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, October 11, 2021  
12:00 PM  
Virtual Zoom Meeting: See top of agenda for  
instructions on how to join the webinar or call in by  
phone.  
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.  
Yuav tsuam tau thov txog cov neeg txhais lus hau ntej; thov saib hauv qab kawg ntawm qhov txheej  
txheem rau cov ntaub ntawv ntxiv.  
The September 13th Medical Advisory Subcommittee is being held virtually. The public can access the  
meeting 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_mh38U030QxGxWMqjIW_hBA  
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 phone toll-free numbers:  
1-833-548-0276  
1-833-548-0282  
1-888-788-0099  
When prompted, enter the following Webinar ID: 998 6187 7483  
If you want to submit a written comment for this meeting, or send handouts for board members, please  
send them to: dcems@countyofdane.com  
PROCESS TO PROVIDE PUBLIC COMMENT: 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).  
In order to testify (provide public comment), 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.  
Registrations to provide public comment will be accepted until 30 minutes prior to the beginning of the  
meeting.  
A. Call To Order  
The meeting was called to order at 12:03pm.  
13 -  
Present  
Absent  
SCOTT ALLAIN, KACEY KRONENFELD, STEPHANIE LEHMANN, MIKE  
LOHMEIER, MIKE MANCERA, MEL PEARLMAN, LISA SCHIMELPFENIG, TINA  
STRANDLIE, DAN WILLIAMS, MEGAN GUSSICK, ERIC LANG, JEFF  
VANBENDAGOM, and DR JOHN AGUILAR  
17 -  
CHRIS CARBON, SHERRY CASALI, DREW DEAN, KRISTEN DRAGER, TERESA  
FIEDT, PAUL HICK, ERIN POLKINGHORN, JEFF POTHOF, ERIN RYAN , DAVID  
PENA, CORY HROMOTKO, ABIGAIL DAHLBERG, BRANDON RYAN, GREG  
BAILEY, AURORA LYBEK, JOSH ROSS, and CHRIS WALTERS  
Additional Members Present: Michael Adams  
Guests: Patrick Anderson, Brian Goff, Katherine Darr, Michael Kim  
Staff: Carrie Meier, Eric Anderson, Courtney Morency  
B. Consideration of Minutes  
MEDICAL ADVISORY SUBCOMMITTEE SEPTEMBER 2021 MINUTES  
2021  
MIN-357  
Attachments: September Minutes  
The minutes were approved.  
C. Discussion Items  
Infection Control Handbook  
Group agreed that it would be best to update the Infection Control Handbook every two  
years at the same time as the EMS Protocol update. A Covid-19 protocol page will be  
added; Kronenfeld and Lohmeier will work to put a draft together before the next MAS  
meeting. They will also ensure there is a disclaimer page at the beginning of the book  
that explains that as diseases evolve recommendations from public health agencies may  
change. Dustin Weber reports that he is working on updated infectious control training.  
Meier reports that the state is offering fit testing, so she will work on bringing them into  
the county.  
ECMO  
UW Health is expanding the age range of patients eligible to be considered for ECMO.  
Patients starting at 13 may now be considered potential candidates. They are also trying  
to emphasize considering ECMO after pushing the first dose of epi. Desire is expressed  
to message this more widely as providers don't always consider ECMO within the  
necessary time frame. DCEMS office will put this information in a future newsletter. It  
was also suggested to have Communication Center dispatchers prompt providers in the  
field.  
ED Diversion Draft  
ED Diversion draft was created among the hospital ED's to take the responsibility off  
EMS staff to ask hospitals if they're able to receive transport patients. It advocates for  
clear guidance and discussion among hospitals before a decision is made. 911 diversion  
is also discouraged.  
Protocol Update  
The goal date for implementation of the new version is early 2022. Kronenfeld thanks  
everyone who's been involved in updating. DCEMS office is still working on cleaning up a  
couple protocols. Some protocols have been removed, but some new ones have been  
added. The new version will have two formats like the last update: a Field Operators  
Guide and a full protocol book.  
DCEMS Office Update  
The newsletter continues to go out every month. Emergency Management will be hiring a  
new position soon, an EM Specialist. The PulsePoint AED program has been at a bit of  
a standstill while other projects have been going on, but the hope is to get that back on  
the forefront again soon. Anderson continues to create cardiac arrest reviews and used  
the last newsletter to highlight a couple cases in which the crews performed optimally.  
Covid testing kits are still available from the office. C3 pathways is coming to the county  
to teach an ASIM Train the Trainer course. 15 members in the public safety community  
will then be able to train others on ASIM Basic. The office is hosting an HPCPR training  
on November 2nd.  
D. Presentations  
E. Reports to Committee  
F. Future Meeting Items and Dates  
G. Public Comment on Items not on the Agenda  
H. Such Other Business as Allowed by Law  
I. Adjourn  
The meeting was adjourned at 12:45pm  
Minutes respectfully submitted by Courtney Morency.