Abstract: Disclosed herein is an apparatus and system directed to providing for a patients comfort while undergoing Targeted Temperature Management (TTM). A medical pad with the TTM can include a flexible upper sheet, a flexible base member, an adhesive surface, and an edge guard. The flexible base member can be interconnected to the flexible upper sheet to define a fluid containing layer including a plurality of tortuous fluid flow paths. The adhesive surface can be disposed on a skin-contacting side of the flexible upper sheet, and can be adapted for releasable adhesive contact with skin of the patient. The edge guard can include a pliant shock-absorbent material surrounding a portion of an edge of the flexible upper sheet, and can be configured to distribute pressure from the medical pad across a portion of the patients body in contact with a surface of the edge guard.