ls -la /home/daytona/workspace/ 2>/dev/null || echo "workspace not found"

mkdir -p /home/daytona/workspace/intubation-flowchart && python3 -c "import repo…

~/intubation-flowchart/generate_flowchart.py

from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import mm
from reportlab.pdfgen import canvas
from reportlab.lib.styles import getSampleStyleSheet
from reportlab.platypus import Paragraph
from reportlab.lib.enums import TA_CENTER, TA_LEFT
import textwrap

OUTPUT = "/home/daytona/workspace/intubation-flowchart/Intubation_Flowchart.pdf"

W, H = A4  # 595.27 x 841.89 points

# ── Colour Palette ──────────────────────────────────────────────────────────
C_HEADER_BG   = colors.HexColor("#1a2e4a")   # dark navy
C_HEADER_TXT  = colors.white
C_BOX_BLUE    = colors.HexColor("#1565C0")   # step header bg
C_BOX_LIGHT   = colors.HexColor("#E3F0FF")   # step body bg
C_BOX_BORDER  = colors.HexColor("#1565C0")
C_WARN_BG     = colors.HexColor("#FFF3CD")
C_WARN_BORDER = colors.HexColor("#E65100")
C_WARN_TXT    = colors.HexColor("#7B3800")
C_FAIL_BG     = colors.HexColor("#FFE0E0")
C_FAIL_BORDER = colors.HexColor("#C62828")
C_FAIL_TXT    = colors.HexColor("#7B0000")
C_GREEN_BG    = colors.HexColor("#E8F5E9")
C_GREEN_BORDER= colors.HexColor("#2E7D32")
C_ARROW       = colors.HexColor("#37474F")
C_PAGE_BG     = colors.HexColor("#F4F7FB")
C_FOOTER      = colors.HexColor("#607080")
C_DRUG_BG     = colors.HexColor("#EDE7F6")
C_DRUG_BORDER = colors.HexColor("#4527A0")

def draw_rounded_rect(c, x, y, w, h, r, fill_color, stroke_color, stroke_w=1.2):
    c.setFillColor(fill_color)
    c.setStrokeColor(stroke_color)
    c.setLineWidth(stroke_w)
    c.roundRect(x, y, w, h, r, fill=1, stroke=1)

def draw_arrow(c, x1, y1, x2, y2, color=C_ARROW):
    """Draw a vertical arrow from (x1,y1) down to (x2,y2)."""
    c.setStrokeColor(color)
    c.setFillColor(color)
    c.setLineWidth(2)
    c.line(x1, y1, x2, y2 + 6)
    # arrowhead
    p = c.beginPath()
    p.moveTo(x2, y2)
    p.lineTo(x2 - 5, y2 + 10)
    p.lineTo(x2 + 5, y2 + 10)
    p.close()
    c.drawPath(p, fill=1, stroke=0)

def wrap_text(c, text, x, y, max_width, font, size, color=colors.black, line_h=None):
    if line_h is None:
        line_h = size * 1.4
    c.setFont(font, size)
    c.setFillColor(color)
    words = text.split()
    lines = []
    current = ""
    for w in words:
        test = (current + " " + w).strip()
        if c.stringWidth(test, font, size) <= max_width:
            current = test
        else:
            if current:
                lines.append(current)
            current = w
    if current:
        lines.append(current)
    for line in lines:
        c.drawString(x, y, line)
        y -= line_h
    return y  # return new y after text

def draw_step_box(c, x, y, w, step_num, step_title, lines, 
                  header_bg=C_BOX_BLUE, body_bg=C_BOX_LIGHT, border=C_BOX_BORDER):
    """Draw a step box with colored header + body. Returns bottom y."""
    header_h = 18
    padding = 7
    line_h = 12
    body_h = padding + len(lines) * line_h + padding
    total_h = header_h + body_h

    # Body
    draw_rounded_rect(c, x, y - total_h, w, total_h, 5, body_bg, border, 1.5)
    # Header overlay
    draw_rounded_rect(c, x, y - header_h, w, header_h, 5, header_bg, header_bg, 0)
    # fix bottom corners of header
    c.setFillColor(header_bg)
    c.rect(x, y - header_h, w, header_h/2, fill=1, stroke=0)

