Added or Alternate Thermal Contact Pad Adhesion

A medical pad for exchanging thermal energy between a targeted temperature management (TTM) fluid and a patient. The medical pad includes a fluid containing layer configured for circulation of a TTM fluid therein. The pad may further include a bistable stiffening structure configured to transition between a first stable shape and a second stable shape. The pad may further include a thermally-conductive compressible foam layer disposed between the fluid containing layer and a patient contact side of the pad. a self-adhering stretchable band configured to secure the pad to the patient. The pad may further include a semi-permeable layer disposed between an underside of the fluid containing layer and a hydrogel layer so that the TTM fluid may migrate from the fluid containing layer to the hydrogel layer.