Centre for Military Ethics

Playing Cards

Medical Deck

Category: All
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Clubs Clubs Clubs Clubs 2 2 2 2
In a mass casualty situation, is it ethical for a military medical unit to keep beds empty for new military casualties?
Clubs Clubs Clubs Clubs 3 3 3 3
The local culture or national legal framework has only weak protections against domestic violence or gender-based violence. How do you respond to a badly injured female who reveals that her husband attacked her?
Clubs Clubs Clubs Clubs 4 4 4 4
A rape victim asks to be given a ‘morning-after pill’ which your clinic has available. However, it is illegal in the country where you are operating. What do you do?
Clubs Clubs Clubs Clubs 5 5 5 5
Under what circumstances would it be appropriate to use local donors to provide blood for patients in a military medical facility?
Could you ever rely on blood or donors that have not been pre-screened?
Clubs Clubs Clubs Clubs 6 6 6 6
When facing staff shortages, under what conditions may you use local volunteers without any medical training?
Clubs Clubs Clubs Clubs 7 7 7 7
How do you balance time taken for patient care with record keeping? What is the minimum information you should record?
Clubs Clubs Clubs Clubs 8 8 8 8
The command asks you in a routine situation to act in a capacity that your professional body would not recognise you as having the correct qualifications or training to perform.
What should you do?
Clubs Clubs Clubs Clubs 9 9 9 9
Clinical governance is not equal across organisations, how might you respond to an allegation that care in another nation’s medical facility is not clinically acceptable?
Would it/should it affect where you allocate cases?
Clubs Clubs Clubs Clubs 10 10 10 10
What should a health care professional do if faced with an order from a commanding officer requiring them to violate the principles of medical ethics?
Clubs Clubs Clubs Clubs J J J J
Clubs Clubs Clubs Clubs Q Q Q Q
Clubs Clubs Clubs Clubs K K K K
Your local military commander asks for off duty medical personnel to contribute to guarding the perimeter of the military compound.
How do you respond?
Clubs Clubs Clubs Clubs A A A A
x
Spades Spades Spades Spades 2 2 2 2
Spades Spades Spades Spades 3 3 3 3
How might this requirement impact on your relationship or trust with patients?
Spades Spades Spades Spades 4 4 4 4
How do you decide the first person to treat or allocate single resources between two casualties with the same triage score?
Who do you care for first and which criteria matters from a medical ethics perspective?
Spades Spades Spades Spades 5 5 5 5
Spades Spades Spades Spades 6 6 6 6
You suspect the host-nation base guards are refusing some people access to healthcare because they are from the 'wrong' area or tribe.
What do you do?
Spades Spades Spades Spades 7 7 7 7
You have evidence a government is committing atrocities against its own citizens. Should health care personnel allow media access to the patients in order to publicize the alleged crimes?
What else could a health care professional do?
Spades Spades Spades Spades 8 8 8 8
There is a shortage of beds and you have a stable but ventilated patient who can be moved to a local hospital but you know there are no nurses on night shifts. This could mean a death sentence.
What do you do?
Spades Spades Spades Spades 9 9 9 9
The divorced parents of a very badly injured soldier in your base hospital refuse to be present together but each insists that only they can speak on behalf of their son.
His brain injuries are such that he is not competent to consent to medical treatment. How do you resolve this?
Spades Spades Spades Spades 10 10 10 10
Should you allocate People with Disabilities extra support during an emergency evacuation if that means expecting apparently able-bodied people to manage by themselves?
Spades Spades Spades Spades J J J J
Spades Spades Spades Spades Q Q Q Q
Spades Spades Spades Spades K K K K
Spades Spades Spades Spades A A A A
x
Hearts Hearts Hearts Hearts 2 2 2 2
Faced with an outbreak of a highly infectious disease, you have insufficient PPE for every patient-facing clinician, though you have adequate supplies of equipment used for normal infection control.
To whom do you allocate the higher level of protection? Do you require everyone else to continue working with the lower level equipment?
Hearts Hearts Hearts Hearts 3 3 3 3
Hearts Hearts Hearts Hearts 4 4 4 4
