{
  "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."
}