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An ethical
analysis of exception from informed consent regulations. Acad
Emerg Med. 2005 Nov;12(11):1113-9. Federal regulations
enacted in 1996 allow clinical research with an exception from
informed consent in select emergency circumstances. Such research
is only permitted when the therapy may directly benefit the research
participant and it is not possible to conduct the research with
informed consent. Among others, protective mechanisms include
a process of community consultation and public disclosure and
the establishment of a mandatory data safety monitoring board. Although the regulations do not preserve the right of self-determination of the research participant, the author argues that they do provide an ethical means to advance the science of resuscitation.
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