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ASTM F1654-95(2012)

(Guide)

Standard Guide for Training and Evaluation of Individuals Who are Responsible for or Perform Triage in a Prehospital Environment

Standard Guide for Training and Evaluation of Individuals Who are Responsible for or Perform Triage in a Prehospital Environment

SIGNIFICANCE AND USE
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.
This guide is not intended to be used by itself, but as a component of Guide F1288.
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.
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.
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.
1.2 All training will be in accordance with Guide F1653.
1.3 Included in this guide is a standard for knowledge and skill evaluation.
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 and health practices and determine the applicability of regulatory limitations prior to use. For specific precautionary statements, see the document cited in Footnote 3.

General Information

Status
Historical
Publication Date
30-Jun-2012
ICS
03.100.30 - Management of human resources
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 F1654-95(2012) - Standard Guide for Training and Evaluation of Individuals Who are Responsible for or Perform Triage in a Prehospital EnvironmentASTM F1654-95(2012) - Standard Guide for Training and Evaluation of Individuals Who are Responsible for or Perform Triage in a Prehospital Environment
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ASTM F1654-95(2012) - Standard Guide for Training and Evaluation of Individuals Who are Responsible for or Perform Triage in a Prehospital Environment
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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: F1654 − 95 (Reapproved 2012)
Standard Guide for
Training and Evaluation of Individuals Who are Responsible
1
for or Perform Triage in a Prehospital Environment
This standard is issued under the fixed designation F1654; 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.
4
1. Scope sessment (Withdrawn 2006)
F1253 Guide for Training the Emergency Medical Techni-
1.1 This guide covers minimum requirements for the train-
cian (Basic) to Perform Patient Secondary Assessment
ing and evaluation of individuals who perform triage at an
4
(Withdrawn 1999)
emergency medical incident involving multiple casualties in a
F1285 Guide for Training the Emergency Medical Techni-
prehospital environment.
cian (Basic) to Perform Patient Examination Techniques
1.2 All training will be in accordance with Guide F1653.
F1288 Guide for Planning for and Response to a Multiple
Casualty Incident
1.3 Included in this guide is a standard for knowledge and
F1453 Guide for Training and Evaluation of First Respond-
skill evaluation.
ers Who Provide Emergency Medical Care
1.4 Operating within the framework of this guide may
F1489 Guide for Performance of Patient Assessment by the
expose personnel to hazardous materials, procedures and
Emergency Medical Technician (Paramedic) (Withdrawn
equipment. For additional information see Practice F1031 and 4
2003)
Guides F1219, F1253, F1285, F1288, F1453 and F1489.
F1653 Guide for Scope of Performance of Triage in a
1.5 This standard does not purport to address all of the
Prehospital Environment
safety concerns, if any, associated with its use. It is the
3. Terminology
responsibility of the user of this standard to establish appro-
priate safety and health practices and determine the applica- 3.1 Definitions of Terms Specific to This Standard:
3.1.1 first priority/immediate (RED)—those patients with
bility of regulatory limitations prior to use. For specific
precautionarystatements,seethedocumentcitedinFootnote3. serious injuries that are life threatening but have a high
probability of survival.
2. Referenced Documents
3.1.2 fourth priority/dead/mortally wounded (BLACK)—
2,3
Those patients who are obviously dead as determined by local
2.1 ASTM Standards:
medical protocol or those patients with severe injuries and a
F1031 Practice for Training the Emergency Medical Tech-
low probability of survival, despite immediate care.
nician (Basic)
3.1.3 injured, adj—means both sick and injured patients.
F1177 Terminology Relating to Emergency Medical Ser-
vices
3.1.4 ongoing triage, n—the continuing process of patient
F1219 Guide for Training the Emergency Medical Techni-
assessment and prioritization in a multiple casualty incident.
cian (Basic) to Perform Patient Initial and Detailed As-
(Also known as secondary and tertiary.)
3.1.5 primary triage, n—the initial process of rapid
assessment, provision of life saving interventions and assign-
1
This guide is under the jurisdiction of ASTM Committee F30 on Emergency ment of visual priority identification to each patient in a
Medical Services and is the direct responsibility of Subcommittee F30.02 on
multiple casualty incident.
Personnel, Training and Education.
3.1.6 second priority/delayed (YELLOW)—those patients
Current edition approved July 1, 2012. Published August 2012. Originally
approved in 1995. Last previous edition approved in 2007 as F1654 – 95 (2007).
who are seriously injured and whose lives are not immediately
DOI: 10.1520/F1654-95R12.
threatened.
2
For referenced ASTM standards, visit the ASTM website, www.astm.org, or
3.1.7 third priority/minor (GREEN)—those patients who are
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM
Standards volume information, refer to the standard’s Document Summary page on
injured but do not require immediate medical attention and
the ASTM website.
those apparently not physically injured.
3
Most recent “Standards and Guidelines for Cardiopulmonary Resuscitation and
Emergency Cardiac Care” as reprinted from the Journal of the American Medical
4
Association, available from American Heart Association, 7272 Greenville Ave., The last approved version of this historical standard is referenced on
Dallas, TX 75231. www.astm.org.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
1

---------------------- Page: 1 ----------------------
F1654 − 95 (Reapproved 2012)
3.1.8 triage, n—the process of sorting and prioritizing 5.1.4 Incident Management—Describe the methods for
emergency medical care of the sick and injured on the ba
...

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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.  
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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.  
1.2 All training will be in accordance with Guide F1653.  
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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.  
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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.  
1.2 All training will be in accordance with Guide F1653.  
1.3 Included in this guide is a standard for knowledge and skill evaluation.  
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4.1 This guide establishes the minimum training criteria for snowmobile operator endorsed personnel.  
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SCOPE
1.1 This guide establishes the minimum training requirements, including general and field knowledge, skills, and abilities, for personnel who operate snowmobiles as part of their duties.  
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