A 4-year-old is brought in after playing in a hot car for 45 minutes. Temperature is 41.2°C (106.2°F), skin is hot and dry, and the child is confused. Which cooling method is MOST appropriate as initial therapy?
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A
Immersion in ice water bath
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B
Evaporative cooling with misting fans and cool water spray
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C
Application of ice packs to groin and axillae only
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D
Oral rehydration with cold fluids