{
  "card_id": "STROKE-SIGNS-v1",
  "title": "Stroke signs",
  "applies_to": [
    "all ages",
    "field clinic",
    "disaster response"
  ],
  "required_observations": [
    "face droop observation",
    "arm weakness observation",
    "speech change observation",
    "vision or balance change report",
    "last known well time if known",
    "available vital signs"
  ],
  "red_flags": [
    "facial droop",
    "arm weakness or one-sided weakness",
    "slurred speech or trouble speaking",
    "sudden vision change",
    "sudden balance trouble",
    "sudden severe headache with neurologic signs"
  ],
  "escalation_criteria": [
    "Any sudden FAST-type sign or neurologic deficit requires emergency escalation.",
    "Record last-known-well time if known, but do not delay escalation to obtain it."
  ],
  "local_actions": [
    "Document observed face, arm, and speech findings plus last-known-well time if known.",
    "Escalate through the local emergency pathway."
  ],
  "forbidden_actions": [
    "Do not diagnose stroke or stroke subtype.",
    "Do not provide medication, dosing, food, drink, or procedure 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."
}