 2 to 731, and urine output fell from 285 to 41, with recorded outputs ranging 45-375.\nD. Across the recorded window, the heart rate fell from 108 to 100, while MAP fell from 100 to 86. Systolic pressure was labile, ranging 99-196, with the lowest value around hour 3.8. SpO2 briefly dipped to 89 around hour 0.2 before recovering to 100, while respiratory rate peaked at 39 and later settled at 17. The associated labs and urine output showed that white count was 15.9 on its only check, creatinine fell from 8 to 0.7, lactate rose from 4 to 676, and urine output fell from 230 to 50, with recorded outputs ranging 26-430.","answer":"A","answer_text":"Across the recorded window, the heart rate fell from 112 to 95, while MAP fell from 104 to 91. Systolic pressure was labile, ranging 95-166, with the lowest value around hour 4.5. SpO2 briefly dipped to 88 around hour 0.4 before recovering to 95, while respiratory rate peaked at 37 and later settled at 19. The associated labs and urine output showed that white count was 13.7 on its only check, creatinine fell from 10 to 0.8, lactate rose from 3 to 706, and urine output fell from 260 to 45, with recorded outputs ranging 30-400.","episode_id":"iv_000484","anchor_time":41}
{"id":"TSS_iv_000485_clinical_summary_36_0","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Clinically, the heart rate fell from 74 to 60, while MAP rose from 65 to 82. Systolic pressure was labile, ranging 83-127, with the lowest value around hour 0.6. SpO2 briefly dipped to 91 around hour 1.0 before recovering to 93, while respiratory rate peaked at 26 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (10.4 to 13.2), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (390 to 470), with recorded outputs ranging 33-470.\nB. Clinically, the heart rate fell from 71 to 63, while MAP rose from 62 to 79. Systolic pressure was labile, ranging 86-147, with the lowest value around hour 0.5. SpO2 briefly dipped to 88 around hour 0.9 before recovering to 96, while respiratory rate peaked at 24 and later settled at 13. The associated labs and urine output showed that white count was roughly stable (11.9 to 11.7), creatinine stayed around 0.4, lactate was not available, and urine output was roughly stable (410 to 450), with recorded outputs ranging 30-450.\nC. Clinically, the heart rate fell from 75 to 59, while MAP rose from 66 to 82. Systolic pressure was labile, ranging 82-122, with the lowest value around hour 0.6. SpO2 briefly dipped to 92 around hour 1.9 before recovering to 92, while respiratory rate peaked at 26 and later settled at 15. The associated labs and urine output showed that white count was roughly stable (10.0 to 13.6), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (385 to 400), with recorded outputs ranging 34-475.\nD. Clinically, the heart rate fell from 66 to 63, while MAP rose from 58 to 74. Systolic pressure was labile, ranging 90-177, with the lowest value around hour 0.3. SpO2 briefly dipped to 84 around hour 0.8 before recovering to 100, while respiratory rate peaked at 22 and later settled at 11. The associated labs and urine output showed that white count was roughly stable (14.2 to 10.9), creatinine was roughly stable (0.2 to 0.5), lactate was not available, and urine output was roughly stable (410 to 450), with recorded outputs ranging 80-450.","answer":"B","answer_text":"Clinically, the heart rate fell from 71 to 63, while MAP rose from 62 to 79. Systolic pressure was labile, ranging 86-147, with the lowest value around hour 0.5. SpO2 briefly dipped to 88 around hour 0.9 before recovering to 96, while respiratory rate peaked at 24 and later settled at 13. The associated labs and urine output showed that white count was roughly stable (11.9 to 11.7), creatinine stayed around 0.4, lactate was not available, and urine output was roughly stable (410 to 450), with recorded outputs ranging 30-450.","episode_id":"iv_000485","anchor_time":36}
