Military Medical Ethics – Scenario Collection
Recent Articles
Disclaimer about the scenarios
The scenarios published in the MME scenario database are based on different kinds of sources. These include media reports, literature, and reports about ethical challenges experienced in the field....
09 Nov, 2021 Views: 199 Comments: 0
How to contribute your own cases and scenarios
This scenario collection shall grow over time and new scenarios and cases shall be added. To do so, we need your support and input! Please help us collecting examples by contributing your own...
09 Nov, 2021 Views: 686 Comments: 0
Treatment first, interrogation second
I experienced this in Afghanistan, while caring for detainees at the Role 3 hospital. Sometimes the guards of the military police (assigned to guard the detainee while in our care) and/ or the...
08 Nov, 2021 Views: 39 Comments: 0
Dream assignment
A 40 year old male senior enlisted has received his dream tasking. He will be stationed at an embassy in Africa. He receives orders and is ready to out-process his base. However, his healthcare...
09 Sep, 2021 Views: 36 Comments: 0
Priority for treatment – Insurgent or soldier
One day some enemy attacked patients were transferred in. Among them, two had serious wounds with urgent needs of amputation and blood transfusion. One patient is a combatant and the second is an...
09 Sep, 2021 Views: 35 Comments: 0
Treat the enemy who just shot at you
A small convoy of three Humvees left the relative safety of the military-controlled Green Zone and within minutes was fired on by a single gunman lodged high above on an overpass. The first...
19 Aug, 2021 Views: 53 Comments: 0
Different treatment depending on nationality
Report from a Canadian military doctor: "When we received news that a mass casualty was en route with severe burns, we were told not to intubate Afghans with burns over more than 50 percent of...
19 Aug, 2021 Views: 31 Comments: 0
Keep alive despite massive wounds and unsure quality of life?
The ability to maintain the wounded alive is nothing less than astounding. Medical advances, combined with improved body armour and rapid evacuation, have resulted in lives saved that would have...
19 Aug, 2021 Views: 34 Comments: 0
Project Partner and Staff
Project staff Dr. Daniel Messelken. Center for Military Medical Ethics. Administrator and Chief editor of the Database. messelken@ethik.uzh.ch Project collaborators Prof. Dr. Heather Draper,...
29 Oct, 2020 Views: 216
Amputation to safe the life
When the 8.0-magnitude earthquake struck Wenchuan county, Sichuan province, in the West of China on May 12, 2008, Li Yue, an 11-year-old girl who dreamed of becoming a ballerina, was buried together...
25 Aug, 2020 Views: 113 Comments: 0
To fly or not to fly – MEDEVAC
"The only physician in a 17.000 inhabitants town asks for a MEDEVAC. The local doctor describes a stable case of a 40y man with chronic hypertension, who presented with a 12-hour long chest pain...
19 Aug, 2020 Views: 79 Comments: 0
Relations between Western Military Forces and NGOs
Setting: A rural region of a country where Western military forces are engaged in active combat. Scenario: "An international medical NGO is supporting several rural health clinics in a country...
04 Aug, 2020 Views: 151 Comments: 0
Use of close circuit television (CCTV) to monitor patients in an infectious disease setting
A treatment unit is being set up as part of a humanitarian effort to combat an outbreak of a severe and infectious virus in a low-income country. The affected country is hot and humid. Staff are...
04 Aug, 2020 Views: 110 Comments: 0
The medical secret
During deployment, military doctors supervise the soldiers's health. Therefore, all soldiers must regularly visit the doctor in order to asses their health and fitness for duty. During these visits,...
04 Aug, 2020 Views: 141 Comments: 0
Risky participation in a marathon
Soldier X is a member of the police staff in a peacekeeping operation. He intends to take part in a mini marathon event organised for soldiers when off duty. The military doctor recommended him...
04 Aug, 2020 Views: 144 Comments: 0
Treatment of Detainees: Role of Military Health Professionals
"Ten detainees in a national security facility have gone on a hunger strike to protest the conditions of their confinement. Part 1: The strike has gone on for three days, and the detainees are...
04 Aug, 2020 Views: 136 Comments: 0
Public health in the Deployed Environment
"A female local national language interpreter presents to your aid station for symptoms compatible with general disease (dysuria, vaginal discharge, pelvic pain), and continues to engage in unsafe...
04 Aug, 2020 Views: 126 Comments: 0
Refusal to evacuate a wounded national
A wounded insurgent is brought into the field hospital. He is burned at 80% of his body. After first care of the burn wounds the patient remains unstable. Because of limited resources and triage...
04 Aug, 2020 Views: 133 Comments: 0
RTD: Treat Gonorrhea or battle wounds first?
Return to Duty (RTD) to influence triage? "During the spring of 1943, while British troops in North Africa were preparing to invade Italy and Sicily, many in the ranks contracted gonorrhea after...
04 Aug, 2020 Views: 158 Comments: 0
Feedback on the public beta test
The current version of the MME Scenario collection is a public beta-test. Thus, it is important for us to know whether you generally think that the software/website works and allows to search and...
04 Aug, 2020 Views: 699 Comments: 2
Conflicting priorities in the laboratory (Ebola mission)
You have just deployed to a lab that provides diagnostic laboratory services for two Ebola treatment units in a low-income country: one run by the military and one run by an NGO. The former is...
06 Apr, 2020 Views: 117 Comments: 0
Treatment Eligibility (Ebola mission)
You are a military doctor in charge of a small Ebola treatment unit (ETU) during a major Ebola outbreak in a low-income country. The ETU was established to guarantee that affected healthcare workers...
06 Apr, 2020 Views: 166 Comments: 0
Saving lives – do they want to live with the results of their injuries?
Medical care in the field, medical evacuation, and care in the hospital has progressed to achieve injury survival rates that were unheard of in the past. Along with these positive survival rates...
04 Dec, 2019 Views: 140 Comments: 0
Infected burn-wounds in local children – can you treat them?
During an international crisis management mission, you are the commander of the medical mission and thus responsible for the medical care of the allied soldiers. You do not have an explicit...
03 Dec, 2019 Views: 122 Comments: 0
"Easy" amputation as prosthesis is guaranteed
It has been observed, that the medical services of some countries seem to favorise amputations over measures that try to safe the limbs if (i) resources in the situation are scarce, (ii) the risk of...
22 Nov, 2019 Views: 129 Comments: 0


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