A three-panel monochromatic image
{
"subject": {
"description": "A three-panel monochromatic image. Top panel: A hooded figure with glowing eyes, wearing a backpack, climbing over a chain-link fence under a dark, cloudy night sky with a full, bright moon on the upper right. Middle-left panel: A person in silhouette seated on rubble inside a dark, derelict room, looking out a brightly lit opening with bare, tangled trees and a distant, hazy light source. Middle-right panel: A large, silhouetted hand reaching upwards towards a very bright, circular light source.",
"count": "three distinct scenes within a single image",
"orientation": "various, as per reference panels",
"pose_or_state": "Top: active climbing; Middle-left: static seated; Middle-right: reaching upwards",
"expression": "not applicable (silhouettes / glowing eyes)"
},
"scale_and_proportion": {
"subject_to_frame_ratio": "Each panel's subjects scaled as per reference; the overall three panels stacked occupy 100% of frame height.",
"proportions": "locked to reference",
"negative_space": "significant, particularly in the top and middle-right panels, created by dark areas and the stipple effect, identical to reference"
},
"composition": {
"shot_type": "Top: medium shot; Middle-left: medium interior shot; Middle-right: close-up",
"camera_angle": "Top: slightly low angle; Middle-left: low angle; Middle-right: eye-level for the hand",
"framing": "unchanged from reference (three vertical panels)",
"symmetry": "asymmetrical per panel; overall triptych structure is vertically aligned with strong horizontal panel dividers",
"background": "Top: cloudy night sky with moon and chain-link fence; Middle-left: bare trees and distant light through an opening; Middle-right: plain dark background with a dominant bright circular light",
"depth_of_field": "Top: deep, everything in sharp stipple focus; Middle-left: deep focus outside opening, foreground elements in stipple detail; Middle-right: sharp focus on hand, light source is diffuse within the stipple pattern"
},
"temporal_context": {
"era": "contemporary / timeless desolate aesthetic",
"modern_elements": false,
"retro_stylization": false,
"trend_influence": false
},
"style": {
"visual_type": "black and white stipple / halftone graphic art mimicking print media",
"realism_level": "forms and lighting are realistic, but the rendering is entirely through a stipple pattern",
"art_style": "halftone / stipple graphic art",
"stylization": true,
"interpretation": "literal reproduction, including the specific stipple pattern and black and white rendering"
},
"lighting": {
"setup_type": "predominantly backlighting from a single dominant source per panel",
"light_direction": "Top: frontal (moon); Middle-left: frontal (through opening); Middle-right: frontal (from the circular light source)",
"light_quality": "hard light creating stark silhouettes, with bright, diffused glow around light sources, all rendered with stipple",
"contrast": "very high",
"shadow_behavior": "sharp and defined, creating strong silhouettes, composed of dense stipple dots",
"color_temperature": "not applicable (monochromatic)",
"lighting_variation": "minimal within each panel, distinct backlighting per panel"
},
"materials": {
"primary_materials": [
"human figures (silhouettes)",
"chain-link fence (metal)",
"clouds",
"bare trees / branches",
"rubble / concrete / rough ground",
"generic rough textures"
],
"surface_finish": "not distinct due to stipple and silhouette; implied matte for opaque objects",
"light_reflection": "minimal, primarily silhouette edges defined by stipple",
"material_accuracy": "implied forms accurate through silhouette and stipple density"
},
"color_palette": {
"dominant_colors": [
"black",
"white"
],
"saturation": "not applicable (monochromatic)",
"contrast_level": "very high",
"color_shift": false
},
"texture_and_detail": {
"surface_detail": "rendered entirely through varying density of stipple dots; fence mesh, tree branches, ground rubble are visible through dot patterns",
"grain_noise": "none, only intentional stipple/halftone dots of precise size and distribution",
"micro_details": "preserved through stipple density where present",
"sharpness": "sharp forms, but edges and gradients are defined by discrete dots of the stipple pattern"
},
"camera_render_settings": {
"lens_equivalent": "standard/normal lens look across panels",
"perspective_distortion": "none",
"aperture_look": "deep depth of field for top and middle-left, implied very wide aperture for diffuse light source in middle-right (but hand is still sharp)",
"resolution": "high",
"render_quality": "clean and neutral, but with the explicit and precise stipple effect"
},
"constraints": {
"no_additional_objects": true,
"no_reframing": true,
"no_crop": true,
"no_stylization": false,
"no_artistic_license": true,
"no_text": true,
"no_watermark": true,
"no_effects": true,
"no_dramatic_lighting": true,
"no_color_grading": true,
"no_smooth_gradients": true,
"strictly_black_and_white": true
},
"iteration_instruction": {
"compare_to_reference": true,
"fix_geometry_first": true,
"then_fix_composition": true,
"then_fix_lighting": true,
"then_fix_color": true,
"then_fix_stipple_pattern_fidelity": true,
"ignore_aesthetic_improvements": true
},
"negative_prompt": [
"creative",
"cinematic",
"artistic",
"illustration",
"abstract",
"dramatic",
"wide-angle",
"fisheye",
"exaggeration",
"reinterpretation",
"extra elements",
"modernized",
"retro look",
"color grading",
"AI artifacts",
"smooth",
"gradient",
"grayscale",
"sepia",
"full color",
"soft focus",
"blurry",
"realistic photograph (without stipple)",
"painting",
"sketch",
"watercolor",
"cartoon",
"comic book (unless specifically for stipple effect)"
]
}
ACLS Master Simulator
Persona
You are a highly skilled Medical Education Specialist and ACLS/BLS Instructor. Your tone is professional, clinical, and encouraging. You specialize in the 2025 International Liaison Committee on Resuscitation (ILCOR) standards and the specific ERC/AHA 2025 guideline updates.
Objective
Your goal is to run high-fidelity, interactive clinical simulations to help healthcare professionals practice life-saving skills in a safe environment.
Core Instructions & Rules
Strict Grounding: Base every clinical decision, drug dose, and shock energy setting strictly on the provided 2025 guideline documents.
Sequential Interaction: Do not dump the whole scenario at once. Present the case, wait for user input, then describe the patient's physiological response based on the user's action.
Real-Time Feedback: If a user makes a critical error (e.g., wrong drug dose or delayed shock), let the simulation reflect the negative outcome (e.g., "The patient remains in refractory VF") but provide a "Clinical Debrief" after the simulation ends.
multimodal Reasoning: If asked, explain the "why" behind a step using the 2025 evidence (e.g., the move toward early adrenaline in non-shockable rhythms).
Simulation Structure
For every new simulation, follow this phase-based approach:
Phase 1: Setup. Ask the user for their role (e.g., Nurse, Physician, Paramedic) and the desired setting (e.g., ER, ICU, Pre-hospital).
Phase 2: The Initial Call. Present a 1-2 sentence patient presentation (e.g., "A 65-year-old male is unresponsive with abnormal breathing") and ask "What is your first action?".
Phase 3: The Algorithm. Move through the loop of rhythm checks, drug therapy (Adrenaline/Amiodarone/Lidocaine), and shock delivery based on user input.
Phase 4: Resolution. End the case with either ROSC (Return of Spontaneous Circulation) or termination of resuscitation based on 2025 rules.
Reference Targets (2025 Data)
Compression Depth: At least 2 inches (5 cm).
Compression Rate: 100-120/min.
Adrenaline: 1mg every 3-5 mins.
Shock (Biphasic): Follow manufacturer recommendation (typically 120-200 J); if unknown, use maximum.