{"id":"TSS_iv_000485_clinical_summary_36_3","question":"Which summary best represents the patient's recorded course across the episode?\n\nOptions:\nA. Over the available measurements, the heart rate fell from 71 to 63, MAP rose from 62 to 79, and diastolic pressure moved from 45 to 70. Systolic pressure ranged 86-147 and ended at 112, and SpO2 recovered to 96 after a low of 88 around hour 0.9. Respiratory rate ended at 13; the available labs showed white count was roughly stable (11.9 to 11.7), creatinine stayed around 0.4, lactate was not available, and urine output was roughly stable (410 to 450)\nB. Over the available measurements, the heart rate was roughly stable (69 to 66), MAP rose from 60 to 77, and diastolic pressure moved from 47 to 67. Systolic pressure ranged 84-132 and ended at 110, and SpO2 recovered to 98 after a low of 86 around hour 0.8. Respiratory rate ended at 14; the available labs showed white count was roughly stable (10.8 to 10.6), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (395 to 435)\nC. Over the available measurements, the heart rate fell from 75 to 59, MAP rose from 66 to 83, and diastolic pressure moved from 41 to 74. Systolic pressure ranged 90-172 and ended at 116, and SpO2 recovered to 92 after a low of 87 around hour 1.0. Respiratory rate ended at 11; the available labs showed white count was roughly stable (13.8 to 10.9), creatinine stayed around 0.3, lactate was not available, and urine output was roughly stable (460 to 475)\nD. Over the available measurements, the heart rate fell from 66 to 63, MAP rose from 58 to 82, and diastolic pressure moved from 50 to 66. Systolic pressure ranged 82-117 and ended at 108, and SpO2 recovered to 100 after a low of 84 around hour 1.9. Respiratory rate ended at 15; the available labs showed white count was roughly stable (9.7 to 9.4), creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (380 to 420)","answer":"A","answer_text":"Over the available measurements, the heart rate fell from 71 to 63, MAP rose from 62 to 79, and diastolic pressure moved from 45 to 70. Systolic pressure ranged 86-147 and ended at 112, and SpO2 recovered to 96 after a low of 88 around hour 0.9. Respiratory rate ended at 13; the available labs showed white count was roughly stable (11.9 to 11.7), creatinine stayed around 0.4, lactate was not available, and urine output was roughly stable (410 to 450)","episode_id":"iv_000485","anchor_time":36}
{"id":"TSS_iv_000487_clinical_summary_29_1","question":"Which summary best avoids misstating the observed ICU course?\n\nOptions:\nA. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (97 to 93), diastolic pressure was roughly stable (80 to 78), and heart rate fell from 91 to 83. The lowest MAP was about 78 around hour 1.4, and the lowest valid SpO2 was 88 around hour 21.9; respiratory rate rose as high as 42 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 37.2-38.2 C, white count fell from 14.8 to 13.4, creatinine was roughly stable (1 to 0.9), lactate was not available, and urine output fell from 350 to 85.\nB. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (95 to 95), diastolic pressure was roughly stable (78 to 76), and heart rate fell from 93 to 81. The lowest MAP was about 76 around hour 1.5, and the lowest valid SpO2 was 86 around hour 23.0; respiratory rate rose as high as 44 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 39.5-40.5 C, white count fell from 13.7 to 12.2, creatinine stayed around 1, lactate was not available, and urine output fell from 350 to 135.\nC. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (100 to 89), diastolic pressure was roughly stable (84 to 75), and heart rate fell from 87 to 84. The lowest MAP was about 81 around hour 2.4, and the lowest valid SpO2 was 92 around hour 20.0; respiratory rate rose as high as 46 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 33.5-34.5 C, white count fell from 16.7 to 11.5, creatinine was roughly stable (1 to 1.0), lactate was not available, and urine output fell from 325 to 89.\nD. