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Hospital

Primary RTAC

Trauma Service Level

Primary Contact

Planned Changes/Comments

Appleton Medical Center

Fox Valley

III

Peggy Bree

None

Aurora Medical Center-Oshkosh

Fox Valley

III

James Piper

Dependent on physician recruitment efforts

Aurora Medical Center-Two Rivers

Gary Waddle

None

Aurora Sheboygan Memorial Med Ctr

Southeast

Mary Ann Bashaw

Plan to change to level III; obstacle is mandatory trauma certification of surgeons.

Aurora Valley View Medical Center

Southeast

Mary Ann Bashaw

Planned to be level III but need to deal with surgeons to obtain ATLS

Berlin Memorial Hospital

Fox Valley

III

Barbara J Larson

None

Calumet Medical Center

Fox Valley

III

Lea Whitby

None

Holy Family Memorial

Northeast

III

Dale Wallerich

None

Mercy Medical Center

Fox Valley

II (NOT ACS Verified)

Clifford Lehman

Plan to go for certification soon

New London Family Medical Center

Fox Valley

IV

Diane Tyler

Currently looking into Level III designation

Ripon Medical Center

Fox Valley

III

Joann Strandell

No plans for changing level

Shawano Medical Center

Fox Valley

Diane Holschbach

St. Agnes Hospital

Southeast

IV

Nettie Jenkins

None

St. Elizabeth Hospital

Fox Valley

III

Bob Turner

It is anticipated that we will move to a Level II status

St. Michael's Hospital

North Central

III

Michael Curtis MD

St. Nicholas Hospital

Southeast

III

Candace Grohskopf

None

Theda Clark Medical Center

Fox Valley

ACS Verifed level II

Kelly Stanislaus

None

Wild Rose Community Mem. Hospital

Fox Valley

IV

Dawn Shuman

None

Hospital

Trauma Center(s)

Peds Transfer Agreements

Burn Transfer Agreements

Comments

Appleton Medical Center

Theda Clark, ?Froedert & UW

No

No

Aurora Medical Center-Oshkosh

UW Madison & Theda Clark

To be developed with Children's Hospital of WI

To be developed with St. Mary's - Milwaukee

Transfer agreements to be initiated with these two trauma centers

Aurora Medical Center-Two Rivers

Froedert, Theda Clark, St. Vincent's

No, Send pts. To St. Vincents or Children's Hopsital in Milwaukee

No, Send to St. Mary's Milwaukee

We do not have "agreements" but we do send pts to hospitals as noted

Aurora Sheboygan Memorial Med Ctr

No

No

Aurora Valley View Medical Center

No

No

Copies of protocols given to SE RTAC

Berlin Memorial Hospital

UW Madison & Theda Clark

Yes, Theda Clark Medical Center

Yes, St. Mary's Milwaukee

Calumet Medical Center

No

No

Burn protocols attached

Holy Family Memorial

Froedert, Theda Clark, St. Vincent's

No

No

Mercy Medical Center

UW Madison

UW Madison

St. Mary's Milwaukee

New London Family Medical Center

Theda Clark

No

No

Ripon Medical Center

Theda Clark

Yes, Children's Hospital of WI

Yes, St. Mary's Milwaukee

Shawano Medical Center

UW Madison, Theda Clark, & St. Vincent's

No

Yes, St. Mary's Milwaukee

St. Agnes Hospital

There are no written agreements

No Written

No written

St. Elizabeth Hospital

UW Madison, St. Vincent's

Yes, UW Madison

Yes, UW Madison

St. Michael's Hospital

No agreements in plan

No

No

Burn care protocol enclosed

St. Nicholas Hospital

Froedert & St. Vincents

Yes, Children's Hospital of WI

Yes, St. Mary's Milwaukee

Theda Clark Medical Center

UW Madison & Children's Hospital of WI Milwaukee

Yes, Children's Hospital of WI & UW Madison

Yes, UW Madison & Children's Hospital of WI

Wild Rose Community Mem. Hospital

UW Madison & Theda Clark

Yes, Theda Clark Medical Center

Yes, St. Mary's Milwaukee

EMS Service

Primary RTAC

Service Level(s)

Contact Person

Medical Director

Primary Destination

Med Control

EMS Service

1st Responders

Mutual Aid Agreements

Trauma Centers

Comments

Berlin EMS

Fox Valley

EMT-IV Tech

Dr. Eastman

Berlin Memorial Hospital

Berlin Memorial Hospital

Berlin EMS

Waushara County EMS

Froedert, UW Madison, Theda Clark

Transport to Trauma Center "If we get an RN to ride with us.

