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Nikita G. Alexiades, Belinda Shao, Bruno P. Braga, Christopher M. Bonfield, Douglas L. Brockmeyer, Samuel R. Browd, Michael DiLuna, Mari L. Groves, Todd C. Hankinson, Andrew Jea, Jeffrey R. Leonard, Sean M. Lew, David D. Limbrick Jr., Francesco T. Mangano, Jonathan Martin, Joshua Pahys, Alexander Powers, Mark R. Proctor, Luis Rodriguez, Curtis Rozzelle, Phillip B. Storm, and Richard C. E. Anderson

years of age. Gardner-Wells tongs should not be used in children less than 3 years of age. (100%) A head CT is not required for children <6 years of age prior to placement of halo. A head CT is not required for children prior to placement of halo. (100%) If first line management of pin site infections fails, pin removal should be performed. Oral or topical antibiotics should be considered for first line therapy of pin site infections.(100%) Discussion In this study, we demonstrate that by using a modified Delphi method, a

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Praveen V. Mummaneni, John F. Burke, Andrew K. Chan, Julie Ann Sosa, Errol P. Lobo, Valli P. Mummaneni, Sheila Antrum, Sigurd H. Berven, Michael S. Conte, Sarah B. Doernberg, Andrew N. Goldberg, Christopher P. Hess, Steven W. Hetts, S. Andrew Josephson, Maureen P. Kohi, C. Benjamin Ma, Vaikom S. Mahadevan, Annette M. Molinaro, Andrew H. Murr, Sirisha Narayana, John P. Roberts, Marshall L. Stoller, Philip V. Theodosopoulos, Thomas P. Vail, Sandra Wienholz, Michael A. Gropper, Adrienne Green, and Mitchel S. Berger

ventilators. Furthermore, guidance is needed to minimize nosocomial transmission of COVID-19 to patients and staff during invasive procedures. 13 There is insufficient data and time in the midst of a pandemic to create evidence-based guidelines for triaging invasive procedures. 14 Thus, we present our institutional experience using a modified Delphi method. In brief, the Delphi method consists of first forming an expert panel, creating a series of statements that are submitted to the panel, obtaining anonymous feedback from the panel, amending the statements, and iterating

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Nikita G. Alexiades, Edward S. Ahn, Jeffrey P. Blount, Douglas L. Brockmeyer, Samuel R. Browd, Gerald A. Grant, Gregory G. Heuer, Todd C. Hankinson, Bermans J. Iskandar, Andrew Jea, Mark D. Krieger, Jeffrey R. Leonard, David D. Limbrick Jr., Cormac O. Maher, Mark R. Proctor, David I. Sandberg, John C. Wellons III, Belinda Shao, Neil A. Feldstein, and Richard C. E. Anderson

questionnaires followed by feedback at the culmination of each round. This technique improves on panel or committee approaches by removing direct confrontation while allowing for anonymous expression of expert opinion and criticism. 6 The modification employed in this and other studies in the medical literature is a culmination of the process in an in-person meeting in which experts can freely discuss topics that approached consensus, allowing for collaboration and modification of statements to gain support. This modified Delphi method has been successfully applied across a