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Milwaukee County Standards of Care Manual

12 Lead ECG 2022

Section
  • Sec 13: Practical Skills

MIH OEM Diabetes 2024

Section
  • Sec 19: MIH

12 Lead Right Side ECG 2022

Section
  • Sec 13: Practical Skills

12/15 Lead Posterior ECG 2022

Section
  • Sec 13: Practical Skills

4 Lead ECG

Section
  • Sec 13: Practical Skills

MIH OEM High Utilizers 2024

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 2022

Section
  • Sec 02: Cardiovascular

MIH OEM Medical Direction 2024

Section
  • Sec 19: MIH

Adverse Medical Events - Mandatory Reporting 2023

Section
  • Sec 14: Operational Policies

Airway Management 2024

Section
  • Sec 08: Respiratory-Airway

MIH OEM Mental Health 2024

Section
  • Sec 19: MIH

Allergic Reaction (2021)

Section
  • Sec 11: Toxins & Environment

APGAR 2022

Section
  • Sec 17: Tools/Resources

MIH OEM Stroke 2024

Section
  • Sec 19: MIH

Arterial Tourniquet 2024

Section
  • Sec 13: Practical Skills

Bag Valve Mask BVM 2024

Section
  • Sec 13: Practical Skills

MTAC Medical/Trauma Arrest Consult 2023

Section
  • Sec 17: Tools/Resources

BEFAST Guide 2023

Section
  • Sec 17: Tools/Resources

Narcan Leave Behind 2024

Section
  • Sec 14: Operational Policies

Blood Glucose 2023

Section
  • Sec 13: Practical Skills

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

Section
  • 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 2024

Section
  • Sec 13: Practical Skills

Bronchospasm 2023

Section
  • Sec 08: Respiratory-Airway

Needle Thoracostomy 2022

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

Burn Injury (2020)

Section
  • Sec 12: Trauma

Newborn Care Assessment 2022

Section
  • Sec 06: Pediatric Specific

Capnography 2023

Section
  • Sec 13: Practical Skills

NN 20-02 COVID-19 Novel Coronavirus

Section
  • Sec 15: COVID-19

Capped IV Monitoring 2024

Section
  • Sec 13: Practical Skills

OB/GYN Care 2024

Section
  • Sec 04: GI-GU-GYN

Cardiac Arrest – Pediatric 2023

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

OB/GYN Emergency 2024

Section
  • Sec 04: GI-GU-GYN

Cardiac Arrest Adult Medical 2023

Section
  • Sec 09: Resuscitation

OEM-EMS CV-19 Testing

Section
  • Sec 15: COVID-19

On Scene Physician 2024

Section
  • Sec 14: Operational Policies

Cervical Collar 2024

Section
  • Sec 13: Practical Skills

On-Line Medical Control 2023

Section
  • Sec 14: Operational Policies

Chest Seal

Section
  • Sec 13: Practical Skills

Opioid Overdose 2024

Section
  • Sec 11: Toxins & Environment

Chest Tube Monitoring IFT 2023

Section
  • Sec 13: Practical Skills

Oral Airway Insertion

Section
  • Sec 13: Practical Skills

Childbirth – Non-Vertex Delivery 2022

Section
  • Sec 13: Practical Skills

Outside EMS Student Participation 2024

Section
  • Sec 14: Operational Policies

Childbirth – Vertex Delivery 2022

Section
  • Sec 13: Practical Skills

Oxygen Administration

Section
  • Sec 13: Practical Skills

Cholinergic Toxicant Exposure 2022 (prev chem exp)

Section
  • Sec 11: Toxins & Environment

Pain Management 2023

Section
  • Sec 03: General Medicine

CO Monitoring 2022

Section
  • Sec 13: Practical Skills

Paramedic Evaluation, Transport, Upgrade or Turndown 2024

Section
  • Sec 14: Operational Policies

Conducted Energy Device Taser Patients

Section
  • Sec 01: Universal Care

Paramedic Full Practice Achievement 2022

Section
  • Sec 14: Operational Policies

Congestive Heart Failure 2023

Section
  • Sec 02: Cardiovascular

Paramedic Intern Onboarding 2022

Section
  • Sec 14: Operational Policies

Controlled Substance Accountability (2019)

Section
  • Sec 14: Operational Policies

Patient Agitation 2024

Section
  • Sec 03: General Medicine

Controlled Substance Distribution (2019)

