Im definitely not against parental notification, but the statute we have down here in Florida is targeted at physicians, and not the rest of us medical (paramedics).
So, as paramedics, we operate by law underneath an MD’s license as our medical director.
So, when administering medications to young teens, we usually use the USDOT standard of implied consent if a parent/guardian is not available. However, many medications we give have harmful, if not permenent effects to a fetus. Amioderone for example, Lasix, Bretylium, Procainamide ect. Heck, even cardioverting a pregnant teen can knock the fetal rhythm into Asystole, not to mention giving Verced or Morphine before that.
We really just treat the mother and not worry about the fetus because the mother is the host for the fetus, and if she dies, the fetus goes with her.
Now, there are several very strong legal (and medical) opinions under this law that paramedics cannot administer medications that are known to have serious/fatal effects on fetuses, unless a parent is given full knowledge and then gives consent.
The logic is that the way the Law is worded encompasses procedures and/or medications that approach putting the life of the fetus in serious danger. That way, MDs trying to skirt around it by performing legal but unecessary procedures that, while are not intended, to kill the fetus, do so by severe side-effect. Then they just claim “oops, my bad”.
Just last week i treated a 19 week pregnant teen riding with her boyfreind who crashed head-on into a Semi. Had to rapid sequence intubate her with Succinylcholine and Verced, and eventually she fell into VTACH and we have to shock the living daylights out of her. Is it a surprise that the baby had no electrical heart rhythm in the ER? not really. Giving rounds of Amio, Epi, lidocaine and shocking…
technically, i may have violated Florida law. i may not have. i wish the Legislatures would do a batter job of writing laws.