Black Creek Rescue

Fox Valley

EMT-IV Tech

Kathy Pasch

Dr. Erica Meyer

Appleton Medical Center

Appleton Medical Center

Black Creek Rescue

Black Creek Rescue 1st Responders

Theda Clark & St. Vincents

Intercept, ThedaStar or Eagle III

Brook's Ambulance

Southcentral

EMT-IV Tech & EMT-I

Steve Metz

Dr. Jerry Jones

Waupun Memorial & St. Agnes

Waupun Memorial & St. Agnes

Brook's Ambulance

Oakfield 1st Responders & Brandon 1st Responders

Froedert, UW Madison, Theda Clark, St. Vincents

Calumet Medical Center Ambulance

Fox Valley

EMT-I & EMT-P

Paul Roberts

Dr. John Hayden DO

Calumet Medical Center, St. Elizabeth, Theda Clark, Appleton Medical Center

Calumet Medical Center. Also, Appleton area hospitals included in the Fox Cities Paramedic plan as needed

Calumet Medical Center Ambulance

New Holstein 1st Responders, Hilbert-Potter 1st Responders, Stockbridge 1st Responders

Gold Cross Ambulance, Kiel Ambulance

Theda Clark & St. Vincents

Campbellsport FD

Southeast

EMT-B

Shirley Straub

Dr. Martha Bauder

St. Agnes & St. Joseph, West Bend.

St. Agnes

Campbellsport FD

Eden 1st Responders, Lomira FD 1st Responders

Eden Fire Dept, Lomira FD, Fond du Lac FD & Kewaskum FD

Froedert & Theda Clark

Flight for Life transports when called.

Clintonville Area Ambulance

Fox Valley

EMT-IV Tech & EMT-IE

Carol Kersten

Dr. Tim Rasor

New London Family Medical Center & Shawano Medical Center

All Fox Valley Medical Control hospitals and Shawano Medical Center.

Clintonville Area Ambulance

Navarino EMS, Marion Area 1st Responders, Embarrass 1st Responders, Grant EMS, Northwest 1st Responders & Bear Creek 1st Responders.

NLFMC Ambulance & Black Creek Rescue

Try to utilize helicopter transport

Dale Fire & EMS

1st Responder

Vicki Lautenschlager

Dr. Mark Westfall

Appleton Medical Center, Theda Clark, St. Elizabeth

Appleton Medical Center

Dale Fire & EMS

Gold Cross Ambulance

Fox Valley

EMT-P

Dave Henning

Mark Westfall DO

Theda Clark, Mercy Medical, St. Elizabeth, Appleton Medical Center

Theda Clark, Mercy Medical, St. Elizabeth, Appleton Medical Center

Gold Cross Ambulance

Freedom 1st Resp, Greenville 1st Resp., Dale 1st Resp., Center 1st Resp., Ellington 1st Resp., Grand Chute 1st Resp, Town of Kaukauna 1st Resp, Town of Buchanan 1st Resp, Combined Locks 1st Resp, Fox Valley Metro PD, Appleton PD, Appleton FD, Outagamie Co. Airport, Outagamie Co. SD, Hortonville 1st Resp, Clayton/Winchester 1st Resp., Winneconne 1st Resp, Omro 1st Resp, Town of Algoma 1st Resp, Town of Vinland 1st Resp, Town of Oshkosh 1st Resp, Town of Boom Bay 1st Resp., Town of Utica 1st Resp, Town of Menasha 1st Resp., Neenah-Menash FD, Neenah PD, Menasha PD, Town of Neenah 1st Resp., Town of Stockbridge 1st Resp, Town of Harrison 1st Resp., Hilbert-Potter 1st Resp., Calumet Co. SD

