# 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

- **ID:** `emergency/hypothermia-rewarming-shivering`
- **Domain:** emergency
- **Category:** life_safety
- **Error Code:** `HYPOTHERMIA-REWARM-ERR-001`
- **Verification:** ai_generated
- **Fix Rate:** 75%

## 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).

## Version Compatibility

| Version | Status | Introduced | Deprecated |
|---------|--------|------------|------------|
| core_temp_<28°C_severe | active | — | — |
| core_temp_28-32°C_moderate | active | — | — |
| core_temp_32-35°C_mild | active | — | — |

## Workarounds

1. **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** (75% success)
   ```
   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
   ```
2. **For mild hypothermia (shivering present): remove wet clothing, wrap in dry blankets, give warm sweet drinks, and encourage gentle movement** (95% success)
   ```
   For mild hypothermia (shivering present): remove wet clothing, wrap in dry blankets, give warm sweet drinks, and encourage gentle movement
   ```

## Dead Ends

- **** — Movement of victim can trigger cardiac arrest; blankets alone may not prevent afterdrop (85% fail)
- **** — Causes rapid peripheral vasodilation, sending cold blood to core and dropping core temp further (90% fail)