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Standards of Care Manual

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12 Lead ECG 2022

Section
  • Sec 13: Practical Skills

12 Lead Right Side ECG 2022

Section
  • Sec 13: Practical Skills

MIH OEM High Utilizers 2024

Section
  • Sec 19: MIH

12/15 Lead Posterior ECG 2022

Section
  • Sec 13: Practical Skills

MIH OEM Hoarding 2025

Section
  • Sec 19: MIH

4 Lead ECG

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  • Sec 13: Practical Skills

MIH OEM Housing 2025

Section
  • Sec 19: MIH

Abnormal Vital Signs 2022

Section
  • Sec 17: Tools/Resources

MIH OEM Hypertension HTN 2024

Section
  • Sec 19: MIH

ACS Acute Coronary Syndrome 2025

Section
  • Sec 02: Cardiovascular

Adult Seizure 2025

Section
  • Sec 16: Neurological

MIH OEM Medical Direction 2025

Section
  • Sec 19: MIH

Adverse Medical Events - Mandatory Reporting 2023

Section
  • Sec 14: Operational Policies

Airway Management 2025

Section
  • Sec 08: Respiratory-Airway

MIH OEM Mental Health 2024

Section
  • Sec 19: MIH

Allergic Reaction (2021)

Section
  • Sec 11: Toxins & Environment

MIH OEM Perinatal Care 2025

Section
  • Sec 19: MIH

APGAR 2022

Section
  • Sec 17: Tools/Resources

Arterial Tourniquet 2024

Section
  • Sec 13: Practical Skills

Bag Valve Mask BVM 2025

Section
  • Sec 13: Practical Skills

MIH OEM Safety and Abuse 2025

Section
  • Sec 19: MIH

BEFAST Guide 2025

Section
  • Sec 17: Tools/Resources

MIH OEM Stroke 2024

Section
  • Sec 19: MIH

Blood Glucose 2023

Section
  • Sec 13: Practical Skills

Blood OPIQ Tracking 2024

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  • Sec 17: Tools/Resources

Blood Product Administration 2024

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  • Sec 13: Practical Skills

MTAC Medical/Trauma Arrest Consult 2025

Section
  • Sec 17: Tools/Resources

Blood Product Quality Control 2024

Section
  • Sec 14: Operational Policies

Narcan Leave Behind 2024

Section
  • Sec 14: Operational Policies

Blood Restocking 2024

Section
  • Sec 17: Tools/Resources

Narrative and Events Documentation 2023

Section
  • Sec 14: Operational Policies

Blood Thinners 2022

Section
  • Sec 17: Tools/Resources

Nasopharyngeal Airway

Section
  • Sec 13: Practical Skills

Bradycardia with Pulses Adult 2024

Section
  • Sec 02: Cardiovascular

Nasopharyngeal Swab

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  • Sec 13: Practical Skills

Bradycardia with Pulses Pediatric 2024

Section
  • Sec 02: Cardiovascular
  • Sec 06: Pediatric Specific

Nausea and Vomiting 2024

Section
  • Sec 03: General Medicine

Breaking Bad News 2023

Section
  • Sec 17: Tools/Resources

Nebulizer

Section
  • Sec 13: Practical Skills

Bronchiolitis 2022

Section
  • Sec 06: Pediatric Specific

Needle Cricothyrotomy 2025

Section
  • Sec 13: Practical Skills

Bronchospasm 2025

Section
  • Sec 08: Respiratory-Airway

Needle Thoracostomy 2025

Section
  • Sec 13: Practical Skills

BRUE Brief Resolved Unexplained Event 2022 (prev ALTE)

Section
  • Sec 06: Pediatric Specific

New Product Evaluation (2020)

Section
  • Sec 14: Operational Policies

Buretrol 2024

Section
  • Sec 13: Practical Skills

Newborn Care Assessment 2025

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  • Sec 06: Pediatric Specific

Burn Chart 2025

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  • Sec 17: Tools/Resources

Newborn Resuscitation 2025

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  • Sec 09: Resuscitation

Burn Injury 2025

Section
  • Sec 12: Trauma

NN 20-02 COVID-19 Novel Coronavirus

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  • Sec 15: COVID-19

Capnography 2023

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  • Sec 13: Practical Skills

OB Cardiac Arrest 2025

Section
  • Sec 04: OB/GYN

Capped IV Monitoring 2024

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  • Sec 13: Practical Skills

