Observation:

When going down without a self revive kit the game does not give me a chance to try and use my Equivalent Exchanges with pistol kills.

Testing:

I’ve been testing for the last hour. Testing in Standard mode, different tiers in Cursed, with and without the Focusing Stone, etc.
The results are inconsistent, but a major of the time when I go down without a self revive kit I instantly bleed out. Sometimes having a few perks or a pack-a-punched gun seems to stop this behaviour.

Question:

I know this augment was bugged at launch but has anyone else experienced this recently? What is supposed to happen with Equivalent Exchange and self revive kits?