The purpose of this exercise is to reflect on ethical dilemmas presented during EMT field operations. Many aspects of emergencies and EMT deployments can lead to conflicting situations, in which there are no clear right or wrong actions, and decisions have to be made taking into account not only operational but also ethical considerations. Some of those aspects are related, for example, with the imbalance between needs and resources available, different standards of care, different cultural or religious values or conflicts between individual rights and public health issues.
Team members will be presented with different cases to reflect on, first individually and then as a group, and they will have to decide among different options what they think is the best way to act.
See the complete table with learning objectives in the annex « Exercise C - Learning Objectives ».
|Exercise 10 - SCRIPT|
|Approximate time required||Task||Instructions for delivery|
|5 min||Team division||
The team will be divided into smaller groups by the trainers, including around 4-5 people and a balanced mix of different ages, sex and staff roles.
|5 min||Exercise briefing||
Explain the dynamic of the exercise: Several cases of ethical dilemmas will be presented to the team and they will have to decide what will be their decision about it. They will have set times to reflect on their choice first individually, then as a small group and finally as a whole team, guided by some steering questions from the trainer depending on the content of the team discussions.
|35 min||Case 1||
|35 min||Case 2||
|35 min||Case 3||
|30 min||Exercise Debriefing||
Delivered out of the role. Refer to the annex Debriefing tool.
Total time (approx.): 2h 30min, depending on the number of cases you present.
|Inject number||When?||To whom?||Inject summary|
|1||At the beginning of the exercise||All||Case 1 - Ethical dilemma|
|2||After Inject 1||All||Case 2 - Ethical dilemma|
|3||After Inject 2||All||Case 3 - Ethical dilemma|
See the detailed description of the injects in the annex « Exercise C - Injects ».
Before the exercises, trainers should ensure they are familiar with ethical analysis and decision-making tools, as the Humanitarian Health Ethics Analysis Tool (HHEAT).
During the exercise and depending on the level of ethical knowledge among participants, you may present or introduce an ethical analysis tool like the one mentioned above, so trainees have a reference framework for ethical analysis.