Emergency Management
 

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Milwaukee County Standards of Care Manual

12-Lead EKG

Section
  • Sec 13: Practical Skills

Needle Thoracostomy

Section
  • Sec 13: Practical Skills

4 - Lead EKG

Section
  • Sec 13: Practical Skills

Newborn Care Assessment (2017)

Section
  • Sec 06: Pediatric Specific

Acute Coronary Syndrome (2019)

Section
  • Sec 02: Cardiovascular

Non-Vertex Delivery

Section
  • Sec 13: Practical Skills

Adverse Medical Events - Mandatory Reporting (2018)

Section
  • Sec. 14: Operational Policies

Obstetric/Gynecological Conditions (2019)

Section
  • Sec 04: GI-GU-GYN

Airway Management (2019)

Section
  • Sec 08: Respiratory-Airway

Online Medical Direction

Section
  • Sec 01: Universal Care

Airway Obstruction - Pediatric (2018)

Section
  • Sec 06: Pediatric Specific
  • Sec 08: Respiratory-Airway

On-Line Medical Direction (2019)

Section
  • Sec. 14: Operational Policies

Airway Obstruction Removal

Section
  • Sec 13: Practical Skills

On-Scene Physician

Section
  • Sec. 14: Operational Policies

Alert-Code STEMI Stroke LVO +/- Isolation Opioid Sepsis (2018)

Section
  • Sec 01: Universal Care

Opioid Overdose (2017)

Section
  • Sec 11: Toxins & Environment

Allergic Reaction (2018)

Section
  • Sec 03: General Medicine

Oral Airway Insertion

Section
  • Sec 13: Practical Skills

Apparent Life Threatening Event -ALTE (2017)

Section
  • Sec 06: Pediatric Specific

Outside EMS Student Participation

Section
  • Sec. 14: Operational Policies

Arterial Tourniquet

Section
  • Sec 13: Practical Skills

Oxygen Administration

Section
  • Sec 13: Practical Skills

Bag Valve Mask

Section
  • Sec 13: Practical Skills

Pain Management

Section
  • Sec 03: General Medicine

Bradycardia with Pulses - Adult (2018)

Section
  • Sec 02: Cardiovascular

Paramedic Evaluation Transport, Upgrade or Turn Down (2019)

Section
  • Sec. 14: Operational Policies

Bradycardia With Pulses - Pediatric (2017)

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

Paramedic Full Practice Achievement (2019)

Section
  • Sec. 14: Operational Policies

Bronchiolitis (2017)

Section
  • Sec 06: Pediatric Specific

Paramedic Intern Onboarding (2019)

Section
  • Sec. 14: Operational Policies

Bronchospasm (2017)

Section
  • Sec 08: Respiratory-Airway

Patient Restraint (2019)

Section
  • Sec 01: Universal Care

Burn Injury (2019)

Section
  • Sec 12: Trauma

Pediatric Specific complete section

The Pediatric Specific section of the SOC manual includes those medical protocols, practice guidelines, operational policies that are applicable for pediatric patients only. Working assessments that may be found in both adults and children (ex. seizures, burns) will be found in General Medicine, Trauma or other respective sections.

Section
  • Sec 06: Pediatric Specific

Capnography

Section
  • Sec 13: Practical Skills

Pelvic Sling

Section
  • Sec 13: Practical Skills

Cardiac Arrest - Adult Medical (2019)

Section
  • Sec 09: Resuscitation

Pericardiocentesis

Section
  • Sec 13: Practical Skills

Cardiac Arrest -Pediatric (2018)

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

Pit Crew CPR (2019)

Section
  • Sec 13: Practical Skills

Cardiovascular complete section

The Cardiovascular section of the SOC manual includes those medical protocols, practice guidelines, operational policies that are applicable for patients with a primary impression of a cardiovascular complaint.

