<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A previously healthy 44-year-old man is brought by his coworkers to the emergency department 45 minutes after he became light-headed and collapsed while working in the boiler room of a factory. He did not lose consciousness. His coworkers report that 30 minutes prior to collapsing, he told them he was nauseous and had a headache. He appears sweaty and lethargic. He is not oriented to time, place, or person. His temperature is 41C 105.8F, pulse is 133min, respirations are 22min and blood pressure is 9052 mm Hg. Examination shows equal and reactive pupils. Deep tendon reflexes are 2 bilaterally. His neck is supple. Infusion of 0.9 saline infusion is administered. A urinary catheter is inserted and dark brown urine is collected. Laboratory studies show:Hemoglobin 15 gdLLeukocyte count 18,000mm3Platelet count 51,000mm3SerumNa 149 mEqLK 5.0 mEqLCl- 98 mEqLUrea nitrogen 42 mgdLGlucose 88 mgdLCreatinine 1.8 mgdLAspartate aminotransferase AST, GOT 210Alanine aminotransferase ALT, GPT 250Creatine kinase 86,000 UmLWhich of the following is the most appropriate next step in management?? A: Ice water immersion, B: Acetaminophen therapy, C: Platelet transfusion, D: CT scan of the head, E: Evaporative coolingn,  <response>: This is a question about the management of a patient with heat stroke. The key findings in the stem are a 44-year-old man with high fever, altered mental status, and evidence of multi-organ dysfunction after working in a hot environment. The choices include ice water immersion, acetaminophen, platelet transfusion, head CT, and evaporative cooling. Ice water immersion is the correct management for heat stroke to rapidly cool the patient and prevent further organ damage. Acetaminophen and platelet transfusion do not address the underlying issue. Head CT may be indicated later if mental status does not improve, but rapid cooling takes priority. Evaporative cooling alone is not aggressive enough to manage severe hyperthermia.A: Ice water immersion 