ABSTRACT
A dermatology intensive care unit (DICU) is a new concept. Such a setup is important for better management of all dermatological emergencies. A DICU should be structurally and functionally a separate entity in the dermatological setup and should be specifically designed, staffed, furnished, equipped, and dedicated to the management of a patient with acute skin failure. It should have defined protocols and have its own quality control and training program. A two- to four-bed DICU is an ideal proposition. Individual workstations for separate cubicles are recommended in an ideal setting to minimize cross infections. Protocols to deal with life-threatening emergency situations and also protocols for the management of acute skin failure should be displayed in the form of charts as a ready reckoner. Indications of admission to the DICU include patients with acute skin failure with extensive denudation of skin or with severe systemic involvement as a consequence of skin disease. The hands-on management of patients in the DICU presents unique practical problems that can be solved by a motivated treating team. With increasing knowledge about pathogenesis, laboratory parameters, and newer treatment modalities, a DICU is the ideal place for treating acute skin failure and other skin emergencies with a multidisciplinary and multiprong approach.
