Emergency Management
 

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Milwaukee County Standards of Care Manual

12-Lead EKG

Section
  • Sec 13: Practical Skills

Narrative Documentation for PCR

Section
  • Sec 14: Operational Policies

4 - Lead EKG

Section
  • Sec 13: Practical Skills

Nasopharyngeal Airway

Section
  • Sec 13: Practical Skills

Abnormal Vitals Chart (2020)

Section
  • Sec 17: Tools/Resources

Nasopharyngeal Swab

Section
  • Sec 13: Practical Skills

Acute Coronary Syndrome (2020)

Section
  • Sec 02: Cardiovascular

Nausea and Vomiting (2019)

Section
  • Sec 01: Universal Care

Adverse Medical Events - Mandatory Reporting (2018)

Section
  • Sec 14: Operational Policies

Nebulizer

Section
  • Sec 13: Practical Skills

Airway Management (2020)

Section
  • Sec 08: Respiratory-Airway

Needle Cricothyrotomy (2020)

Section
  • Sec 13: Practical Skills

Alerts-Code STEMI Stroke LVO +/- Isolation Opioid Sepsis (2020)

Section
  • Sec 01: Universal Care

Needle Thoracostomy

Section
  • Sec 13: Practical Skills

Allergic Reaction (2018)

Section
  • Sec 03: General Medicine

New Product Evaluation (2020)

Section
  • Sec 14: Operational Policies

Apparent Life Threatening Event -ALTE (2017)

Section
  • Sec 06: Pediatric Specific

Newborn Care Assessment (2017)

Section
  • Sec 06: Pediatric Specific

Arterial Tourniquet

Section
  • Sec 13: Practical Skills

NN 20-02 COVID-19 Novel Coronavirus

Section
  • Sec 15: COVID-19

Bag Valve Mask

Section
  • Sec 13: Practical Skills

Obstetric/Gynecological Conditions (2019)

Section
  • Sec 04: GI-GU-GYN

BEFAST Guide 2020

Section
  • Sec 17: Tools/Resources

OEM-EMS CV-19 Testing

Section
  • Sec 15: COVID-19

Bradycardia with Pulses - Adult (2020)

Section
  • Sec 02: Cardiovascular

On-Line Medical Direction (2019)

Section
  • Sec 14: Operational Policies

Bradycardia With Pulses - Pediatric (2020)

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

On-Scene Physician

Section
  • Sec 14: Operational Policies

Bronchiolitis (2017)

Section
  • Sec 06: Pediatric Specific

Opioid Overdose (2020)

Section
  • Sec 11: Toxins & Environment

Bronchospasm (2017)

Section
  • Sec 08: Respiratory-Airway

Oral Airway Insertion

Section
  • Sec 13: Practical Skills

Burn Injury (2020)

Section
  • Sec 12: Trauma

Outside EMS Student Participation

Section
  • Sec 14: Operational Policies

Capnography (2020)

Section
  • Sec 13: Practical Skills

Oxygen Administration

Section
  • Sec 13: Practical Skills

Cardiac Arrest - Adult Medical (2019)

Section
  • Sec 09: Resuscitation

Pain Management

Section
  • Sec 03: General Medicine

Cardiac Arrest -Pediatric (2018)

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

Paramedic Evaluation Transport, Upgrade or Turn Down (2019)

Section
  • Sec 14: Operational Policies

Care of Patient in Tactical Setting TEMS (2017)

Section
  • Sec 10: Special Ops

Paramedic Full Practice Achievement (2020)

Section
  • Sec 14: Operational Policies

Cervical Collar

Section
  • Sec 13: Practical Skills

Paramedic Intern Onboarding (2020)

Section
  • Sec 14: Operational Policies

Chemical Exposure (2017)

Section
  • Sec 11: Toxins & Environment

Patient Restraint (2019)

