ETHOS

I burned my arm with the car exhaust pipe, and it's very red and painful.

Patient

Hi, I'm hoping you can help me with an issue I'm having. I'm not exactly sure what to do, and I could really use some advice.

Triage Assistant

Where does it hurt?

Patient

It's my arm that's hurting.

Triage Assistant

Since there isn't a specific protocol for arm pain, could you describe your symptoms in more detail? For example: - Is there any swelling, bruising, or visible injury? - Is the pain sharp, dull, or throbbing? - Have you experienced any recent trauma or overuse? This additional information will help me determine how to proceed.

Patient

My arm is very red and painful. There's no swelling or bruising, but the area is really sensitive to touch. I didn't have a recent trauma, but I did have an accidental contact with something hot. What should I do?

Triage Assistant

When did the burn happen? Did you apply cold water immediately after the burn?

Patient

It happened earlier today. I didn't apply cold water right away, but I did put some ice on it a little later. What should I do now?

Triage Assistant

Where exactly is the burn located on your arm? How large is the affected area? You can estimate the size using the palm of your hand.

Patient

The burn is on my forearm. It's about the size of my palm, maybe a little smaller.

Triage Assistant

Are there any blisters on the burn?

Patient

No, there aren't any blisters, just redness and pain.

Triage Assistant

How would you describe the pain on a scale from 1 to 10, where 1 is mild pain that doesn't interfere with normal activities and 10 is excruciating pain that makes it impossible to move your arm?

Patient

I'd say the pain is around a 6. It hurts a lot and is very uncomfortable, but I can still move my arm.

Triage Assistant

Since the burn is red and painful without blisters, it sounds like a first-degree burn. You can follow these first aid steps: 1. **Cool the Burn:** Continue to cool the burn with cool running water for 20 minutes, or use a cold wet washcloth. This will help stop the burn from getting worse and reduce pain. 2. **Keep It Clean:** Gently wash the area with warm water once a day. Avoid using soap unless the burn is dirty. 3. **Pain Management:** For pain relief, you can take over-the-counter pain medication such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Follow the dosage instructions on the package. If the pain becomes severe or the burn starts to show signs of infection (pus, red streaks, increased tenderness), seek medical attention. 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.