OB/GYN Care 2024

Section
  • Sec 04: OB/GYN

Cardiac Arrest – Pediatric 2023

Section
  • Sec 06: Pediatric Specific
  • Sec 09: Resuscitation

OB/GYN Emergency 2025

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  • Sec 04: OB/GYN

Cardiac Arrest Adult Medical 2025

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  • Sec 09: Resuscitation

On Scene Physician 2024

Section
  • Sec 14: Operational Policies

Cardiac Reference Card 2025

Section
  • Sec 17: Tools/Resources

On-Line Medical Control 2023

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  • Sec 14: Operational Policies

Opioid Overdose 2025

Section
  • Sec 11: Toxins & Environment

Cervical Collar 2024

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  • Sec 13: Practical Skills

Oral Airway Insertion

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  • Sec 13: Practical Skills

Chest Seal

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  • Sec 13: Practical Skills

Outside EMS Student Participation 2024

Section
  • Sec 14: Operational Policies

Chest Tube Monitoring IFT 2023

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  • Sec 13: Practical Skills

Oxygen Administration

Section
  • Sec 13: Practical Skills

Childbirth – Non-Vertex Delivery 2022

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  • Sec 13: Practical Skills

Pain Management 2025

Section
  • Sec 03: General Medicine

Childbirth – Vertex Delivery 2022

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  • Sec 13: Practical Skills

Paramedic Evaluation, Transport, Upgrade or Turndown 2025

Section
  • Sec 14: Operational Policies

Cholinergic Toxicant Exposure 2022 (prev chem exp)

Section
  • Sec 11: Toxins & Environment

Paramedic Full Practice Achievement 2024

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  • Sec 14: Operational Policies

CO Monitoring 2022

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  • Sec 13: Practical Skills

Paramedic Intern Onboarding 2024

Section
  • Sec 14: Operational Policies

Common Medications 2025

Section
  • Sec 17: Tools/Resources

Patient Agitation 2025

Section
  • Sec 03: General Medicine

Congestive Heart Failure 2023

Section
  • Sec 02: Cardiovascular

Patient Data Expectations 2023

Section
  • Sec 14: Operational Policies

Continuous Quality Improvement Program 2024

Section
  • Sec 20: OEM Administrative

Patient Disposition Documentation Guidance 2025

Section
  • Sec 14: Operational Policies

Controlled Substance Accountability (2019)

Section
  • Sec 14: Operational Policies

PDE Inhibitors 2022

Section
  • Sec 17: Tools/Resources

Controlled Substance Distribution (2019)

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  • Sec 14: Operational Policies

Pediatric Assessment 2022

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  • Sec 17: Tools/Resources

CPAP 2022

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  • Sec 13: Practical Skills

Pediatric Resus Size Dose 2024

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  • Sec 17: Tools/Resources

Croup 2022

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  • Sec 06: Pediatric Specific

Pediatric Seizures 2025

Section
  • Sec 06: Pediatric Specific
  • Sec 16: Neurological

Crowd Control Agents 2024

Section
  • Sec 11: Toxins & Environment

Pedi-Part SOAR Card 0700 Shift Change Option (**Activated Agencies Only**)

Section
  • Sec 07: Research
  • Sec 17: Tools/Resources

Crush Injury 2025

Section
  • Sec 12: Trauma

Pedi-Part SOAR Card 0800 Shift Change Option (**Activated Agencies Only**)

Section
  • Sec 07: Research
  • Sec 17: Tools/Resources

Cyanide Poisoning 2024

Section
  • Sec 11: Toxins & Environment

PEEP 2024

Section
  • Sec 13: Practical Skills

Decline Checklist 2024

Section
  • Sec 17: Tools/Resources

Pelvic Stabilization 2024

Section
  • Sec 13: Practical Skills

Decline of Care or Transport 2024

Section
  • Sec 01: Universal Care

Pericardiocentesis

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  • Sec 13: Practical Skills

De-escalation Techniques 2024

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  • Sec 17: Tools/Resources

PFR Equipment 2025

Section
  • Sec 14: Operational Policies

Defibrillation 2024

Section
  • Sec 13: Practical Skills

PICC/CVC Access 2025

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  • Sec 13: Practical Skills

Delta Ice 2 Blood Cooler 2024

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  • Sec 13: Practical Skills

Pit Crew CPR (2019)

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  • Sec 13: Practical Skills

Deviation from ALS Evaluation - Load & Go 2024

Section
  • Sec 14: Operational Policies

Poisoning / Toxidromes 2025

Section
  • Sec 11: Toxins & Environment

DMIST (2020)

Section
  • Sec 17: Tools/Resources

Police Body Worn Camera Video Recording 2024

Section
  • Sec 14: Operational Policies

Do Not Resuscitate (DNR) 2025

Section
  • Sec 09: Resuscitation

Practical Skills full manual

Section
  • Sec 13: Practical Skills

Documentation TEMS (2017)

