BREMSS works with all components of the Emergency Medical Service System, which is inclusive of over 180 Emergency Medical Services (EMS organizations), 18 hospitals, over 2500 Emergency Medical Technicians, 10 trauma centers, 12 stroke center hospitals, over 80 different municipalities, and over 20 different 911 agencies, in seven counties in central AL - Blount, Chilton, Jefferson, St. Clair, Shelby, Walker, and Winston.