Emergency Management
 
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How's the System?

Per Milwaukee County's antisecrecy policy (MCO 56.24),

A representative of government of the American type is dependent upon an informed electorate and recognizes that secrecy in government is the antithesis of America's loftiest and noblest ideals. It's the policy of the County that the public is entitled to the fullest and most complete information regarding the affairs of county government as is compatible with the conduct of county governmental affairs and of the transaction of governmental business. To that end, all boards, commissions and department heads must do everything reasonably possible to comply with the spirit of such laws.

In short, Milwaukee County is wholeheartedly committed to transparency. In compliance with — and in full support of — the spirit of the law, OEM shares below the status of a series of metrics, broken down by OEM division, updated regularly. For additional information on any of these metrics, or to request consideration of additional metrics, email us at [email protected]

 


 Radio Services

OASIS Intergovernmental Agreement

OASIS is a P25 digital, simulcast, trunked, 800MHz public safety radio system covering both Waukesha and Milwaukee Counties. Each county has deployed radio towers and infrastructure equipment (e.g., transmitters, dispatch consoles) within their boundaries. Within Milwaukee County, the OASIS Intergovernmental Agreement (IGA) defines responsibilities of the County (through OEM) as a system operator and those responsibilities of the user agencies as subscribers.

Learn more about OASIS in the OASIS 2018 Annual Report.

Municipalities participating in OASIS

Municipalities participating in OASIS Public Safety Radio System Inter-Governmental Agreement as of 08/01/2019:
Bayside, Village of
Brown Deer, Village of
Cudahy, City of
Fox Point, Village of
Franklin, City of
Glendale, City of
Greendale, Village of
Greenfield, City of
Hales Corners, Village of
Oak Creek, City of
River Hills, Village of
St. Francis, City of
Shorewood, Village of
South Milwaukee, City of
Wauwatosa, City of
West Allis, City of
West Milwaukee, City of
Whitefish Bay, Village of

Not participating:
Milwaukee, City of

OASIS System Users

OASIS’s Milwaukee County subsystem serves 70 agencies, shown below. Mutual aid use continues to be extended to select non-governmental organizations that provide support to emergency-response efforts, and it is also extended to public safety agencies in neighboring counties to enable them to communicate when necessary with agencies in Milwaukee County.

Fire/EMS Agencies using OASIS Public Safety Radio System as of 08/01/2019:
Cudahy Fire Department
Franklin Fire Department
Greendale Fire Department
Greenfield Fire Department
Hales Corners Fire Department
North Shore Fire/Rescue
Oak Creek Fire Department
St. Francis Fire Department
South Milwaukee Fire Department
Wauwatosa Fire Department
West Allis Fire Department

Not participating:
Milwaukee Fire Department

Law Enforcement Agencies using OASIS Public Safety Radio System as of 08/01/2019:
Bayside Police Department
Brown Deer Police Department
Cudahy Police Department
Fox Point Police Department
Franklin Police Department
Glendale Police Department
Greendale Police Department
Greenfield Police Department
Hales Corners Police Department
Oak Creek Police Department
St. Francis Police Department
River Hills Police Department
Shorewood Police Department
South Milwaukee Police Department
Wauwatosa Police Department
West Allis Police Department
West Milwaukee Police Department
Whitefish Bay Police Department
Milwaukee County Sheriff's Office

Not participating:
Milwaukee Police Department

Partner Agencies using OASIS Public Safety Radio System as of 08/01/2019:
Brown Deer Public Works Department
Cudahy Public Health Department
Franklin  Public Health Department
Greenfield Public Health Department
Hales Corners  Public Health Department
Hales Corners  Public Works Department
North Shore Public Health Department
Oak Creek Public Health Department
South Milwaukee Public Health Department
St. Francis Public Health Department
Wauwatosa Public Works Department
West Allis Public Health Department
West Allis Public Works Department
West Milwaukee Public Works Department

US Dept of Veterans Affairs
American Red Cross
ARES/RACES
HIDTA
MayFair Mall Security
Milwaukee Fire Bell Club
MADACC

County Departments using OASIS Public Safety Radio System as of 08/01/2019:
Behavioral Health Division
Children's Court Center
Facilities Management
Highway Department
House of Correction
Information Management Services Division
Office of the County Executive
Office of the District Attorney
Office of Emergency Management
Office of the Medical Examiner
Parks Department
Sheriff's Office
Transit System

OASIS System Encryption

Encryption of public safety radios can significantly decrease the possibility that sensitive information can be used to impede effective emergency response or jeopardize the safety of life and property. In a radio communications system, the Advanced Encryption Standard (AES) is a means of encoding radio transmissions to such a degree that it becomes extremely difficult to listen without authorization, the proper decoding equipment and the correct key.

