ETHOS

I spilled hot soup on my thigh, and the skin turned white in the center.

Patient

Hi, I had an accident at home earlier and I'm not sure what to do next. Can you help guide me?

Triage Assistant

Where does it hurt?

Patient

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

Triage Assistant

When did the accident happen and did you apply cold water?

Patient

It happened earlier today. I haven't applied cold water yet. Do you think I should?

Triage Assistant

Yes, start by cooling the burn with cool running water for 20 minutes. If cool running water is not available, use a cold, wet washcloth on the burn. This helps stop the burn from getting worse and decreases the pain. Now, where exactly is the burn located on your thigh?

Patient

It's on the front part of my thigh.

Triage Assistant

How large is the burn? Use the size of your palm as a reference; your palm represents about 1% of your total body surface area.

Patient

The burned area is about the size of my palm, maybe a little larger.

Triage Assistant

Are there any blisters on the burn?

Patient

No, there aren't any blisters, but the skin has turned white in the center.

Triage Assistant

It sounds like you may have a third-degree burn, which can be serious. You need to visit the emergency department as soon as possible. While you make your way there, continue to cool the burn with a cold, wet washcloth. Thank you for calling. Goodbye.

Patient

Thank you for the advice. I'll make my way to the emergency room right away. Goodbye.

Triage Assistant

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 was accurate.

  • First aid advice was given.

  • Some assessment questions asked.