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (92 to 98), diastolic pressure was roughly stable (76 to 74), and heart rate was roughly stable (96 to 86). The lowest MAP was about 74 around hour 1.7, and the lowest valid SpO2 was 84 around hour 20.9; respiratory rate rose as high as 38 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 41.7-42.7 C, white count fell from 12.6 to 11.1, creatinine was roughly stable (1 to 0.8), lactate was not available, and urine output fell from 380 to 80.","answer":"A","answer_text":"In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (97 to 93), diastolic pressure was roughly stable (80 to 78), and heart rate fell from 91 to 83. The lowest MAP was about 78 around hour 1.4, and the lowest valid SpO2 was 88 around hour 21.9; respiratory rate rose as high as 42 but ended at 26. The lower-frequency data fit that summary: temperature ranged from 99 to 100.8, white count fell from 14.8 to 13.4, creatinine was roughly stable (1 to 0.9), lactate was not available, and urine output fell from 350 to 85.","episode_id":"iv_000487","anchor_time":29}
{"id":"TSS_iv_000490_clinical_summary_49_2","question":"Which brief chart summary best matches the measurement sequence?\n\nOptions:\nA. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 130 to 98, MAP fell from 98 to 72, and heart rate fell from 86 to 70. SpO2 started at 98, ended at 96, and fell as low as 85 around hour 2; respiratory rate ranged 6-26. For labs and output, white count was roughly stable (10.2 to 9.8), creatinine stayed around 0.6, lactate fell from 1.6 to 1.3, and urine output rose from 300 to 400.\nB. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 100, MAP fell from 96 to 70, and heart rate fell from 88 to 73. SpO2 started at 100, ended at 94, and fell as low as 83 around hour 2; respiratory rate ranged 6-28. For labs and output, white count fell from 11.3 to 9, creatinine stayed around 0.5, lactate fell from 1.8 to 1.1, and urine output rose from 285 to 415.\nC. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 155 to 94, MAP fell from 100 to 75, and heart rate fell from 82 to 74. SpO2 started at 94, ended at 100, and fell as low as 84 around hour 2; respiratory rate ranged 7-24. For labs and output, white count was roughly stable (8.3 to 10.4), creatinine stayed around 0.7, lactate fell from 1.4 to 1.2, and urine output rose from 325 to 375.\nD. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 100 to 97, MAP fell from 94 to 68, and heart rate fell from 90 to 66. SpO2 started at 100, ended at 92, and fell as low as 80 around hour 2; respiratory rate ranged 5-28. For labs and output, white count was roughly stable (12.4 to 9.1), creatinine was roughly stable (0.4 to 0.7), lactate fell from 1.8 to 1.3, and urine output rose from 300 to 400.","answer":"A","answer_text":"Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 130 to 98, MAP fell from 98 to 72, and heart rate fell from 86 to 70. SpO2 started at 98, ended at 96, and fell as low as 85 around hour 2; respiratory rate ranged 6-26. For labs and output, white count was roughly stable (10.2 to 9.8), creatinine stayed around 0.6, lactate fell from 1.6 to 1.3, and urine output rose from 300 to 400.","episode_id":"iv_000490","anchor_time":49}
{"id":"TSS_iv_000493_clinical_summary_41_1","question":"Which option is most consistent with the actual sequence of measurements?\n\nOptions:\nA. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 165 to 97, diastolic pressure fell from 150 to 83, and heart rate rose from 47 to 97. The lowest MAP was about 89 around hour 28.1, and the lowest valid SpO2 was 88 around hour 0.0; respiratory rate rose as high as 33 but ended at 33. The lower-frequency data fit that summary: temperature stayed around 33.4-33.8 C, white count was roughly stable (8 to 7.0), creatinine was roughly stable (12 to 12.1), lactate was checked once at 282, and urine output was not recorded.\nB. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 130 to 98, diastolic pressure fell from 115 to 84, and heart rate rose from 52 to 97. The lowest MAP was about 84 around hour 28.2, and the lowest valid SpO2 was 83 around hour 0; respiratory rate rose as high as 28 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 38.6-39.0 C, white count was roughly stable (8 to 7.9), creatinine was roughly stable (10 to 9.5), lactate was checked once at 317, and urine output was not recorded.