    # Header text
    c.setFont("Helvetica-Bold", 8.5)
    c.setFillColor(colors.white)
    label = f"  {step_num}  {step_title}"
    c.drawString(x + 8, y - 13, label)

    # Body lines
    ty = y - header_h - padding - 2
    for line in lines:
        bold = line.startswith("*")
        text = line.lstrip("* ")
        bullet = u"\u2022 " if not line.startswith("*") else ""
        if bold:
            c.setFont("Helvetica-Bold", 8)
            c.setFillColor(C_BOX_BLUE)
        else:
            c.setFont("Helvetica", 7.8)
            c.setFillColor(colors.HexColor("#1a2e4a"))
        c.drawString(x + 12, ty, bullet + text)
        ty -= line_h

    return y - total_h

def draw_warn_box(c, x, y, w, title, lines, bg=C_WARN_BG, border=C_WARN_BORDER, txt=C_WARN_TXT):
    padding = 6
    line_h = 11
    total_h = padding + 14 + len(lines)*line_h + padding
    draw_rounded_rect(c, x, y - total_h, w, total_h, 5, bg, border, 1.5)
    c.setFont("Helvetica-Bold", 8.5)
    c.setFillColor(border)
    c.drawString(x + 8, y - padding - 10, u"\u26A0  " + title)
    ty = y - padding - 22
    for line in lines:
        c.setFont("Helvetica", 7.8)
        c.setFillColor(txt)
        c.drawString(x + 12, ty, u"\u2022 " + line)
        ty -= line_h
    return y - total_h

def draw_drug_table(c, x, y, w, rows):
    """rows = list of (drug, dose, note). Returns bottom y."""
    col_w = [w*0.30, w*0.25, w*0.45]
    row_h = 13
    header_h = 14
    total_h = header_h + len(rows)*row_h + 4
    draw_rounded_rect(c, x, y - total_h, w, total_h, 4, C_DRUG_BG, C_DRUG_BORDER, 1.2)

    # header
    headers = ["Drug", "Dose", "When to use"]
    cx = x + 4
    c.setFont("Helvetica-Bold", 7.5)
    c.setFillColor(C_DRUG_BORDER)
    for i, h in enumerate(headers):
        c.drawString(cx, y - 11, h)
        cx += col_w[i]

    # separator line
    c.setStrokeColor(C_DRUG_BORDER)
    c.setLineWidth(0.8)
    c.line(x+2, y-header_h, x+w-2, y-header_h)

    # rows
    ty = y - header_h - row_h + 3
    for drug, dose, note in rows:
        cx = x + 4
        for i, val in enumerate([drug, dose, note]):
            bold = (i == 0)
            c.setFont("Helvetica-Bold" if bold else "Helvetica", 7.2)
            c.setFillColor(colors.HexColor("#1a2e4a"))
            # clip text to column width
            max_w = col_w[i] - 6
            while c.stringWidth(val, "Helvetica-Bold" if bold else "Helvetica", 7.2) > max_w and len(val) > 4:
                val = val[:-1]
            c.drawString(cx, ty, val)
            cx += col_w[i]
        ty -= row_h
    return y - total_h


# ═══════════════════════════════════════════════════════════════════════════
#  BUILD PDF  – two pages
# ═══════════════════════════════════════════════════════════════════════════
c = canvas.Canvas(OUTPUT, pagesize=A4)
margin = 22 * mm
content_w = W - 2 * margin


# ─── PAGE 1 ─────────────────────────────────────────────────────────────────
# Background
c.setFillColor(C_PAGE_BG)
c.rect(0, 0, W, H, fill=1, stroke=0)

# Top header bar
c.setFillColor(C_HEADER_BG)
c.rect(0, H - 52, W, 52, fill=1, stroke=0)

c.setFont("Helvetica-Bold", 16)
c.setFillColor(colors.white)
c.drawCentredString(W/2, H - 25, "RSI INTUBATION FLOWCHART")
c.setFont("Helvetica", 9)
c.setFillColor(colors.HexColor("#90CAF9"))
c.drawCentredString(W/2, H - 40, "Rapid Sequence Intubation - Emergency Airway Management")

