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"card_id": "PED-DEHYD-RED-FLAGS-v1",
"title": "Pediatric dehydration red flags",
"applies_to": [
"pediatric",
"field clinic",
"disaster response"
],
"required_observations": [
"age or estimated age",
"mental status",
"ability to drink or keep fluids down",
"urine output",
"mouth and eye appearance",
"perfusion observations used by local protocol"
],
"red_flags": [
"lethargy or difficult to arouse",
"no urine reported for a prolonged period",
"sunken eyes with very dry mouth",
"unable to keep fluids down",
"signs of shock or poor perfusion"
],
"escalation_criteria": [
"Any listed red flag requires urgent or emergency escalation according to local protocol.",
"If key observations are missing, collect them only when doing so does not delay escalation."
],
"local_actions": [
"Keep the child under direct observation while escalation is arranged.",
"Document the reported fluid intake, urine output, and mental-status observations for handoff."
],
"forbidden_actions": [
"Do not diagnose dehydration severity as a final clinical diagnosis.",
"Do not provide medication, oral rehydration, or IV-fluid dosing instructions unless a local clinician or protocol explicitly provides them."
],
"safety_boundary": "Prototype protocol navigation card for trained-responder review only. It is not a clinical guideline and cannot diagnose, prescribe, dose, triage autonomously, or override local protocol.",
"source_note": "Prototype protocol card derived from public guideline concepts. Not a clinical guideline."
}
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