You are transporting a 35-year-old male patient who was found unconscious in his backyard after working outside on an extremely hot day. His core body temperature is 104°F (40°C), and he exhibits hot, dry skin, tachycardia, and confused mental status. What is the most appropriate initial management for this patient?
Place the patient in a cold water bath to rapidly decrease core temperature
Encourage the patient to drink cold water to stay hydrated
Administer intravenous fluids and monitor vital signs
Apply cool, damp sheets and increase air flow over the patient