Wisconsin Sample 
Patient Care Guidelines

Through administrative rule the EMS office has been tasked with approval of protocols. Since Wisconsin enjoys local medical direction and every physician has their own view of patient care, the EMS office receives a variety of patient care guidelines. Review of these many varied and unique protocols takes a significant amount of time. Since this is a time consuming process, we have, in cooperation with the Physician Advisory Committee and the EMS Advisory Board produced “model/sample protocols” for use by all services.

These are not mandated to be used, but it gives our office and the services a common starting point. If the medical director and service choose to accept them “as is” then all that needs to be done is submission of a signed Guideline Use/Medical Director Approval form. Should a service wish to add or modify a protocol we ask that they use the “track changes” feature of MS Word and submit those protocols with the Guideline Use/Medical Director Approval form. All modified protocols should be sent electronically, with track changes, so we can easily identify the changes and expedite the review of the changes for approval.

All protocols must be reviewed and approved by our office before they are implemented.

One will notice that the protocols use the new national scope name identifiers. It is the intent of the upcoming administrative rule revision to adopt only the names of the national scope of practice.  The comparison is as follows:

•  Guideline Use/Medical Director Approval

Pediatric Specific Guidelines

• Pediatric Allergy and Anaphylaxis
• Pediatric Asthma
• Pediatric Cardiac Arrest
• Pediatric Hyperglycemia
• Pediatric Hypoglycemia
• Pediatric Hypovolemia and Shock
• Pediatric Respiratory Distress
• Pediatric Seizure
• Pediatric Toxic Exposure and Overdose

Adult/General Guidelines

• Agitated and Combative Patients
• Allergy and Anaphylaxis
• Altered Level of Consciousness
• Asthma and COPD
• Burns
• Cardiac Arrest
• Chest Pain
• Congestive Heart Failure
• Delivery of Newborn
• Eclampsia
• Female in Labor
• Heat Emergencies
• Hyperglycemia
• Hypothermia and Frostbite
• Hypovolemia and Shock
• Injection Preparation and Administration
• Latex Sensitivity or Allergy
• Nausea and Vomiting
• Pain Management
• Respiratory Distress
• Routine Trauma Care
• Seizure
• Stroke
• Submersion
• Syncope
• Toxic Exposure and Overdose
• Vaginal Bleeding After Delivery
• Vaginal Bleeding Before Delivery
• Vertigo

Pediatric Specific ACLS Guidelines

• Pediatric Bradycardia
• Pediatric SVT
• Pediatric Wide Complex Tachycardia

ACLS Guidelines

• Bradycardia
• Narrow Complex Tachycardia
• Rapid Atrial Fibrillation
• Wide Complex Tachycardia

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Last Revised: October 03, 2008