 

Municipalities Implementing the Advanced Encryption Standard (AES) as of 8/1/2019
Greenfield, City of
West Allis, City of

 


911 Communications

Public Safety Answering Points (PSAPs)

OEM’s 911 Communications Division is responsible for the prompt response and delivery of emergency services to 911 callers, serving as the Public Safety Answering Point (PSAP) for Milwaukee County.

Text-to-911

Text-to-911 is the ability to send a text message to reach 911 emergency call takers from your mobile phone or device. However, because Text-to-911 is currently only available in certain locations, you should always contact 911 by making a voice call, if you can. If you are deaf, hard of hearing or speech disabled, and Text-to-911 is not available, use a TTY or a telecommunications relay service, if possible.

911 Centers Accepting Text-to-911 as of 11/01/2021
Franklin
North Shore
Milwaukee County OEM
 

Dispatch-Assisted CPR

If dispatchers are trained and able to talk bystanders through how to perform CPR on a cardiac arrest victim, they can turn an untrained bystander into a lifesaver. A cardiac arrest victim’s chance of survival decreases 10% with every minute that passes between collapse and start of CPR, and immediate CPR can double, even triple chances of survival. Milwaukee County Office of Emergency Management and the Medical College of Wisconsin developed and implemented a system for 911 dispatchers to give bystander CPR pre-arrival instructions to all callers in the County, thanks to funding from a Healthier Wisconsin Partnership Program grant. Now a state law, dispatchers across the rest of Wisconsin will be able to give CPR instructions over the phone or easily transfer a caller to a 911 center like ours that can give CPR instructions.

 

911 Centers Providing Dispatch-Assisted CPR Instructions as of 8/1/2019
Cudahy*
Franklin*
Greendale / Hales Corners*
Greenfield
Milwaukee
North Shore*
Oak Creek / St. Francis
South Milwaukee*
Wauwatosa*
West Allis
West Milwaukee*
Milwaukee County OEM
* indicates calls are transferred to OEM

Emergency Medical Dispatch (EMD)

Emergency Medical Dispatch is a systematic program of handling medical calls. Trained telecommunicators, using locally approved EMD Guidecards, quickly and properly determine the nature and priority of the call, dispatch the appropriate response, then give the caller instructions to help treat the patient until the responding EMS unit arrives.

911 Centers Providing Emergency Medical Dispatch as of 8/1/2019
Cudahy
Franklin
Greendale / Hales Corners
North Shore
South Milwaukee
Wauwatosa
West Milwaukee
Milwaukee County OEM

 


Emergency Medical Services

OEM’s Emergency Medical Services Division is responsible for the protocols and standards of care of over 500 paramedics. OEM assures quality improvement by conducting non-punitive randomized checks and ensuring a clean and quality data repository that contains HIPAA-compliant patient care records which are used nationally in research and analytics for improvements in patient outcomes. Among a number of variables that are measured and tracked, the following metrics provide a brief representation of our system.

 

Advanced Life Support (ALS)

Advanced Life Support (ALS) means use, by appropriately trained and licensed personnel, in pre-hospital and interfacility emergency care and transportation of patients, of the medical knowledge, skills and techniques included in the department-approved training required for licensure of Emergency Medical Technicians-Paramedic (EMT-P), under Wis. Admin. Code ch. DHS 112, and which are not included in Basic Life Support (BLS).

 


EMS Agencies Providing Advanced Life Support (ALS) Service as of 8/1/2019
535 Paramedics
Franklin Fire Department 42
Greendale Fire Department 15
Greenfield Fire Department 44
Hales Corners Fire Department 9
Milwaukee Fire Department 192
North Shore Fire/Rescue 40
Oak Creek Fire Department 41
South Milwaukee Fire Department 13
Wauwatosa Fire Department 54
West Allis Fire Department 65
Milwaukee County OEM 28

Transport to Hospitals

If any one member of the EMS team, regardless of their team assignment, feels it is in the best interest of a patient to be evaluated and/or transported, the EMS unit will evaluate and/or transport the patient. The level of transport will be determined by patient assessment needs and treatment provided. Transport shall be to the closest, most appropriate open receiving hospital, taking into consideration the patient’s medical condition, patient's request, location of regular care, primary medical doctor and/or medical records and insurance.

