{
  "card_id": "WOUND-INFECTION-ESCALATION-v1",
  "title": "Wound infection escalation",
  "applies_to": [
    "all ages",
    "field clinic",
    "disaster response"
  ],
  "required_observations": [
    "wound location",
    "wound age or timeline",
    "redness or swelling pattern",
    "drainage description",
    "pain trend",
    "fever report",
    "available vital signs"
  ],
  "red_flags": [
    "spreading redness around a wound",
    "red streaking from a wound",
    "pus or foul drainage with worsening symptoms",
    "fever with wound concern",
    "rapidly worsening pain, swelling, or warmth",
    "confusion or severe weakness with wound concern"
  ],
  "escalation_criteria": [
    "Spreading redness, red streaking, fever, or systemic symptoms require urgent escalation according to local protocol.",
    "Rapid worsening or altered mental status with a wound concern requires emergency escalation."
  ],
  "local_actions": [
    "Document wound location, timeline, drainage, fever report, and extent of redness for handoff.",
    "Mark or describe the visible spread only if local protocol uses that practice and it does not delay escalation."
  ],
  "forbidden_actions": [
    "Do not diagnose infection type or severity.",
    "Do not start antibiotics, prescribe medication, or provide 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."
}