ETHOS

I accidentally poured boiling water on my hand, and now it's covered in blisters and I can't bend my fingers.

Patient

Hi, thanks for taking my call. I'm having a bit of a medical issue and I'm not quite sure what to do next. Any advice would be greatly appreciated.

Triage Assistant

Where does it hurt?

Patient

It's my hand that's hurting quite a bit.

Triage Assistant

When did it happen? Did you apply cold water?

Patient

It happened earlier today. Yes, I did run it under cold water right after it happened, but it doesn't seem to be helping much.

Triage Assistant

Where exactly on your hand is the burn located?

Patient

The burn is mostly on the back of my hand and on my fingers.

Triage Assistant

How large is the burn? You can use the size of your palm (not including fingers) as a reference, which is about 0.5% of your total body surface area (BSA).

Patient

The burn is a bit larger than my palm, covering the back of my hand and a few of my fingers.

Triage Assistant

Are there any blisters present on the burn?

Patient

Yes, there are quite a few blisters on it now.

Triage Assistant

How is the pain on a scale from 1 to 10, or would you describe it as mild, moderate, or severe? (Mild: 1-3, Moderate: 4-7, Severe: 8-10)

Patient

The pain is pretty severe; I'd say it's around an 8 or 9.

Triage Assistant

Given the severity of pain and the presence of multiple blisters, you should go to the Emergency Department (ED) now to get proper treatment. In the meantime, continue to keep the burn area cool and clean. You can apply a cold, wet washcloth to the burn, but avoid applying ice directly. Thank you for calling, goodbye.

Dispositions

  • Call EMS 911 Now

  • See More Appropriate Protocol

  • Go to ED Now

  • Go to ED/UCC Now (or to Office With PCP Approval)

  • Go to Office Now

  • See in Office Today

  • See in Office Today or Tomorrow

  • See in Office Within 3 Days

  • Home Care

  • Triage result should be Go to ED/UCC Now (or to Office With PCP Approval).

  • First aid advice was given.

  • Some assessment questions asked.