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ASTM F1285-22

(Guide)

Standard Guide for Training the Emergency Medical Technician to Perform Patient Examination Techniques

Standard Guide for Training the Emergency Medical Technician to Perform Patient Examination Techniques

SIGNIFICANCE AND USE
4.1 This guide establishes the minimum national standard for training the Emergency Medical Technician to perform patient examination techniques on patients of all ages.  
4.2 This guide shall be used by those who wish to identify the minimum training standard for the Emergency Medical Technician as it relates to the performance of patient examination techniques.  
4.3 This guide shall be used as the basis to revise Practice F1031.  
4.4 Every person who is identified as an Emergency Medical Technician shall have been trained in accordance with this guide.  
4.5 This guide does not stand alone and must be used in conjunction with the applicable documents cited in Section 2.
SCOPE
1.1 This guide covers the minimum patient examination techniques that the Emergency Medical Technician shall be trained to use when assessing ill or injured patients of all ages.  
1.2 This guide is one of a series which together describe the minimum training standard for the Emergency Medical Technician.  
1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use.  
1.4 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

General Information

Status
Published
Publication Date
14-Mar-2022
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.02 - Personnel, Training and Education
Current Stage
Ref Project

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ASTM F1285-22 - Standard Guide for Training the Emergency Medical Technician to Perform Patient Examination Techniques
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This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the
Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
Designation: F1285 − 22
Standard Guide for
Training the Emergency Medical Technician to Perform
1
Patient Examination Techniques
This standard is issued under the fixed designation F1285; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1. Scope 3.1.1 emergency medical technician (EMT) (NHTSA)—The
primary duty of the Emergency Medical Technician is to
1.1 This guide covers the minimum patient examination
provide basic emergency medical care and transportation for
techniques that the Emergency Medical Technician shall be
critical and emergent patients who access the emergency
trained to use when assessing ill or injured patients of all ages.
medical system. This individual possesses the basic knowledge
1.2 This guide is one of a series which together describe the
and skills necessary to provide patient care and transportation.
minimum training standard for the Emergency Medical Tech-
Emergency Medical Technicians function as part of a compre-
nician.
hensive Emergency Medical Services response, under medical
1.3 This standard does not purport to address all of the
oversight. Emergency Medical Technicians perform interven-
safety concerns, if any, associated with its use. It is the
tions with the basic equipment typically found on an ambu-
responsibility of the user of this standard to establish appro-
lance. The Emergency Medical Technician is a link from the
priate safety, health, and environmental practices and deter-
scene to the emergency health care system. Emergency Medi-
mine the applicability of regulatory limitations prior to use.
cal Technicians’ scope of practice includes basic, noninvasive
1.4 This international standard was developed in accor-
interventions to reduce the morbidity and mortality associated
dance with internationally recognized principles on standard-
with acute out-of-hospital medical and traumatic emergencies.
ization established in the Decision on Principles for the
Emergency care is based on assessment findings.
Development of International Standards, Guides and Recom-
3.2 Definitions of Terms Specific to This Standard:
mendations issued by the World Trade Organization Technical
Barriers to Trade (TBT) Committee. 3.2.1 auscultation—examination by listening with a stetho-
scope.
2. Referenced Documents
3.2.2 inspection—examination by careful visualization of
2
2.1 ASTM Standards:
the body or a part of the body.
F1031 Practice for Training the Emergency Medical Tech-
3.2.3 palpation—examination by touching with the hand.
nician (Basic)
2.2 Other Referenced Standards:
4. Significance and Use
3
NHTSA National EMS Scope of Practice Model
4
4.1 This guide establishes the minimum national standard
NHTSA National EMS Education Guidelines
for training the Emergency Medical Technician to perform
patient examination techniques on patients of all ages.
3. Terminology
3.1 Definitions:
4.2 This guide shall be used by those who wish to identify
the minimum training standard for the Emergency Medical
Technician
...

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5.1 The emergency medical dispatcher should be a specially trained telecommunicator with specific emergency medical knowledge. Many of these personnel still perform in this role without the benefits of dispatch specific medical training and medically sound protocols. The majority perform their duties without appropriate medical management provided through a structured quality assurance/improvement environment. Training only prepares a new EMD for correct use of the EMDPRS. It cannot ensure that the EMDPRS is used as intended. Since the EMD is clearly defined as a prehospital medical professional, it is necessary to establish sound medical management processes through a multi-component QA/QI program administered by the EMD's agency in conjunction with the physician medical director. Prompt, correct, and appropriate patient care can be enhanced through the use of a standardized approach to quality assurance, especially the component of EMD performance assessment. This practice is intended for use by agencies, organizations, and jurisdictions having the responsibility for providing such services and assurances to the public through the correct management of the nation's emergency medical dispatchers.
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4.1 This guide is for those responsible for the development and implementation of training and evaluation programs for first responders (FRs).  
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4.3 This guide is not intended for use as a training guide for emergency ambulance personnel.
SCOPE
1.1 This guide covers the minimum training standards for First Responders (FRs) who may be responsible for the initial care of sick and injured persons of all ages in the prehospital environment.  
1.2 The scope of training will be in accordance with Guide F1287.  
1.3 Included in this guide is a standard for knowledge and skill evaluation.  
1.4 This guide does not suggest a particular training sequence.  
1.5 Operating within the framework of this guide may expose emergency medical service personnel to hazardous materials, procedures and equipment. This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use. For specific precautionary statements, see the documents cited in 2.2.  
1.6 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

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4.1 The purpose of this guide is to improve the quality of initial emergency medical care provided to the sick and injured. As the first trained person at an emergency medical scene, it is critical that the first responder be proficient in providing patient care and minimizing further complications until more highly trained emergency medical service personnel intervene.  
4.2 In identifying these minima, the guide acknowledges many types of first responder emergency medical care courses of study. This guide allows and encourages the addition of optional knowledge, skill, and attitudinal objectives. Programs such as those for law enforcement, firefighters, and ski patrol are examples of this diversity meeting specific local community needs.  
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4.9 This guide is intended to assist those who are responsible for defining the scope of performance of individuals who perform triage.  
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SCOPE
1.1 This guide covers minimum requirements for the scope of performance for individuals who perform triage at an emergency medical incident involving multiple casualties in a pre-hospital environment.  
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