EMS provides life-saving healthcare to patients outside of hospitals. It is delivered by EMRs, EMTs, and paramedics responding to 911 calls. The goals are to provide on-scene intervention quickly and transport patients rapidly to emergency departments. Door County EMS was established in 1970 and was the first rural paramedic program in Wisconsin. It operates ambulances staffed by EMTs, AEMTs, and paramedics out of stations in Sister Bay, Sturgeon Bay, Brussels, and Washington Island.

2. What is EMS?
 The delivery of life-saving healthcare to patients
outside of the hospital setting
 EMS care is delivered by pre-hospital rescuers
such as EMR’s, EMT’s and Paramedics
 Resources are triggered from a single 911phone
call
 These resources work together to achieve two
primary goals:
 Deliver on-scene, life-saving intervention as soon as
possible.
 Deliver the patient as quickly as possible to a hospital
Emergency Department.

3. History of EMS in Door
County
 Established in 1970
 October 1979 Door County Becomes 1st Rural
Paramedic Program in Wisconsin - Nation
 1989 - Central Crew moves to In-house in
Sturgeon Bay
 2004 - North Crew moves In-house Sister Bay
 2015 – Proposing New Central Headquarters
Station
 2015 – Proposing the addition of 6 Paramedics
 2015 – Proposing joint building project with
BUG Fire Department to keep ambulance south

4. Door County EMS
 Staffing Levels
 Sister Bay
○ One Paramedic ambulance (staffed Full Time)
○ One Reserve Unit (staffed by “casual call”)
 Sturgeon Bay
○ One Paramedic ambulance (staffed Full Time)
○ One Reserve Unit (staffed by “casual call”)
 Brussels
○ One EMT ambulance (staffed by “paid on call”)
 Washington Island
○ Two EMT ambulances (staffed by “all call”)

5. Door County EMS
Resources
 Emergency Medical Responders
 Emergency Medical Technicians
 Advanced Emergency Medical
Technicians
 Paramedics

6. Explanation of Staffing Levels

7. Emergency Medical
Responder
 Initial Training
 48 – Hours (with optional additional
advanced skills 40 additional hours)
 Continuing Education
 18 – Hours (every 2 years)
 Provide Emergency Care for the first 10
minutes
 CPR, AED, Assist with extrication, etc.

8. EMR Skills

9. Emergency Medical
Technician
 Initial Training
 140 – Hours (with optional additional
advanced skills 40 additional hours)
 Continuing Education
 30 – Hours (every 2 years)
 Administer select group of Medications
 Nitro, Epinephrine, Albuterol, Narcan
 Non-Visualized Airway

10. EMT Skills

11. Advanced Emergency
Medical Technician
 Initial Training
 140 – Hours (in addition to Basic EMT)
 Continuing Education
 48 – Hours (every 2 years)
 Start IV’s, Venous or Intraosseous
 Cardiac Monitoring
 Administer a select group of medications
 All of the Medications that a Basic EMT +
Dextrose, Glucagon

12. Advanced EMT Skills

13. Paramedic
 Initial Training
 1,200 - Hours
 Additional Certifications
○ ACLS, PALS, CPR, CCP, NRP
 Continuing Education
 48 - State License (every 2 years)
 72 - National License (every 2 years)
 Addition Certifications – Same as above

14. Paramedics
 Everything an EMR, EMT & AEMT can do
 Advanced Patient Assessment
 Advanced Airway
 Endotracheal
 Surgical Airway
 Cricothyrotomy
 Cardiovascular
 12-Lead Interpretation
 Medication
 Administer over 60 different medications
 Central Lines

15. Paramedic Skills

16. And the Wisconsin Administrative Rule

17. Door County EMS Minimal
Staffing
 Two (2) Paramedic System
 DHS 110.50.1.d
○ Paramedic ambulance.
 1. For an ambulance service provider licensed
before January 1, 2000; the ambulance shall be
staffed with two EMT-Paramedics

18. Door County EMS Minimal
Staffing
 2. Except as provided in sbd.3., for an
ambulance service provider licensed after
January 1, 2000; the ambulance shall be
staffed with at least one EMT-Paramedic and
one EMT at any level. If a patient requires
patient care at the paramedic level, the
paramedic shall remain with the patient at all
times during care and transport of the patient
(does not apply to Door County, since Door
County was a paramedic service in 1979)

19. Door County EMS Minimal
Staffing
 3. For an ambulance service provider licensed at the
paramedic level in the same primary service area in
which paramedic service was or is provided by two
EMT-Paramedics, the ambulance shall be staffed
with two EMT-Paramedics

20. Door County EMS
System Response
 Dial 911
 Page Responders
 EMR’s, Respective Ambulance assigned to
area
 Other Resources
 Para-Tran
 Eagle III
 Theda Star