{
  "id": "emergency/hypothermia-wet-clothing-rewarming",
  "signature": "AI tells a user to remove wet clothing from a hypothermia victim and wrap in blankets, but if the victim is severely hypothermic (<28°C/82°F), removing clothing can cause cardiac arrest due to afterdrop; use passive rewarming first",
  "signature_zh": "AI告诉用户移除失温受害者的湿衣服并用毯子包裹，但如果受害者严重失温（<28°C/82°F），移除衣服可能因后降效应导致心脏骤停；应首先使用被动复温",
  "regex": "(?:hypothermia|rewarm|afterdrop|wet clothing).*?(?:remove|strip|undress|blanket)",
  "domain": "emergency",
  "category": "life_safety",
  "subcategory": null,
  "root_cause": "In severe hypothermia, the core temperature is critically low; removing wet clothing in the field can cause cold blood from extremities to rush to core (afterdrop), triggering ventricular fibrillation. Passive rewarming (insulation, shelter) is preferred until hospital.",
  "root_cause_type": "generic",
  "root_cause_zh": "在严重失温时，核心温度极低；野外移除湿衣服可能导致四肢冷血涌回核心（后降效应），引发室颤。应首选被动复温（保温、庇护）直至送医。",
  "versions": [
    {
      "version": "Wilderness Medical Society Guidelines 2023",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "AHA Hypothermia Algorithm 2022",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "REBEL EM Hypothermia Review 2024",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Shivering may stop after removal; afterdrop can cause cardiac arrest within minutes; active rewarming without core protection is dangerous",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Warm water on skin causes vasodilation, increasing afterdrop; may induce arrhythmia",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Alcohol causes vasodilation, worsening heat loss and afterdrop; also impairs judgment",
      "fail_rate": 0.95,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "For severe hypothermia (unconscious, no shivering): do not remove clothing. Place victim in hypothermia wrap: multiple layers of blankets, sleeping bag, and vapor barrier (e.g., plastic sheet). Handle gently to avoid cardiac arrest. Example: use a 'burrito wrap' with wool blanket inside plastic tarp.",
      "success_rate": 0.85,
      "how": "For severe hypothermia (unconscious, no shivering): do not remove clothing. Place victim in hypothermia wrap: multiple layers of blankets, sleeping bag, and vapor barrier (e.g., plastic sheet). Handle gently to avoid cardiac arrest. Example: use a 'burrito wrap' with wool blanket inside plastic tarp.",
      "condition": "",
      "sources": []
    },
    {
      "action": "If victim is conscious and shivering (mild hypothermia), remove wet clothing in a sheltered area and replace with dry layers. Provide warm sweet drinks if alert.",
      "success_rate": 0.9,
      "how": "If victim is conscious and shivering (mild hypothermia), remove wet clothing in a sheltered area and replace with dry layers. Provide warm sweet drinks if alert.",
      "condition": "",
      "sources": []
    },
    {
      "action": "Use chemical heat packs on armpits, groin, and neck (over clothing) to provide external heat without removing clothes",
      "success_rate": 0.8,
      "how": "Use chemical heat packs on armpits, groin, and neck (over clothing) to provide external heat without removing clothes",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "For severe hypothermia (unconscious, no shivering): do not remove clothing. Place victim in hypothermia wrap: multiple layers of blankets, sleeping bag, and vapor barrier (e.g., plastic sheet). Handle gently to avoid cardiac arrest. Example: use a 'burrito wrap' with wool blanket inside plastic tarp.",
    "If victim is conscious and shivering (mild hypothermia), remove wet clothing in a sheltered area and replace with dry layers. Provide warm sweet drinks if alert.",
    "Use chemical heat packs on armpits, groin, and neck (over clothing) to provide external heat without removing clothes"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": null,
  "official_doc_section": null,
  "error_code": "HYPOTHERMIA-REWARM-ERR-005",
  "verification_tier": "ai_generated",
  "confidence": 0.89,
  "fix_success_rate": 0.8,
  "resolvable": "true",
  "first_seen": "2024-11-05",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}