Online Grand Rounds and Video Library

COVID-19: The Seattle Children’s Experience


Janet Englund, MD
Ruth McDonald, MD
Alpana Waghmare, MD 
Tony Woodward, MD, MBA 
Danielle Zerr, MD, MPH
Moderator: Kristina Toncray, MD



Update 3-30-2020

Please note that, as mentioned in the video, protocols are changing daily. The information in this video is accurate as of 3-26-2020.

Since this Grand Rounds broadcast, in response to the guidance from various professional societies, we made the decision to begin using respirators for aerosol-generating procedures (AGPs) in patients whose COVID-19 status is unknown. This led us to test all patients being admitted to the hospital and those scheduled for a procedure involving an AGP, so we could save PPE in those who test negative for SARS-CoV2.

After identifying asymptomatic patients with COVID-19, we elected to place asymptomatic patients with unknown SARS-CoV2 status in isolation, requiring mask and eye protection in order to avoid medium/high risk exposures (following CDC’s algorithm on exposures in healthcare workers).

It is important to note that it is unclear to what extent asymptomatic patients with COVID-19 might transmit infection. However, with the ability to increase our stock of masks and use of extended wear protocols, we felt we could support this strategy.

FAQs From COVID-19: The Seattle Children’s Experience, March 26, 2020 (PDF).


Planners disclose they have no relevant financial relationships. Janet Englund discloses: Consultant for Sanofi Pasteur and Meissa Vaccines. Dr. Waghmare Discloses: Advisory Board, Kyorin and off-label use of: chloroquine, hydroxchloroquine, azithromycin, lopinavir, ribavirin. Review by CME Program Manager concludes that this presentation does not include content relevant to this disclosure. No other speakers have relevant financial relationships.

Seattle Childrens is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education for physicians.

Seattle Childrens designates this online educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 1 hour of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

Videos are available for only one year after posting.

If you wish to receive Category I CME credit for viewing this Provider Grand Rounds session, please complete the evaluation form. Upon completion of the form you will receive an auto-reply email that will serve as the only confirmation of your CME credit. Please keep the email for your records.