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Emergency? Call 911

Conditions

Minor burns: first aid, blisters and warning signs

Minor burns affect only the outer layer of skin or cause small blisters. Run cool, not ice-cold, water over the burn for 5 to 30 minutes, cover it with a clean bandage and don’t break the blisters. Skip ice, butter and home remedies. Go to the ER if the burn is larger than your palm or is on the face, hands, feet or a joint.

Can we help by telehealth?YesWe can help by telehealth.
US$79Doctor visit

Is this an emergency?

This is not an emergency service. Call 911 or go to the nearest emergency room if you have:

  • The burn is the size of your palm or larger
  • It is on the face, hands, feet, groin, buttocks or over a major joint
  • It was caused by chemicals or electricity
  • The skin looks white or blackened (a deep burn)
  • It happened to a young child or an older adult
  • There is pus, fever or spreading red streaks

Warning signs: when to go to the ER

At a glance

Minor burns

Common symptoms

  • Red skin
  • Pain
  • Swelling
  • Blisters, in second-degree burns
Other names
First-degree burn · Superficial burn
Treatment
Cool water, a clean bandage and over-the-counter pain relievers; prescription treatment only when the medical evaluation calls for it
Possible complication
Burn infection

What is a minor burn?

MedlinePlus classifies burns by depth. Superficial (first-degree) burns affect only the outer layer of skin and cause pain, redness and swelling. Partial-thickness (second-degree) burns also affect the layer underneath and cause blisters too. Full-thickness (third-degree) burns reach the deep layers and leave the skin white or blackened: they are an emergency.

A minor burn is a superficial burn, or a small blistering burn that isn’t on a sensitive area. They happen, for example, with hot water or oil, the stove or an iron. Sunburn has its own page: sunburn.

Minor burns? Talk to the doctor by video

The doctor evaluates you by video, guides you on what to do and, if appropriate, prescribes and we send your prescription to your pharmacy.

Why a video visit
ComparisonBy videoEmergency room
Getting thereFrom home: join from your phone, tablet or computer.Drive and find parking.
Hours and timeWe do not publish a wait time. Request a visit online 24/7 — we confirm your time by email or text.In Puerto Rico, a median of 4 h 52 min from arrival to departure for patients sent home (US: 2 h 42 min; Oct 2024–Sep 2025).1,2
PriceUS$79 visit · US$49 follow-up · US$35 forms. You see it before you pay; no insurance needed.Depends on your insurance and on what is done.

For problems that are not emergencies. In an emergency, call 911.

How we treat minor burns by video

You see Dr. Diana Nieves Castro, a Puerto Rico–licensed general practice physician with several years of emergency-department experience, in English or Spanish. On camera, the doctor looks at the size, location and appearance of the burn, tells you whether it can be cared for at home or needs an in-person visit, and checks for signs of infection over the following days.

We evaluate, diagnose and treat. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. We do not prescribe controlled substances. This is virtual urgent care for problems that are not emergencies. You need to be physically in Puerto Rico during the visit; visitors are welcome.

Your doctor

Dr. Diana Nieves Castro, MD

General practice physician

Several years of emergency-department experience.

Founding Executive Director of The Health Initiative.

Meet the doctor

Your visit in 3 steps

Request a visit online 24/7 — we confirm your time by email or text.

  1. Request your visit and pay by card. Choose Doctor visit.

  2. We send you a secure video link. It works on your phone, tablet or computer. Have good light so you can show the burn.

  3. The doctor evaluates you. If appropriate, she prescribes and we send your prescription to your pharmacy, or she tells you where to go in person.

What the visit costs

A doctor visit costs US$79, the same price for every age, with no membership. Your card is charged when you request the visit, and you get a full refund if the visit can’t take place. A doctor’s note after your visit is included at no extra charge. The service is run by The Health Initiative, a nonprofit. Book your visit.

Minor burn symptoms

According to MedlinePlus, a superficial or partial-thickness burn causes:

  • Red skin
  • Pain
  • Swelling
  • Blisters, in second-degree burns

What to put on a minor burn

According to MedlinePlus, if the skin is unbroken:

  1. Run cool water over the burn or soak it in a cool water bath, not ice water, for 5 to 30 minutes.
  2. Once the skin has cooled, a moisturizing lotion with aloe and an antibiotic can help.
  3. Cover it loosely with a sterile bandage.
  4. For pain and swelling you can use over-the-counter ibuprofen or acetaminophen. Don’t give aspirin to anyone under 19.
  5. Make sure your tetanus shot is up to date. According to the CDC, after a burn you get a booster if your last dose was 5 or more years ago; it is given in person.

What not to do

MedlinePlus warns:

  • Don’t put oil, butter, ice, creams, sprays or home remedies on a severe burn.
  • Don’t break blisters or remove dead skin.
  • Don’t pull off clothing that is stuck to the skin.

Signs of infection, and when to get care

Most minor burns heal without further treatment. MedlinePlus advises calling a doctor if you still have pain after 48 hours, or if signs of infection appear: drainage or pus from the burn, fever, or red streaks spreading from the burn.

That can be checked by video. If the doctor sees infection spreading through the skin, read about cellulitis too.

When to go to the ER

According to MedlinePlus, call 911 or go to an emergency room if:

  • The burn is the size of your palm or larger
  • It is on the face, hands, feet, groin, buttocks or over a major joint
  • It was caused by chemicals or electricity
  • The skin looks white or blackened (a deep burn)
  • It happened to a young child or an older adult
  • There is pus, fever or spreading red streaks

How we care for you

  • We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you.

  • We see adults and children of all ages. Patients under 21: a parent with patria potestad (parental authority) or a legal guardian is on camera for the whole visit and shows photo ID.

  • Real-time video visit. We send you a secure video link. It works on your phone, tablet or computer.

  • If appropriate, the doctor prescribes and we send your prescription to your pharmacy. We do not prescribe controlled substances.

  • You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).

  • In an emergency, call 911.

Frequently asked questions

What should I put on a minor burn?

Cool, not ice-cold, water for 5 to 30 minutes, then a loose sterile bandage. Once the skin has cooled, an aloe lotion can help. For pain, ibuprofen or acetaminophen. Don’t use ice, butter, oil or home remedies.

Should I pop a burn blister?

No. MedlinePlus warns against breaking blisters or removing dead skin. Cover them with a clean bandage and watch for signs of infection.

When is a burn an emergency?

When it is the size of your palm or larger; on the face, hands, feet, groin, buttocks or a joint; caused by chemicals or electricity; white or blackened; or when it happens to a young child or an older adult.

Can a doctor look at a burn by video?

Yes, for small burns that aren’t an emergency. The doctor looks at the burn on camera, tells you how to care for it and checks for signs of infection.

About this page

Author: The Health Initiative

Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)

Disclosure: Founding Executive Director of The Health Initiative

Published: 2026-10-02 · Updated: 2026-10-02