Okay, context, paramedic of 13 years experience. I actually picked up a dude who did almost exactly this. Except he was diabetic with severe neuropathy and had no feeling of hot or cold. And no thermometer in the hot tub that was being directly warmed by a wood fire. You see where this is going. Well it gets worse than that. Dude, still no idea he's burnt all to fuck, gets out of the hot tub, goes in, and beds down for the night. His caretaker finds him two hours later with his burn juice having soaked all through the sheets and brings him to the local, rural, 4-bed ER hospital, where the ER doc promptly shits a duck. That's where we come in. We have to haul his ass to a burn center, and I'm telling you, this dude's legs were fucking wrecked with second degree burns. Never seen anything like it before, and the guy is just chilling, no pain medicine, still a little skeptical that this is really all that bad (it is). Wild. Rural healthcare is something else.