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

200mg/20 ml vials will be restocked to units from supervisors. Please make sure you are checking concentrations with every daily check and every administration. This concentration should be used for IV pain management dosages. These will not be used as multi-dose vials. They will be available in pyxis for restock after use. 500mg/10 ml concentration