# Subtitle / indication
c.setFillColor(colors.HexColor("#FFD54F"))
c.setFont("Helvetica-Bold", 9)
c.drawCentredString(W/2, H - 58, "INDICATION: GCS <= 8  |  Airway compromise  |  Respiratory failure")

y = H - 68

# ── STEP P1: PREPARATION ────────────────────────────────────────────────────
y -= 4
lines_p1 = [
    "IV access x2 (large bore), cardiac monitor, pulse oximeter",
    "Laryngoscope - light check karao",
    "ETT cuff inflate/deflate check karao",
    "Suction ON aur ready",
    "Backup airway: LMA + Surgical airway kit ready",
    "*ETT size: Male 8.0mm (22cm depth) | Female 7.5mm (21cm depth)",
    "Capnography / end-tidal CO2 colorimeter ready",
    "Trauma patient: Cervical spine inline stabilization",
]
y = draw_step_box(c, margin, y, content_w, "P1", "PREPARATION  (T-5 min)", lines_p1)
draw_arrow(c, W/2, y, W/2, y - 8)
y -= 10

# ── STEP P2: PREOXYGENATION ─────────────────────────────────────────────────
lines_p2 = [
    "100% O2 via tight-fit mask ya BVM - 3 to 5 minutes",
    "Target SpO2 > 95% before proceeding",
    "Nasal cannula bhi lagao @ 10-15 L/min (apneic oxygenation)",
    "*Obese/Pregnant: Shoulder roll / ramp lagao (head 20-30 deg up)",
    "Suction karo oral secretions agar zaroorat ho",
]
y = draw_step_box(c, margin, y, content_w, "P2", "PREOXYGENATION  (T-3 to 0 min)", lines_p2,
                  header_bg=colors.HexColor("#00695C"))
draw_arrow(c, W/2, y, W/2, y - 8)
y -= 10

# ── STEP P3: PREMEDICATION ──────────────────────────────────────────────────
lines_p3 = [
    "Lidocaine 1.5 mg/kg IV  - raised ICP ya bronchospasm mein",
    "Atropine 0.02 mg/kg IV  - bachon (<10 yr) mein bradycardia rokne ke liye",
    "Fentanyl 1-3 mcg/kg IV  - hemodynamically stable + ICP concern",
    "Note: Ye optional adjuncts hain - hamesha required nahi",
]
y = draw_step_box(c, margin, y, content_w, "P3", "PREMEDICATION  (T-3 min before induction)", lines_p3,
                  header_bg=colors.HexColor("#6A1B9A"))
draw_arrow(c, W/2, y, W/2, y - 8)
y -= 10

# ── STEP P4: PARALYSIS + INDUCTION ─────────────────────────────────────────
lines_p4_header = [
    "*STEP 1: Induction Agent pehle do, FIR TURANT Paralytic do",
]
y = draw_step_box(c, margin, y, content_w, "P4", "PARALYSIS WITH INDUCTION  (T=0)",
                  lines_p4_header, header_bg=colors.HexColor("#B71C1C"))
y += 2  # small overlap for sub-table
# Drug table - sedation
induction_drugs = [
    ("Etomidate",   "0.3 mg/kg IV",    "FIRST CHOICE - BP stable rakhta hai"),
    ("Ketamine",    "1-2 mg/kg IV",    "Bronchospasm, hypotension mein"),
    ("Midazolam",   "0.2 mg/kg IV",    "Alternate - BP gira sakta hai"),
    ("Propofol",    "1-2 mg/kg IV",    "Hemodynamically stable only"),
]
y2 = draw_drug_table(c, margin+4, y - 2, content_w - 8, induction_drugs)
y2 -= 4

c.setFont("Helvetica-Bold", 7.5)
c.setFillColor(C_BOX_BLUE)
c.drawString(margin + 8, y2, "PARALYTIC AGENT (immediately after induction):")
y2 -= 12
paralytic_drugs = [
    ("Succinylcholine", "1.5-2 mg/kg IV",  "FIRST CHOICE - 60sec onset, 10-15 min"),
    ("Rocuronium",      "0.8-1.2 mg/kg IV","Agar Succinylcholine CI ho - 60min lasts"),
]
y2 = draw_drug_table(c, margin+4, y2, content_w - 8, paralytic_drugs)
y = y2 - 6

# Succinylcholine warning
warn_lines = [
    "Burns (>24hr), Crush injury (>24hr), Hyperkalemia",
    "Neuromuscular disease (Myasthenia Gravis, Muscular Dystrophy)",
    "Open globe injury, Pseudocholinesterase deficiency",
]
y = draw_warn_box(c, margin, y, content_w,
                  "Succinylcholine KABHI MAT DO agar:", warn_lines,
                  bg=C_FAIL_BG, border=C_FAIL_BORDER, txt=C_FAIL_TXT)

