Direct Causation in International Humanitarian Law and the Challenge of AI-Mediated Civilian Cyber Operations

AI incident reporting requirements are emerging in regulation and policy, yet no operational criteria exist for determining when a detected AI incident warrants escalation beyond national handling to international coordination. This paper proposes an escalation framework to address this gap, intended as a common reference point across jurisdictions that enables aligned escalation while preserving flexibility in how actors respond within their own legal and policy contexts. We review SB 53, the EU AI Act, the GPAI Code of Practice, and incident frameworks from other industries to derive eight criteria for assessing whether an incident warrants escalation, translated into a sequential flowchart with gated decision points and threshold checks. For each criterion, we map how it interplays with these regulatory frameworks, identifying where their design choices support or undermine effective detection. We test the framework against ten documented AI incidents and structured variants to identify where criteria under-detect or misclassify incidents in practice. We find three design patterns that may lead to systematic under-detection in regimes where model developers are responsible for escalation: a. where escalation requires confirmed harm, events such as model weight exfiltration risk detection only after severe, irreversible harm has propagated; b. where incidents are assessed individually, systemic harms emerging from accumulation risk being under-detected; and c. where thresholds align with legal instruments rather than quantitatively testable terms, criteria risk being impractical to apply under time pressure. We also find that escalation rules are only one component of a broader framework: the underlying definitions against which thresholds are set, and the data available to the responsible actor, create interdependencies that can themselves drive under-detection.

The integration of artificial intelligence into clinical medicine creates a fundamental tension between algorithmic probabilistic reasoning and the experiential intuition of expert physicians; applying Lawrence Lessig's \enquote{Code is Law} framework, I argue that the architecture of clinical AI systems already functions as de facto medical regulation, reshaping liability and the standard of care. Reframing AI \enquote{hallucination} as structurally analogous to well-documented human cognitive failures such as confirmation bias and premature diagnostic closure, I show that both failure modes demand a unified governance response. I therefore propose a dialectical standard of care that treats the integrated AI-physician dyad as the singular responsible diagnostic entity, mandating the synthesis of algorithmic precision with human interpretive authority within robust data governance and patient privacy frameworks.

Recent incidents involving Artificial Intelligence (AI) agents, which were reported escaping their containment `unintentionally' to gain unauthorized access, pose looming questions about who or what should be held legally responsible for resultant criminal or negligent damage. As the independent capabilities of agents expand, Promise Theory suggests a systematic method to resolve these questions, based on the Downstream Principle for causal influence. Responsibility can easily be expanded to include AI agents where tracing responsibility becomes impactical, and agents' freedoms to act can be limtied by policy choices.