f/ntatum-GenStatesforBurn: Updates to how to to have a time before

intervention and run multiple burns

(cherry picked from commit f8bf416d52620c98c13a715f40c6969f24b5a65c)

Author: ntatum94

projects/howto/BurnWoundPainStimulus/src/HowTo-BurnWoundPainStimulus.cpp

@@ -300,7 +300,6 @@ void BurnThread::FluidLoading(double tbsa)
     double targetHighUrineProduction_mL_Per_Hr = 1.0 * weight_kg; //average of around 50ml/hr
     double DayLimit_mL = 4.0 * weight_kg * tbsa;
     double initialInfustion_mL_Per_hr = 0.0; //tbsa * 10.0; // Should start at 10*tbsa // (DayLimit_mL / 0.5) / 8.0; //half of the fluid should be loaded in the first 8 hours;
-    double initialInfustionAlbumin_mL_Per_hr = 40.0; //tbsa * 10.0; // Should start at 10*tbsa // (DayLimit_mL / 0.5) / 8.0; //half of the fluid should be loaded in the first 8 hours;
     double hrsBeforeIntervention = 1.0;
     double DayLimit_Hr = DayLimit_mL / 25.0;
     double temp = 0.0;
@@ -355,15 +354,6 @@ void BurnThread::FluidLoading(double tbsa)
         Status();
         //m_bg->GetLogger()->Info(asprintf("Checking urine production %f %s", m_bg->GetRenalSystem()->GetMeanUrineOutput(VolumePerTimeUnit::mL_Per_hr), "mL_Per_hr"));
         urineProduction = m_bg->GetRenalSystem()->GetMeanUrineOutput(VolumePerTimeUnit::mL_Per_hr);
-
-        //  to add "too high" and "too low" options for titrating
-        double scaleTitration = 1.0;
-        double errTitrate[] {0.9, 1.0, 1.1};
-        int errSelection = rand() % (3 - 1 + 1) + 1;
-        scaleTitration = errTitrate[errSelection - 1];
-        scaleTitration = 1.0;
-        //m_bg->GetLogger()->Info(asprintf("Were they right? titrate percent is: %f %s", scaleTitration, "percent"));
-
         if (fluid == ringers && fluidOn == true) {
           if (((int)m_bg->GetSimulationTime(TimeUnit::s) + 1) == ((int)hrsBeforeIntervention*3600)) {
             double beginningInfusion_mL_Per_hr = 10.0 * tbsa;
@@ -373,12 +363,12 @@ void BurnThread::FluidLoading(double tbsa)
           } else {
             if (urineProduction < targetLowUrineProduction_mL_Per_Hr) {
               m_bg->GetLogger()->Info(asprintf("Urine production is too low at %f %s", urineProduction, "mL_Per_hr"));
-              m_ringers->GetRate().SetValue((m_ringers->GetRate().GetValue(VolumePerTimeUnit::mL_Per_hr)) * (1 + titrate) * scaleTitration, VolumePerTimeUnit::mL_Per_hr);
+              m_ringers->GetRate().SetValue((m_ringers->GetRate().GetValue(VolumePerTimeUnit::mL_Per_hr)) * (1 + titrate), VolumePerTimeUnit::mL_Per_hr);
               m_bg->ProcessAction(*m_ringers);
             }
             if ((m_bg->GetRenalSystem()->GetMeanUrineOutput(VolumePerTimeUnit::mL_Per_hr) > targetHighUrineProduction_mL_Per_Hr)) {
               m_bg->GetLogger()->Info(asprintf("Urine production is too high at %f %s", urineProduction, "mL_Per_hr"));
-              m_ringers->GetRate().SetValue((m_ringers->GetRate().GetValue(VolumePerTimeUnit::mL_Per_hr)) * (1 - titrate) * scaleTitration, VolumePerTimeUnit::mL_Per_hr);
+              m_ringers->GetRate().SetValue((m_ringers->GetRate().GetValue(VolumePerTimeUnit::mL_Per_hr)) * (1 - titrate), VolumePerTimeUnit::mL_Per_hr);
               m_bg->ProcessAction(*m_ringers);
             }
           }
@@ -417,7 +407,27 @@ void BurnThread::FluidLoading(double tbsa)
             m_bg->ProcessAction(*m_escharotomy);
           }
       }
-
+      // escharotomy
+      /*if (m_bg->GetPatient().IsEventActive(CDM::enumPatientEvent::CompartmentSyndrome_Abdominal)
+                                           || m_bg->GetPatient().IsEventActive(CDM::enumPatientEvent::CompartmentSyndrome_LeftArm)
+                                           || m_bg->GetPatient().IsEventActive(CDM::enumPatientEvent::CompartmentSyndrome_LeftLeg)
+                                           || m_bg->GetPatient().IsEventActive(CDM::enumPatientEvent::CompartmentSyndrome_RightArm)
+                                           || m_bg->GetPatient().IsEventActive(CDM::enumPatientEvent::CompartmentSyndrome_RightLeg)) {
+        if (m_bg->GetPatient().IsEventActive(CDM::enumPatientEvent::CompartmentSyndrome_Abdominal)) {
+            m_escharotomy->SetLocation("Trunk");
+        } else if (m_bg->GetPatient().IsEventActive(CDM::enumPatientEvent::CompartmentSyndrome_LeftArm)) {
+          m_escharotomy->SetLocation("LeftArm");
+        } else if (m_bg->GetPatient().IsEventActive(CDM::enumPatientEvent::CompartmentSyndrome_LeftLeg)) {
+          m_escharotomy->SetLocation("LeftLeg");
+        } else if (m_bg->GetPatient().IsEventActive(CDM::enumPatientEvent::CompartmentSyndrome_RightArm)) {
+          m_escharotomy->SetLocation("RightArm");
+        } else if (m_bg->GetPatient().IsEventActive(CDM::enumPatientEvent::CompartmentSyndrome_RightLeg)) {
+          m_escharotomy->SetLocation("RightLeg");
+        } else {
+          return;
+        }
+        m_bg->ProcessAction(*m_escharotomy);
+      }*/
       if (fluid == ringers) {
         if (m_ivBagVolume_mL < 1.0) {
           m_ringers->GetBagVolume().SetValue(ringersVolume_mL, VolumeUnit::mL);
@@ -472,4 +482,4 @@ void BurnThread::FluidLoading(double tbsa)
         AdvanceTimeFluidsAlbumin();
       }
     }
-}
+}