You are deployed to a conflict where the enemy are deliberately and consistently violating the rules of war. You have been tasked to send an ambulance on a very dangerous mission to collect enemy casualties.
Should your own personnel be put in harms’ way to save the life of someone who would not reciprocate?
Hearts Hearts Hearts Hearts 5 5 5 5
You are struggling to justify your country’s involvement in a war you believe to be unwinnable.
How do you cope?
Hearts Hearts Hearts Hearts 6 6 6 6
Your team has been working under intense conditions for days; you are all sleep-deprived and are making errors that put patients at risk. There is no back-fill support available.
As team leader, what is your duty of care to protect your team and yourself?
Hearts Hearts Hearts Hearts 7 7 7 7
Pre-deployment you had concerns about a colleague struggling with his mental health after multiple tours of duty. His performance is erratic. One day he seems fine the next he is making preventable errors.
His surgical skills are desperately needed. What can you do?
Hearts Hearts Hearts Hearts 8 8 8 8
Inevitably, the delivery of health care in conflict means not everything goes the way you would like or plan, even when you have done everything right.
How do you manage a sense of failure e.g. a patient death or a missed diagnosis?
Hearts Hearts Hearts Hearts 9 9 9 9
Hearts Hearts Hearts Hearts 10 10 10 10
May off label and not yet approved medications be used on military personnel if it could save their lives?
Hearts Hearts Hearts Hearts J J J J
Is it acceptable to allow firearms into a medical facility?
If so, who may carry them?
Hearts Hearts Hearts Hearts Q Q Q Q
Hearts Hearts Hearts Hearts K K K K
Hearts Hearts Hearts Hearts A A A A
When faced with an infectious disease outbreak, should military medical personnel be willing to accept greater risks than civilian medical workers?
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Diamonds Diamonds Diamonds Diamonds 2 2 2 2
Effective team communications has been shown to lead to better staff outcomes, including reduced stress and improved job satisfaction.
What are the basics of good team communication and how can you incorporate them?
Diamonds Diamonds Diamonds Diamonds 3 3 3 3
Diamonds Diamonds Diamonds Diamonds 4 4 4 4
Do you consider that health care personnel in your own team/facility have a good working relationship and treat each other with respect?
What could be improved in this area?
Diamonds Diamonds Diamonds Diamonds 5 5 5 5
Breakdown in team communication has been identified as a leading factor in adverse patient events and a major cause of inadequate healthcare delivery.
What examples of breakdown in communications have you experienced?
Diamonds Diamonds Diamonds Diamonds 6 6 6 6
The traditional 'no-fault culture' of medicine does not apply in a crisis situation.
Discuss
Diamonds Diamonds Diamonds Diamonds 7 7 7 7
What do you understand by the term 'self-care'?
Diamonds Diamonds Diamonds Diamonds 8 8 8 8
What do you need to know about the roles and responsibilities of your fellow practitioners on multi-disciplinary teams in order to feel confident and capable of providing effective care?
Diamonds Diamonds Diamonds Diamonds 9 9 9 9
During a visit to a coalition partner medical facility, you overhear a conversation in which a health care professional admits to using placebos in place of pain medication which had run dangerously low.
They claim the placebo worked and patients reported pain relief. If your team ran out of pain medication would you be willing to offer your patients a placebo?
Diamonds Diamonds Diamonds Diamonds 10 10 10 10
Diamonds Diamonds Diamonds Diamonds J J J J
You are asked to take a surgical team from another nation into your facility to increase surgical capacity, but they don’t speak your language.
What do you do?
Diamonds Diamonds Diamonds Diamonds Q Q Q Q
The allied headquarters have asked for patient identifiable information to be posted to an information system so that they can see the details of all patients in the medical system in the theatre.
Do you agree?
Diamonds Diamonds Diamonds Diamonds K K K K
Diamonds Diamonds Diamonds Diamonds A A A A
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Joker Joker Joker Joker J J J J
The Four Principles of Medical Ethics
Beneficence, Justice, Autonomy and Non-malificence
Joker Joker Joker Joker J J J J
Core Principles from the Geneva Conventions