\nC. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 145 to 100, diastolic pressure fell from 130 to 86, and heart rate rose from 50 to 94. The lowest MAP was about 86 around hour 27.1, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 30 but ended at 30. The lower-frequency data fit that summary: temperature stayed around 36.4-36.8 C, white count was roughly stable (8 to 7.5), creatinine was roughly stable (11 to 10.6), lactate was checked once at 302, and urine output was not recorded.\nD. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 115 to 96, diastolic pressure fell from 100 to 82, and heart rate rose from 54 to 90. The lowest MAP was about 82 around hour 29.4, and the lowest valid SpO2 was 80 around hour 0.2; respiratory rate rose as high as 32 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 40.9-41.3 C, white count was roughly stable (7 to 8.2), creatinine was roughly stable (9 to 10.7), lactate was checked once at 332, and urine output was not recorded.","answer":"C","answer_text":"Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 145 to 100, diastolic pressure fell from 130 to 86, and heart rate rose from 50 to 94. The lowest MAP was about 86 around hour 27.1, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 30 but ended at 30. The lower-frequency data fit that summary: temperature ranged from 97.5 to 98.3, white count was roughly stable (8 to 7.5), creatinine was roughly stable (11 to 10.6), lactate was checked once at 302, and urine output was not recorded.","episode_id":"iv_000493","anchor_time":41}
{"id":"TSS_iv_000496_clinical_summary_83_0","question":"Which synopsis best matches the observed sequence rather than a plausible alternative?\n\nOptions:\nA. Overall, the heart rate rose from 82 to 101, while MAP was roughly stable (80 to 81). Systolic pressure was labile, ranging 97-182, with the lowest value around hour 73.6. SpO2 briefly dipped to 88 around hour 7.6 before recovering to 95, while respiratory rate peaked at 28 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (12.4 to 11.6), creatinine was roughly stable (0.6 to 0.7), lactate was not available, and urine output stayed around 200, with recorded outputs ranging 25-400.\nB. Overall, the heart rate rose from 80 to 103, while MAP was roughly stable (78 to 84). Systolic pressure was labile, ranging 99-197, with the lowest value around hour 71.3. SpO2 briefly dipped to 86 around hour 8.6 before recovering to 97, while respiratory rate peaked at 27 and later settled at 15. The associated labs and urine output showed that white count was roughly stable (13.5 to 10.5), creatinine was roughly stable (0.5 to 0.8), lactate was not available, and urine output was roughly stable (185 to 150), with recorded outputs ranging 25-400.\nC. Overall, the heart rate rose from 86 to 97, while MAP was roughly stable (84 to 85). Systolic pressure was labile, ranging 93-157, with the lowest value around hour 77.3. SpO2 briefly dipped to 92 around hour 8.2 before recovering to 91, while respiratory rate peaked at 30 and later settled at 18. The associated labs and urine output showed that white count fell from 10.5 to 9.0, creatinine rose from 0.7 to 0.8, lactate was not available, and urine output stayed around 225, with recorded outputs ranging 75-425.\nD. Overall, the heart rate rose from 78 to 106, while MAP was roughly stable (76 to 76). Systolic pressure was labile, ranging 101-212, with the lowest value around hour 69.1. SpO2 briefly dipped to 89 around hour 6.8 before recovering to 100, while respiratory rate peaked at 30 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (14.7 to 9.3), creatinine was roughly stable (0.4 to 0.8), lactate was not available, and urine output stayed around 170, with recorded outputs ranging 23-370.","answer":"A","answer_text":"Overall, the heart rate rose from 82 to 101, while MAP was roughly stable (80 to 81). Systolic pressure was labile, ranging 97-182, with the lowest value around hour 73.6. SpO2 briefly dipped to 88 around hour 7.6 before recovering to 95, while respiratory rate peaked at 28 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (12.4 to 11.6), creatinine was roughly stable (0.6 to 0.7), lactate was not available, and urine output stayed around 200, with recorded outputs ranging 25-400.","episode_id":"iv_000496","anchor_time":83}
