Good morning, everyone. To answer this simply, the low incidence of use and the high cost of glucagon are the two biggest factors. I ran a report in emeds for glucagon use since Jan 2024. There have been no administrations for suspected beta blocker overdose. A little cost perspective: the cost to add 2 additional […]

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.

<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/> 02-23-26-ALS.pdf

<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/>

<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.docx

There is a resource available for our 60+ community in the way of a simple daily automated phone call “check-in”. If you think a patient might benefit from this state-funded service, please direct them or help them with registration. The link to this resource for more self-education about this program is here: aging.maryland.gov/pages/senior-call-check.aspx Please pass

<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-2-2-26.pdf

<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/> Authorized-ALS-Clinician-01-30-2026.pdf

<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

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