Section
  • Sec 14: Operational Policies

Patient Data Expectations 2023

Section
  • Sec 14: Operational Policies

CPAP 2022

Section
  • Sec 13: Practical Skills

PDE Inhibitors 2022

Section
  • Sec 17: Tools/Resources

Croup 2022

Section
  • Sec 06: Pediatric Specific

Pediatric Assessment 2022

Section
  • Sec 17: Tools/Resources

Crowd Control Agents 2024

Section
  • Sec 11: Toxins & Environment

Pediatric Resus Size Dose 2024

Section
  • 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

Section
  • Sec 13: Practical Skills

De-escalation Techniques 2024

Section
  • Sec 17: Tools/Resources

Pit Crew CPR (2019)

Section
  • Sec 13: Practical Skills

Defibrillation 2024

Section
  • Sec 13: Practical Skills

Poisoning / Toxidromes 2024

Section
  • Sec 11: Toxins & Environment

Deviation from ALS Evaluation - Load & Go 2024

Section
  • Sec 14: Operational Policies

Police Body Worn Camera Video Recording 2024

Section
  • Sec 14: Operational Policies

DMIST (2020)

Section
  • Sec 17: Tools/Resources

Practical Skills full manual

Section
  • Sec 13: Practical Skills

Do Not Resuscitate (DNR) 2024

Section
  • Sec 09: Resuscitation

Prehospital Blood Initiation 2024

Section
  • Sec 12: Trauma

Documentation TEMS (2017)

Section
  • Sec 10: Special Ops

Pro Splints 2022

Section
  • Sec 13: Practical Skills

Drowning (2018)

Section
  • Sec 11: Toxins & Environment

Protective Custody 2022

Section
  • Sec 14: Operational Policies

Emergency Incident Rehab 2022

Section
  • Sec 11: Toxins & Environment

Provider Mental Health 2024

Section
  • Sec 17: Tools/Resources

EMS Communications Notification 2024

Section
  • Sec 14: Operational Policies

Return of Spontaneous Circulation 2024

Section
  • Sec 09: Resuscitation

Endotracheal Intubation with Video Laryngoscopy 2024

Section
  • Sec 13: Practical Skills

Rigid Splint - Joint Injury 2022

Section
  • Sec 13: Practical Skills

Epistaxis 2024

Section
  • Sec 03: General Medicine

Rigid Splint Long Bone Injury 2022

Section
  • Sec 13: Practical Skills

ET3 (WAFD Specific) 2023

Section
  • Sec 18: ET3 (WAFD Specific)

RN Prehospital Provider 2022

Section
  • Sec 14: Operational Policies

External Jugular IV 2024

Section
  • Sec 13: Practical Skills

Eye Irrigation

Section
  • Sec 13: Practical Skills

rVF Checklist 2022

Section
  • Sec 17: Tools/Resources

Field Amputation Guide

Section
  • Sec 17: Tools/Resources

SALAD – ETT 2024

Section
  • Sec 13: Practical Skills

Foreign Body Airway Obstruction 2024

Section
  • Sec 08: Respiratory-Airway

SALAD - SGA 2024

Section
  • Sec 13: Practical Skills

Foreign Body Airway Obstruction Removal wMagill 2024

Section
  • Sec 13: Practical Skills

SALT Triage 2022

Section
  • Sec 17: Tools/Resources

G/GJ Tube Monitoring 2023

Section
  • Sec 13: Practical Skills

Scope of Practice 2024

Section
  • Sec 01: Universal Care

Gastric Tube Placement

Section
  • Sec 13: Practical Skills

Security Medical Intelligence TEMS (2017)

Section
  • Sec 10: Special Ops

Glasgow Coma Scale

Section
  • Sec 17: Tools/Resources

Sedation Post Airway Placement 2022

Section
  • Sec 08: Respiratory-Airway

H’s and T’s

Section
  • Sec 17: Tools/Resources

Seizure 2024

Section
  • Sec 16: Neurological

Head Injury / TBI 2024

Section
  • Sec 12: Trauma

Sepsis 2024

Section
  • Sec 03: General Medicine

Helicopter EMS-State Policy 2024

Section
  • Sec 14: Operational Policies

Shock 2024

Section
  • Sec 03: General Medicine

Hemorrhage Control

Section
  • Sec 13: Practical Skills

Sling Swathe

Section
  • Sec 13: Practical Skills

High Quality CPR 2024

Section
  • Sec 17: Tools/Resources

Special Operations (2017)