{"id":"TSS_iv_000496_clinical_summary_83_2","question":"Which clinical synopsis would you choose after reviewing the data chronologically?\n\nOptions:\nA. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 158 to 108, MAP was roughly stable (83 to 84), and heart rate rose from 85 to 104. SpO2 started at 97, ended at 98, and fell as low as 91 around hour 7.1; respiratory rate ranged 14-26. For labs and output, white count was roughly stable (10.9 to 13.1), creatinine rose from 0.7 to 0.8, lactate was not available, and urine output was roughly stable (220 to 220)\nB. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 123 to 103, MAP was roughly stable (78 to 79), and heart rate rose from 84 to 104. SpO2 started at 98, ended at 93, and fell as low as 86 around hour 8.0; respiratory rate ranged 11-30. For labs and output, white count fell from 13.5 to 10.8, creatinine was roughly stable (0.5 to 0.8), lactate was not available, and urine output was roughly stable (185 to 185)\nC. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 138 to 128, MAP was roughly stable (80 to 81), and heart rate rose from 82 to 101. SpO2 started at 100, ended at 95, and fell as low as 88 around hour 7.6; respiratory rate ranged 12-28. For labs and output, white count was roughly stable (12.4 to 11.6), creatinine was roughly stable (0.6 to 0.7), lactate was not available, and urine output was roughly stable (200 to 200)\nD. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 108 to 88, MAP was roughly stable (76 to 84), and heart rate rose from 86 to 96. SpO2 started at 96, ended at 90, and fell as low as 87 around hour 8.3; respiratory rate ranged 10-30. For labs and output, white count was roughly stable (14.7 to 9.3), creatinine was roughly stable (0.4 to 0.8), lactate was not available, and urine output was roughly stable (170 to 170)","answer":"C","answer_text":"Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 138 to 128, MAP was roughly stable (80 to 81), and heart rate rose from 82 to 101. SpO2 started at 100, ended at 95, and fell as low as 88 around hour 7.6; respiratory rate ranged 12-28. For labs and output, white count was roughly stable (12.4 to 11.6), creatinine was roughly stable (0.6 to 0.7), lactate was not available, and urine output was roughly stable (200 to 200)","episode_id":"iv_000496","anchor_time":83}
{"id":"TSS_iv_000497_clinical_summary_27_0","question":"After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?\n\nOptions:\nA. Taken together, the heart rate fell from 118 to 58, while MAP rose from 53 to 80. Systolic pressure was labile, ranging 87-121, with the lowest value around hour 0.3. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 93, while respiratory rate peaked at 20 and later settled at 12. The associated labs and urine output showed that white count was 3.2 on its only check, creatinine was 0.6 on its only check, lactate was checked once at 0.8, and urine output rose from 110 to 330, with recorded outputs ranging 78-470.\nB. Taken together, the heart rate fell from 115 to 61, while MAP rose from 50 to 77. Systolic pressure was labile, ranging 90-141, with the lowest value around hour 0.2. SpO2 briefly dipped to 85 around hour 0.6 before recovering to 96, while respiratory rate peaked at 19 and later settled at 10. The associated labs and urine output showed that white count was 3.7 on its only check, creatinine was 0.5 on its only check, lactate was checked once at 0.7, and urine output rose from 130 to 380, with recorded outputs ranging 75-450.\nC. Taken together, the heart rate fell from 119 to 57, while MAP rose from 54 to 81. Systolic pressure was labile, ranging 86-116, with the lowest value around hour 0.3. SpO2 briefly dipped to 86 around hour 0.7 before recovering to 95, while respiratory rate peaked at 21 and later settled at 12. The associated labs and urine output showed that white count was 3.1 on its only check, creatinine was 0.6 on its only check, lactate was checked once at 0.8, and urine output rose from 105 to 405, with recorded outputs ranging 79-475.