Implementing emergency research requiring exception from informed consent, community consultation, and public disclosure

Ann Emerg Med. 2007 Oct;50(4):448-55, 455.e1-4. doi: 10.1016/j.annemergmed.2006.10.013. Epub 2007 Jan 12.

Abstract

Conducting emergency research in the out-of-hospital and emergency department setting is a challenge because of the inability of patients to provide informed consent in many situations. Federal guidelines allowing research under an exception from informed consent for emergency research have been established (21 CRF 50.24). Community consultation and public disclosure, 2 required components of obtaining this exception, are seen by many as a barrier to resuscitation research. This article will provide a brief overview of the history of the exception from informed consent for emergency research and summarize our methods recently used to successfully complete community consultation and public disclosure for a trial evaluating 2 devices used during cardiopulmonary resuscitation in a large metropolitan area.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude to Health
  • Cardiopulmonary Resuscitation / instrumentation*
  • Cardiopulmonary Resuscitation / methods
  • Community Participation*
  • Disclosure*
  • Emergency Medical Services / ethics*
  • Female
  • Government Regulation
  • Human Experimentation / ethics
  • Human Experimentation / legislation & jurisprudence
  • Humans
  • Informed Consent*
  • Male
  • Minnesota
  • Randomized Controlled Trials as Topic / ethics*
  • Randomized Controlled Trials as Topic / legislation & jurisprudence
  • Randomized Controlled Trials as Topic / methods