Section
  • Sec 10: Special Ops

Prehospital Blood Initiation 2024

Section
  • Sec 12: Trauma

Educational Operational Policy

Section
  • Sec 14: Operational Policies

Pro Splints 2022

Section
  • Sec 13: Practical Skills

Emergency Incident Rehab 2022

Section
  • Sec 11: Toxins & Environment

Protective Custody 2022

Section
  • Sec 14: Operational Policies

EMS Communications Notification 2024

Section
  • Sec 14: Operational Policies

Provider Mental Health 2024

Section
  • Sec 17: Tools/Resources

Endotracheal Intubation with Video Laryngoscopy 2024

Section
  • Sec 13: Practical Skills

QinFlow Blood Wamer 2024

Section
  • Sec 13: Practical Skills

Epistaxis 2024

Section
  • Sec 03: General Medicine

Return of Spontaneous Circulation 2024

Section
  • Sec 09: Resuscitation

ET3 (WAFD Specific) 2023

Section
  • Sec 18: ET3 (WAFD Specific)

Rigid Splint - Joint Injury 2022

Section
  • Sec 13: Practical Skills

External Jugular IV 2024

Section
  • Sec 13: Practical Skills

Rigid Splint Long Bone Injury 2022

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  • Sec 13: Practical Skills

Eye Irrigation

Section
  • Sec 13: Practical Skills

RN Prehospital Provider 2022

Section
  • Sec 14: Operational Policies

Field Amputation Guide

Section
  • Sec 17: Tools/Resources

RNC Patient Movement Process 2024

Section
  • Sec 10: Special Ops

Foreign Body Airway Obstruction 2024

Section
  • Sec 08: Respiratory-Airway

Foreign Body Airway Obstruction Removal wMagill 2024

Section
  • Sec 13: Practical Skills

rVF Checklist 2025

Section
  • Sec 17: Tools/Resources

G/GJ Tube Monitoring 2023

Section
  • Sec 13: Practical Skills

SALAD – ETT 2024

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  • Sec 13: Practical Skills

Gastric Tube Placement

Section
  • Sec 13: Practical Skills

SALAD - SGA 2024

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  • Sec 13: Practical Skills

Glasgow Coma Scale

Section
  • Sec 17: Tools/Resources

SALT Triage 2022

Section
  • Sec 17: Tools/Resources

H’s and T’s

Section
  • Sec 17: Tools/Resources

Scope of Practice 2025

Section
  • Sec 01: Universal Care

Head Injury / TBI 2024

Section
  • Sec 12: Trauma

Security Medical Intelligence TEMS (2017)

Section
  • Sec 10: Special Ops

Helicopter EMS-State Policy 2024

Section
  • Sec 14: Operational Policies

Sedation Post Airway Placement 2022

Section
  • Sec 08: Respiratory-Airway

Hemorrhage Control

Section
  • Sec 13: Practical Skills

Sepsis 2024

Section
  • Sec 03: General Medicine

High Quality CPR 2024

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  • Sec 17: Tools/Resources

Shock 2024

Section
  • Sec 03: General Medicine

HIPAA Compliance Patient Confidentiality 2024

Section
  • Sec 14: Operational Policies

Sling Swathe

Section
  • Sec 13: Practical Skills

Hospice 2025

Section
  • Sec 03: General Medicine

Special Operations (2017)

Section
  • Sec 10: Special Ops

Hospital Destination and Transport 2025

Section
  • Sec 14: Operational Policies

Specimen Collection for Public Health

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  • Sec 14: Operational Policies

Hospital Locations 2022

Section
  • Sec 17: Tools/Resources

Spinal Motion Restrictions 2024

Section
  • Sec 12: Trauma

Human Trafficking Indicators

Section
  • Sec 17: Tools/Resources

STEMI Guide 2025

Section
  • Sec 17: Tools/Resources

Hyperkalemia 2025

Section
  • Sec 03: General Medicine

Stroke 2025

Section
  • Sec 16: Neurological

Hyperthermia 2024

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  • Sec 11: Toxins & Environment

Submersion 2025

Section
  • Sec 09: Resuscitation

Hypoglycemia-Hyperglycemia (2018)

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  • Sec 03: General Medicine

Suctioning

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  • Sec 13: Practical Skills

Hypothermia 2025

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  • Sec 11: Toxins & Environment

Surgical Cricothyrotomy (2020)

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  • Sec 13: Practical Skills

IGEL Supraglottic Airway 2024

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  • Sec 13: Practical Skills

Synchronized Cardioversion 2024

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  • Sec 13: Practical Skills

Impedance Threshold Device (2019)

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  • Sec 13: Practical Skills

