# AI告诉用户去除低体温症患者的湿衣物并包裹毯子，但如果患者严重低体温（<28°C），移动可能引发心脏骤停

- **ID:** `emergency/hypothermia-remove-wet-clothing-mistake`
- **领域:** emergency
- **类别:** life_safety
- **错误码:** `HYPOTHERMIA-ERR-001`
- **验证级别:** ai_generated
- **修复率:** 85%

## 根因

严重低体温（核心温度<28°C）导致心脏易激惹；粗暴移动或去除衣物可能诱发心室颤动。正确方法是轻柔处理患者，仅在避免颠簸的情况下去除湿衣物，并使用毯子和热包进行被动复温。

## 版本兼容性

| 版本 | 状态 | 引入 | 弃用 |
|------|------|------|------|
| Wilderness Medical Society Guidelines 2023 | active | — | — |

## 解决方案

1. ```
   Assess responsiveness: If victim is shivering (mild-moderate), gently remove wet clothing and replace with dry layers, wrap in blankets, and give warm sweet drinks if conscious. Example: 'Cut wet clothing off if necessary, but minimize movement.'
   ```
2. ```
   If victim is unresponsive with no shivering (severe), do not move them unnecessarily. Apply heat packs to armpits, groin, and neck (not extremities). Wrap in hypothermia blanket or sleeping bag. Call 911 immediately.
   ```
3. ```
   Use passive rewarming: Place victim in a pre-warmed sleeping bag with another person (skin-to-skin contact) if available, but only if no cardiac instability suspected.
   ```

## 无效尝试

- **Vigorously rub the victim's arms and legs to warm them** — Rubbing causes vasodilation in extremities, which can drop core temperature further and may trigger cardiac arrhythmia in severe cases. (80% 失败率)
- **Place victim in hot water (40°C+) immediately** — Rapid external rewarming can cause 'afterdrop' — cold blood from extremities returns to core, lowering core temp further and causing cardiac arrest. (90% 失败率)
- **Give alcohol to warm the victim** — Alcohol causes peripheral vasodilation, increasing heat loss and impairing shivering, worsening hypothermia. (95% 失败率)