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 September-2023.docx

ALS clinicians, Attached is the newest IGEL jurisdictional policy revision to accommodate the state’s requirements to carry size 1 IGELS. The IGEL remains the primary ALS airway adjunct of choice for pediatric patients. A BLS airway is still preferred for patients weighing less than 5 kg. For this population of tiny humans, please focus on

Amiodarone will now be packaged in one 450 mg/ 9 ml vial. This is the total amount we need to carry on each unit in one vial. If you have extra on your unit, to reduce confusion, please turn the extra in to your closest supervisor.

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 From: Chisholm, David E. Sent: Wednesday, May 10, 2023 5:03 PM To: Doyle, Terry ; Eisenhower, Joshua ; Gismondi, Sara ; Hartsock, Shawn ; Hayter, Michael ; Hoffman, Gary ;

Happy Friday. Attached are the state CQI performance measures for January 2021-December 2022. Washington County is represented by the letter “M”. To help you understand some of the slides (as well as why we have documentation standards), it sometimes helps to see the areas in which we could use some improvement – as well as

Just a quick reminder about medications currently NOT stocked at Meritus: Diltiazem Droperidol TXA (may be in the pyxis, but we have an abundance to use at DES before expiration) Ketamine Etomidate Succinylcholine Vecuronium If you need to replace these drugs, please contact me, or your nearest EMS supervisor. 200 mg vials of Ketamine will

There is an AMLS course offering coming up soon at the Washington County Public Safety Training Center. Please go to www.mfri.org/schedule/als/ to register. This class will be held May 22-May 23, 2023 from 08-17:00. Online registration closes on 5/2/23. Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway