Abstract: A medical pad having a dual layer portion including a fluid circulation and containment layers and a single layer portion including the fluid circulation layer. The fluid circulation layer is for containing a first thermal-exchange fluid circulatable therethrough, with the medical pad being operable for thermal exchange between the first thermal-exchange fluid and a patient through a first side of the fluid circulation layer. A fluid containment layer of the medical pad is interconnected to a portion of second side of the fluid circulation layer, opposite to the first side of the fluid circulation layer. The fluid containment layer encloses a second thermal-exchange fluid that may have a freezing point of 0° C. or less. Portions of the fluid circulation layer that extend beyond the fluid containment layer define flaps that provide additional area for fluid circulation.