Section
  • Sec 01: Universal Care

Chest Seal

Section
  • Sec 13: Practical Skills

Pelvic Sling

Section
  • Sec 13: Practical Skills

Childbirth – Non-Vertex Delivery

Section
  • Sec 13: Practical Skills

Pericardiocentesis

Section
  • Sec 13: Practical Skills

Childbirth – Vertex Delivery

Section
  • Sec 13: Practical Skills

Pit Crew CPR (2019)

Section
  • Sec 13: Practical Skills

Conducted Energy Device Taser Patients

Section
  • Sec 01: Universal Care

Police body worn camera-video recording (2017)

Section
  • Sec 14: Operational Policies

Congestive Heart Failure (2020)

Section
  • Sec 02: Cardiovascular

Potential Crime Scene

Section
  • Sec 14: Operational Policies

Controlled Substance Accountability (2019)

Section
  • Sec 14: Operational Policies

Practical Skills full manual

Section
  • Sec 13: Practical Skills

Controlled Substance Distribution (2019)

Section
  • Sec 14: Operational Policies

Pro Splints

Section
  • Sec 13: Practical Skills

CPAP

Section
  • Sec 13: Practical Skills

Protective custody

Section
  • Sec 14: Operational Policies

Croup (2017)

Section
  • Sec 06: Pediatric Specific

Refusal of Care or Transport (2020)

Section
  • Sec 01: Universal Care

Cyanide Poisoning (2017)

Section
  • Sec 11: Toxins & Environment

Rigid Splint

Section
  • Sec 13: Practical Skills

Defibrillation

Section
  • Sec 13: Practical Skills

Rigid Splint - Joint Injury

Section
  • Sec 13: Practical Skills

Deviation From ALS Evaluation - LOAD & Go

Section
  • Sec 14: Operational Policies

ROSC - Return of Spontaneous Circulation (2019)

Section
  • Sec 09: Resuscitation

Direct Laryngoscopy

Section
  • Sec 13: Practical Skills

Routine Medical Care for Tactical Patients TEMS (2017)

Section
  • Sec 10: Special Ops

DMIST (2020)

Section
  • Sec 17: Tools/Resources

SALT Triage

Section
  • Sec 01: Universal Care

Do Not Resuscitate (2020)

Section
  • Sec 09: Resuscitation

Scope of Practice

Section
  • Sec 01: Universal Care

Documentation TEMS (2017)

Section
  • Sec 10: Special Ops

Security Medical Intelligence TEMS (2017)

Section
  • Sec 10: Special Ops

Drowning (2018)

Section
  • Sec 11: Toxins & Environment

Sedation Following Airway Placement (2018)

Section
  • Sec 08: Respiratory-Airway

Emergency Incident Rehabiltation (2017)

Section
  • Sec 11: Toxins & Environment

Seizure (2020)

Section
  • Sec 16: Neurological

EMS Communications Notification

Section
  • Sec 14: Operational Policies

Sepsis (2018)

Section
  • Sec 03: General Medicine

Foreign Body Airway Obstruction (2020)

Section
  • Sec 08: Respiratory-Airway

Shock (2019)

Section
  • Sec 03: General Medicine

Gastric Tube Placement

Section
  • Sec 13: Practical Skills

Sling Swathe

Section
  • Sec 13: Practical Skills

Hanging

Section
  • Sec 03: General Medicine

Special Operations (2017)

Section
  • Sec 10: Special Ops

Helicopter EMS- State Policy

Section
  • Sec 14: Operational Policies

Specimen Collection for Public Health

Section
  • Sec 14: Operational Policies

Hemorrhage Control

Section
  • Sec 13: Practical Skills

Spinal Motion Restrictions (2020)

Section
  • Sec 12: Trauma

Hemorrhage Control (2017)

Section
  • Sec 12: Trauma

STEMI Guide (2020)

Section
  • Sec 17: Tools/Resources

Hemostatic Agents TEMS (2017)

