ALS clinicians, The attached advisory is regarding a drug that has been confirmed/detected in Washington County. Please see the public health advisory for medetomidine as published by the Maryland Health Department. Please read and be familiar with the effects, short and long term. Narcan may restore breathing, but it is unlikely to restore mental status. […]

Clinicians, Meritus will be replacing the current tubes of oral glucose with the following: This packaging contains 15 grams of glucose in 32 ml. When documenting the administration in emeds, please document the amount given in grams. Any questions, please let me know! <www.washco-md.net/emergency-services/> Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of

<www.washco-md.net/emergency-services/> Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 240-527-5940 (office) 240-313-2911 (fax) 240-313-4375 www.washco-md.net<www.washco-md.net/> From: Flint, Dr. Robert <[email protected]> Sent: Friday, August 28, 2026 5:07 PM To: Higgins, Melanie <[email protected]> Subject: Geriatric learning opportunity If you think people would be interested in

Washington County EMS clinicians, Just a reminder from Mobile Crisis – they are still in place and still to be utilized as a valuable EMS resource. The process has not changed for utilization. Just please be aware that you will not see their units responding on your fire mobile devices. Their response is recorded on

Clinicians, Recently, one of our crews encountered a patient at a local skilled nursing facility, whose staff erroneously presented the attached form as a mental incapacity form for the patient to be transported. You’ll notice this form will have the patient’s name as well as two physician signatures. However, this is an in-patient form for

Please see the attached measles refresher for review. A few recent cases of measles have been identified by EMS personnel during patient transports in at least two counties. Please share this information with the appropriate personnel as a reminder of the signs, symptoms, and PPE recommended for suspected measles cases. <www.washco-md.net/emergency-services/> Melanie Higgins, BS, NRP

<www.washco-md.net/emergency-services/> Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 240-527-5940 (office) 240-313-2911 (fax) 240-313-4375 www.washco-md.net<www.washco-md.net/> Drug-Inventory-Ambulance-2026.docx Drug-Inventory-Supervisor-ALS-chase-2026.docx

<www.washco-md.net/emergency-services/> Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 240-527-5940 (office) 240-313-2911 (fax) 240-313-4375 www.washco-md.net<www.washco-md.net/> BLS-Field-Training-Program-Feb-2026.pdf

All ALS clinicians, As you know, the protocol update starting today includes a new initial maximum dose of IM/IN versed maximum of 10 mg. If you completed your protocol updates when they first came out, please revisit to refresh your memory. We will be asking you to exchange a 5:5 concentration for a 5:1 concentration

In a monthly meeting with APS, the Humane society presented some tips for identifying potential animal neglect. I thought there was some helpful information that may be used by EMS clinicians to evaluate for potential animal neglect while on scene with an accompanied vulnerable adult. This is not a policy, but rather just a resource