Specific COVID-19 trolley for pediatric resuscitation team

AIMS & OBJECTIVES: Optimize the availability of personal protective equipment (PPE) and videolaryngoscope where needed out of pediatric intensive care unit, for every pediatric resuscitation team call, ensuring a fast response and a safe intervention in COVID-19 pediatric patients, using a specific COVID-19 trolley METHODS: First, we conducted a literature search in MEDLINE database, using terms related to cardiopulmonary arrest, cardiopulmonary resuscitation, resuscitation trolley and backpack, personal protective equipment and COVID-19 No results were found that matched our purpose So we design our own COVID-19 trolley, complement to our general pediatric resuscitation backpack RESULTS: We chose a trolley with wheels, light (4 4 Kg, empty) and compact size (63 cm height, 47 cm width, 25 cm depth), with a long handle for carrying and a short handle for lifting, divided into three compartments: two complete PPE (gowns, gloves, FFP3 respirators and eye protection) inside the bottom compartment, the videolaryngoscope inside the middle compartment, and different sizes singleuse blades, closed suction systems and antimicrobial filters inside the upper compartment A medical staff training was carried out aimed at the use of the new trolley, based on a video recording hosted in our e-learning platform Also, an infographic was created to help staff with the trolley's standardised using protocol Finally, the maintenance and cleaning procedure was developed CONCLUSIONS: A specific COVID-19 trolley could help in ensuring the availability of PPE and videolaryngoscope in the hospital environment Simulation scenarios could be useful for proper trolley design evaluation and improving team training