Section
  • Sec 02: Cardiovascular

Police body worn camera-video recording (2017)

Section
  • Sec. 14: Operational Policies

Care of Patient in Tactical Setting TEMS (2017)

Section
  • Sec 10: Special Ops

Potential Crime Scene

Section
  • Sec. 14: Operational Policies

Cervical Collar

Section
  • Sec 13: Practical Skills

Practical Skills - combined document

Section
  • Sec 13: Practical Skills

Chemical Exposure (2017)

Section
  • Sec 11: Toxins & Environment

Practical Skills full manual

Section
  • Sec 13: Practical Skills

Conducted Energy Device Taser Patients

Section
  • Sec 01: Universal Care

Practice Status & Privileges (2017)

Section
  • Sec 01: Universal Care

Congestive Heart Failure

Section
  • Sec 02: Cardiovascular

Pro Splints

Section
  • Sec 13: Practical Skills

Controlled Substance Accountability (2019)

Section
  • Sec. 14: Operational Policies

Protective custody

Section
  • Sec. 14: Operational Policies

Controlled Substance Distribution (2019)

Section
  • Sec. 14: Operational Policies

Refusal of care or transport

Section
  • Sec 01: Universal Care

CPAP

Section
  • Sec 13: Practical Skills

Respiratory-Airway complete section

The Respiratory-Airway section of the SOC manual includes those medical protocols, practice guidelines, operational policies that are applicable to management of patents with primary impressions that are respiratory in nature as well as management of a patient's airway.

Section
  • Sec 08: Respiratory-Airway

Croup (2017)

Section
  • Sec 06: Pediatric Specific

Resuscitation complete section

The Resuscitation section of the SOC manual includes those medical protocols, practice guidelines, operational policies that are applicable to management of patents with primary impressions is resuscitative in nature.

Section
  • Sec 09: Resuscitation

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

Do Not Resuscitate (2017)

Section
  • Sec 09: Resuscitation

SALT Triage

Section
  • Sec 01: Universal Care

Documentation TEMS (2017)

Section
  • Sec 10: Special Ops

Scope of Practice

Section
  • Sec 01: Universal Care

Drowning (2018)

Section
  • Sec 11: Toxins & Environment

Security Medical Intelligence TEMS (2017)

Section
  • Sec 10: Special Ops

Emergency Incident Rehabiltation (2017)

Section
  • Sec 11: Toxins & Environment

Sedation Following Airway Placement (2018)

Section
  • Sec 08: Respiratory-Airway

EMS Communications Notification

Section
  • Sec. 14: Operational Policies

Seizure (2017)

Section
  • Sec 03: General Medicine

End Tidal Capnography (2017)

Section
  • Sec 08: Respiratory-Airway

Sepsis (2018)

Section
  • Sec 03: General Medicine

Equipment Failure- Exchange

Section
  • Sec. 14: Operational Policies

Shock (2019)

Section
  • Sec 03: General Medicine

Equipment Supplies

Section
  • Sec. 14: Operational Policies

Sling Swathe

Section
  • Sec 13: Practical Skills

Gastric Tube Placement

Section
  • Sec 13: Practical Skills

Special Operations (2017)

Section
  • Sec 10: Special Ops

General Medicine complete section

The General Medicine section of the SOC manual includes those medical protocols, practice guidelines, operational policies that are applicable for patients with a primary impression which may be general medical in nature.

Section
  • Sec 03: General Medicine

Special Operations complete section

The Special Operations section of the SOC manual includes those medical protocols, practice guidelines, operational policies that are applicable to care that is required in special operations situations. This section includes TEMS related documents.

Section
  • Sec 10: Special Ops

GI-GU-GYN complete section

The GI-GU-GYN section of the SOC manual includes those medical protocols, practice guidelines, operational policies that are applicable for patients with a primary impression which is gastrointestinal, genitourinary, or gynecological/obstetrical in nature.

Section
  • Sec 04: GI-GU-GYN

Spinal Movement Precautions (2017)

Section
  • Sec 12: Trauma

Hanging

Section
  • Sec 03: General Medicine

Stroke (2018)

Section
  • Sec 02: Cardiovascular

Helicopter EMS- State Policy

Section
  • Sec. 14: Operational Policies

Suctioning

Section
  • Sec 13: Practical Skills

Hemorrhage Control

Section
  • Sec 13: Practical Skills

Supraglottic Airway

Section
  • Sec 13: Practical Skills

Hemorrhage Control (2017)

Section
  • Sec 12: Trauma

Synchronized Cardioversion

Section
  • Sec 13: Practical Skills

Hemostatic Agents TEMS (2017)