# Footer page 1
c.setFont("Helvetica", 7)
c.setFillColor(C_FOOTER)
c.drawCentredString(W/2, 18, "Page 1 of 2  |  RSI Intubation Flowchart  |  Sources: Washington Manual; Rosen's Emergency Medicine; Tintinalli's EM")
c.line(margin, 26, W - margin, 26)

c.showPage()

# ─── PAGE 2 ─────────────────────────────────────────────────────────────────
c.setFillColor(C_PAGE_BG)
c.rect(0, 0, W, H, fill=1, stroke=0)

# mini header
c.setFillColor(C_HEADER_BG)
c.rect(0, H - 32, W, 32, fill=1, stroke=0)
c.setFont("Helvetica-Bold", 12)
c.setFillColor(colors.white)
c.drawCentredString(W/2, H - 22, "RSI INTUBATION FLOWCHART  -  Page 2: Tube Placement & Post-Care")

y = H - 42

# ── STEP P5: PLACEMENT (sniffing position) ──────────────────────────────────
y -= 6
lines_sniff = [
    '*"Sniffing Position": Neck flex + Head extend (jaise subah ki khushboo soongh rahe ho)',
    "Obese patient: Shoulder ramp lagao - ear aur sternum ek line mein ho",
    "Laryngoscope LEFT HAND mein lo",
    "Muh kholo RIGHT HAND se",
]
y = draw_step_box(c, margin, y, content_w, "P5a", "POSITIONING + LARYNGOSCOPY",
                  lines_sniff, header_bg=colors.HexColor("#1565C0"))
draw_arrow(c, W/2, y, W/2, y - 8)
y -= 10

lines_blade = [
    "Blade RIGHT side se daalo - tongue ko LEFT mein sweep karo",
    "MacINTOSH blade (curved): Tip ko VALLECULA mein rakho (tongue-epiglottis ke beech)",
    "MILLER blade (straight): Epiglottis ko directly utha lo",
    "Handle ki DIRECTION mein lift karo - TILT MAT KARO",
    "VOCAL CORDS dikhni chahiye - do white/peeli bands",
]
y = draw_step_box(c, margin, y, content_w, "P5b", "LARYNGOSCOPE INSERTION + VISUALIZATION",
                  lines_blade, header_bg=colors.HexColor("#1565C0"))
draw_arrow(c, W/2, y, W/2, y - 8)
y -= 10

lines_tube = [
    "Vocal cords DIKH RAHE HAIN? - TAB HI tube daalo",
    "ETT RIGHT HAND se pakdo, tube ko cords ke beech se andar do",
    "Cuff cords se thoda NEECHE chali jaaye tab stylet nikal lo",
    "*Depth: Male = 22cm | Female = 21cm at gum/teeth",
    "Cuff inflate karo: 5-10 mL air syringe se",
    "TAPE se SECURE karo",
]
y = draw_step_box(c, margin, y, content_w, "P5c", "TUBE INSERTION + SECURING",
                  lines_tube, header_bg=colors.HexColor("#1565C0"))
draw_arrow(c, W/2, y, W/2, y - 8)
y -= 10

# ── STEP P6: CONFIRM ────────────────────────────────────────────────────────
lines_confirm = [
    "*Method 1 - End-tidal CO2: Color change purple -> yellow = TRACHEA mein hai",
    "*Method 2 - Auscultation: DONO lungs mein breath sounds, pet pe NAHI",
    "*Method 3 - Chest X-ray: Final confirm + depth check",
    "Agar pet pe sound aaye = ESOPHAGEAL INTUBATION! Turant nikalo!",
    "SpO2 + capnography continuously monitor karo",
]
y = draw_step_box(c, margin, y, content_w, "P6", "POST-INTUBATION CONFIRMATION  (MANDATORY - TEEN TARIKE SE)",
                  lines_confirm, header_bg=colors.HexColor("#2E7D32"),
                  body_bg=C_GREEN_BG, border=C_GREEN_BORDER)
draw_arrow(c, W/2, y, W/2, y - 8)
y -= 10

