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

Adapting practice to context


2

Type of Exercise

Functional exercise


3

Phase of the disaster response

Operational


4

Purpose

The purpose of this exercise is to expose participants to a mixture of cultural and legal aspects that should always be considered during EMT deployments. Team members should be aware that EMTs are not isolated entities in the field but only one part of an interconnected network of organizations, which are working within a specific context. Country rules and patients’ culture have to be understood and considered in order to provide appropriate and adapted care in a safe environment.


5

Scope

During this exercise EMT members will have to develop or adapt an available SOP for the management of dead bodies in the context of Montyland. Once this is ready they will be confronted with a case of a boy who arrives at the EMT facility and dies shortly after. The team will have to consider the circumstances in which the child was brought in the facility and interact pertinently with the family. Other actors working on the ground, the police and a UNICEF representative, will also appear in the scene, and team members will have to interact and cooperate with them.


6

General objectives

  • To adapt EMT procedures to the local context
  • To manage a clinical emergency case of an unaccompanied minor
  • To show empathy and responsibility when handling sensitive cases
  • To understand the position of an EMT during disaster response and work collaboratively with other partners

See the complete table with learning objectives in the annex « Exercise 6 - 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: 9 am. The team is working at the EMT facility in Montyland
5 min Split in groups The trainers will ask the team to divide in 2 groups of 10-12 people (each group should include different EMT profiles). One group will be placed at the EMT facility, as if they were working in routine activities (Group 1) and the other group will be taken separately to prepare to act as role players (Group 2).
30 min Adapting SOP to context Group 1 will be placed in the EMT facility. Trainers will provide them with the following task.

Add inject 1: Team members in Group 1 will have to work together to develop and SOP for the management of the deceased in Montyland, with all the materials provided.

While Group 1 is working on this task, a trainer will take participants in Group 2 into a separate room to assign and explain the roles they will take during the exercise (see instructions for role distribution in Injects document).
20 min Unconscious child brought to the facility Add inject 2: Unknown people will arrive at the EMT facility bringing an unconscious child.

The team members will have to deal with the situation, treating the child and getting information from the people who brought him in.
15 min Parents arrival Add inject 3: The child parents will arrive and find out their son is dead. They will leave for a moment and plan to come back to take the child body with them.

The team members will have to decide what to do with the parents and the body.
15 min Police arrival Add inject 4: A group of policemen will arrive, ask about the case and give information to the team about how to proceed.

The team members will have to deal with the group of policemen.
10 min Media arrival Add inject 5: Journalists will arrive at the entrance of the facility asking questions and demanding to go in and take pictures.

The team members will have to deal with them protecting the confidentiality of EMT patients and staff.
15 min UNICEF arrival Add inject 6: UNICEF workers will arrive at the EMT facility to inform the team about UNICEF services in the disaster area.

The exercise should finish when the UNICEF workers leave the facility.
30 min Exercise debriefing Delivered out of role. Refer to the annex « Exercise debriefing »
Total (approx.): 3 h
8

Injects

Inject number When? To whom? Inject summary
1 At the beginning of the excise To Group 1, at the EMT facility Adapting SOP for the management of dead bodies in Montyland
2 30 min after inject 1 To Group 1, at the EMT facility Unconscious child brought to the facility
3 20 min after inject 2 (or 2 min after the child dies) To Group 1, at the EMT facility Parents arrival
4 15 min after inject 3 (or 2min the parents leave the facility) To Group 1, at the EMT facility Police arrival
5 15 min after inject 4 (while the police is still at the facility) To Group 1, at the EMT facility Media arrival
6 2 min after the police and media leave the facility To Group 1, at the EMT facility UNICEF workers arrival

See the detailed description of the injects in the annex « Exercise 6 - Injects ».


9

Resources

Human resources

  • 3 trainers (one of them will be the training manager)
  • 2 facilitators

Materials

  • Resuscitation manikin (junior) with make-up to simulate trauma
  • Pediatric resuscitation equipment at the EMT facility
  • Computer
  • Copies of relevant SOPs and guidelines (inject 1), included in a USB stick
  • Police/ army uniforms
  • Police IDs
  • Fake weapons/ firearms
  • UNICEF vest and or cap
  • Photo camera/ mobile phone for journalists and police

10

General considerations

Before starting the exercise make sure:

Trainers and facilitators have carefully read the exercise objectives and description

The EMT facility is ready for the simulation

All the needed materials (see Resources section) are available


11

Key references/Supporting documents

  • Printed document: Wikipedia Hindu Funeral: “Antyesti”
  • Memory stick USB with:
    1. Management of Dead Bodies after Disasters: A Field Manual for First Responders, PAHO, WHO, ICRC, IFRC, 2006
    2. Operational Best Practices Regarding the Management of Human Remains and Information on the dead by Non-Specialists, ICRC, 2004
    3. Management of Dead Bodies in Disaster Situations, World Health Organization, 2004

12

Annexes

  1. Exercise 6 - Learning objectives
  2. Exercise 6 - Injects
  3. Exercise 6 - Dignified management of the deceased (SOP adaptation)
  4. Exercise 6 - Wikipedia Hindu Funeral
  5. Exercise 6 - Exercise debriefing

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