Informed consent in the context of research involving acute injuries and emergencies

Author:

Costa M. L.1,Tutton E.2,Achten J.1,Grant R.3,Slowther A. M.4

Affiliation:

1. University of Oxford, NDORMS, Kadoorie Centre, Level 3 John Radcliffe Hospital, Oxford, OX3 9DU, UK.

2. Oxford University Hospitals NHS Foundation Trust, Kadoorie Centre, John Radcliffe, OX3 9DU, UK.

3. Warwick Medical School/CLAHRC WM/Coventry & Warwickshire Partnership Trust, University of Warwick, Warwick Medical School, Coventry CV4 8UW, UK.

4. Warwick Medical School, University of Warwick, Gibbet Hill Campus, Coventry CV4 7AL, UK.

Abstract

Traditionally, informed consent for clinical research involves the patient reading an approved Participant Information Sheet, considering the information presented and having as much time as they need to discuss the study information with their friends and relatives, their clinical care and the research teams. This system works well in the ‘planned’ or ‘elective’ setting. But what happens if the patient requires urgent treatment for an injury or emergency? This article reviews the legal framework which governs informed consent in the emergency setting, discusses how the approach taken may vary according to the details of the emergency and the treatment required, and reports on the patients’ view of providing consent following a serious injury. We then provide some practical tips for managing the process of informed consent in the context of injuries and emergencies. Cite this article: Bone Joint J 2017;99-B:147–150.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

Reference11 articles.

1. No authors listed. Mental Capacity Act 2005. http://www.legislation.gov.uk/ukpga/2005/9/contents (date last accessed 17 October 2016).

2. No authors listed. Adults with Incapacity Scotland Act http://www.legislation.gov.uk/asp/2000/4/section/51#commentary-c18068581 (date last accessed 12 December 2016).

3. No authors listed. Medical Research Council Principles of consent: Adults with incapacity (Northern Ireland). http://www.hra-decisiontools.org.uk/consent/principles-ALC-NIreland.html (date last accessed 12 December 2016).

4. Percutaneous fixation with Kirschner wires versus volar locking plate fixation in adults with dorsally displaced fracture of distal radius: randomised controlled trial

5. Cost effectiveness of treatment with percutaneous Kirschner wires versus volar locking plate for adult patients with a dorsally displaced fracture of the distal radius

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