# ── STEP P7: POST-INTUBATION MANAGEMENT ─────────────────────────────────────
lines_post = [
    "Sedation CONTINUE karo (Midazolam + Fentanyl / Propofol infusion)",
    "Ventilator settings: Tidal Volume 6-8 mL/kg IBW | FiO2 100% -> wean down",
    "Ventilation target: PaCO2 35-45 mmHg, SpO2 94-97%",
    "TBI mein: NO hyperventilation (cerebral vasoconstriction hoti hai)",
    "Serial GCS monitor karo, Neurosurgery/ICU team ko inform karo",
    "BP target: Systolic > 90 mmHg | MAP > 80 mmHg",
]
y = draw_step_box(c, margin, y, content_w, "P7", "POST-INTUBATION MANAGEMENT",
                  lines_post, header_bg=colors.HexColor("#37474F"))

draw_arrow(c, W/2, y, W/2, y - 8)
y -= 10

# ── FAILED INTUBATION ALGORITHM ─────────────────────────────────────────────
fail_lines = [
    "Attempt 1 fail -> Reposition karo, Better suction karo, BURP maneuver try karo",
    "Attempt 2 fail -> Senior / Anesthesia help bulao, Video laryngoscope use karo",
    "Attempt 3 fail -> LMA (Laryngeal Mask Airway) lagao - temporary oxygenation",
    "LMA bhi fail   -> SURGICAL AIRWAY: Cricothyrotomy! (Scalpel-Finger-Bougie technique)",
    "*Max 3 attempts karo - zyada se trachea traumatize ho jaati hai",
]
y = draw_warn_box(c, margin, y, content_w,
                  "FAILED INTUBATION ALGORITHM - Can't Intubate, Can't Oxygenate (CICO)",
                  fail_lines, bg=C_FAIL_BG, border=C_FAIL_BORDER, txt=C_FAIL_TXT)

y -= 8

# ── QUICK REFERENCE BOX ─────────────────────────────────────────────────────
qr_h = 52
draw_rounded_rect(c, margin, y - qr_h, content_w, qr_h, 5,
                  colors.HexColor("#E8EAF6"), colors.HexColor("#3949AB"), 1.5)
c.setFont("Helvetica-Bold", 8.5)
c.setFillColor(colors.HexColor("#1A237E"))
c.drawCentredString(W/2, y - 13, "QUICK REFERENCE - 7 Ps Mnemonic")
quick = [
    ("P1 Preparation", "Equipment check, IV, monitor"),
    ("P2 Preoxygenation", "100% O2, SpO2>95%, 3-5 min"),
    ("P3 Premedication", "Lidocaine, Atropine, Fentanyl (optional)"),
    ("P4 Paralysis+Induction", "Etomidate + Succinylcholine"),
    ("P5 Placement", "Sniff position, Laryngoscopy, ETT insert"),
    ("P6 Post-confirmation", "ETCO2 + Auscultation + CXR"),
    ("P7 Post-management", "Ventilator, Sedation, Monitor"),
]
col_x = [margin + 6, margin + content_w/2 + 6]
ty = y - 24
c.setFont("Helvetica-Bold", 7)
c.setFillColor(colors.HexColor("#1A237E"))
for i, (mnem, desc) in enumerate(quick):
    cx = col_x[i % 2]
    row_y = ty - (i // 2) * 11
    c.setFont("Helvetica-Bold", 7)
    c.setFillColor(colors.HexColor("#3949AB"))
    c.drawString(cx, row_y, mnem + ": ")
    c.setFont("Helvetica", 7)
    c.setFillColor(colors.HexColor("#1a2e4a"))
    lbl_w = c.stringWidth(mnem + ": ", "Helvetica-Bold", 7)
    c.drawString(cx + lbl_w, row_y, desc)

# Footer page 2
c.setFont("Helvetica", 7)
c.setFillColor(C_FOOTER)
c.drawCentredString(W/2, 18, "Page 2 of 2  |  Sources: Washington Manual of Medical Therapeutics; Rosen's EM; Tintinalli's EM; Pfenninger & Fowler's Procedures")
c.line(margin, 26, W - margin, 26)

c.save()
print(f"PDF saved to {OUTPUT}")

cd /home/daytona/workspace/intubation-flowchart && python3 generate_flowchart.py

ls -lh /home/daytona/workspace/intubation-flowchart/