Wisconsin
Out of Hospital
The Out of Hospital Committee is made up of EMS transport services, first responder agencies, critical care transport and helicopter services and hospital EMS Coordinators.The Committees current projects include:
- Trauma Triage Protocol
- Selective Spinal Immobilization
- Trauma Basics Training
- EMS Radio Reports
- EMS Documentation: Half-sheets
- EMS Podcasts
Trauma Triage Protocol
The State Trauma Advisory Council and the NCRTAC have approved an updated version of the Field Trauma Triage Protocol. The protocol guides EMS providers in identifying critically injured trauma patients and helps determine which should be transported to higher level trauma centers.
Wisconsin MCI Plan
In 2010 the Wisconsin EMS Advisory Board approved a revised version of the Wisconsin Mass Casualty Incident Response Planning Guide. The document is intended to be used by local EMS services to update their response plans to make them ICS compliant and "fit" with the plans of services around them.
Selective Spinal Immobilization
After the State of Wisconsin implemented protocols allowing all levels of transporting EMTs to perform selective spinal immobilization assessment. Soon after, the trauma centers began reporting increasing numbers of patients transported without spinal immobilization when it was indicated.
The Out of Hospital Committee developed an educational presentation and quality improvement materials for services to use.
Trauma Basics Training
In 2009, the RTAC Coordinators from the 9 regions developed a training presentation based on one being used in the South Central RTAC. The presentation is a scenario-based training focusing on the State trauma system, functions of the RTAC, START triage, trauma assessment, airway and oxygenation, shock, head trauma and trauma triage.
Contact Michael Fraley to schedule the 2 hour Trauma Basics Training soon.
Trauma Training Equipment
To better support trauma training courses in the region, the NCRTAC has purchased a set of equipment and supplies to be available for use in EMS and hospital trauma courses.
The set includes
The State Trauma Advisory Council and the NCRTAC have approved an updated version of the Field Trauma Triage Protocol. The protocol guides EMS providers in identifying critically injured trauma patients and helps determine which should be transported to higher level trauma centers.
Wisconsin MCI Plan
In 2010 the Wisconsin EMS Advisory Board approved a revised version of the Wisconsin Mass Casualty Incident Response Planning Guide. The document is intended to be used by local EMS services to update their response plans to make them ICS compliant and "fit" with the plans of services around them.
Selective Spinal Immobilization
After the State of Wisconsin implemented protocols allowing all levels of transporting EMTs to perform selective spinal immobilization assessment. Soon after, the trauma centers began reporting increasing numbers of patients transported without spinal immobilization when it was indicated.
The Out of Hospital Committee developed an educational presentation and quality improvement materials for services to use.
Trauma Basics Training
In 2009, the RTAC Coordinators from the 9 regions developed a training presentation based on one being used in the South Central RTAC. The presentation is a scenario-based training focusing on the State trauma system, functions of the RTAC, START triage, trauma assessment, airway and oxygenation, shock, head trauma and trauma triage.
Contact Michael Fraley to schedule the 2 hour Trauma Basics Training soon.
Trauma Training Equipment
To better support trauma training courses in the region, the NCRTAC has purchased a set of equipment and supplies to be available for use in EMS and hospital trauma courses.
The set includes
- 4 sets of spinal immobilization gear (board, straps, CID, collars, Back Rafts)
- 4 trauma jump bags (scissors, BR cuff, stethoscope, BVM, O2 masks, bandaging supplies, etc.)
- 1 Chest decompression manikin
- 1 set of extremity splints
- 1 full body trauma manikin
- 1 moulage kit
EMS Radio Reports
Several of the NCRTAC hospitals reported that they get either too short or too long radio reports from incoming ambulances. The Out of Hospital Committee reviewed a number of radio report formats and selected a few to share with the RTAC.
EMS Documentation
Following feedback from hospitals that they often do not get timely documentation after EMS brings patients to them, the state implemented new rules directing ambulance services to leave some form of temporary chart or worksheet at the time they drop off the patient and then submit their complete chart within 24 hours. The State developed a form to be used as the worksheet. A Best Practice is to print the worksheet on 2-ply carbonless paper. One copy can be left with the patient and the crew keeps one to use as notes when completing their full PCR.
NCRTAC EMS Podcasts
Each month a new podcast is recorded with RTAC news and a trauma topic of interest to EMS providers. Click here for more information on the NCRTAC EMS Podcasts.
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Several of the NCRTAC hospitals reported that they get either too short or too long radio reports from incoming ambulances. The Out of Hospital Committee reviewed a number of radio report formats and selected a few to share with the RTAC.
EMS Documentation
Following feedback from hospitals that they often do not get timely documentation after EMS brings patients to them, the state implemented new rules directing ambulance services to leave some form of temporary chart or worksheet at the time they drop off the patient and then submit their complete chart within 24 hours. The State developed a form to be used as the worksheet. A Best Practice is to print the worksheet on 2-ply carbonless paper. One copy can be left with the patient and the crew keeps one to use as notes when completing their full PCR.
NCRTAC EMS Podcasts
Each month a new podcast is recorded with RTAC news and a trauma topic of interest to EMS providers. Click here for more information on the NCRTAC EMS Podcasts.
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