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Combat casualty care research and informed consent.

P A Maningas

    Military Medicine
    |February 1, 1989
    PubMed
    Summary

    Far-forward resuscitation research is vital for wounded soldiers. Current informed consent rules hinder this Department of Defense (DOD) research, necessitating ethical and legal adjustments to advance combat casualty care.

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    Area of Science:

    • Military medicine
    • Trauma surgery
    • Medical ethics

    Background:

    • Optimizing far-forward resuscitation is critical for combat casualty care.
    • Current Department of Defense (DOD) research regulations mandate informed consent.
    • These regulations impede essential resuscitation research for injured soldiers.

    Purpose of the Study:

    • To review medical challenges in obtaining informed consent for resuscitation research.
    • To analyze current DOD legal directives on informed consent in research.
    • To explore ethical considerations in human subjects research.

    Main Methods:

    • Literature review of medical, legal, and ethical aspects of resuscitation research.
    • Analysis of existing Department of Defense (DOD) policies.
    • Ethical framework evaluation for human subjects research.

    Main Results:

    • Traditional informed consent is medically infeasible in far-forward resuscitation scenarios.
    • Existing legal directives pose significant barriers to critical DOD-funded research.
    • Ethical considerations require balancing research progress with patient welfare.

    Conclusions:

    • Resuscitation research is essential for improving soldier care.
    • Current informed consent requirements are obstructive.
    • Modifications to regulations are needed to permit research while protecting patients.
    Keywords:
    Biomedical and Behavioral ResearchDepartment of Defense

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