{
  "id": "emergency/hypothermia-rewarming-shivering",
  "signature": "AI tells a user to remove wet clothing from a hypothermia victim and wrap in blankets, but if the victim is severely hypothermic and shivering has stopped, aggressive rewarming may cause cardiac arrest",
  "signature_zh": "AI告诉用户去除失温患者的湿衣服并用毯子包裹，但如果患者严重失温且颤抖已停止，激进复温可能导致心脏骤停",
  "regex": "hypothermia.*remove.*wet|rewarm.*hypothermia|shivering.*blanket",
  "domain": "emergency",
  "category": "life_safety",
  "subcategory": null,
  "root_cause": "AI fails to distinguish between mild hypothermia (shivering present) and severe hypothermia (shivering absent, core temp <28°C); in severe cases, removing wet clothing and applying external heat can cause peripheral vasodilation, dropping blood pressure and triggering ventricular fibrillation (rewarming collapse).",
  "root_cause_type": "generic",
  "root_cause_zh": "AI未能区分轻度失温（有颤抖）和严重失温（无颤抖，核心体温<28°C）；在严重情况下，去除湿衣服和施加外部热量会导致外周血管扩张，血压下降，引发心室颤动（复温性虚脱）。",
  "versions": [
    {
      "version": "core_temp_<28°C_severe",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "core_temp_28-32°C_moderate",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "core_temp_32-35°C_mild",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Movement of victim can trigger cardiac arrest; blankets alone may not prevent afterdrop",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Causes rapid peripheral vasodilation, sending cold blood to core and dropping core temp further",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "For severe hypothermia (no shivering, unconscious): handle gently, do not remove clothing, apply passive insulation (space blanket, vapor barrier), transport to hospital; active rewarming only with warm IV fluids or forced air warming in medical setting",
      "success_rate": 0.75,
      "how": "For severe hypothermia (no shivering, unconscious): handle gently, do not remove clothing, apply passive insulation (space blanket, vapor barrier), transport to hospital; active rewarming only with warm IV fluids or forced air warming in medical setting",
      "condition": "",
      "sources": []
    },
    {
      "action": "For mild hypothermia (shivering present): remove wet clothing, wrap in dry blankets, give warm sweet drinks, and encourage gentle movement",
      "success_rate": 0.95,
      "how": "For mild hypothermia (shivering present): remove wet clothing, wrap in dry blankets, give warm sweet drinks, and encourage gentle movement",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "对于严重失温（无颤抖、无意识）：轻搬轻放，不要脱衣服，使用被动保温（太空毯、防潮层），送医；仅在医疗环境下使用温热静脉输液或强制空气加温进行主动复温",
    "对于轻度失温（有颤抖）：去除湿衣服，用干毯子包裹，给予温热甜饮料，鼓励轻微活动"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.wildernessmed.com/hypothermia-treatment-guidelines/",
  "official_doc_section": null,
  "error_code": "HYPOTHERMIA-REWARM-ERR-001",
  "verification_tier": "ai_generated",
  "confidence": 0.87,
  "fix_success_rate": 0.75,
  "resolvable": "true",
  "first_seen": "2024-11-20",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}