• Danielle Shavit, Oren Feldman, Khetam Hussein, Michal Meir, Asaf Miller, Amichai Gutgold, Ravit Idelman, Noa Kvatinsky, Daniel M Cohen, and Itai Shavit.
• From the Faculty of Medicine (D.S.), Technion-Israel Institute of Technology, Haifa, Israel; Pediatric Emergency Department (O.F., R.I., N.K., I.S.), Infectious Diseases and Infection Control Unit (K.H.), Pediatric Infectious Diseases Unit (M.M.), and Medical Intensive Care Unit (A.M., A.G.), Rambam Health Care Campus, Haifa, Israel; and Division of Emergency Medicine (D.M.C.), Nationwide Children's Hospital and The Ohio State University, Columbus, OH.
• Simul Healthc. 2020 Dec 1; 15 (6): 445-446.

StatementShortage of personal protective equipment (PPE) for frontline healthcare workers managing the current severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is a major, global challenge. In this pilot study, we describe a simulation-based method for evaluating the suitability and acceptability of an alternative biological isolation garment (BIG, a gown or a suit) for clinical use by emergency department (ED) personnel. Using a high-fidelity simulator, participants provided airway management according to the SARS-CoV-2 protocol. A nonvisible fluorescent marker was used as a surrogate marker of contamination. We assessed ultraviolet light visualization of the fluorescent marker after doffing and satisfaction with donning, use during simulation, and doffing. We found that after doffing, markers were not visualized on any of the participants and that the median satisfaction scores of the alternative and standard BIG (sBIG) were 4 [interquartile range (IQR) = 1-5] and 4 (IQR = 2-4), respectively. The results suggest the suitability and acceptability of the alternative BIG (aBIG) for use by ED personnel.

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