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Because this is a core part of the game, and available on the Quickstart, all the Critical Injuries are available on the system directly.
When you apply the damage using the chat button, it will automatically check if there the target received enough damage to cause a critical injury, and if yes, it will automatically roll one on the Rollable Table, applying it to the target.
This logic checks if the target already has that critical injury, getting the next one if yes.