 

Transport: Responding Agency
8,748 Transports 2018 Q4
261 Cudahy Fire Department
420 Franklin Fire Department
234 Greendale Fire Department
765 Greenfield Fire Department
111 Hales Corners Fire Department
3,015 Milwaukee Fire Department
574 North Shore Fire/Rescue
649 Oak Creek Fire Department
181 St. Francis Fire Department
408 South Milwaukee Fire Department
804 Wauwatosa Fire Department
1,320 West Allis Fire Department

Transport: Receiving Hospital
8,748 Transports 2018 Q4
116 Aurora Grafton
1,708 Aurora St. Luke's
693 Aurora St. Luke's South Shore
366 Aurora Sinai
1,100 Aurora West Allis
346 Children's Hospital of Wisconsin
713 Columbia St. Mary's Milwaukee
256 Columbia St. Mary's Ozaukee
99 Froedtert Community Memorial
1,807 Froedtert Hospital
166 Milwaukee VA Medical Center
11 Moorland Reserve Health Center
11 Waukesha Memorial
0 Wheaton Franciscan All Saints
31 Wheaton Franciscan Elmbrook
366 Wheaton Franciscan Franklin
307 Wheaton Franciscan St. Francis
652 Wheaton Franciscan St. Joseph

Primary Impressions

The primary impression is a concise statement describing the symptom, problem or condition that is the reason for a medical encounter. Milwaukee County uses more than 250 specific descriptors, from Abdominal Pain to Weakness, which fall into 10 broad categories.

 

EMS System Primary Impression
8,748 Transports 2018 Q4
916 Behavioral/Psychological
980 Cardiac/Circulatory
664 CNS/Nervous System
206 Diabetic, Endocrine or Metabolic
927 Injury
1,562 Pain
1,425 Respiratory
485 Substance Abuse
1,439 General/Other
144 N/A

 

Reason for Choosing Destination

OEM, EMS agencies and health care systems work in partnership to ensure access to safe and high-quality care. Per OEM’s operational policy, patients have the right to make informed health choices including hospital destination within the Milwaukee County EMS System; care outside of an informed patient care choice may impact safety, quality and economic risks. Some hospitals are considered a specialty resource center designed and prepared to handle certain types of patients (eg, Level 1 Trauma Centers, Comprehensive Stroke Centers, cardiac intervention). While one hospital may be closer, it may not be the most appropriate facility depending on the resource needs of the patient.

 

Reason For Choosing Emergency Department

8,748 Transports 2018 Q4
1,679 Closest Facility
55 Closest Facility, Family Choice
177 Closest Facility, Patient's Choice
598 Family Choice
87 Law Enforcement Choice
4,943 Patient's Choice
126 Patient's Choice, Closest Facility
589 Protocol
154 Regional Specialty Center
282 Other

 

OEM-EMS App

Launched in 2017, OEM’s free app is designed to allow EMS providers in the field easy and searchable access to the protocols and practical skills guiding medical care provided within the Milwaukee County EMS system. The Standards of Care manual is broken down into the following sections: Universal Care/Operations, Cardiovascular, General Medicine, GI-GU-GYN, Pediatric Specific, Respiratory/Airway, Research, Resuscitation, Special Operations/TEMS, Toxins/Environmental, Trauma and Practical Skills.

EMS Agencies Utilizing OEM EMS Standards of Care Mobile App as of 8/1/2019
Cudahy Fire Department
Franklin Fire Department
Greendale Fire Department
Greenfield Fire Department
Hales Corners Fire Department
Milwaukee Fire Department
North Shore Fire/Rescue
Oak Creek Fire Department
St. Francis Fire Department
South Milwaukee Fire Department
Wuawatosa Fire Department
West Allis Fire Department
Milwaukee County OEM

Overdose Detection Mapping Application Program (ODMAP)

As data shows a continuing increase in overdose deaths, a consistent methodology to track overdoses, both fatal and non-fatal, in real time across jurisdictions, is necessary to mobilize a public health response capable of addressing these issues within our communities. Overdose Detection Mapping Application Program (ODMAP) links first responders on scene to a mapping tool to track overdoses to stimulate real-time response and strategic analysis across jurisdictions. It is a mobile tool, capable of being used in the field on any mobile device or data terminal connected to an agency’s computer-aided dispatch (CAD) system.

EMS Agencies Participating in Overdose Detection Mapping Application Program (ODMAP) as of 8/1/2019
Cudahy Fire Department
Franklin Fire Department
Greendale Fire Department
Greenfield Fire Department
Hales Corners Fire Department
North Shore Fire/Rescue
Oak Creek Fire Department
St. Francis Fire Department
South Milwaukee Fire Department
Wauwatosa Fire Department
Milwaukee County OEM

Law Enforcement Officers Trained and Equipped with Naloxone

EMS providers may or may not be the first responder to an opioid-related drug overdose victim. Law enforcement officers may encounter an overdose patient before medical help arrives and in such case, a properly trained officer can take simple measures in safely administering naloxone, potentially saving a life. The agencies below have been properly trained to administer naloxone by OEM-EMS. Standard operating procedures have been developed that capture methods to properly identify a person undergoing an opioid-related exposure, subsequent victim distress and how to safely dispense naloxone.

