Options | Impact on staff | Impact on patients |
A. Whole resuscitation team dons full PPE prior to commencing resuscitation | Effectively protects staff | Significant delay commencing resuscitation; poorer health outcomes including worse neurological outcome and increased risk of death |
B. First team member starts resuscitation while others don full PPE | Risk of infection (degree as characterised in step 1) to first staff member. Increased responsibility for first staff member in relation to patient’s outcome—that is, greater psychosocial burden to staff member | Minimal delay commencing resuscitation, but possible decreased efficacy given other staff members delayed; patient health outcomes likely worse than A but better than C |
C. Team begins resuscitation without donning full PPE | Risk of infection (degree as characterised in step 1) to all staff members | Maximises patient’s chances of resuscitation and minimises neurological damage If any staff member is unknowingly COVID-19 positive, risk of infecting patient |
PPE, personal protective equipment.