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Informed consent in the emergency department.

¹Department of Medical Humanities, East Carolina University School of Medicine, Greenville, North Carolina, USA.

Emergency Medicine Clinics of North America

|August 3, 1999

Summary

This article reviews informed consent to treatment, focusing on its emergency department application. It covers legal foundations, essential features like capacity and disclosure, and exceptions for emergency physicians.

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Area of Science:

Medical Ethics
Healthcare Law
Emergency Medicine

Background:

The doctrine of informed consent is a cornerstone of patient autonomy and ethical medical practice.
Understanding informed consent is crucial for navigating legal and ethical obligations in healthcare settings.

Observation:

Informed consent requires patient capacity, adequate information disclosure, and voluntary agreement.
Several exceptions to informed consent exist, particularly relevant in emergency situations.
Emergency departments present unique challenges to the standard informed consent process.

Findings:

The article examines the moral and legal underpinnings of informed consent.
Key components analyzed include patient capacity, the extent of information disclosure, and the absence of coercion.
Five specific exceptions to the informed consent requirement are detailed.

Implications:

Emergency physicians must be aware of the nuances and exceptions to informed consent.
Adherence to informed consent principles, even in emergencies, is vital for patient rights and physician protection.
This review provides a framework for understanding informed consent in high-acuity medical environments.

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