Out of Hospital


NCRTAC Helicopter EMS Position Statement

In January 2013, the NCRTAC General Membership approved the Out of Hospital Committee's Position Statement on the Use of Helicopter EMS in the region. The position statement serves as a starting place for EMS agencies and their medical directors to determine how to best use helicopters in their area. The document is considered a guideline but reflects the consensus of NCRTAC members and guidelines developed by national organizations such as the National Association of EMS Physicians.

Learn more about Helicopter EMS units available in the NCRTAC.

Office of Rural Health EMS Assessment Tool and Workbook

The Wisconsin Office of Rural Health recently developed an assessment tool that identified the "18 Attributes of a Successful Rural Ambulance Service.” They conducted a state-wide assessment of services and then created a companion workbook to help services improve their scores. The assessment tool and workbook are great resources for services to use in strategic planning and process improvement. Check out all the details on the Wisconsin Office of Rural Health website.

Trauma Triage Guidelines

The State Trauma Advisory Council and the NCRTAC have approved an updated version of the Field Trauma Triage Guidelines. The protocol guides EMS providers in identifying critically injured trauma patients and helps determine which should be transported to higher level trauma centers.
EMS Services and Medical Directors are asked to incorporate the guidelines into their local protocols. Implementation of the Guidelines requires review of local ground ambulance and helicopter resources, transport times and hospital capabilities.

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 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

Contact RTAC Coordinator Michael Fraley to check out any of the supplies

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.

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 projects include:

  • Stop the Bleed Hemorrhage Control Awareness
  • M-I-S-T Patient Hand-Off Format
  • Trauma Triage Protocol
  • Selective Spinal Immobilization
  • Trauma Basics Training

 Scroll down to learn more about our projects.

M-I-S-T Patient Report Format

The NCRTAC regularly hears from area hospitals how important early and efficient patient reports are to them so that they can alert and organize their trauma teams to receive patients. We also know that the first few minutes after a patient’s arrival in the emergency department are critical and many team members have work to do all at once.

EMS providers can help make these important phases in patient care go smoother by using an organized format in their patient care reports. An organized format assures that the report is quick and includes all the critical elements while saving the less important details for the written patient care report.

Check out the M-I-S-T format of radio and bed side reporting in action in this quick YouTube video.