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Updated: Sep 29, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
Debridement of necrotic tissue and eschar using a capillary dressing and semi-permeable film dressing
1Wakefield and Pontefract PCTs, Wakefield.
Mrs S presented with necrotic pressure damage to her right heel following hospitalization for cardiovascular accident. Mrs H, who had a history of dementia and self-neglect, was found to have a necrotic haematoma on her sacrum. Both presented with leathery necrotic eschar that did not respond to hydrogel or hydrocolloid dressings. Using Vacutex capillary dressing and Tegaderm vapour-permeable film as a secondary dressing, the wound margins showed signs of demarcation within a few days, and within one week I was able to sharp debride the wound, which prepared the wound for healing.
Mrs S presented with necrotic pressure damage to her right heel following hospitalization for cardiovascular accident. Mrs H, who had a history of dementia and self-neglect, was found to have a necrotic haematoma on her sacrum. Both presented with leathery necrotic eschar that did not respond to hydrogel or hydrocolloid dressings. Using Vacutex capillary dressing and Tegaderm vapour-permeable film as a secondary dressing, the wound margins showed signs of demarcation within a few days, and within one week I was able to sharp debride the wound, which prepared the wound for healing.
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