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The Emergency Exception
The emergency exception to the need for informed consent (or any consent) isbased on the premise that a reasonable person would not want to be deniednecessary medical care because he or she happened to be too incapacitated toconsent to the treatment.The legal strictures on the emergency exception are very limiting: the patientmust be incompetent to consent and in need of treatment to save his or her lifeor to prevent permanent disability. This often involves children, who may bemedically able to consent to treatment but are legally unable to consentbecause of their age. An example is the problem of the 14 year old who hasbroken an arm and is brought to the hospital by a neighbor. Neither the childnor the neighbor is legally able to consent to treatment. The physician mayrely on the emergency exception to consent if immediate care is necessary topreserve the use of the child's arm.The case law on the definition of an emergency is restrictive because the onlycases that are brought to court involve bizarre facts, such as children beingbrought in for elective surgery without, or against, their parent's consent. Ifparents were suing a physician because he or she relieved their child'ssuffering, the issue would quickly shift from the physician's liability formalpractice to the parents' liability for child abuse and neglect. In general,it is better for the physician to be explaining to a jury why he or she helpedsomeone rather than stand by and watch the child lose life or limb.A rare abuse of the emergency exception involves patients who have refused toconsent to specific medical care. The refusal may be based on religiousbeliefs, such as refusing blood transfusions, or on a personal decision, suchas refusing intensive care. If the physician disagrees with such a decision,the time to fight the decision is when it is made. There is no legaljustification for waiting until the patient is unconscious or for physically orchemically restraining a patient and then rendering care against the patient'sconsent. This would not constitute an emergency exception to the need forconsent. On the contrary, it would constitute battery.The major abuse of the emergency exception to the need for consent is its useas a justification for treating chronically ill patients who are incompetent toconsent to medical care. The emergency exception is just that--an exceptionlimited to emergencies. These may be in the emergency room, or they may involvepatients in the hospital who have an unexpected event such as a cardiac arrest.The emergency exception does not apply to an incompetent patient in need ofroutine care. Chronically incompetent patients should have a legal guardian.![The Emergency Exception (6) The Emergency Exception (6)](https://i0.wp.com/biotech.law.lsu.edu/leftg.gif)
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The Best on the WWW Since 1995!
Copyright as to non-public domain materials
See DR-KATE.COM for home hurricane and disaster preparation
See WWW.EPR-ART.COM for photography of southern Louisiana and Hurricane Katrina
Professor Edward P. Richards, III, JD, MPH - Webmaster
Privacy Statement - https://www.lsu.edu/privacy
Accessibility Statement - https://www.lsu.edu/accessibility