Section
  • Sec 10: Special Ops

Stroke (2020)

Section
  • Sec 16: Neurological

High Quality CPR (2020)

Section
  • Sec 17: Tools/Resources

Suctioning

Section
  • Sec 13: Practical Skills

HIPAA Compliance Patient Confidentiality (2017)

Section
  • Sec 14: Operational Policies

Supraglottic Airway

Section
  • Sec 13: Practical Skills

Hospital Destination and Transport (2019)

Section
  • Sec 14: Operational Policies

Surgical Cricothyrotomy (2020)

Section
  • Sec 13: Practical Skills

Hospital Instructions

Section
  • Sec 15: COVID-19

Synchronized Cardioversion

Section
  • Sec 13: Practical Skills

Hyperkalemia (2018)

Section
  • Sec 03: General Medicine

Syncope (2019)

Section
  • Sec 03: General Medicine

Hypoglycemia-Hyperglycemia (2018)

Section
  • Sec 03: General Medicine

Tachycardia with Pulses - Adult (2020)

Section
  • Sec 02: Cardiovascular

Hypothermia (2018)

Section
  • Sec 11: Toxins & Environment

Tachycardia With Pulses - Pediatric (2017)

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

Impedance Threshold Device (2019)

Section
  • Sec 13: Practical Skills

Tactical EMS Terminology TEMS (2017)

Section
  • Sec 10: Special Ops

Inter-facility Transports

Section
  • Sec 14: Operational Policies

Tracheostomy Care

Section
  • Sec 13: Practical Skills

Intramuscular IM Administration (2020)

Section
  • Sec 13: Practical Skills

Traction Splint

Section
  • Sec 13: Practical Skills

Intranasal IN Administration (2020)

Section
  • Sec 13: Practical Skills

Transcutaneous Pacing

Section
  • Sec 13: Practical Skills

Intraosseous Access

Section
  • Sec 13: Practical Skills

Transfer of Care (2019)

Section
  • Sec 14: Operational Policies

Left Ventricular Assist Device (2019)

Section
  • Sec 02: Cardiovascular

Trauma Field Triage Guidelines (2017)

Section
  • Sec 12: Trauma

Lights and Siren with Patient Onboard

Section
  • Sec 14: Operational Policies

Trauma Management (2019)

Section
  • Sec 12: Trauma

Long Spine Board

Section
  • Sec 13: Practical Skills

Traumatic Cardiac Arrest (2017)

Section
  • Sec 12: Trauma

LUCAS Device (2020)

Section
  • Sec 13: Practical Skills

Universal Care (2017)

Section
  • Sec 01: Universal Care

LVO Guide 2020

Section
  • Sec 17: Tools/Resources

Universal Poisoning Care (2017)

Section
  • Sec 11: Toxins & Environment

Management of Deceased Patients (2020)

Section
  • Sec 14: Operational Policies

Universal Precautions (2017)

Section
  • Sec 01: Universal Care

Manual Stabilization

Section
  • Sec 13: Practical Skills

Vaccine Administration (2017)

Section
  • Sec 14: Operational Policies

Mass Casualty Triage

Section
  • Sec 01: Universal Care

Vacuum Splints

Section
  • Sec 13: Practical Skills

Medication Administration Cross Check (MACC) (2018)

Section
  • Sec 01: Universal Care

Vascular Access

Section
  • Sec 13: Practical Skills

Medication List (2020)

Section
  • Sec 05: Medication List

Video Laryngoscopy

Section
  • Sec 13: Practical Skills

Medication Shortages (2019)

Section
  • Sec 14: Operational Policies

Viral Filter

Section
  • Sec 13: Practical Skills

MTAC Medical/Trauma Arrest Consult (2020)

Section
  • Sec 17: Tools/Resources

ZOLL X-Series Live Stream

Section
  • Sec 13: Practical Skills

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Milwaukee County 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. 

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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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