It is, however, the diagnostic procedure of choice to be performed as soon as feasible. Prehospital care is similar to that of burns. In severe TEN in which the barrier function of the skin is compromised, contamination and evaporation must be minimized. The patient should be treated as one with extensive burns is treated, that is, with the application of dry, sterile coverings. Fluid and pulmonary status must be carefully monitored.
Care is given to minimize fluid and electrolyte loss and prevent secondary infection.
Volume and electrolyte replacement, along with respiratory stabilization, are the primary concerns. Adequate analgesia should be provided. Patients may need to be admitted to a burn unit. Dermatologists may assist with diagnosis, biopsy, and inpatient treatment. Ophthalmologists may manage ocular manifestations and help to prevent sequelae.