Slay Living Traps and Save vs. Death in 4th Edition

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Greetings,
    I have began converting some old 3.5 stuff to 4e and one of the traps Im working on now is slay living.  I've read a few different ways to have something like this in the game however it's usually suggested to just make this trap do a large amount of damage with ongoing damage until the character saves.  While I don't think this is a bad way to do it, it lacks the threat of an o