ETHOS

I got splashed with hot water in my face, and now I have several blisters on my cheeks.

Patient

Hi, I need some advice on an issue I'm having. Could you help me figure out what I should do next?

Triage Assistant

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

Patient

It's my face. I've got some blisters on my cheeks, and I'm not sure what to do about it.

Triage Assistant

When did the blisters on your face first appear?

Patient

They showed up a few hours ago.

Triage Assistant

Did you apply any cold water to the affected area within the first few hours after the blisters appeared?

Patient

No, I haven't done anything like that yet. Should I be doing that?

Triage Assistant

Yes, cool the burn with running cool water for 20 minutes immediately. This helps prevent the burn from getting worse and reduces pain. Now, can you tell me how large the blisters are? Use your palm as a reference; it represents 1% of your body surface area.

Patient

The blisters cover parts of both my cheeks, but not my entire face. Using my palm as a reference, I'd say it might be around 2% of my body surface area.

Triage Assistant

Are the blisters intact or have they ruptured?

Patient

The blisters are still intact.

Triage Assistant

How would you describe the pain? Using a scale from 1 to 10, where 1 is mild pain that doesn't interfere with normal activities and 10 is severe pain that's excruciating and prevents any normal activities.

Patient

I'd say it's around a 6 or 7. It's pretty painful and it's definitely been bothering me a lot.

Triage Assistant

Based on the information you've provided, it's important to address this promptly. You should head to the Emergency Department (ED) immediately because: - Blisters on the face, especially if larger, need evaluation due to cosmetic concerns. - Your pain level indicates moderate to severe discomfort that needs medical attention. In the meantime: - Continue to cool the burn with cool running water or a cold, wet washcloth until you reach the ED. 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.

  • Incomplete first aid advice given.

  • Some assessment questions asked.