Mel Higgins

Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 301-491-2454 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net From: Amos, Christopher N. Sent: Wednesday, September 4, 2024 11:07 AM To: DES Field Operations ; Washington Co Vol Chiefs Committee ; Alan Matheny ([email protected]) ; Ann Jochum ([email protected]) […]

Happy Friday. Amiodarone Updates: Please note that Amiodarone vials have been added to the pyxis in volumes of 150 mg. We should be carrying a total of 450 mg. Always check volume and concentrations when replacing any medication from the pyxis at Meritus. Nitro updates: Nitroglycerine 25 mg/250 ml bottles have been added to the

Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 301-491-2454 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net Drug-Inventory-Ambulance-2024.docx Drug-Inventory-Supervisor-ALS-chase-2024.docx

Clinicians, In congruence with this week’s training, please see the attached document regarding how to document the use of vector change defibrillation and DSED under procedures in emeds. When using DSED, please remember that you will need to download BOTH monitors into your primary care patient documentation. Thanks, Mel Melanie Higgins, BS, NRP Captain –

Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 301-491-2454 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net Combined-FTC-FTS-Field-Educator-List-12-1-23.xlsx

Good morning, Happy Friday! We all know the request for transport for “abnormal labs” call. But what if that “abnormal lab” is an elevated D-Dimer? Does that heighten your suspicion of increased risk of a higher acuity patient? Does it change how you assess or treat your patient? What conditions are you trying to rule

Time to inventory your sensory kits. Colten Matheny will be taking over restocking the sensory kits. Please email [email protected] with your unit numbers and sensory kit needs, please. Thank you. Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 301-491-2454 (office) 240-313-4376 (fax) 240-313-4375

Happy Monday! We are implementing the IV Nitroglycerin (via PUMP ONLY) Pilot protocol in Washington County for patients exhibiting severe acute pulmonary edema/CHF . If your units do not currently carry an IV pump and your patient meets the indications, please call for your nearest EMS supervisor unit and continue your SL and transdermal routes

Good afternoon! We are going to discontinue our stock of morphine in the supervisor units. ALL Supervisors, during your next scheduled daily check, please remove your stock of Morphine and return all your vials to me or Dave Chisholm at Elliott parkway. D75, you can probably coordinate with 1814 for them to bring your vials

NOTICE: CHANGE IN CONCENTRATION OF TORADOL/KETOROLAC Current concentration: 15 mg/ 1 ml New concentration: 30 mg/ 1 ml I don’t know if this is a temporary change or semi-permanent solution to supply shortage. I will communicate if anything changes. **Please make sure you ALWAYS complete your 5 rights of medication administration. Every drug, every time.