In this week’s COVID Catch up the issue of communication in resuscitation situations when all team members are in full PPE is explored, and carrying on the PPE theme, the importance of not mixing messages is highlighted. If the wrong advice is given staff members may start using up the very PPE you are running short of. Concern is increasing about collateral damage from late presentations as a result of parent anxiety about coming to hospital and a recent paper reviews the health economics of High Flow Humidified oxygen (relevant to reducing its use where it is deemed to be an Aerosol generating procedure – AGP). Finally the importance of designating (or not) chest compressions as an AGP discussed.