PT  - JOURNAL ARTICLE
AU  - Luke John Turner
AU  - D Wilkins
AU  - J I J A Woodhouse
TI  - Military health outreach on Exercise ASKARI SERPENT: a discussion of clinical and ethical challenges
AID  - 10.1136/jramc-2017-000868
DP  - 2019 Oct 01
TA  - Journal of the Royal Army Medical Corps
PG  - 346--350
VI  - 165
IP  - 5
4099  - http://militaryhealth.bmj.com/content/165/5/346.short
4100  - http://militaryhealth.bmj.com/content/165/5/346.full
SO  - J R Army Med Corps2019 Oct 01; 165
AB  - Exercise ASKARI SERPENT (Ex AS) is an annual British Army medical exercise that sees the deployment of a medical regiment to rural Kenya. The exercise involves the delivery of health outreach clinics and health education to the civilian population alongside Kenyan governmental and non-governmental organisations. This article includes a post hoc analysis of the ethical and clinical challenges that clinicians faced during Ex AS, applying a four-quadrant approach to ethical decision-making. This article intends to stimulate further debate and discussion on how to best prepare clinicians for clinical challenges and ethical decision-making on future exercises and operations. We conclude that our experiences on Ex AS can provide an insight on how to develop predeployment training for clinicians. Furthermore, the universal nature of the challenges faced on Ex AS can be applied to training for future contingency operations.