Answer 2:

--Initial blood tests including electrolytes and creatinine may be useful in assessing the severity of dehydration and in monitoring therapy. A CK might be helpful in diagnosing rhabdomyolysis and a PT and PTT might be helpful in excluding DIC.

--A core temperature should be monitored every five to ten minutes.

--Cooling as described in Answer 1 should be continued.

--Aggressive fluid replacement should be done with monitoring of urine output and blood pressure.

--Consider anticonvulsants for management of seizures which can occur during cooling (see Question 4).

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