Abstract

Sir—We read with interest the HERO- 2 informed consent substudy,1 which highlights issues about the true essence of informed consent and some of the difficulties in applying ethical standards to ensure optimum patients' rights while undertaking necessary or essential medical research. The issues have not been satisfactorily resolved in the circumstances of an emergency medical situation, for which time to treatment is of utmost importance.2,3 The report by Williams and colleagues1 points out inherent problems faced by a system burdened by lengthy and wordy documents laced with legal jargon, which is certainly unintelligible to many patients who present in the acute medical situation.

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