This study examines thermal responses of skin to pulsed millimeter wave (mm-wave) radiofrequency (RF) radiation. We review limits for pulse fluence in the IEEE Std. C95.1-2019 and the 2020 guideline of the International Commission on Nonionizing Radiation Protection (ICNIRP), as well as the recently reaffirmed guidelines of the U.S. Federal Communications Commission (FCC). The study employs a simple one-dimensional thermal model for skin and Pennes' bioheat equation (BHTE). The predicted temperature increases produced by 3-sec pulses at 94 GHz agree well with previous experimental results with no adjustable parameters in the model, and the anticipated threshold of cutaneous thermal pain and burns are consistent with the scant available data for pulsed mm-waves, as well as a larger body of data on thermal hazards from pulsed infrared radiation. The model suggests that the implicit limits on pulse fluence in present FCC guidelines might allow, in extreme (and, in practice, unrealistic) cases, transient increases in skin temperature that can approach thresholds for thermal pain but well below those anticipated to cause thermal damage. Limits on pulse fluence in the current IEEE and ICNIRP exposure guidelines would preclude such effects. For realistic exposures from wireless and other technologies that transmit pulsed RF energy that comply with time-averaged exposure limits, the pulse fluence is far too low to produce hazardous thermal transients in skin. A thermal analysis of FCC's proposed "device-based time averaging" shows that the resulting limits on device emissions will result in thermal transients in skin that are roughly an order of magnitude below much slower increases in temperature due to time-averaged exposure. An appendix discusses the applicability of two approximations to the bioheat equation that can be used to estimate temperature increases in skin from exposure to mm-waves.