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    The challenges of obtaining consent in emergency care research

    Access Status
    Fulltext not available
    Authors
    Fatovich, Daniel
    Finn, Judith
    Webb, Steve
    MacDonald, Stephen
    Date
    2020
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Fatovich, D. and Finn, J. and Webb, S. and MacDonald, S. 2020. The challenges of obtaining consent in emergency care research. Tasman Medical Journal. 2 (1): pp. 11-14.
    Source Title
    Tasman Medical Journal
    ISSN
    2652-1881
    Faculty
    Faculty of Health Sciences
    School
    School of Nursing, Midwifery and Paramedicine
    URI
    http://hdl.handle.net/20.500.11937/80334
    Collection
    • Curtin Research Publications
    Abstract

    It is not possible to consent a patient for emergency research in advance of their acute illness, as the clinical events are not predictable. We discuss the problems of undertaking research in an emergency care setting, where patients lack the capacity to provide consent but require time critical interventions. There is no settled definition of what constitutes ‘research’ as distinct from ‘treatment’. In fact their relationship is a continuum that demands similar level of oversight for both. We provide examples where the usual requirement for written informed consent means the trial underestimated benefits, because the treatment would normally be given without delay. Consent rituals that delay the start of trial treatments may in fact be unethical and offend against the Declaration of Helsinki. Clinical research delivers improved patient outcomes irrespective of the randomised group. This is currently under threat by a lack of consistency across jurisdictions in the interpretation of the relevant legislation.

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