6 ft of distance between each other during the huddle.

Ultimately, it was determined that the consult faculty should don full PPE (powered air‐purifying respirator \[PAPR\], gown, and gloves) and enter the room to do an airway assessment while the rest of the airway team prepared to don PPE in the event they were also needed. Upon entry into the room, the patient, who was wearing a surgical mask, was extremely anxious, had loud stridor but had no oxygen requirement and a regular respiratory rate when calm. Further history revealed he had progressive dyspnea since decannulation 1 month prior and was sent to the ED by his radiation oncologist during a routine visit. He had a history of sleep apnea and chronic renal insufficiency. Primary assessment revealed that hehad trismus, a well healed free flap in the lateral oropharynx, and a Mallampati grade of 3. He had a large neck and a nearly healed tracheostomy site with a small amount of granulation tissue in the residual tract.

The patient was notified of the need for NPL evaluation and that topical anesthesia would be avoided due to the risk of virus aerosolization and of worsening his airway. He became more anxious and had increasingly loud stridor and tachypnea. A disposable bronchoscope, tracheostomy set, kerrison rongeurs, endotracheal tubes of varying size, and a videolaryngoscope were opened at bedside. The head and neck senior resident, anesthesia attending, and a respiratory therapist donned full PPE and prepared for intubation or tracheostomy in the ED negative pressure room in case of decompensation.

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