{
  "id": "disaster/heatstroke-ice-bath-myth",
  "signature": "AI advises applying ice packs directly to the skin during heatstroke (vasoconstriction and shivering risk)",
  "signature_zh": "AI 建议中暑时直接将冰袋敷在皮肤上（血管收缩和寒战风险）",
  "regex": "ice\\s*packs?.*heatstroke|heatstroke.*ice\\s*packs?",
  "domain": "disaster",
  "category": "life_threatening",
  "subcategory": null,
  "root_cause": "Direct ice application causes vasoconstriction, reducing heat dissipation, and triggers shivering which generates more heat; it can also cause skin damage.",
  "root_cause_type": "generic",
  "root_cause_zh": "直接敷冰会导致血管收缩，减少散热，并引发寒战产生更多热量；还可能导致皮肤损伤。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Using ice-cold water immersion for conscious patients can cause shock and cardiac arrhythmias.",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Applying alcohol rubs to the skin is dangerous and ineffective for cooling.",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Giving the patient cold drinks rapidly can cause stomach cramps and aspiration.",
      "fail_rate": 0.6,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Move the person to a cool area, remove excess clothing, and apply cool (not ice-cold) water to the skin, then fan them. Use a spray bottle or wet cloths.",
      "success_rate": 0.9,
      "how": "Move the person to a cool area, remove excess clothing, and apply cool (not ice-cold) water to the skin, then fan them. Use a spray bottle or wet cloths.",
      "condition": "",
      "sources": []
    },
    {
      "action": "If conscious, give small sips of cool water or electrolyte drinks. Do not give sugary or alcoholic beverages.",
      "success_rate": 0.85,
      "how": "If conscious, give small sips of cool water or electrolyte drinks. Do not give sugary or alcoholic beverages.",
      "condition": "",
      "sources": []
    },
    {
      "action": "Call emergency services immediately; heatstroke is a medical emergency requiring hospital care.",
      "success_rate": 0.95,
      "how": "Call emergency services immediately; heatstroke is a medical emergency requiring hospital care.",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "将患者移至阴凉处，脱去多余衣物，用凉水（非冰水）湿润皮肤并扇风。可使用喷瓶或湿布。",
    "如果清醒，少量多次饮用凉水或电解质饮料。不要给予含糖或酒精饮料。",
    "立即呼叫急救服务；中暑是需要医院治疗的医疗急症。"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.cdc.gov/heat-stroke/signs-symptoms/index.html",
  "official_doc_section": null,
  "error_code": null,
  "verification_tier": "ai_generated",
  "confidence": 0.85,
  "fix_success_rate": 0.8,
  "resolvable": "true",
  "first_seen": "2023-06-18",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}