Syncope 2024

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  • Sec 03: General Medicine

Interfacility Transports 2022

Section
  • Sec 14: Operational Policies

Tachycardia with Pulses Adult (2025)

Section
  • Sec 02: Cardiovascular

Intramuscular IM Administration

Section
  • Sec 13: Practical Skills

Tachycardia with Pulses Pediatric (2021)

Section
  • Sec 02: Cardiovascular
  • Sec 06: Pediatric Specific

Intranasal IN Administration (2020)

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  • Sec 13: Practical Skills

Tactical EMS Terminology TEMS (2017)

Section
  • Sec 10: Special Ops

Intraosseous Access 2024

Section
  • Sec 13: Practical Skills

Taser Barb Removal 2023

Section
  • Sec 13: Practical Skills

Intravenous Access 2023

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  • Sec 13: Practical Skills

Telemedicine (WAFD Specific) 2023

Section
  • Sec 18: ET3 (WAFD Specific)

Intravenous Administration 2025

Section
  • Sec 13: Practical Skills

Thorasite Landmark Device 2025

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  • Sec 13: Practical Skills

KING Supraglottic Airway 2024

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  • Sec 13: Practical Skills

Tracheostomy Care

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  • Sec 13: Practical Skills

Lights and Siren with Patient Onboard 2024

Section
  • Sec 14: Operational Policies

Traction Splint 2022

Section
  • Sec 13: Practical Skills

LITES Research Pathway

Section
  • Sec 07: Research
  • Sec 12: Trauma

Transcutaneous Pacing 2024

Section
  • Sec 13: Practical Skills

LITES SOAR Card v3

Section
  • Sec 07: Research
  • Sec 12: Trauma

Transfer of Care 2025

Section
  • Sec 14: Operational Policies

Long Spine Board

Section
  • Sec 13: Practical Skills

Trauma Field Triage Guideline 2024

Section
  • Sec 12: Trauma

LSI’s 2024

Section
  • Sec 17: Tools/Resources

Trauma Management 2024

Section
  • Sec 12: Trauma

LUCAS Device 2025

Section
  • Sec 13: Practical Skills

Traumatic Cardiac Arrest 2025

Section
  • Sec 09: Resuscitation
  • Sec 12: Trauma

LVO Guide 2025

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  • Sec 17: Tools/Resources

Turndown Checklist 2022

Section
  • Sec 17: Tools/Resources

Management of Deceased Patients 2023

Section
  • Sec 14: Operational Policies

Two Factor Authentication 2023

Section
  • Sec 17: Tools/Resources

Manual Stabilization 2025

Section
  • Sec 13: Practical Skills

Universal Care 2024

Section
  • Sec 01: Universal Care

Mass Casualty Triage 2024

Section
  • Sec 10: Special Ops
  • Sec 12: Trauma

Universal Precautions 2024

Section
  • Sec 01: Universal Care

Urinary Catheter Monitoring 2023

Section
  • Sec 13: Practical Skills

Medical Director Special Consult (2021)

Section
  • Sec 14: Operational Policies

Vaccine Administration 2024

Section
  • Sec 14: Operational Policies

Medication Administration Cross Check MACC 2025

Section
  • Sec 01: Universal Care

Vacuum Splints 2022

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  • Sec 13: Practical Skills

Medication List 2025

Section
  • Sec 05: Medication List

Valsalva Maneuver 2024

Section
  • Sec 13: Practical Skills

Medication Shortages (2019)

Section
  • Sec 14: Operational Policies

Ventilator Considerations 2022

Section
  • Sec 13: Practical Skills

MIH OEM Asthma/COPD 2024

Section
  • Sec 19: MIH

Viral Filter 2022

Section
  • Sec 13: Practical Skills

Working Canine Care 2024

Section
  • Sec 10: Special Ops
  • Sec 12: Trauma

MIH OEM Diabetes 2024

Section
  • Sec 19: MIH

ZOLL Live Stream 2023

Section
  • Sec 13: Practical Skills
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About the Standards of Care Manual

The OEM - EMS division Standards of Care (SOC) manual includes medical policies, operational guidelines, practice guidelines and practical skills meant to guide prehospital medical care provided within Milwaukee County EMS systems. The SOC manual contents were reviewed and approved by the EMS Division Program Director and the OEM Medical Director. This manual will be reviewed at least annually. 

The OEM - EMS App Is Available for Free!  

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MILWAUKEE COUNTY OFFICE OF EMERGENCY MANAGEMENT

633 W. Wisconsin Ave., Suite 700 
Milwaukee, WI 53203 

821 W. State St., Room 305
Milwaukee, WI 53233


24/7 number: (414) 257-4709

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