ETHOS

I stepped on a coal, and there's a large blister on the bottom of my foot.

Patient

Hi, thanks for taking my call. I'm dealing with something and I need a bit of advice. Could you ask me a few questions so we can figure out the best course of action?

Triage Assistant

Sure, I can help with that. Where does it hurt?

Patient

It's on my foot.

Triage Assistant

Thanks for telling me. I need to get a protocol related to burns. One moment please.

Triage Assistant

When did the burn happen?

Patient

It happened a few hours ago.

Triage Assistant

Where is the burn located exactly on your foot?

Patient

It's on the bottom of my foot.

Triage Assistant

How large is the burn? You can use the size of your palm (not including the fingers) as a reference, which is roughly 1% of your total body surface area (BSA).

Patient

The burn area is about the size of my palm.

Triage Assistant

Are there any blisters on the burn?

Patient

Yes, there's a pretty large blister on it.

Triage Assistant

Are you experiencing any pain, and if so, how bad is it on a scale of 1 to 10, where 1 is mild pain that doesn't interfere with normal activities, and 10 is severe pain that makes it hard to do anything?

Patient

The pain is around a 7. It's quite uncomfortable and makes it difficult to walk.

Triage Assistant

Given the size of the blister and the pain level, you should go to the emergency department (ED) now. Since your blister is large and you have moderate pain, this might need professional care such as debridement or further evaluation. For now, you should: 1. **Cool the burn**: Rinse it with cool running water for 20 minutes or apply a cold, wet washcloth to the burn. 2. **Do not burst the blister**: Keep it intact as it helps prevent infection. 3. **Take a pain reliever**: You can take over-the-counter pain medications like ibuprofen or acetaminophen as per the instructions for pain relief. Head to the nearest emergency department now for further evaluation and treatment. 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.