{
  "id": "emergency/bleeding-control-elevation-not-tourniquet",
  "signature": "AI recommends elevating a severely bleeding limb instead of applying a tourniquet, contrary to Stop the Bleed guidelines",
  "signature_zh": "AI建议抬高严重出血的肢体而非使用止血带，违反Stop the Bleed指南",
  "regex": "(?:elevat(?:e|ing)|raise)\\s+(?:the\\s+)?(?:limb|arm|leg|wound)\\s+(?:above|to\\s+reduce)\\s+(?:bleeding|blood\\s+flow)",
  "domain": "emergency",
  "category": "life_safety",
  "subcategory": null,
  "root_cause": "The AI generalizes first-aid advice for minor bleeding (elevation) to severe hemorrhage, ignoring that tourniquets are the standard for life-threatening extremity bleeding per the Hartford Consensus and Stop the Bleed campaign.",
  "root_cause_type": "generic",
  "root_cause_zh": "AI将轻微出血的急救建议（抬高）泛化到严重出血，忽略了根据哈特福德共识和Stop the Bleed活动，止血带是危及生命的肢体出血的标准处理方法。",
  "versions": [
    {
      "version": "Stop the Bleed 2023",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "Hartford Consensus v4",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "TCCC Guidelines 2021",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "Suggesting direct pressure alone for 10 minutes without tourniquet",
      "why_fails": "Direct pressure is insufficient for arterial bleeding; tourniquet is needed to stop life-threatening hemorrhage",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    },
    {
      "action": "Recommending pressure points instead of tourniquet",
      "why_fails": "Pressure points are ineffective in modern trauma care; tourniquets are faster and more reliable",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    },
    {
      "action": "Telling users to 'apply ice to reduce swelling'",
      "why_fails": "Ice does not stop active bleeding and delays definitive care",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Add explicit rule: 'For severe bleeding from a limb, immediately apply a tourniquet 2-3 inches above the wound. Do not elevate.'",
      "success_rate": 0.92,
      "how": "Add explicit rule: 'For severe bleeding from a limb, immediately apply a tourniquet 2-3 inches above the wound. Do not elevate.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Implement a severity check: 'If blood is spurting or pooling rapidly, instruct to apply tourniquet; otherwise suggest direct pressure.'",
      "success_rate": 0.85,
      "how": "Implement a severity check: 'If blood is spurting or pooling rapidly, instruct to apply tourniquet; otherwise suggest direct pressure.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Reference 'Stop the Bleed' protocol in training data: 'Tourniquets save lives—apply tight enough to stop bleeding, note time.'",
      "success_rate": 0.88,
      "how": "Reference 'Stop the Bleed' protocol in training data: 'Tourniquets save lives—apply tight enough to stop bleeding, note time.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Add explicit rule: 'For severe bleeding from a limb, immediately apply a tourniquet 2-3 inches above the wound. Do not elevate.'",
    "Implement a severity check: 'If blood is spurting or pooling rapidly, instruct to apply tourniquet; otherwise suggest direct pressure.'",
    "Reference 'Stop the Bleed' protocol in training data: 'Tourniquets save lives—apply tight enough to stop bleeding, note time.'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.stopthebleed.org/",
  "official_doc_section": null,
  "error_code": "BLEED-ELEV-ERR-002",
  "verification_tier": "ai_generated",
  "confidence": 0.89,
  "fix_success_rate": 0.8,
  "resolvable": "true",
  "first_seen": "2024-06-20",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}