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Key learning points are:

1. Simulate, simulate, simulate. Do it now before you’re overwhelmed so you know you’ve optimised staff safety and training in the process.

It is so easy to get donning/doffing wrong and also to get ventilator circuit disconnects etc.
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2. Issue action cards and make sure people have reviewed them beforehand

3. Involve your porters/orderlies/wardspersons and security staff in the planning and simulation phase
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4. Have a hands-off team leader keeping an overview of the patient and guiding the process according to a command script.

The airway team need 100% of their bandwidth to minimise exposure and intubate quickly on the first attempt.
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5. Make sure EVERYONE in the team has undergone training in the process and use of the checklist.

6. Do as many checks as you can away from the patient so that you minimise exposure time at the head end.
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7. We are very lucky to have a cohesive team from all three adult critical care specialties equally driven to get this right together.

Listen to each other and learn together and keep preparing until you feel like one more sim will make you vomit, and then do more sim
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As we continue to learn we’ll update the folder. We anticipate not having the capacity to respond to individual questions but if you spot something that could improve what we’re doing or protect our staff better feel free to reply here @cliffreid @HawkmoonHEMS @DocTomEvens
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Here's a link to the folder. It contains our team leader command sequence, some action cards, a checklist, and a short video. It's a start and hopefully will give you some ideas if you've not got something off the ground yet.

https://drive.google.com/drive/folders/1a09DRlITYUieH43-VlFFULcgLc8kMX9p?usp=sharing
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Please also review all the other excellent resources out there to get as many good ideas as possible, but then get started ASAP.

Please keep yourselves as safe as possible. We need you.
You can follow @cliffreid.
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