SALUS Zero
SALUS Zero is a clinical training simulator and bedside decision companion for medicine where nothing is available.
Core trick
Code computes physiology, vitals, and debrief scores while Claude narrates, and a rule-based engine computes PAS and Alvarado scores in code.
Description
SALUS Zero is a clinical training simulator and bedside decision companion for medicine where nothing is available. Most of the world's children are treated with no CT, no ultrasound, no surgeon — only a clock and one doctor. It serves that world through two doors. The scored night: Claude narrates a deteriorating pediatric case while code owns everything that must be true — the stage physiology, every vital and lab, and a 0–100 debrief computed in auditable arithmetic, never by the model. Its signature constraint: no CT — you decide with what the clinic actually has. The consult companion: a narrow, reference-grounded appendicitis assistant for a clinician facing a real child — it starts from your inventory, computes PAS and Alvarado in code, forces the mimics into every assessment, and refuses to prescribe doses. Appendicitis is only the pilot: any domain, surgical or medical, plugs in as expert-authored data. A chatbot is built to agree; this engine is built to push back. In its first days, six residents, an associate professor, and a district-hospital general practitioner ran it. Built solo in six days with Claude Code by a practicing pediatric surgery resident. Open source, AGPL-3.0, live at saluszero.com.
README excerpt
# SALUS Zero [](https://github.com/sahinparlak/salus-zero/actions/workflows/ci.yml) **A clinical training simulator and bedside decision companion for medicine where nothing is available.** **Live demo:** https://saluszero.com — mirror: https://salus-zero.pages.dev **Demo video (3 min):** https://youtu.be/nViBs7w1IeA Most medical training assumes a hospital that has everything. But most of the world's children are treated where there is no CT, no ultrasound, no surgeon in the building — only a clock and a single doctor. SALUS Zero trains decision-making for *that* world. Its signature constraint: **you cannot order a CT** — you decide with what the clinic actually has. SALUS Zero meets you twice: **train for that night** — or **bring the real patient** and decide with what you actually have. Appendicitis is only the pilot. The engine is domain-agnostic — physiology in code, knowledge in a signed expert document — so a new domain, surgical or medical, is data to add, not a rewrite. > **A new, from-scratch simulation engine built during the *Built with Claude: > Life Sciences* hackathon — part of the broader SALUS Zero vision.** Built solo with Claude Code by a practicing pediatric surgery resident. ![The scored night in full: the CT order struck out and stamped UNAVAILABLE HERE, the switchboard call that comes back empty, the mother catching the refusal in your face — while the monitor