The present invention is directed to a scarf having a sealable pocket. Within the pocket is a Joule-Thompson gas chamber having an activation device. When the activation device is triggered, the compressed gas is released from the Joule-Thompson gas chamber through at least one restriction aperture into the sealable pocket. That release results in at least the walls of the sealed pocket being cooled. Prior to being cooled or after being cooled, the scarf is placed over a portion of the patient's body. Preferably, the scarf is positioned over at least one of the patient's carotid arteries, preferably both, to effectively cool the patient's brain and/or body core temperature.