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Table 2 Perceived ethical challenges reported

From: Ethical challenges experienced by UK military medical personnel deployed to Sierra Leone (operation GRITROCK) during the 2014–2015 Ebola outbreak: a qualitative study

 • ‘Volunteering’ for deployment
 • Number of patients being treated/empty beds
 • Kinds of patients being treated – who should be regarded as a healthcare worker
 • Specific types of care for the patient where balancing risks to self against providing care were especially acute. Examples included:
   Use of the bowel management system
   Treatment of agitated patients
   Time spent in the red zone
   Comforting dying patients
 • End of life care and decisions
 • Managing and responding to differences in risk perception, between staff, over time and in response to critical incidents
 • Discharging of vulnerable patients
 • Request to give convalescent blood
 • Use of [the only] ventilator in the ‘red zone’
 • Separation of infected healthcare professionals from their infected
 • children (this treatment unit did not admit children)
 • Management and disposal of bodies
 • Use of cameras to monitor patients/staff
 • Maintaining staff morale
 • Evacuation decisions and differences in the kinds of patients who were evacuated
 • Using novel equipment
 • Transporting stage 3 patients over great distances
 • Uncertainty how best to treat patients (because optimal treatment for EVD unclear)
 • ‘Decompression’ on return
 • Implementing decisions from above, the rationale for which was not clear
 • Sharing of resources and facilities with NGOs
 • Not being able to use/keep up skills whilst on deployment
 • Persuading patients not take their own discharge