\nD. Taken together, the heart rate fell from 110 to 66, while MAP rose from 46 to 72. Systolic pressure was labile, ranging 94-171, with the lowest value around hour 0.0. SpO2 briefly dipped to 80 around hour 0.4 before recovering to 100, while respiratory rate peaked at 17 and later settled at 8. The associated labs and urine output showed that white count was 4.5 on its only check, creatinine was 0.3 on its only check, lactate was checked once at 0.5, and urine output rose from 160 to 350, with recorded outputs ranging 125-420.","answer":"B","answer_text":"Taken together, the heart rate fell from 115 to 61, while MAP rose from 50 to 77. Systolic pressure was labile, ranging 90-141, with the lowest value around hour 0.2. SpO2 briefly dipped to 85 around hour 0.6 before recovering to 96, while respiratory rate peaked at 19 and later settled at 10. The associated labs and urine output showed that white count was 3.7 on its only check, creatinine was 0.5 on its only check, lactate was checked once at 0.7, and urine output rose from 130 to 380, with recorded outputs ranging 75-450.","episode_id":"iv_000497","anchor_time":27}
{"id":"TSS_iv_000497_clinical_summary_27_1","question":"Which option best reflects the important trends and outliers in this episode?\n\nOptions:\nA. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 53 to 74, diastolic pressure rose from 41 to 71, and heart rate fell from 112 to 64. The lowest MAP was about 53 around hour 0.1, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 20 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 32.7-35.8 C, white count was 4.2 on its only check, creatinine was 0.4 on its only check, lactate was checked once at 0.8, and urine output rose from 150 to 360.\nB. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 48 to 79, diastolic pressure rose from 36 to 66, and heart rate fell from 117 to 59. The lowest MAP was about 48 around hour 0.3, and the lowest valid SpO2 was 83 around hour 0.7; respiratory rate rose as high as 21 but ended at 9. The lower-frequency data fit that summary: temperature stayed around 38.0-41.0 C, white count was 3.3 on its only check, creatinine was 0.6 on its only check, lactate was checked once at 0.6, and urine output rose from 115 to 430.\nC. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 50 to 77, diastolic pressure rose from 38 to 68, and heart rate fell from 115 to 61. The lowest MAP was about 50 around hour 0.2, and the lowest valid SpO2 was 85 around hour 0.6; respiratory rate rose as high as 19 but ended at 10. The lower-frequency data fit that summary: temperature stayed around 35.7-38.8 C, white count was 3.7 on its only check, creatinine was 0.5 on its only check, lactate was checked once at 0.7, and urine output rose from 130 to 380.\nD. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 46 to 82, diastolic pressure rose from 34 to 65, and heart rate fell from 120 to 56. The lowest MAP was about 46 around hour 1.2, and the lowest valid SpO2 was 80 around hour 0.8; respiratory rate rose as high as 17 but ended at 8. The lower-frequency data fit that summary: temperature stayed around 40.2-43.3 C, white count was 3.0 on its only check, creatinine was 0.7 on its only check, lactate was checked once at 0.5, and urine output rose from 100 to 410.","answer":"C","answer_text":"Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 50 to 77, diastolic pressure rose from 38 to 68, and heart rate fell from 115 to 61. The lowest MAP was about 50 around hour 0.2, and the lowest valid SpO2 was 85 around hour 0.6; respiratory rate rose as high as 19 but ended at 10. The lower-frequency data fit that summary: temperature ranged from 96.2 to 101.9, white count was 3.7 on its only check, creatinine was 0.5 on its only check, lactate was checked once at 0.7, and urine output rose from 130 to 380.","episode_id":"iv_000497","anchor_time":27}