. 2023 Apr 12;11:1150030. doi: 10.3389/fpubh.2023.1150030

Table 2.

Outline of three new exercises added to the original training package (See above).

Exercise #	Title	Phase of disaster response	Exercise scope	Learning objectives
A	Adapting EMT operations to a (A) sudden outbreak/(B) chemical incident	Operational Response	A. When the team has already started their activities at the EMT facility in Montyland, they will receive information about the possible outbreak of severe acute respiratory infection (SARI) in the area. With the initial data provided and others they can collect, they will have to assess emerging needs and prepare actions to install protective measures for the staff and the patients, change workflows, establish referral systems and manage suspect cases arriving at the facility. B. When the team has already started their activities at the EMT facility in Montyland, they will receive information about cluster of cases suspected to be chemical poisoning followed shortly by an explosion of chemical factory in the area. With the initial data provided and others they can collect, they will have to assess emerging needs and prepare actions to install protective measures for the staff and the patients, change workflows, establish referral systems, and manage suspect cases arriving at the facility.	A: To perform an initial needs assessment after the suspicion of an infectious disease outbreak in the area To plan necessary actions for the potential arrival of suspected cases to the EMT facility To carry out the planned measures on-site (EMT temporary facility) B: To perform an initial needs assessment after the suspicion of a chemical incident in the area To plan necessary actions for the potential arrival of suspected cases to the EMT facility To carry out the planned measures on-site (EMT field hospital)
B	Becoming a modular team	Operational Response	Since the work at the EMT in the facility has significantly decreased, the team will be unexpectedly requested to undertake different tasks for which they will need to split into smaller groups. Team members will need to arrange the groups and prepare to deploy in different areas for given assignments. Once deployed to new posts, they will have to deal with upcoming challenges.	To effectively prepare for unexpected deployments To provide respectful and targeted support to local health facilities To reflect on possible upcoming challenges related to operational work
C	Reflecting on ethical dilemmas	Operational Response	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.	To reflect on ethical dilemmas possibly presenting during deployments To develop a constructive team dynamic to discuss ethical dilemmas and make decisions

Exercise #

Title

Phase of disaster response

Exercise scope

Learning objectives

Adapting EMT operations to a (A) sudden outbreak/(B) chemical incident

Operational Response

A. When the team has already started their activities at the EMT facility in Montyland, they will receive information about the possible outbreak of severe acute respiratory infection (SARI) in the area. With the initial data provided and others they can collect, they will have to assess emerging needs and prepare actions to install protective measures for the staff and the patients, change workflows, establish referral systems and manage suspect cases arriving at the facility. B. When the team has already started their activities at the EMT facility in Montyland, they will receive information about cluster of cases suspected to be chemical poisoning followed shortly by an explosion of chemical factory in the area. With the initial data provided and others they can collect, they will have to assess emerging needs and prepare actions to install protective measures for the staff and the patients, change workflows, establish referral systems, and manage suspect cases arriving at the facility.

To perform an initial needs assessment after the suspicion of an infectious disease outbreak in the area
To plan necessary actions for the potential arrival of suspected cases to the EMT facility
To carry out the planned measures on-site (EMT temporary facility)

To perform an initial needs assessment after the suspicion of a chemical incident in the area
To plan necessary actions for the potential arrival of suspected cases to the EMT facility
To carry out the planned measures on-site (EMT field hospital)

Becoming a modular team

Operational Response

Since the work at the EMT in the facility has significantly decreased, the team will be unexpectedly requested to undertake different tasks for which they will need to split into smaller groups. Team members will need to arrange the groups and prepare to deploy in different areas for given assignments. Once deployed to new posts, they will have to deal with upcoming challenges.

To effectively prepare for unexpected deployments
To provide respectful and targeted support to local health facilities
To reflect on possible upcoming challenges related to operational work

Reflecting on ethical dilemmas

Operational Response

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.

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