Section
  • Sec 10: Special Ops

Syncope (2019)

Section
  • Sec 03: General Medicine

HIPAA Compliance Patient Confidentiality (2017)

Section
  • Sec. 14: Operational Policies

Tachycardia with Pulses - Adult (2019)

Section
  • Sec 02: Cardiovascular

Hospital Destination and Transport (2019)

Section
  • Sec. 14: Operational Policies

Tachycardia With Pulses - Pediatric (2017)

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

Hyperkalemia (2018)

Section
  • Sec 03: General Medicine

Tactical EMS Terminology TEMS (2017)

Section
  • Sec 10: Special Ops

Hypoglycemia-Hyperglycemia (2018)

Section
  • Sec 03: General Medicine

Toxins-Environmental complete section

The Toxins-environmental section of the SOC manual includes those medical protocols, practice guidelines, operational policies that are applicable to care that is required for patients with a primary impression of chemical exposures, poisoning or who may have been impacted by the environment.

Section
  • Sec 11: Toxins & Environment

Hypothermia (2018)

Section
  • Sec 11: Toxins & Environment

Tracheostomy Care

Section
  • Sec 13: Practical Skills

Impedance Threshold Device (2019)

Section
  • Sec 13: Practical Skills

Traction Splint

Section
  • Sec 13: Practical Skills

Inhalation Injury (2017)

Section
  • Sec 12: Trauma

Transcutaneous Pacing

Section
  • Sec 13: Practical Skills

Inter-facility Transports

Section
  • Sec. 14: Operational Policies

Transfer of Care (2019)

Section
  • Sec. 14: Operational Policies

Intraosseous Access

Section
  • Sec 13: Practical Skills

Trauma complete section

The Trauna section of the SOC manual includes those medical protocols, practice guidelines, operational policies that are applicable to care that is required for patients with a primary impression which is trauma related.

Section
  • Sec 12: Trauma

Lights and Siren with Patient Onboard

Section
  • Sec. 14: Operational Policies

Trauma Field Triage Guidelines (2017)

Section
  • Sec 12: Trauma

Long Spine Board

Section
  • Sec 13: Practical Skills

Trauma Management (2019)

Section
  • Sec 12: Trauma

LUCAS Chest Compression System Practice Guideline (2017)

Section
  • Sec 09: Resuscitation

Traumatic Cardiac Arrest (2017)

Section
  • Sec 12: Trauma

LUCAS Device

Section
  • Sec 13: Practical Skills

Universal Care (2017)

Section
  • Sec 01: Universal Care

Management of Deceased Patients (2017)

Section
  • Sec. 14: Operational Policies

Universal Care complete section

The Universal Care section of the SOC manual includes those medical protocols, practice guidelines, operational policies that are applicable for universal care of patients.

Section
  • Sec 01: Universal Care

Manual Stabilization

Section
  • Sec 13: Practical Skills

Universal Poisoning Care (2017)

Section
  • Sec 11: Toxins & Environment

Mass Casualty Triage

Section
  • Sec 01: Universal Care

Universal Precautions (2017)

Section
  • Sec 01: Universal Care

Medication Administration Cross Check (MACC) (2018)

Section
  • Sec 01: Universal Care

Vaccine Administration (2017)

Section
  • Sec. 14: Operational Policies

Medication List (2019)

Section
  • Sec 05: Medication List

Vacuum Splints

Section
  • Sec 13: Practical Skills

Medication Shortages (2019)

Section
  • Sec. 14: Operational Policies

Vascular Access

Section
  • Sec 13: Practical Skills

Narrative Documentation for PCR

Section
  • Sec. 14: Operational Policies

Ventricular Tachycardia with pulse (2017)

Section
  • Sec 09: Resuscitation

Nasopharyngeal Airway

Section
  • Sec 13: Practical Skills

Vertex Delivery

Section
  • Sec 13: Practical Skills

Nausea and Vomiting (2019)

Section
  • Sec 01: Universal Care

Video Laryngoscopy

Section
  • Sec 13: Practical Skills

Nebulizer

Section
  • Sec 13: Practical Skills

Keywords

 

Section

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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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