• Skin should be handled gently with limitation of trauma
  • Conservative approach generally standard of care:
    • Necrotic loose tissue removed
    • Blisters pierced and loose dermis left in place to act as a biological dressing
    • Wounds and intact skin cleansed regularly
    • Regular application of emollient to whole skin and topical antibacterial to sloughy areas only
    • Non-adhesive antibacterial dressing used to cover lesions
  • Surgical debridement may be indicated, particularly if:
    • Local sepsis / subepidermal pus
    • Extensive epidermal detachment