Standard Guide for Training and Evaluation of First Responders Who Provide Emergency Medical Care

SIGNIFICANCE AND USE
This guide is for those responsible for the development and implementation of training and evaluation programs for first responders (FRs).
At the beginning of the program, students shall be informed of the course objectives and requirements for successful completion.
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 and health practices and determine the applicability of regulatory limitations prior to use. For specific precautionary statements, see the documents cited in 2.2.

General Information

Status
Historical
Publication Date
30-Jun-2012
Current Stage
Ref Project

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NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.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: F1453 − 92 (Reapproved 2012)
Standard Guide for
Training and Evaluation of First Responders Who Provide
Emergency Medical Care
This standard is issued under the fixed designation F1453; 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 2.2 Code of Federal Regulations:
Part 1910.1030 of Title 29 of the Code of Federal Regula-
1.1 This guide covers the minimum training standards for
tions Concerning Bloodborne Pathogens
First Responders (FRs) who may be responsible for the initial
Part 1910.120 ofTitle 29 of the Code of Federal Regulations
care of sick and injured persons of all ages in the prehospital
Concerning Hazardous Materials Emergency Response &
environment.
Training
Part 1910.132 ofTitle 29 of the Code of Federal Regulations
1.2 The scope of training will be in accordance with Guide
Concerning Personal Protective Equipment
F1287.
Part 331.000 of Title 21 of the Code of Federal Regulations
1.3 Included in this guide is a standard for knowledge and
Concerning Registration of Medical Devices
skill evaluation.
2.3 Other Documents:
1.4 This guide does not suggest a particular training se-
Most recent Standards and Guidelines for Cardiopulmonary
quence.
Resuscitation and Emergency Cardiac Care as reprinted
from the Journal of the American Medical Association
1.5 Operating within the framework of this guide may
(JAMA)
expose emergency medical service personnel to hazardous
materials, procedures and equipment. This standard does not
3. Terminology
purport to address all of the safety concerns, if any, associated
with its use. It is the responsibility of the user of this standard 3.1 Definitions of Terms Specific to This Standard:
3.1.1 basic life support/cardiopulmonary resuscitation
to establish appropriate safety and health practices and
(BLS/CPR)—a set of skills that includes airway management,
determine the applicability of regulatory limitations prior to
chest compressions, and others as defined by the American
use. For specific precautionary statements, see the documents
Heart Association (AHA).
cited in 2.2.
3.1.2 first responder (FR)—an individual trained to provide
2. Referenced Documents
initial care for sick or injured persons in accordance with this
guide.
2.1 ASTM Standards:
F1031 Practice for Training the Emergency Medical Tech-
4. Significance and Use
nician (Basic)
F1177 Terminology Relating to Emergency Medical Ser-
4.1 This guide is for those responsible for the development
vices and implementation of training and evaluation programs for
first responders (FRs).
F1287 Guide for Scope of Performance of First Responders
Who Provide Emergency Medical Care
4.2 At the beginning of the program, students shall be
informed of the course objectives and requirements for suc-
cessful completion.
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
4.3 This guide is not intended for use as a training guide for
Medical Services and is the direct responsibility of Subcommittee F30.02 on
emergency ambulance personnel.
Personnel, Training and Education.
Current edition approved July 1, 2012. Published August 2012. Originally
approved in 1992. Last previous edition approved in 2008 as F1453 – 92 (2008).
DOI: 10.1520/F1453-92R12.
2 3
For referenced ASTM standards, visit the ASTM website, www.astm.org, or Available from Standardization Documents Order Desk, Bldg. 4 Section D, 700
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM Robbins Ave., Philadelphia, PA 19111-5094, Attn: NPODS.
Standards volume information, refer to the standard’s Document Summary page on Available from American Heart Association (AHA), 7272 Greenville Ave.,
the ASTM website. Dallas, TX 75231, http://www.americanheart.org.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
F1453 − 92 (2012)
5. Required Performance Objectives 5.1.11 Secondary Assessment:
5.1.11.1 Conduct a methodical head-to-toe physical exami-
5.1 The FR shall be trained to perform the following skills.
nation to discover conditions not found during the primary
Theseskillsarenotnecessarilylistedintheorderinwhichthey
assessment.
aretobetaughtorthatinwhichtheymayhavetobeperformed
5.1.11.2 Interview the sick or injured person to obtain facts
during the prehospital care of a sick or injured person.
relevant to the person’s condition.
5.1.1 Roles and Responsibilities—Describeanddemonstrate
5.1.11.3 Interview co-workers, witnesses, family members,
an understanding of the roles and responsibilities of the FR for
or other individuals to obtain facts relevant to the person’s
the provision of prehospital emergency care within the local
condition.
emergency medical services (EMS) system.
5.1.12 Musculoskeletal Injuries:
5.1.2 Medicolegal Aspects—Describe and demonstrate an
5.1.12.1 Identify the various types of musculoskeletal inju-
understanding of the medicolegal aspects of a FR’s provision
ries.
of emergency medical care in the jurisdiction having authority,
5.1.12.2 Immobilize and otherwise care for suspected
including, but not limited to, duty to act, standard of care,
fractures, dislocations, sprains, and strains with available
consent to care, forcible restraint, abandonment,
equipment.
documentation, and any applicable Good Samaritan Laws.
5.1.13 Spine Injuries:
5.1.3 Vital Signs and other Indicators of a Sick or Injured
5.1.13.1 Determine the likelihood of a spinal injury on the
Person’s Condition—Determine and record vital signs exhib-
basis of the patient assessment and an observation of a
ited by a sick or injured person, including pulse, respiration,
mechanism of injury.
skin color, temperature and moistness, level of consciousness,
5.1.13.2 Perform manual spinal stabilization.
and an estimate of blood pressure.
5.1.13.3 Immobilize a person who has a suspected spinal
5.1.4 Emergency Medical Identification—Identify the most
injury with available equipment.
commonly used medical identification devices and apply the
5.1.14 Emergency Evacuation—Alone or with a partner, use
information contained on or in the device to patient assessment
the most appropriate assist, drag, or carry to move a sick or
and patient care procedures.
injured person from a dangerous location to a safe place.
5.1.5 Primary Assessment—Conduct an assessment for
5.1.15 Patient Transfer—Use an available patient-carrying
problems that are a threat to life if not corrected immediately,
method or device to move a sick or injured person from the
including an inadequate airway, inadequate respirations, inad-
place of initial care to the location of transport.
equate circulation, and profuse bleeding, using spinal precau-
5.1.16 Non-Traumatic Chest Pain:
tions as appropriate.
5.1.16.1 Identify a patient who is experiencing non-
5.1.6 BLS/CPR—Conduct basic life support procedures,
traumatic chest pain on the basis of the patient assessment.
includingtheestablishmentandmaintenanceofanopenairway
and the restoration of breathing and circulation by means of 5.1.16.2 Care for a patient who is experiencing non-
traumatic chest pain.
cardiopulmonary resuscitation.
5.1.17 Respiratory Distress:
5.1.7 Bleeding:
5.1.7.1 Control external bleeding by means of direct pres- 5.1.17.1 Identify
...

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