Skip to content

Clinical Guidelines Resources

Clear, evidence-based recommendations to help EMS providers deliver safe, effective care for patients with opioid use disorder—from withdrawal management to follow-up planning.

Clinical Guidelines

  • Clinical Opioid Withdrawal Scale (COWS) Guide

    Clinical Opioid Withdrawal Scale (COWS) Guide

    ,

    A practical tool for assessing opioid withdrawal symptoms using the COWS scoring system, with guidance on scoring, interpretation, and clinical judgment—ideal for EMS and ED providers initiating buprenorphine. Includes […]

  • Buprenorphine Medication Guide

    Buprenorphine Medication Guide

    ,

  • MN Bridge EMS Field Initiation Protocol

    MN Bridge EMS Field Initiation Protocol

    ,

    Protocol for paramedics working in a 911 or community paramedic response team to initiate buprenorphine in the field for patients experiencing acute opioid withdrawal, either due to cessation of […]

Have Questions for Our Experts?

For urgent, time-sensitive clinical questions, please contact the 24/7 EMS Support Line at 1-800-222-1222. 

For inquiries related to program development, training, or general information, please contact us.

We’re here to support you—whether you’re on scene or building the future of EMS care in Minnesota.