Dane County  
Minutes - Final Unless Amended by  
Committee  
Emergency Medical Services - Medical Advisory Subcommittee  
Consider:  
Who benefits? Who is burdened?  
Who does not have a voice at the table?  
How can policymakers mitigate unintended consequences?  
Monday, November 13, 2023  
12:00 PM  
Hybrid Meeting - attend in person at 5791 Lacy Rd.  
Fitchburg, WI 53711 or by Zoom  
Interpreters must be requested in advance; please see the bottom of the agenda for more information.  
Los intérpretes deben solicitarse con anticipación; consulte el final de la agenda para obtener más  
información.  
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The November 13th Medical Advisory Subcommittee meeting will be a hybrid meeting. Members of the  
public can either attend in person or virtually via Zoom.  
The public can attend in person at Fitchburg Fire Station 1, 5791 Lacy Rd. Fitchburg, WI.  
The public can access the meeting virtually with the Zoom application or by telephone.  
To join the meeting in Zoom, click the following link (after you fill out the form, the meeting link and  
access information will be emailed to you):  
https://zoom.us/webinar/register/WN_jK41p5lDTKOlchuW3hv7qg  
This link will be active until the end of the meeting.  
To join the meeting by phone, dial-in using one of the following three toll-free phone numbers:  
1-833-548-0276  
1-833-548-0282  
1-888-788-0099  
When prompted, enter the following Webinar ID: 950 0447 5399  
PROCESS TO PROVIDE PUBLIC COMMENT:  
IN PERSON: Any members of the public wishing to register to speak on/support/oppose an agenda item  
can register in person at the meeting using paper registration forms. IT IS HIGHLY ENCOURAGED TO  
REGISTER VIA THE ZOOM LINK ABOVE EVEN IF YOU PLAN ON ATTENDING IN PERSON.  
In person registrations to provide public comment will be accepted throughout the meeting.  
VIRTUAL: Any members of the public wishing to register to speak on/support/oppose an agenda item  
MUST REGISTER USING THE LINK ABOVE (even if you plan to attend using your phone). Virtual  
registrations to provide public comment will be accepted until 30 minutes prior to the beginning of the  
meeting.  
In order to testify (provide public comment) virtually, you must be in attendance at the meeting via Zoom  
or phone, you will then either be unmuted or promoted to a panelist and provided time to speak to the  
body.  
If you want to submit a written comment for this meeting, or send handouts for board members, please  
send them to: morency.courtney@countyofdane.com  
A. Call To Order  
The meeting was called to order at 12pm.  
15 -  
Present  
Absent  
KACEY KRONENFELD, STEPHANIE LEHMANN, MIKE LOHMEIER, LISA  
SCHIMELPFENIG, TINA STRANDLIE, DAN WILLIAMS, MEGAN GUSSICK, ERIC  
LANG, JEFF VANBENDEGOM, BRANDON RYAN, DANIEL SEFCIK, TOM  
PASCH, FRANK LOYO, STEVE DIEBOLD, and NICK WLEKLINSKI  
12 -  
DREW DEAN, KRISTEN DRAGER, TERESA FIEDT, PAUL HICK, MIKE  
MANCERA, MEL PEARLMAN, DAVID PENA, GREG BAILEY, MICHAEL  
MACKESEY, COLTON RITCHIE, COLTON RITCHIE, and MIKE SPIGNER  
Guests: Chris Hammes, Sarah Hughes, Patrick Anderson, Dr. Butterbaugh, Anthony  
Disalvo, Scott Russell, Nick George, Bobby Brown, Chris Carbon, Kris Loy, Chris Dennis  
B. Consideration of Minutes  
MEDICAL ADVISORY SUBCOMMITTEE OCTOBER 2023 MINUTES  
2023  
MIN-388  
Attachments: Minutes  
The minutes were approved.  
C. Discussion Items  
DCEMS Protocols - Standing Item  
Recommendation to consider max 3 doses of epi for cardiac arrest was made to  
agencies.  
Needle Decompression Protocol  
SCRTAC offered needle decompression SAM device to all agencies in the county for  
free. Concern was about whether it was covered under protocols. Location for needle  
decompression was discussed.  
Infant Co-Sleeping Deaths  
Eric Anderson shared that he started noticing about a month ago that there has been an  
increase in infant co-sleeping deaths. There have been 7 since August. He would like to  
look at a public information push. Sarah Hughes from Public Health reports there is a  
team that receives infant death cases to review quarterly. Lehmann suggests to also  
have St. Mary's and Meriter OB and Pediatric departments meet with Public Health to  
discuss what information is shared within OB departments to patients. Anderson will  
connect Hughes to proper contacts with the hospitals to move discussion along, and to  
look at out-of-hospital pre-natal care agencies to connect with as well.  
AirQ3 Airway Device  
Pediatric king tubes are not approved for use anymore; many agencies moved to new  
AirQ3 instead. Works well as a supraglottic device. Dr. Lohmeier suggest they should not  
be used to intubate through due to the frequency of intubation going into the esophagus.  
D. Presentations  
E. Reports to Committee  
PHMDC: The respiratory disease dashboard is now available online again with the arrival  
of flu season. RTAC: Trauma conference is December 7th. UW: Several QA initiatives  
are going on currently; there may be rooms in the ED where they are doing audio/video  
recording as a head up to EMS providers. 2023 training is also coming to an end for the  
year and the plan for next year is being established. Meriter: Pharmacy residents would  
like to give presentations to EMS agencies about medications. Suggestion to record as a  
video. Meriter and St. Mary's OB departments are working together to come up with  
recommendation for EMS on how to keep neonates warm in back of ambulance.  
DCEMS: Have received questions about nasal Glucagon as an option. An LTE is looking  
into this to provide more information to subcommittee. Kailey Peterson has a supply of  
Narcan available for agencies, including law enforcement. OAK boxes containing Narcan,  
fentanyl test strips, and brochure resources are available in some local fire departments.  
Peterson will be in charge of coordinating with agencies who are interested in getting  
them for their own station(s). For now, Safe Communities will be providing the supplies,  
but once they run out DCEMS will be providing supplies. Old R30 is being emptied out  
and given to the Sheriff's Department for their drone team. New R30 is available for  
agencies to train members on how to use the bariatric lift. DCEM office has officially  
moved into their new Fitchburg location and will start hosting meetings there starting in  
January. MFD: Has draft protocol for Suboxone that will be shared with group once it is  
ready to be approved by the state. Will put on January MAS agenda.  
F. Future Meeting Items and Dates  
The next meeting will be in January (date to be confirmed) at Emergency Management's  
new location of 2982 Kapec Rd. Fitchburg.  
G. Public Comment on Items not on the Agenda  
H. Such Other Business as Allowed by Law  
VividTrac device has a new model that is available with the older device being  
discontinued. Understanding is that new device will not work with Android devices.  
Deforest and Madison use AirTraq; Deforest is willing to let other agencies come look at  
their devices. Fitch-Rona had a call recently where a patient ended up going to geriatric  
psych at Stoughton Hospital; there were issues at patient hand-off; Strandlie helped  
clarify in-patient psych qualifications for Stoughton ED. A guidance document for when to  
transport to their ED is in the process of being created.  
I. Adjourn  
Minutes of the Medical Advisory Subcommittee respectfully submitted by Courtney Morency.