Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 240-527-5940 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net 180-Form-with-instructions-fillable.pdf

Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 240-527-5940 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net Combined-FTC-FTS-Field-Educator-List-2-24-25.xlsx

Good morning everyone – Droperidol and Terbutaline are both on national shortage. As we work to overcome the shortages, please know that the med pyxis at Meritus is already out of Droperidol inventory. You may need to be creative with your company’s inventory to maintain the drug’s availability on in-service units. Melanie Higgins, BS, NRP

Happy New Year ALS clinicians. Last year’s MIEMSS CQI measures ranked Washington County in less than 10% confirmation of intubations utilizing capnography. We all know that to be incorrect, so we had to ask where they were getting their data. Turns out, it’s a field on a page most of us don’t use. Please see

Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 240-527-5940 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net Review-of-Cardioversoin-Procedure-DraftPowerPoint.pptx

Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 240-527-5940 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net Authorized-ALS-Clinician-12-09-24.xlsx

Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 240-527-5940 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net ALS-11-25-24.pdf BLS-11-25-24.pdf

Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 240-527-5940 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net From: Maryland Institute for Emergency Medical Services Systems Sent: Monday, November 18, 2024 9:06 AM To: Higgins, Melanie Subject: Marking eMEDS Reports as Finished when Complete WARNING!! This message

Good morning. Passing along the recently reported shortage of 100 ml bags of normal saline from Meritus. For your (rare) epi drips – please utilize what 100 ml bags of NS that you have first. IF you do not have an NS bag available, we have confirmed that you will be able to safely substitute

Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 240-527-5940 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net From: Higgins, Melanie Sent: Friday, November 15, 2024 10:27 AM To: Abraham Jefferson ; Adam Baumgardner ; Adam Hess ; Adam Metz ; Alan Matheny ; Alex Hasri ;