FW: Diltiazem Shortage – Metoprolol Substitution

Good afternoon, everyone. Please read the below message from Capt. Hopkins regarding the TRANSITION to metoprolol from Cardizem. When you use your Cardizem, you will now replace it with metoprolol from the pyxis. Do NOT carry both. Capt. Hopkins’ email has more important information about quantity and administration, and the protocol is attached for reference. […]

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updated FTC lists

<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/> Combined-FTC-FTS-Field-Educator-List-1-13-26-ALS.pdf Combined-FTC-FTS-Field-Educator-List-1-13-26-BLS.pdf

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Terbutaline

All ALS clinicians, Terbutaline is being removed from the ALS formulary. Once you use your current stock of terbutaline (or it expires), we will not be replacing it on any EMS unit. 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

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FW: Clinician Action and authorized ALS clinician list

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 From: Higgins, Melanie Sent: Tuesday, October 21, 2025 2:39 PM To: Higgins, Melanie Subject: Clinician Action and authorized ALS clinician list Melanie Higgins, BS, NRP Captain – EMS Quality

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