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letter
. 2020 May 27;66:109928. doi: 10.1016/j.jclinane.2020.109928

Table 1.

Case descriptions.

Case Title Central theme Key lessons
1 Cardiac Arrest for Patient with Possible Communicable Airborne Disease The central theme is the concept of “Protected Code Blue” where team member safety is emphasized. Procedures are altered to protect the resuscitation team in the context of airborne transmission. Airborne disease may drive changes in the algorithm such as earlier advanced airway placement and stopping CPR for airway placement.
2 Emergency Airway Management for Patient with Contagious Respiratory Disease The central theme is provider safety and containment of airborne transmission during airway management of a COVID-19 patient. Dedicated airway kits can be optimized for COVID-19 patients and airborne disease may lead to different airway tools and management options.
3 Transport of a Patient with Contagious Airborne Disease The central theme is on team coordination, communication with hospital entities and adherence to protocol to contain viral spread. Interdisciplinary discussion to evaluate the need for transfer versus performing the procedure in patient room and coordination between “clean” and “contaminated” personnel is paramount.
4 Tele-instruction for Remote Procedural Guidance and Supervision The central theme is communication and supervision via remote telecommunication to perform a life-saving procedure. A focus on communication and shared mental modeling improve success in remote tele-guidance for procedures.

The table tabulates the four simulation scenarios representing anticipated clinical encounters with COVID-19 patients, which we simulated at Penn State Milton S. Hershey Medical Center in March 2020, prior to admitting any COVID-19 patient, with a view to training our providers and testing our COVID-19 protocols in realistic simulation scenarios. Case number and Title are in the first and second column on the left, respectively. The Central Theme of the scenario presented to the participant is sketched in the next column and Key Lessons elicited during our debriefings in the column can be found in the column on the right. More Detail is co-published in Data-in-Brief.