Skip to content

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 Poison Center contact and online calculator link.

Screenshot of Clinical Opioid Withdrawal Scale document.

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.