AEGISPULSE v2.4 ICU-Core

Occult Shock & Poincaré Entropy Forecaster

Continuous Lead-II ECG Waveform

SWEEP: 25mm/s SAMPLING: 500Hz
Heart Rate
115 bpm
Shock Index
1.21
Mean AP (MAP)
71.7 mmHg
NEWS-2 Tier
9 (Critical)

Poincaré Plot (RRₙ vs RRₙ₊₁)

Vagal Blunting

Geometric quantification of autonomic reserve ($SD_1, SD_2$).

SD1 (Vagal) 7.8 ms
SD2 (Total) 42.1 ms
SampEn 0.24

Physiological Controls

Heart Rate (HR) 115 bpm
Systolic BP (SBP) 95 mmHg
Diastolic BP (DBP) 60 mmHg
Oxygen Saturation (SpO₂) 93%
Respiratory Rate (RR) 24 bpm
Temperature 38.5 °C

Clinical Decompensation Assessment

CRITICAL DECOMPENSATION (48.5% Mortality)
Shock Index (SI)
1.211
> 0.9 Impending Shock
Modified SI (MSI)
1.604
> 1.3 Hypoperfusion
Pulse Pressure
35 mmHg
< 30 Narrow Stroke Vol
Bayesian Collapse P
94.8%
Posterior Probability
TACTICAL RESUSCITATION DIRECTIVE

Immediate resuscitation: Initiate rapid crystaloid challenge (30 mL/kg), draw emergent arterial blood gas & lactate, prepare norepinephrine infusion for target MAP ≥ 65 mmHg, perform focused cardiac ultrasound.

TRIAGE CLASSIFICATION: ESI TIER 1 (RESUSCITATION) RESPONSE WINDOW: < 3 MINUTES

Multi-Bed Dynamic Triage Priority Roster

Auto-Optimized by Bayesian Likelihood & NEWS-2 Kinetics
Rank Bed Patient Vitals (HR / BP / SpO₂) Shock Index ESI Tier Collapse Risk Urgency Score Status