What do items enclosed in braces ({ }) signify?

Items enclosed in braces ({ }) signify optional actions that can be determined by the department and the Medical Director. This format allows for flexibility in practice, meaning that while certain actions are recommended or available, they are not mandated. Departments may choose to adopt these optional practices based on their specific protocols or the preferences of their Medical Director, thereby tailoring the EMS response to the unique needs of their operation and the community they serve. This distinction is important for understanding how protocols may vary by department while still adhering to overarching standards set by the GMVEMSC.