Costa M L, Tutton E, Achten J, Grant R, Slowther A M
University of Oxford, NDORMS, Kadoorie Centre, Level 3 John Radcliffe Hospital, Oxford, OX3 9DU, UK.
Oxford University Hospitals NHS Foundation Trust, Kadoorie Centre, John Radcliffe, OX3 9DU, UK.
Bone Joint J. 2017 Feb;99-B(2):147-150. doi: 10.1302/0301-620X.99B2.BJJ-2016-0517.R1.
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.
传统上，临床研究的知情同意包括患者阅读一份已批准的《参与者信息表》，考虑所提供的信息，并拥有足够的时间与朋友和亲属、临床护理人员以及研究团队讨论研究信息。这种系统在“计划好的”或“选择性的”情况下运行良好。但如果患者因受伤或紧急情况需要紧急治疗会怎样呢？本文回顾了在紧急情况下管理知情同意的法律框架，讨论了根据紧急情况的细节和所需治疗，采取的方法可能如何不同，并报告了患者在严重受伤后对提供同意的看法。然后，我们提供了一些在受伤和紧急情况下管理知情同意过程的实用建议。引用本文：《骨与关节杂志》2017年；99 - B：147 - 150。
