Abstract
Emergency care research sometimes involves incapacitated adults as research participants. The ethical principle of respect for autonomy
may not necessarily apply to an incapacitated person unable to act in an autonomous manner, although it can be argued that researchers
still have a duty of respect towards such people because they have moral status despite being incapacitated. Sharing some common ground
with theories of moral status based on ‘humanness’ and the ability for rational thought is the notion of human dignity, which features in
arguments regarding researcher conduct with incapacitated patients. However, human dignity premised upon the unique ability of humans
for rational thought and moral self-regulation is contingent upon these capabilities – a limitation that possibly makes dignity a less useful
framework for research conduct in emergency care research. In this article, I will discuss the different conceptions of human dignity – as
equality, status and virtue – and then draw on more recent literature that explains human dignity as a social constraint and as a factor
influencing the conduct of healthcare professionals and researchers. I will address questions of whether dignity as a principle ought to
apply only to those who have the ability to think rationally, or to all humans regardless of their condition or mental status. I will argue that,
in relation to offering protection to research participants in emergency conditions, it is immaterial which view is taken.