Section
  • Sec 10: Special Ops

HIPAA Compliance Patient Confidentiality 2024

Section
  • Sec 14: Operational Policies

Specimen Collection for Public Health

Section
  • Sec 14: Operational Policies

Hospital Destination and Transport 2024

Section
  • Sec 14: Operational Policies

Spinal Motion Restrictions 2024

Section
  • Sec 12: Trauma

Hospital Instructions

Section
  • Sec 15: COVID-19

STEMI Guide 2022

Section
  • Sec 17: Tools/Resources

Hospital Locations 2022

Section
  • Sec 17: Tools/Resources

Stroke 2023

Section
  • Sec 16: Neurological

Human Trafficking Indicators

Section
  • Sec 17: Tools/Resources

Suctioning

Section
  • Sec 13: Practical Skills

Hyperkalemia 2022

Section
  • Sec 03: General Medicine

Surgical Cricothyrotomy (2020)

Section
  • Sec 13: Practical Skills

Hyperthermia 2024

Section
  • Sec 11: Toxins & Environment

Synchronized Cardioversion 2024

Section
  • Sec 13: Practical Skills

Hypoglycemia-Hyperglycemia (2018)

Section
  • Sec 03: General Medicine

Syncope 2024

Section
  • Sec 03: General Medicine

Hypothermia (2021)

Section
  • Sec 11: Toxins & Environment

Tachycardia with Pulses Adult (2021)

Section
  • Sec 02: Cardiovascular

IGEL Supraglottic Airway 2024

Section
  • Sec 13: Practical Skills

Tachycardia with Pulses Pediatric (2021)

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

Interfacility Transports 2022

Section
  • Sec 14: Operational Policies

Taser Barb Removal 2023

Section
  • Sec 13: Practical Skills

Intramuscular IM Administration

Section
  • Sec 13: Practical Skills

Telemedicine (WAFD Specific) 2023

Section
  • Sec 18: ET3 (WAFD Specific)

Intranasal IN Administration (2020)

Section
  • Sec 13: Practical Skills

Thorasite Landmark Device 2023

Section
  • Sec 13: Practical Skills

Intraosseous Access 2024

Section
  • Sec 13: Practical Skills

Tracheostomy Care

Section
  • Sec 13: Practical Skills

Intravenous Access 2023

Section
  • Sec 13: Practical Skills

Traction Splint 2022

Section
  • Sec 13: Practical Skills

Intravenous Administration 2024

Section
  • Sec 13: Practical Skills

Transcutaneous Pacing 2024

Section
  • Sec 13: Practical Skills

KING Supraglottic Airway 2024

Section
  • Sec 13: Practical Skills

Transfer of Care 2023

Section
  • Sec 14: Operational Policies

Lights and Siren with Patient Onboard 2024

Section
  • Sec 14: Operational Policies

Trauma Field Triage Guideline 2024

Section
  • Sec 12: Trauma

Long Spine Board

Section
  • Sec 13: Practical Skills

Trauma Management 2024

Section
  • Sec 12: Trauma

LSI’s 2024

Section
  • Sec 17: Tools/Resources

Traumatic Cardiac Arrest 2024

Section
  • Sec 09: Resuscitation
  • Sec 12: Trauma

LUCAS Device 2024

Section
  • Sec 13: Practical Skills

Turndown Checklist 2022

Section
  • Sec 17: Tools/Resources

LVO Guide 2023

Section
  • Sec 17: Tools/Resources

Two Factor Authentication 2023

Section
  • Sec 17: Tools/Resources

Management of Deceased Patients 2023

Section
  • Sec 14: Operational Policies

Universal Care 2024

Section
  • Sec 01: Universal Care

Manual Stabilization

Section
  • Sec 13: Practical Skills

Universal Precautions 2024

Section
  • Sec 01: Universal Care

Mass Casualty Triage 2024

Section
  • Sec 12: Trauma

Urinary Catheter Monitoring 2023

Section
  • Sec 13: Practical Skills

Vaccine Administration 2024

Section
  • Sec 14: Operational Policies

Medical Director Special Consult (2021)

Section
  • Sec 14: Operational Policies

Vacuum Splints 2022

Section
  • Sec 13: Practical Skills

Medication Administration Cross Check MACC 2024

Section
  • Sec 01: Universal Care

Valsalva Maneuver 2024

Section
  • Sec 13: Practical Skills

Medication List 2024

Section
  • Sec 05: Medication List

Ventilator Considerations 2022

Section
  • Sec 13: Practical Skills

Medication Shortages (2019)

Section
  • Sec 14: Operational Policies

Viral Filter 2022

Section
  • Sec 13: Practical Skills

MIH OEM Asthma/COPD 2024

Section
  • Sec 19: MIH

Working Canine 2024

Section
  • Sec 12: Trauma

ZOLL Live Stream 2023

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. 

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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