• R Kraus and J Heberer.
• Klinik für Unfallchirurgie, Orthopädie, Wirbelsäulen- und Kindertraumatologie, Asklepios Klinik Lich GmbH, Goethestraße 4, 35423, Lich, Deutschland, r.kraus@asklepios.com.
• Unfallchirurg. 2013 Oct 1; 116 (10): 877-83.

AbstractIn pediatric traumatology as in any other surgical specialty, every treatment measure has to be protected by an adequate clarification. A legally effective clarification has to cover various aspects, such as diagnosis, treatment, risk and safety clarification and leads to an informed consent consultation. The contents of this informed consent discussion must be documented. The nature and extent of clarification, among other things depend on the urgency of the procedure and in an emergency it can be dispensed with in pediatric traumatology. In the case of minors the conversation must be conducted basically in the presence of both parents as they alone are legally entitled to give approval. General treatment proxies are not allowed. If it is not possible to talk to both parents the physician is allowed to trust that the parent present represents the will of the absent parent. Intervention cannot be carried out against the will of adolescents capable of self-determination even with the consent of the parents. The application of these rules is illustrated by means of practical examples.

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