Birmingham Regional Emergency
Medical Services System

Training Officer Resources

2020 Patient Care Protocols and EMS Rules Update Information


The presentation materials on this page may be used to assist in updating your agency personnel. 

Training Officer Resources  (Click links to access)

Alabama EMS Patient Care Protocols 9.01 Edition

Alabama EMS Patient Care Protocols 9.01 Edition Change Summary

EMS Rules (Updated 2020)

EMS Rules (Updated 2020) Change Summary

Alabama EMS Patient Care Protocols 9.01 Change Summary PPT for Training Officers (Click to Download)
(Videos will play in presentation view but may appear blank in edit mode) (Internet connection is required to play videos)
(Update 6.12.2020 to include changes in dosing for Atropine and TXA)

EMS Rules 2020 Update Change Summary PPT for Training Officers(Click to Download)
(Videos will play in presentation view but may appear blank in edit mode)
 (Internet connection is required to play videos)

CME 1 Request for CME Approval 2020 Protocols and EMS Rules Update Course

Editable CME Certificate Template (download in order to save edits)

Independent Learning Resources 

Agency Training Officers utilizing these resources should verify completion of the course and add the student to your CME 4 prior to submission. 

Individuals not affiliated with an agency conducting the update training wishing to obtain CME hours should email us at bremssctc@uab.edu for instructions on completing a different eLearning format. 

Alabama EMS Patient Care Protocols 9.01 Change Summary Updated 6.12.2020

EMS Rules 2020 Update Change Summary Updated 6.12.2020

PowerPoint Video Links 

BIAD King Airway 1 https://youtu.be/EYZEGTD_4Fc  

BIAD King Airway 2 https://youtu.be/lFHDH0HxGyg

BIAD I-Gel  https://youtu.be/Z0962B8axAY

Waveform Capnography 1 https://youtu.be/sB3J3DhhUT0

Waveform Capnography 2 https://youtu.be/DRTmhcxeN0A

IO Sites https://youtu.be/1i46M1LnYWY

Post Update Changes

Medication Dosage Changes:

Atropine: Medication Protocol 4.05 page 86

6.2.20 Release

6.12.20 Release

Tranexamic Acid (TXA): Medication Protocol 4.35 page 120

6.2.20 Release

6.12.20 Release

Correct Dosing for TXA and Atropine (Updated 9.18.2020)

Tranexamic Acid (TXA)

Adult>18 years old:
2g over 20 mins, MAX 100mg per min.
Mix 2 g in 100 mL (NS, D5W, or LR) and administer by IV flow regulator or pump infusion (300mL/hr) over 20 mins. (Cat B for non-traumatic events)
Pediatric: Not Indicated.

Atropine Sulfate
Bradycardia:
Adult:
1 mg IV/IO, may repeat in 5 minutes MAX 3 mg or if heart rate >60 and SBP>90
 Pediatric:
 0.02 mg/kg, may repeat x1 in 5 minutes MAX total dose 1 mg, Minimum dose 0.1 mg.
For Critical Care Services ONLY.   Atropine may be used at a higher rate (for bradycardia) if approved by  the service medical director.
Bradycardia:
Adult:
0.5 mg IV/IO, may repeat in 5 minutes MAX 3 mg or if heart rate >60 and SBP>90