It is, however, the diagnostic procedure of choice to be accomplished as soon as feasible. Pre-hospital care is similar to that of burns. In severe TEN where barrier function of the skin is compromised, contamination and evaporation must be minimized. The patient should be treated as one with extensive burns, with 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 replacements, along with respiratory stabilization are the primary concerns. Adequate analgesia should be provided. Patients may need to be admitted to burn unit. Dermatology, to assist diagnosis, biopsy and inpatient management Ophthalmology, to manage ocular manifestations and prevent sequelae. Meticulous wound care is necessary to avoid secondary infection.