People become hardened to trauma. When you lose SAN without going insane or breaking, mark a box for the loss. Reset all if you break.
If all three boxes are filled, you automatically succeed on those rolls, but take a permanent penalty:
Violence: Lose 1D6 CHA and from all Bonds.
Helplessness: Lose 1D6 POW.
Skills
Injuries
Has First Aid been attempted since the last injury?
Yes: Only Medicine, Surgery, or long-term rest can help further.