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

  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

  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

  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

  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

  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

  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

  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
1

Title

Setting priorities


2

Type of Exercise

Tabletop exercise


3

Phase of the disaster response

Operational


4

Purpose

The purpose of this exercise is to expose participants to ethical and conflicting decisions frequently encountered during EMT deployments. Emergency operations are marked by an imbalance between the huge needs and the scarcity of resources available. This lack of resources can sometimes have fatal consequences for patients that in normal conditions will survive. This imbalance means a high burden for EMT staff who has to take decisions in this difficult circumstances and face its consequences. While caring for their patients, EMT members also have to inform and support patients’ family and relatives, who are also going through a stressful situation.


5

Scope

During this exercise the EMT members will be confronted with patients in very critical conditions and a set of resources to treat these patients. The team will have to decide how to allocate the available resources in order to save the highest number of patients. A role player will also intervene during the exercise, taking the role of a father whose child is admitted within the EMT facility in a critical state. The team members will have to deal with the father while rapidly decide on the treatment to the critical patients, whose state will change and worsen as the exercise advances.


6

General objectives

  • To manage situations involving difficult ethical decisions
  • To navigate between needs and resources in a critical situation
  • To maximise the response to a critical event with the available resources and the network around

See the complete table with learning objectives in the annex « Exercise 3 - Learning Objectives ».


7

Exercise description

Approximate time required Task Instructions for delivery
5 min Exercise briefing Delivered out of role. The trainers will explain the scenario in which the exercise is set, to allow participants to get immersed in the role and follow instructions.

Simulated setting: 10 am, 2 days after deployment. The team is working at the EMT facility in Montyland
5 min Split in groups The training manager will ask the team to divide in groups of 5-7 people (each group should include different EMT profiles). It must be clarified that each group will perform the same exercise, so the groups are not supposed to interact with each other.
10 min Resource familiarization Once every group is located in a different space, the trainers will hand over the cards with the available resources.

Add inject 1: Each group will receive the set of cards with resources and start to familiarise with the resources they have in their EMT before patients arrive.
10 min First 3 patients arrive Add inject 2: Each group will receive the cards of the first 3 patients, who arrive at the same time in the facility, and start working together to decide how to treat them.

Trainers will leave each group to discuss about what to do with the patients.
10 min Father arrives Add inject 3: The father of the child being treated by the team arrives at the EMT facility, showing a very anxious and threatening behaviour and asking to see his son immediately. He claims his son is being treated without his consent.

Each group will have to deal with this situation while treating the patients
15 min Next 2 patients arrive Add inject 4: Each group will receive the cards of the next 2 patients, who arrive at the same time in the facility. The team will need to manage the situation with the father and the new patients.

Trainers will leave each group to discuss about what to do with the patients.
15 min Worsening conditions Add inject 5: Each group will receive information about the changes in one of the patients conditions, which are worsening and will lead to a cardiac arrest.

The team will have 15 more minutes for discussion.
30 min Exercise debriefing Delivered out of role. Refer to the annex « Exercise Debriefing »
Total time (approx.): 2h
8

Injects

Inject number When? To whom? Inject summary
1 Once the team has splitted in groups To each group Resources available
2 10 min after inject 1 To each group First 3 patients arrive
3 10 min after inject 2 To each group Father arrive
4 10 min after inject 3 To each group Next 2 patients arrive
5 15 min after inject 4 To each group Worsening of patient conditions

See the detailed description of the injects in the annex « Exercise 3 - Injects ».


9

Resources

Human resources

  • 3 trainers (one of them will be the training manager). NOTE: At least one of the trainers must have a medical background in order to follow the team decisions and adapt patient condition according to those
  • 2 facilitators (one or two of them will take the role of the ‘child father’)

Materials

  • Printed cards with patients and resources (Refer to injects 1, 2 and 4)

10

General considerations

Before starting the exercise make sure:

Trainers and facilitators have carefully read the exercise objectives and description

There is a medical doctor within the trainers/facilitator team who can follow the exercise and adapt patient conditions according to the decisions made by the team

There is an appropriate space for the groups to separate and work independently

All the needed materials (see Resources section) are available


11

Key references/Supporting documents


12

Annexes

  1. Exercise 3 - Learning objectives
  2. Exercise 3 - Injects
  3. Exercise 3 - Exercise debriefing

Download Exercise PDF