Oshkosh FD & Kaukauna FD

Theda Clark

Grand Chute Fire Dept

Northeast

1st Responder

Robert Olson

Dr. Mark Westfall

Appleton Medical Center, St. Elizabeth, Theda Clark

Appleton Medical Center, St. Elizabeth, Theda Clark

Grand Chute Fire Dept

Greenville 1st Responders

Fox Valley

1st Responder

Mark Evers

Dr. Mark Westfall

Appleton Medical Center & St. Elizabeth

Appleton Medical Center & St. Elizabeth

Greenville 1st Responders

Dale, Ellington, Center, Grand Chute, Clayton-Winchester

Howards Grove FD

1st Responder

Leonard Schwinn

Dr. Larry Duenk

Howards Grove FD

Kaukauna FD

Fox Valley

EMT-P

Robert Nack

Dr. Strancke

St. Elizabeth & Appleton Medical Center

St. Elizabeth & Appleton Medical Center

Kaukauna FD

Town of Kaukauna / Vandenbroek 1st Responders & Buchanan 1st Resp.

Gold Cross Ambulance, County Rescue

Maine 1st Responders

Fox Valley

1st Responder

Donald Reese

Dr. Rasor

New London Family Medical Center, Appleton Medical Center

New London Family Medical Center

Maine 1st Responders

Theda Clark

Manawa Rural Ambulance

Fox Valley

EMT-B, Hope to step up to EMT-I within 2 months.

Mike Pamperin

Dr. Tim Rasor

New London Family Medical Center & Waupaca Riverside

New London Family Medical Center

Manawa Rural Ambulance

Ogdensburg/St. Lawrence, Mukwa, Northwest & Dupont

Manitowoc FD

Northeast

EMT-P, Interfacility

William P Manis II

Dr. Todd Nelson

Holy Family, Aurora-Two Rivers

Holy Family, Aurora-Two Rivers, Sheboygan Memorial, St. Nick's, and Valley View

Manitowoc FD

Branch, Cleveland, Collins, Francis Creek, Kellnersville, Newton, Reedsville, Silver Creek, St. Nazianz.

Kiel Ambulance, Mishicot Ambulance, Two Rivers FD, Valders EMS, Viking Rescue.

Froedert, UW Madison, Theda Clark, St. Vincent

Mt.Calvary Ambulance

Southeast

1st Responder & EMT-B

Teri Atkinson

Dr. Martha Bauder

St. Agnes

St. Agnes

Mt.Calvary Ambulance

St. Cloud, Calumet, Eden.

Mt Calvary FD

New London Family Medical Center EMS

Fox Valley

EMT-B, EMT-IV Tech, EMT-I & EMT-P

Cheryl Seelig, RN

Dr. Tim Rasor

New London Family Medical Center

New London Family Medical Center

New London Family Medical Center EMS

Bear Creek 1st Resp, Hortonville 1st Resp.

Fremont, Waupaca/Weyauwega, Clintonville, Shiocton, Manawa, Iola

Froedert, UW Madison, Theda Clark, St. Vincent's

North Fond du Lac Fire/EMS

Southeast

EMT-IV Tech

Dana Sechler

Dr. Martha Bauder

St. Agnes

St. Agnes

North Fond du Lac Fire/EMS

Van Dyne FD, Eldorado FD, Lamarine FD, Town of Fond du Lac

All agencies in county of Fond du Lac

Ogdensburg/St. Laurence 1st Resp

Fox Valley

1st Responder

Paula Dain

Dr. Rasor

Waupaca Riverside & New London Family Medical Center

Ogdensburg/St. Laurence 1st Resp

Manawa, Waupaca & Iola ambulances

Oostburg Ambulance

Southeast

EMT-I provisional which will become EMT-IV tech in 6/04

Mary Grill

Dr. Larry Duenk

St. Nicholas-Sheboygan, Sheboygan Memorial, Plymouth Valley View.

St. Nicholas-Sheboygan, Sheboygan Memorial, Plymouth Valley View.

Oostburg Ambulance

Cedar Grove, Adell, Town of Sheboygan Falls

Orange Cross, Random Lake Ambulance, Plymouth Ambulance

Froedert

via FFL

Oshkosh FD

Fox Valley

EMT-P

James Austed

Boris Berajan, MD

Mercy Medical Center

Mercy Medical Center

Oshkosh FD

Town of Algoma, Town of Nekimi, Town of Black Wolf & Town of Oshkosh

Outagamie Co. Airport FD

Fox Valley

1st Responder

Brian L Yogerst

Mark Westfall DO

Outagamie Co. Airport FD

Greenville 1st Resp

Plymouth Ambulance

Southeast

EMT-I

Constance G.W. Herdink

Dr. Larry