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<p>All,<br>
<br>
Please be advised that as of this morning (3/21), a single Albuterol MDI has been placed on each ambulance. I was hoping to receive combivents, but those were in even shorter supply. Like most PPE supply, a variety of medications are now on allocation to EMS agencies. All MDIs are single patient use only, and will need to be discarded after use. Please be mindful of the patients who you are administering MDIs to, and reserve them only for the patients that need them most. Per the COVID-19 OEMS protocol, nebulizers may be deferred to the ER. MDIs have been placed in the large black medication pelican case.<br>
<br>
I have attached training videos for the inline MDI adapters for ventilator dependant patients, as well as an image of how it should be connected. MDI adapters have been placed in the Ventilator side pouch.<br>
<br>
We should also be placing (blue) HME filters between the patient and the vent, or between the patient and the bvm to reduce the risk of exposure. Please refer to the OEMS protocol and V4 of the HFD guideline for best practices for intubation/igel use. HME filters can be found with the ventilator (as usual), in the bvm cabinet, and the the oxygen bag.<br>
<br>
MDI video: <a href="https://www.youtube.com/watch?v=5iP2QcNr2y8">https://www.youtube.com/watch?v=5iP2QcNr2y8</a><br>
<br>
Thanks,<br>
Ethan<br>
<br>
<br>
----- Forwarded message from ethan naiman <<a href="mailto:ethan.naiman85@gmail.com">ethan.naiman85@gmail.com</a>> -----<br>
Date: Sat, 21 Mar 2020 13:12:01 -0400<br>
From: ethan naiman <<a href="mailto:ethan.naiman85@gmail.com">ethan.naiman85@gmail.com</a>><br>
To: ETHAN NAIMAN <<a href="mailto:enaiman@holdenma.gov">enaiman@holdenma.gov</a>><br>
<br></p>
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<p><br>
<br>
----- End forwarded message -----<br></p>
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