BREMS Updated Protocols:
pdf BREMS Protocols - Updated June 2022 (11.68 MB) *Updated version to include corrections to Behavioral Emergencies Protocol - Please discard any previous versions.*
Online Training & Information Materials:
document BREMS Protocol Changes - Phase 1 - Feb 2022 (2.46 MB) - A PowerPoint that outlines changes, updates and new clinical management options.
video New Protocol Format Intro (326.29 MB) - A voice-guided video explanation of the new protocol format and contents.
pdf Certa Dose Procedure - 2022 (339 KB) - A how-to-guide on utilizing CertaDose Epi Kits. Please ensure that EMT level providers understand that this will be the only approved method for the use of Epi 1:1000 in Allergic Reaction/Anaphylactic patients. EMTs may not utilize standard syringes or Epi from the BREMS Drug Box for this procedure. The procedure for IM injections is listed below.
pdf IM Procedure - 2022 (212 KB) - EMT level providers may also utilize the IM procedure for the administration of Glucagon.
pdf IO Procedure - 2022 (198 KB) - Advanced EMT level providers may now utilize the IO procedure in their clinical management.
pdf BREMS Drug Box Configuration - Feb 2022 (37 KB) - This new box configuration reflects the addition of cefazolin/Ancef for use in the setting of open fracture by Paramedic level providers only.