Hypoxia 96%: no (good)
Hypoxia 86%: yes (good)
Slot initial (96%, no treatment, persistent wording): initial_resuscitation
Slot refractory (after fluids+abx): refractory_hypotension
Slot hypoxic (86%): hypoxic_escalation
Key detect Initiate fluids+abx: yes (good)
Key detect Give intravenous fluids+abx: yes (good)

=== Case 1: SpO2 96%, persistent hypotension, no fluids/abx yet ===
Codes: sepsis.emergency_obvious_unsafe_distractors, uk.on_breathing_air, lead_in.template_ai.most_appropriate_immediate_management, options.correct_answer_much_longer_than_distractors, title.word_count

=== Case 2: persistent hypotension after fluids and antibiotics ===
Codes: stem.word_count, options.length_imbalance, mla.option_length_outlier

=== Case 3: hypoxic SpO2 86% + oxygen/fluids/abx ===
Codes: sepsis.emergency_obvious_unsafe_distractors, sepsis.emergency_option_length_imbalance, uk.on_breathing_air, lead_in.template_ai.most_appropriate_immediate_management, options.high_similarity.option_a_option_b, options.correct_answer_much_longer_than_distractors, mla.option_length_outlier, title.word_count

Reviewer independent-first: yes
Reviewer not summariser: yes