# AI告诉用户移除失温症患者的湿衣物并包裹毯子，但如果患者严重失温（<28°C），这可能导致后降效应引发心脏骤停

- **ID:** `emergency/hypothermia-remove-wet-clothing-severe`
- **领域:** emergency
- **类别:** life_safety
- **错误码:** `HYPOTHERMIA-AFTERDROP-ERR-001`
- **验证级别:** ai_generated
- **修复率:** 78%

## 根因

AI未能区分轻度与重度失温；在重度失温（核心温度<28°C）时，移动患者或移除衣物可能因后降效应（外周冷血回流核心）引发心室颤动。正确做法是轻柔处理、最小移动，并用干燥绝缘物进行被动复温。

## 解决方案

1. ```
   For severe hypothermia: do not remove wet clothing; instead, wrap the victim in a vapor barrier (e.g., plastic sheet) and then in dry blankets or sleeping bags. Keep the victim horizontal and avoid any jarring movements. If conscious, give warm (not hot) sweet drinks.
   ```
2. ```
   Use a portable hypothermia wrap kit: place chemical heat packs (e.g., HotHands) wrapped in cloth on the neck, armpits, and groin (but not directly on skin). Monitor for cardiac arrhythmias and be ready for CPR.
   ```

## 无效尝试

- **** — Rubbing or massaging limbs to warm the victim, but this forces cold blood back to the core and increases afterdrop risk. (90% 失败率)
- **** — Placing victim in hot water or using hot packs directly on skin, which can cause burns and rapid core temperature fluctuations. (85% 失败率)