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ASTM F1421-01

(Guide)

Standard Guide for Training the Emergency Medical Technician (Basic) To Manage Obstetrical Emergencies (Withdrawn 2007)

Standard Guide for Training the Emergency Medical Technician (Basic) To Manage Obstetrical Emergencies (Withdrawn 2007)

SCOPE
1.1 This guide establishes the minimum training standard for the management of Obstetrical Emergencies by the emergency medical technician (basic).
1.2 This guide is one of a series which together describe the minimum training standard for the emergency medical technician (basic).
1.3 This standard does not purport to address all of the safety problems, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.
WITHDRAWN RATIONALE
This guide establishes the minimum training standard for the management of obstetrical emergencies by the emergency medical technician (basic).
Formerly under the jurisdiction of Committee F30 on Emergency Medical Services, this guide was withdrawn in 2007 with no replacement because the change in 1994 to the national curriculum has made this standard obsolete and the committee does not see a need to develop new standards under the new curriculum.

General Information

Status
Withdrawn
Publication Date
09-Mar-2001
Withdrawal Date
20-Feb-2007
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.02 - Personnel, Training and Education
Current Stage
Ref Project

Relations

Replaces
ASTM F1421-92 - Standard Guide for Training the Emergency Medical Technician (Basic) To Manage Obstetrical Emergencies
Effective Date
10-Mar-2001

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ASTM F1421-01 - Standard Guide for Training the Emergency Medical Technician (Basic) To Manage Obstetrical Emergencies (Withdrawn 2007)ASTM F1421-01 - Standard Guide for Training the Emergency Medical Technician (Basic) To Manage Obstetrical Emergencies (Withdrawn 2007)
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ASTM F1421-01 - Standard Guide for Training the Emergency Medical Technician (Basic) To Manage Obstetrical Emergencies (Withdrawn 2007)
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Standards Content (Sample)

NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
Designation:F1421–01
Standard Guide for
Training the Emergency Medical Technician (Basic) To
1
Manage Obstetrical Emergencies
This standard is issued under the fixed designation F 1421; 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 (e) indicates an editorial change since the last revision or reapproval.
4
1. Scope Textbook of Pediatric Advanced Life Support
1.1 This guide establishes the minimum training standard
3. Terminology
for the management of obstetrical emergencies by the emer-
3.1 Definitions:
gency medical technician (basic).
3.1.1 management techniques, n—refers to the step(s) that
1.2 This guide is one of a series which together describe the
constitute action taken by the emergency medical technician
minimum training standard for the emergency medical techni-
(basic) for a patient in need of assistance as a result of a real or
cian (basic).
perceived traumatic or medical condition.
1.3 This standard does not purport to address all of the
safety concerns, if any, associated with its use. It is the
4. Significance and Use
responsibility of the user of this standard to establish appro-
4.1 This guide establishes the minimum national standard
priate safety and health practices and determine the applica-
for training the emergency medical technician (basic) in the
bility of regulatory limitations prior to use.
management of obstetrical emergencies in patients of all ages.
This guide does not preclude additions to or modifications of
2. Referenced Documents
the management of obstetrical emergencies by the emergency
2.1 ASTM Standards:
medical technician (basic) as authorized by local medical
F 1031 Practice for Training the Emergency Medical Tech-
2
protocol.
nician (Basic)
4.2 This guide shall be used by those who wish to identify
F 1219 Guide for Training the Emergency Medical Techni-
2
the minimum training standard for the emergency medical
cian (Basic) to Perform Patient Primary Assessment
technician (basic) as it relates to management of obstetrical
F 1285 Guide for Training the Emergency Medical Techni-
2 emergencies.
cian (Basic) to Perform Patient Examination Techniques
4.3 This guide shall be used as the basis to revise Practice
F 1328 Guide for Training the Emergency Medical Techni-
F 1031.
cian (Basic) to Prepare Patients for Medical Transporta-
2 4.4 Every person who is identified as an emergency medical
tion
technician (basic) shall have been trained to this guide.
F 1329 Guide for Training the Emergency Medical Techni-
2 4.5 This guide does not stand alone and must be used in
cian (Basic) in Basic Anatomy and Physiology
conjunction with all referenced documents cited in Section 2.
F 1419 Guide for Training the Emergency Medical Techni-
2 4.6 The management steps outlined in this guide are not
cian (Basic) to Manage Shock
necessarily in sequential order, and they will often vary with
F 1420 Guide for Training the Emergency Medical Techni-
2 the patient’s age, size, location, and condition.
cian (Basic) to Perform Management Techniques
2.2 Other Documents:
5. General Guidelines
Standards and Guidelines for Cardiopulmonary Resuscita-
3 5.1 All emergency medical technicians (basic) shall be
tion and Emergency Cardiac Care
trained to:
5.1.1 Reassess all patients frequently and at least before and
1
following every therapeutic intervention.
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.02 on
5.1.2 Deal with patient problems in the order of their
Personnel, Training and Education.
severity.
Current edition approved March 10, 2001. Published April 2001. Originally
published as F 1421 - 92. Last previous edition approved F 1421 - 92.
2
Annual Book of ASTM Standards, Vol 13.02.
3 4
Reprinted from JAMA, 6 June 1986, Vol 255, pp 2842–3044. Chameides, et al., American Heart Association, Dallas, 1988.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
1

