So there are a couple of things
we also need to think about,
when we're doing informed consent.
There may be times when there's no
opportunity to do informed consent,
so we will call them exceptions.
So the common case is going to be
A patient is unconscious
or not able to
go through an informed consent
process or communicate with us about
how they would make a decision.
When it's these
cases of pretty clear
that the patient's life or health
is in jeopardy,
and you have to make
Then in these instances,
you may not need to do
an informed consent process.
You don't want to delay
the treatment in order to wait
until you can get the consent.
And where might this occur?
Well, any kind of serious
impairment to bodily function
or serious dysfunction,
any bodily organ or part
is generally what considered
as an emergency condition.
So you have to factor in,
are there physiologic or
psychological illnesses or injuries
that are so extreme,
that the life or health
of the individual is at stake,
and you really need to act quickly.
And really should only be limited
to those things that are necessary
to prevent the prolonged suffering
or to deal with the imminent threat
to life, limb, or health.
you want to get informed consent,
You're only doing this
in the circumstance
where there's really no time to
delay providing those treatments.
It's also the case that,
if you do have some knowledge
that the patient would not
consent to the treatment,
so maybe there is an
advanced directive in place,
that you know, would be countered
to the patient's wishes.
If you know that, then you can't go
with this emergency authorization.
You have to go by what you know
of the patient's wishes upfront.