RT Journal
A1 Largent EA, Miller FG
T1 IS emergency research without initial consent justified? the consent substitute model—reply
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2010
FD September 13
VO 170
IS 16
SP 1508
OP 1509
DO 10.1001/archinternmed.2010.296
UL http://dx.doi.org/10.1001/archinternmed.2010.296
AB 
Kierzek et al claim that we underestimated the role of community consultation in our article “Is Emergency Research Without Initial Consent Justified? The Consent Substitute Model.”1 The primary focus of our article was a general systematic framework justifying emergency research without informed consent, of which community consultation is but one component. Our model acknowledges the desirability of involving citizens and communities in emergency research and specifically supports their involvement in determining if an experimental intervention conflicts with potential subjects' values and interests. Emergency researchers have confronted many practical difficulties when implementing community consultation. We therefore support the call by Kierzek et al for further research in this important area and believe that empirical findings will only serve to strengthen the Consent Substitute Model and its relevance to emergency research regulations.