Law Enforcement Agencies Trained & Equipped by OEM to Administer Naloxone for Overdose as of 8/1/2019
Bayside Police Department
Brown Deer Police Department
Cudahy Police Department
Fox Point Police Department
Franklin Police Department
Glendale Police Department
Greendale Police Department
Greenfield Police Department
Hales Corners Police Department
Milwaukee Police Department
Oak Creek Police Department
St. Francis Police Department
River Hills Police Department
Shorewood Police Department
South Milwaukee Police Department
Wauwatosa Police Department
West Allis Police Department
West Milwaukee Police Department
Whitefish Bay Police Department
Wisconsin State Capitol Police
Wisconsin State Fair Park Police
Wisconsin State Patrol
Wisconsin Division of Criminal Investigation
Milwaukee County District Attorney's Office
Milwaukee County House of Correction
Milwaukee County Medical Examiner's Office
Milwaukee County Sheriff's Office
Marquette University Police Departments
UW-Milwaukee Police Department

 


Emergency Management

Emergency Operations Plans (EOPs)

In the federal system of emergency management, local government must act first to attend to the public’s emergency needs. A municipality's emergency operations plan (EOP) is a document that:

  • Describes how people and property will be protected in emergencies and disasters
  • Identifies personnel, equipment, facilities, supplies and other resources available — within the jurisdiction or by agreement with other jurisdictions — for use during response and recovery operations
  • Identifies steps to address mitigation concerns during response and recovery activities

Depending on the nature and size of the emergency, county, state and federal assistance may be provided to the local jurisdiction.

 


 

Municipalities with a current Emergency Operations Plan (EOP) as of 8/1/2019
Bayside, Village of
Brown Deer, Village of
Cudahy, City of
Fox Point, Village of
Franklin, City of
Glendale, City of
Greendale, Village of
Greenfield, City of
Hales Corners, Village of
Milwaukee, City of
Oak Creek, City of
River Hills, Village of
South Milwaukee, City of
Wauwatosa, City of
West Allis, City of
West Milwaukee, City of
Whitefish Bay, Village of

Hazard Mitigation Plan

Local hazard mitigation planning forms the foundation for a community’s long-term strategy to reduce disaster losses and break the cycle of disaster damage, reconstruction and repeated damage in the next disaster. The plan creates a framework for risk-based decision making to reduce damages to lives, property and the economy from future disasters. As County emergency management, OEM is required to develop a hazard mitigation plan. Adoption of the county plan makes the local municipality eligible to apply for FEMA hazard mitigation grants.

Municipalities Adopting Milwaukee County's Hazard Mitigation Plan as of 8/1/2019
Bayside, Village of
Brown Deer, Village of
Cudahy, City of
Fox Point, Village of
Franklin, City of
Glendale, City of
Greendale, Village of
Greenfield, City of
Hales Corners, Village of
Milwaukee, City of
Oak Creek, City of
River Hills, Village of
St. Francis, City of
Shorewood, Village of
South Milwaukee, City of
Wauwatosa, City of
West Allis, City of
West Milwaukee, City of
Whitefish Bay, Village of

Ban on Tar-Based Sealants

In late 2016, the US Geological Survey (USGS) issued findings that as many as 78% of Milwaukee streams have toxic levels of polycyclic aromatic hydrocarbons (PAHs). PAHs are organic contaminants that in high amounts can harm aquatic animals, cause cancer, genetic mutations and reproductive issues. Commonly used as the “blacktop” on asphalt roads and parking lots, coal-tar pavement sealant was found to contribute up to 77% of the PAHs found in streambeds. The City of Milwaukee issued an ordinance banning use of coal-tar sealants in February 2017, and environmental groups are advocating for all municipalities to follow suit.

 

Municipalities Adopting a Ban of Tar-Based Sealants as of 8/1/2019
Bayside, Village of
Brown Deer, Village of
Franklin, City of
Glendale, City of
Greenfield, City of
Hales Corners, Village of
Milwaukee, City of
River Hills, Village of
Shorewood, Village of
Wauwatosa, City of
West Allis, City of
West Milwaukee, City of
Whitefish Bay, Village of

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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