ABC | Volume 114, Nº6, June 2020

Statement Guimarães et al. Position Statement: Cardiopulmonary Resuscitation of Patients with Confirmed or Suspected COVID-19 – 2020 Arq Bras Cardiol. 2020; 114(6):1078-1087 11. Training and Debriefing • Performdebriefing at the end of each code to support team growth and improvement; 1,2 • All health care workers involved in the care of patients with suspected or confirmed COVID-19 should undergo skills training in donning and, especially, doffing PPE as soon as possible, as well as participate in simulated code blue response; 15,16,20,21 • Skills training and continuing medical education are paramount to protecting staff and improving safety in patient care. The use of moulages/vignettes, realistic simulation resources, and distance education resources is strongly recommended. Following are the algorithms for PCR care of adult (Figure 6) and pediatric (Figure 7) patients with suspected or confirmed COVID-19. Figure 6 – Algorithm for management of cardiopulmonary arrest in patients with suspected or confirmed COVID-19.AMI: acute myocardial infarction; BP: blood pressure; BVM: bag-valve-mask; CPR: cardiopulmonary resuscitation; Fi: inspired fraction; HEPA: high-efficiency particulate arrestance; IO: intraosseous; IV: intravenous; MV: mechanical ventilation; PE: pulmonary embolism; PEA: pulseless electrical activity; PEEP: positive end-expiratory pressure; ROSC: return of spontaneous circulation; RR: respiratory rate; Ti: inspiratory time; VF: ventricular fibrillation; VT: ventricular tachycardia. 1085