1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
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  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. Key references/documents
  11. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. Key references/documents
  11. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. Key references/documents
  11. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. Key references/documents
  11. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. Key references/documents
  11. Annexes
Download Exercise PDF
1

Title

Reflecting on ethical dilemmas

2

Type of Exercise

Discussion

3

Phase of the disaster response

Operational response

4

Purpose

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.

5

Scope

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.

6

General objectives

  • To reflect on ethical dilemmas possibly presenting during deployments
  • To develop a constructive team dynamic to discuss ethical dilemmas and make decisions

See the complete table with learning objectives in the annex « Exercise C - Learning Objectives ».

7

Exercise description

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

  • 5 min to think individually
  • 15 min to discuss as a small groups
  • 15 min to discuss as a whole team + Trainer
35 min Case 2

  • 5 min to think individually
  • 15 min to discuss as a small groups
  • 15 min to discuss as a whole team + Trainer
35 min Case 3

  • 5 min to think individually
  • 15 min to discuss as a small groups
  • 15 min to discuss as a whole team + Trainer
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.

8

Injects

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 ».

9

Resources needed

Human resources

  • 1-2 trainers

Materials

  • Paper and pen
10

General considerations

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.

11

Key references/Supporting documents

12

Annexes

  1. Exercise 10 - Learning objectives
  2. Exercise 10 - Injects
  3. Exercise 10 - Standard operating procedures form
  4. Exercise 10 - Exercise debriefing
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