# Fractures and pain in Pulse

**URL:** https://discourse.kitware.com/t/fractures-and-pain-in-pulse/442
**Category:** Pulse Physiology Engine
**Created:** [April 23, 2020, 1:55pm UTC](https://discourse.kitware.com/t/fractures-and-pain-in-pulse/442 "2020-04-23T13:55:55Z")
**Posts on this page:** 3
**Page:** 1

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### Author: ![bob.marinier](https://discourse.kitware.com/letter_avatar_proxy/v4/letter/b/7ab992/32.png) [@bob.marinier](https://discourse.kitware.com/u/bob.marinier)
#### Post date: [April 23, 2020, 1:55pm UTC](https://discourse.kitware.com/t/fractures-and-pain-in-pulse/442/1 "2020-04-23T13:55:55Z")

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Does Pulse support a fracture insult, or modeling the patient’s pain? I didn’t see anything about these in the source code. There’s at least one example I’ve seen that gives morphine “for the pain,” but it looks like the pain is being assumed rather than modeled.

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### Author: ![abray](https://discourse.kitware.com/user_avatar/discourse.kitware.com/abray/32/12_2.png) [@abray](https://discourse.kitware.com/u/abray)
#### Post date: [April 23, 2020, 3:04pm UTC](https://discourse.kitware.com/t/fractures-and-pain-in-pulse/442/2 "2020-04-23T15:04:59Z")

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Currently we do not have pain model in Pulse, but we do have a stress action that you can use to increase HR, BP, and things, but it is not validated.

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### Author: ![abray](https://discourse.kitware.com/user_avatar/discourse.kitware.com/abray/32/12_2.png) [@abray](https://discourse.kitware.com/u/abray)
#### Post date: [April 23, 2020, 4:32pm UTC](https://discourse.kitware.com/t/fractures-and-pain-in-pulse/442/3 "2020-04-23T16:32:49Z")

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Note Stress is described here :  
[https://pulse.kitware.com/\_endocrine\_methodology.html](https://pulse.kitware.com/_endocrine_methodology.html)
