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The whole point of this question is testing out how well you manage resources. I disagree with these types of questions. Also you want to reflect on what caused the situation and try and avoid it from happening again.
Also you want to reflect on what caused the situation and try and avoid it from happening again.
Only you can answer this question. It's one of judgement. There is not right answer...that's why it's asked.How do you correctly answer this question? What would give one person obvious priority over another?
You ask your kindergarten age kids who they want to let die? Weird.
Lol. harsh but it proves how bad a kindergarten teacher I would be. But I remember being asked that question when I was a kid. seriously.
Kids love the grinch lol@notsobabydoc
You definitely picked the right avatar (Dr. Seuss Grinch).
Twas the night before Christmas and the trauma unit at the ER was stirring...
Hmmm..Banhammer smack. I'm guessing sock puppet account?empathy can only be shown by talking about YOUR OWN experience, not some MMI crap that's completely standardized. Medicine should not be standardized, nor should the interview process. MMI's are designed by lazy admissions office which doesn't want to invest in the process of really getting to know their candidates. It's a shame that CASPER and MMI are a thing at all.
Honestly, if I was feeling sadistic and giving this MMI to interviewees, I would phrase it like this: “You made the decision to save person X over persons Y and Z. How would you communicate your reasoning to the parents of both the living and the deceased?”
Yup...HIPAA and all that.The other families would never know.
Hmmm... Maybe I’d ask the patients. In the military, sometimes you have a mission with a much higher risk than an alternative. In some cases, someone will volunteer because their buddy has a wife and kids at home and they don’t.
Given similar ages, outcomes, etc.. If I asked the three of them and one was willing to die so another could live, I’d probably save that person. Someone willing to sacrifice in such a manner is the kind of person who makes the world a better place.
In the military, we prioritize the people we can get back in the fight and people who have a shot at survival.
My paramedic instructor used to run mass casualty training sims and she said the most common reason people fail is for treating the expectant, especially for hospital based personel including EM physicians! Its a hard thing to look at an infant (real or sim) thats not breathing and decide your going to leave it to dieIn the military, we prioritize the people we can get back in the fight and people who have a shot at survival. If someone is telling you to let them die to save their buddy but their triage category is expected, you’re not going to waste an evac opportunity, which are limited, on someone unlikely to even survive the transport when you have someone who can be evacuated as an urgent or urgent/surgical and could survive. Asking who is willing to die and basing your triage on that is ludicrous.
People say and do all kinds of things under stress and when injured.
Not exactly. At least, not in the Army. Army goes by who is the most severely injured, even if that person is the enemy insurgent who caused the other casualties. (I think it might have been Moko who said the sickest first; same idea here.) Ethical calculus like which among the patients is an ally, good person or “deserves” to live, or whose return to health can continue the fight/benefit others never comes into play. You specify their combatant status on the radio call but the chopper still comes for them. New recruits find this an extremely hard pill to swallow. I feel like this translates well to the civilian world, though, because we may find ourselves with patients who are drug dealers, human traffickers, child molesters, etc (I certainly have, even as an MA), and must provide care exactly as competent and compassionate as we would for a saintly patient.
My paramedic instructor used to run mass casualty training sims and she said the most common reason people fail is for treating the expectant, especially for hospital based personel including EM physicians! Its a hard thing to look at an infant (real or sim) thats not breathing and decide your going to leave it to die
I go to USUHS where the triage stuff is mostly taught Army style. I’ve also been in the Navy for 7 years involved in TCCC and CLS, so I have a little experience (though less with the Army). We don’t triage exclusively by severity of injury. Let me clarify. When I say we go by survivability, what I mean is that we triage people based on the severity of injury and whether or not they are expected to survive.
If you have 3 patients from a IED, and one of them has minor trauma, one has a lower extremity amputation but is otherwise stable, and one of them has bilateral extremity amputations plus a distended abdomen, unstable pelvis, is unresponsive and is not responding to a fluid challenge with no peripheral pulses and a barely palpable pulse in the carotids and extremely shallow breathing, and maybe some seizing from late stage hemorrhaging, that third patient might be more severely injured, but they are probably not surviving the trip. You’re sending that stable lower leg amp back first because they will survive the trip and have a shot at surviving. Patient three will be lucky to survive for a few more minutes in a BAS.
It is similar to the civilian world but not identical. In the civilian world you typically don’t have to worry about blast injuries, nor are you essentially evacing every patient out of your aid station because you don’t have the capability to do much more than a surgical airway, chest tubes, and give some blood. Survivability and resource management becomes more of an issue in a deployed setting.
And I’m not the one who said ethical calculus comes into play. I said it doesn’t and triaging based on who “deserves” it more is ridiculous.
But I think that’s the difficulty with these ethical situations as a premed. Most premeds wouldn’t know not to chose based on who “deserves” to live. It’s definitely an easy trap to fall into, even after training!
I can only reiterate. The adcoms are not expecting the premeds to know the principle of triage. That is what medical school is for. These questions are meant to see how you reason about things and how you word things.But I think that’s the difficulty with these ethical situations as a premed. Most premeds wouldn’t know not to chose based on who “deserves” to live. It’s definitely an easy trap to fall into, even after training!
I can only reiterate. The adcoms are not expecting the premeds to know the principle of triage. That is what medical school is for. These questions are meant to see how you reason about things and how you word things.
If you start your answer with “Well, in the Army they taught us to...” then you’re actually not really answering the question. In that case you’re just demonstrating what would you do based on your prior training. Your answer would also apply mostly to field setting and not necessarily to the ED.
I can only reiterate. The adcoms are not expecting the premeds to know the principle of triage. That is what medical school is for. These questions are meant to see how you reason about things and how you word things.
If you start your answer with “Well, in the Army they taught us to...” then you’re actually not really answering the question. In that case you’re just demonstrating what would you do based on your prior training. Your answer would also apply mostly to field setting and not necessarily to the ED.
I can only congratulate you.I had zero problems answering questions based on my prior training. In fact, most were impressed with the experience and asked further questions about it. I got accepted at all those schools.
N=2, I answered almost every question I could using prior training as an example and have thus far received positive results...so imma second this and say that there is absolutely nothing wrong with using practical training as a means of answering the question.I had zero problems answering questions based on my prior training. In fact, most were impressed with the experience and asked further questions about it. I got accepted at all those schools.