A heat exchange system includes a thermoelectric device operably coupled with a support apparatus. The thermoelectric device is configured to reduce a temperature at a first location and increase a temperature at a second location different than the first location. A fan is disposed adjacent to the thermoelectric device. The fan is configured to direct heat generated by the thermoelectric device toward the second location. A controller is communicatively coupled with the thermoelectric device and the fan. The controller is configured to activate the thermoelectric device and the fan to reduce the temperature at the first location and concurrently increase the temperature at the second location. The first location is configured to align with a first area on a patient and the second location is configured to align with a second area on the patient.