EMS: Scope of Practice and Protocols
Scope of practice
The scope of practice document identifies the skills, equipment, and medications approved for use at each identified level of Emergency Medical Services (EMS) licensure or certification in Wisconsin. The scope of practice is a description of what a licensed provider or individual legally can, and cannot, do.
This document was updated in March 2024.
EMS professionals can also access the 2024 Scope of Practice narrated presentation on the TRAIN Wisconsin website.
Process for updating the scope of practice
Recommendations to the Wisconsin scope of practice are accepted on a continual basis through an online form and discussed at Physicians Advisory Council (PAC) and EMS Advisory Board meetings.
Feedback on previously submitted recommendation(s) listed below will be collected until September 30, 2024. If you wish to comment on proposed changes, please email the EMS Section at dhsemssmail@dhs.wisconsin.gov and include the proposed change you are providing feedback on.
Proposed change 1: Ventilators (PDF).
Proposed change 2: Finger thoracostomy (PDF).
Proposed change 3: Antibiotics for open fractures (PDF).
Wisconsin EMS Protocols
Service providers that would like to adopt the state protocols may contact their regional coordinator for assistance.