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Consent for emergency research in children — MRCPCH TAS MCQ

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HardEthics, law and research governanceConsent for emergency research in childrenMRCPCH TAS

A trial studies an emergency intervention for paediatric status epilepticus where prior consent is impracticable. The protocol includes deferred consent and independent ethics approval. What concept most supports this design?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Research without prior consent may be justified in urgent narrow circumstances

Emergency research can sometimes proceed without prior consent when urgent treatment is needed, prior consent is impracticable and strict ethical and legal safeguards are in place. Randomisation does not remove the need for ethics review or consent processes. The pearl is that deferred consent is a governance mechanism, not a shortcut around participant protection.

Reference: UK Health Research Authority guidance; Good Clinical Practice principles; RCPCH Theory examination syllabi