Discussion
infection, OHCA, vomiting, SAD
INFECTION, WASTED, COMPLICATIONS
The present paper compares no-flow time and established quality indicators of resuscitation as well as aerosol release using COVID-19 resuscitation guidelines including three different airway management strategies in accordance with the ERC-2021 using a simulation model [Over the last decade, the impact of different airway management strategies on outcomes following OHCA has been investigated in various studies [Since the insertion of SAD is easy to both learn and put into practice for non-medical emergency service personnel, their use is widespread in Europe. Due to the relevant risk of release of infectious aerosols, airway interventions in patients with COVID-19 are associated with a significant risk of infection. Especially during face mask and supraglottic airway ventilation, intubation, extubation, and cardiopulmonary resuscitation, an increased aerosolization could be observed [SAD manufacturers should consider incorporating the shower cap concept into their SAD and prospective studies should evaluate this concept with regard to complications such as obstructing access to the airway in situations such as vomiting, an additional risk be a unnoticed tear in the shower cap, which may lead to a false sense of safety, different head-shapes, patients with a large beard or additional wasted plastic for times when an SAD is placed but CPR is not being performed. In addition, an SAD modified with a shower cap could represent a further building block not only in the context of prehospital resuscitation or difficult airway protection but also for anaesthesia.