---------------------- Page: 1 ----------------------
F1421–01
5.1.3 Immediately transport patients with life-threatening 6.2.14 Allow the mother to nurse the infant if both are
conditions that cannot be resolved in the field in accordance stable.
with local protocol. 6.2.15 Document time and location of birth.
5.1.4 Treat all patients in a professional, caring, and reas- 6.2.16 Request ALS intercept, as required.
suring manner.
7. Obstetrical Emergencies—Care of the Neonate
5.1.5 Transfer care of the patient to either advanced life
support (ALS) providers responding to the scene or an appro-
7.1 Suction the neonate when the head is delivered with
priate
...

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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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SIGNIFICANCE AND USE
4.1 This guide is intended for use by those responsible for the development and implementation of training programs, that include competency evaluation, for triage in the prehospital environment.  
4.2 This guide is not intended to be used by itself, but as a component of Guide F1288.  
4.3 This guide acknowledges many types of individuals with varying levels of emergency medical training. It also establishes a minimum training standard and encourages the addition of optional knowledge, skill, and attitudinal objectives.  
4.4 A vital role in the development and operational application of triage is that of medical control. This guide should be used by medical directors in the determination of operational and medical protocols for use during MCIs and coordinated with those who are responsible for training.  
4.5 At the beginning of the program, students shall be informed of the course objectives and requirements for successful completion.
SCOPE
1.1 This guide covers minimum requirements for the training and evaluation of individuals who perform triage at an emergency medical incident involving multiple casualties in a prehospital environment.  
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1.4 Operating within the framework of this guide may expose personnel to hazardous materials, procedures, and equipment. For additional information see Practice F1031 and Guides F1219, F1253, F1285, F1288, F1453, and F1489.  
1.5 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 document cited in Footnote 3.  
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4.1 This guide is not intended to be used by itself, but as a component of Guide F1288. Merely conforming to the guidelines described herein will not ensure that adequate triage is carried out in a multiple casualty incident.  
4.2 The purpose of this guide is to establish a methodology for performing triage.  
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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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SIGNIFICANCE AND USE
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.  
4.3 This guide is intended to assist those who are responsible for defining the scope of performance for first responders.  
4.4 This guide is not  intended to be used as a scope of performance for emergency ambulance personnel (see Practice F1031).
SCOPE
1.1 This guide covers minimum requirements for the scope of performance of first responders who may be responsible for the initial care of sick and injured persons of all ages in the prehospital environment.  
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