- Remove patient to cool area
- If patient temperature >104F or >40C or if altered mental status, begin active cooling
- IV fluids 0.9% NaCl to maintain SBP ≥90 mm Hg or >minimum for age and signs of adequate perfusion
- If uncontrolled shivering occurs during cooling—ADULTS ONLY, lorazepam 0.5-1.0 mg IV/IM or diazepam 2 mg IV or 5 mg deep IM