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.
- 2026 Scope of Practice for all levels, P-00451 (PDF), updated March 2026
- 2025 Scope of Practice presentation
- 2024 Scope of Practice narrated presentation, on TRAIN Wisconsin
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 through the posted date(s). If you wish to comment on proposed changes, email DHSEMSSMAIL@dhs.wisconsin.gov and include the proposed change you are providing feedback on.
The addition of intra-aortic balloon pumps at the critical care endorsement level has been received. Please email DHSEMSSMAIL@dhs.wisconsin.gov for a copy of the submitted recommendation regarding intra-aortic balloon pumps. All comments must be submitted by May 27, 2026 for consideration.
Wisconsin EMS Protocols
Service providers that would like to adopt the state protocols may contact their regional coordinator for assistance.