As with most games without HP, because maybe:
• Someone may have cut your arm wirh a katana and you need to use both hands.
• A flash grenade has burnt out your eyes.
• The holes from a barrage of bullets its making you spill all your blood into the pavement.
• You quickly have to run through a sun-lit street and you have to resist setting yourself in flames.
• You fall from a tall building while escaping, and both your legs are broken, you heal now or get arrested.
• The armored car you tried to stop has eun over you and you have been reduced to a pulp.
• You need to gain time while the enemy gang is torturing you.
• You need to forcibly remove a nano-augmentation without killing yourself.
• In order to free yourself from the hook you are hanging on, you have to rip yourself apart.
• You are in crippling pain.
There's no mandatory need to express it on round numbers or numerical penalties. Sometimes or you heal or you die or you heal or you can't act.