The Coastal Valleys EMS Agency has released EMS Special Memorandum 23-002 Medication Substitution
The memo is intended to provide authorization for alternative medication usage and the use of expired medication in response to a national shortage of Albuterol in liquid form. The memo also provides for paramedic Metered Dose Inhaler administration of Albuterol after training.
The memo is available here and includes an embedded training document link.
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Coastal Valleys EMS Agency
195 Concourse Blvd., Suite B
Santa Rosa, CA 95403