Drafter
- Reads X-ray, vitals, retrieved excerpts
- Writes strict TriageOutput JSON
- vLLM guided JSON · no prose
Agentic Trauma Life Support
Agentic trauma-triage decision-support, in English or Bahasa Indonesia. The agentic AI realization of the Advanced Trauma Life Support primary survey, served from a single AMD Instinct MI300X.
A double meaning was deliberate. ATLS is the global trauma protocol from the American College of Surgeons — Advanced Trauma Life Support. This project — Agentic Trauma Life Support — is the agentic AI realization of that protocol’s primary survey.
Trauma is the leading cause of death between the ages of 1 and 44 worldwide. The Advanced Trauma Life Support primary survey — a structured walk through Airway, Breathing, Circulation, Disability, Exposure — works because someone trained walks it.
In rural emergency rooms and resource-limited casualty departments, that someone trained is often a junior clinician, a nurse on a phone link, or a referral chain that takes hours. ATLS — the project — is a structured, citation-backed triage assistant that walks the protocol on a chest X-ray and a brief clinical vignette, and produces a Pydantic-validated primary-survey JSON plus an SBAR handoff in the local language, in seconds.
Qwen2.5-VL-72B in full BF16 occupies roughly 145 GB of weights — the dashed line. Anything to the left of it does not fit on a single device.
The only sub-$2/hr option that fits 72B in BF16 on a single GPU.
Both model calls hit the same vLLM server. No model router. No second GPU.
Single image · short prompt
Single image · 3 k-token retrieved context
Concurrent batch of four · 96 % of budget
n = 5 per scenario · real chest X-ray (case_01_tension_ptx) · vLLM 0.17.1 ROCm · single MI300X
Drafter calls the right action — drama case
Verifier catches drafter laterality error
Verifier downgrades drafter over-call
Multi-panel image · ICU disposition
The credibility test — model declined to invent
Multilingual rendering · Bahasa Indonesia
Imaging unremarkable. Recommend FAST and CT abdomen.
Case 05 · Normal CXR with hypotension · Model declined to invent