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Wisconsin EMS protocols,
Wisconsin EMS protocols,
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Offline, county-specific protocols for Wisconsin EMS providers — searchable, with a full medication reference, hospital finder, and study tools built in.
Protocols current as of October 27, 2026
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What's covered in Wisconsin
The protocol set serving Wisconsin right now.
Mercyhealth Wisconsin EMS Guidelines
Nov 2025 ↗
PDF document
1,117
Flashcards
528
Quiz questions
52
Medications
4
Resources
Study tools for Mercyhealth Wisconsin EMS Guidelines
A few real flashcards and quiz questions from Wisconsin's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
Emergency Obstetrics: estimating fetal viability by fundal height
As a rough guide, when the fundus of the uterus extends beyond the umbilicus, the fetus is potentially viable.
Neonatal Resuscitation: normal number of umbilical cord blood vessels
The number of blood vessels on the cord is recorded as data; 3 is normal.
Central Venous Catheter skill: dialysis port colors
The red port removes blood from the patient; the white or blue port returns blood to the patient.
Bradycardia: adult atropine dose and maximum (Paramedic)
For unstable adult patients, give Atropine Sulfate 1 mg IV/IO while initiating Transcutaneous Pacing. May repeat every 3-5 minutes to a maximum of 3 mg for adult/adolescent. Use with caution in suspected ACS or MI.
Cardiac arrest: adult chest compression rate and depth (EMR/EMT)
Initiate manual continuous chest compressions at a rate of 100-120/minute. Adults: compress 2 to 2.4 inches. Allow full recoil and minimize any pauses to <10 seconds.
Chest pain of suspected cardiac origin: target time for the 12-lead EKG
Acquire a rapid 12-Lead EKG, ideally in <10 minutes of first medical contact, with good skin prep and in the supine position as much as possible. A normal ECG does not rule out myocardial infarction.
Hypertensive Emergency (Adult): definition
A severely elevated blood pressure (SBP > 220 or DBP > 120) with signs and/or symptoms suggesting end-organ dysfunction, such as neurologic damage, cardiovascular damage, or other organ system dysfunction such as acute kidney failure or retinopathy.
Post-ROSC: STEMI identified on post-ROSC ECG (EMR/EMT)
Treat per the Chest Pain of Suspected Cardiac Origin guidelines, and initiate transport to a cardiac catheterization capable center, with a STEMI alert as operationally feasible.
Quiz questions
An unwitnessed arrest patient is found in asystole with no bystander CPR, but a drug overdose is suspected. Does the unwitnessed-asystole withholding criterion apply?
- No; asystole is never a withholding criterion
- Yes, withhold resuscitation
- Yes, but only after 20 minutes of CPR
- ✓ No; the criterion does not apply if drug overdose is suspected
An unstable adult with bradycardia receives atropine. What is the dose and maximum per the Paramedic section?
- 0.5 mg IV, max 3 mg
- ✓ 1 mg IV/IO every 3-5 minutes, max 3 mg
- 1 mg IV/IO every 10 minutes, max 2 mg
- 0.02 mg/kg IV, max 1 mg
Hypertensive Emergency (Adult): what is the maximum blood pressure reduction goal in the first hour?
- No more than 50%
- Normalize to 120/80
- At least 30%
- ✓ No more than 20%
Hypothermia cardiac arrest: how many defibrillation attempts are made before the core temperature is above 86 degrees F?
- ✓ One; do not attempt more than once until core temperature is > 86 degrees F
- Three stacked shocks
- Unlimited, same as normothermic arrest
- None until rewarmed
Post-ROSC (Paramedic): which history should prompt treatment for hyperkalemia per the Cardiac Arrest Guidelines?
- Hypothermia
- Burn less than 2 hours ago
- ✓ End-stage renal disease on dialysis
- Recent albuterol use
Adult Tachycardia guideline: a stable adult in SVT did not convert after the first adenosine dose. What is the second dose?
- 0.2 mg/kg IV
- 6 mg IV over 1-2 seconds
- ✓ 12 mg IV over 1-2 seconds
- 18 mg IV over 1-2 seconds
Sourced from Wisconsin's EMS authority
Pocket Protocols brings Wisconsin's EMS protocols into a faster, fully offline app.
Wisconsin protocols — FAQ
Are Wisconsin's EMS protocols available offline?
Yes. Download the protocol set for your area once and every protocol, medication, and hospital is available with no signal — built for basements, rural calls, and dead zones.
Which protocol sets are available in Wisconsin?
The available protocol sets for Wisconsin are listed on this page with their formats and official sources. Coverage varies by set and does not necessarily include every area or agency. Check that a listed set applies to your agency before downloading.
Is Pocket Protocols official, or affiliated with Wisconsin?
No — Pocket Protocols is an independent app and isn't affiliated with or endorsed by any EMS authority. We bring Wisconsin's protocols into a faster, fully offline app and link the authority's own source for every set.
How do Wisconsin protocol updates reach the app?
When the EMS authority publishes a new version and it goes live in Pocket Protocols, the app refreshes automatically — crews are never working from a stale copy. We monitor official sources for changes every day.
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