Good Samaritan Information for Bystanders . These are intended for the lay public, not EMS personnel, who should follow their agency's protocol for handling expenses. More and more western Wisconsin EMT-Basic ambulance services are upgrading their level of care to Intermediate. The 140-hour course is offered by the Wisconsin Indianhead Technical College in New Richmond and the Chippewa Valley Technical College in Eau Claire. Municipal Ambulance Service in Amery, St. Croix Valley EMS in St. Croix Falls and Ellsworth Area Ambulance Service are actively pursuing the intermediate upgrade.
Intermediates are also able to establish intravenous therapy.
In Minnesota, BLS services can now apply to the EMS Regulatory Board for a medication variance. To date, personnel from the Lower St. Croix Valley Fire Department and Marine on St. Croix Ambulance Service have taken the additional four-hour training. The variance allows BLS services to carry and administer aspirin, nitroglycerin, albuterol, glucagon, and EpiPens. The decision caps a rigorous verification process that included an appraisal of 130 trauma standards and a site review by ACS trauma surveyors. Hospitals must also maintain programs in quality improvement, research, injury prevention and community and professional education.