Ethical issues in conduct of research in combat and disaster operations.

John G. McManus, Annette McClinton, Melinda J. Morton

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

BACKGROUND: The conduct of research in the combat and disaster environments shares many of the same fundamental principles and regulations that govern civilian biomedical research. However, Department of Defense research protocols stipulate additional requirements designed to preserve servicemembers' informed consent rights, uphold ethical standards, and protect sensitive or classified information. The authors reviewed studies that have been approved for the conduct of research in current combat operations and also discuss their applicability in disaster settings. METHODS: This is a descriptive, retrospective study of protocols that have currently been approved for conduct of research in Operation Iraqi Freedom and Operation Enduring Freedom. RESULTS: During the period of July 2005 through October 2007, 38 retrospective chart review protocols, seven prospective studies requiring consent or an alteration of the consent document and 12 prospective observational studies were submitted through the Deployed Research Committee in Iraq for review and approval at the Brooke Army Medical Center Institutional Review Board (IRB). A total of 55 protocols were approved by the IRB for implementation in the Iraq combat theater. Most of these protocols involved trauma care treatment. One prospective study investigating the effects of blast-concussive injuries on US Soldiers in Iraq requiring informed consent was reviewed and approved. CONCLUSIONS: The conduct of military medical research has, and will make, significant and lasting contributions to the practice of both civilian and military medicine. Although policies and regulations to conduct research and release-associated findings often seem cumbersome and stringent, these added hurdles serve not only to ensure protection of the rights of human subjects during a time of potentially increased vulnerability, but also to protect the security interests of US troops. Many of these principles and practices are directly applicable in disaster research environments.

Original languageEnglish (US)
Pages (from-to)87-93
Number of pages7
JournalAmerican journal of disaster medicine
Volume4
Issue number2
StatePublished - Mar 1 2009
Externally publishedYes

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Disasters
Ethics
Iraq
Research
2003-2011 Iraq War
Research Ethics Committees
Prospective Studies
Informed Consent
Biomedical Research
Afghan Campaign 2001-
Blast Injuries
Military Medicine
Consent Forms
Military Personnel
Observational Studies
Retrospective Studies
Wounds and Injuries

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ethical issues in conduct of research in combat and disaster operations. / McManus, John G.; McClinton, Annette; Morton, Melinda J.

In: American journal of disaster medicine, Vol. 4, No. 2, 01.03.2009, p. 87-93.

Research output: Contribution to journalReview article

McManus, John G. ; McClinton, Annette ; Morton, Melinda J. / Ethical issues in conduct of research in combat and disaster operations. In: American journal of disaster medicine. 2009 ; Vol. 4, No. 2. pp. 87-93.
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