Workshop 3: Harm Reduction and Public Health

Question 1

in the Bevel Up documentary, why did nurses allow some users to do it themselves (injecting, blood tests)?

Answer 1

because they know their veins best

Question 2

First conception of triage

Answer 2

• 1790s
• Napoleon chief surgeon (Baron Larrey) made a rule on the battlefield → the sickest are going to be treated first and with the most resources
• Most ER rooms are like this (MI priority over a cut)

Question 3

Utilitarian concept of triage

Answer 3

• method often seen in a war zone (ex: bombing, more injured than ambulances or medics)
• Start with philosophers in 18th-19th centuries
• Maximize good outcome amongst a population
• Rather than ranking on individual needs → how can i save the most number of lives or the most number of years of life
• Might want to pick people who have a better chance of surviving or younger people

Question 4

Deliberate democracy

Answer 4

Deliberate democracy = gathering a bunch of people, initiating a scenario (e.g., too many pts, too few resources say ventilators).

Researchers lay out 3 options:

• Picking out the people who have the most chance of surviving with the most years of life (young, healthy)
• Health responders that will be able to help in the future
• First come first serve