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ASTM F1418-01

(Guide)

Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities (Withdrawn 2007)

Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities (Withdrawn 2007)

SCOPE
1.1 This guide establishes the minimum training standard for emergency medical technicians (basic) as it relates to their roles and responsibilities.
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WITHDRAWN RATIONALE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 emergency medical technicians (basic) as it relates to their roles and responsibilities.
Formerly under the jurisdiction of Committee F30 on Emergency Medical Services, this guide was withdrawn in 2007 with no replacement because the change in 1994 to the national curriculum has made this standard obsolete and the committee does not see a need to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Withdrawn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-Feb-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 F1418-92 - Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities
Effective Date
10-Feb-2001
Referred By
ASTM F2076-01(2022) - Standard Practice for Communicating an EMS Patient Report to Receiving Medical Facilities
Effective Date
10-Feb-2001
Referred By
ASTM F1220-95(2022) - Standard Guide for Emergency Medical Services System (EMSS) Telecommunications
Effective Date
10-Feb-2001

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ASTM F1418-01 - Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities (Withdrawn 2007)ASTM F1418-01 - Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities (Withdrawn 2007)
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ASTM F1418-01 - Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities (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:F1418–01
Standard Guide for
Training the Emergency Medical Technician (Basic) in Roles
1
and Responsibilities
This standard is issued under the fixed designation F 1418; 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.
1. Scope F 1421 Guide for Training the Emergency Medical Techni-
2
cian (Basic) to Manage Obstetrical Emergencies
1.1 This guide establishes the minimum training standard
2.2 Other Documents:
for emergency medical technicians (basic) as it relates to their
Centers for Disease Control: Recommendations for Preven-
roles and responsibilities.
3
tion of HIV Transmission in Health-Care Settings
1.2 This guide is one of a series which together describe the
MMWR (most current recommendation)
minimum training standard for the emergency medical techni-
Centers for Disease Control: Update: Universal Precautions
cian (basic).
for Prevention of Transmission of Human Immunodefi-
1.3 This standard does not purport to address all of the
ciency Virus, Hepatitis B Virus, and Other Bloodborne
safety concerns, if any, associated with its use. It is the
3
Pathogens in Health-Care Settings MMWR (most cur-
responsibility of the user of this standard to establish appro-
rent recommendation)
priate safety and health practices and determine the applica-
bility of regulatory limitations prior to use.
3. Terminology
2. Referenced Documents 3.1 Definitions:
3.1.1 EMSS communications subsystem, n—comprises
2.1 ASTM Standards:
those resources and arrangements for notifying the EMS
F 1031 Practice for Training the Emergency Medical Tech-
2
system of an emergency, for mobilizing and dispatching
nician (Basic)
resources, for exchanging information, for remote monitoring
F 1219 Guide for Training the Emergency Medical Techni-
of vital indicators, and for transmission of treatment proce-
cian (Basic) to Perform Patient Initial and DetailedAssess-
2
dures and directions (from F 1220).
ment
3.1.2 management, n—refers to the step(s) that constitute
F 1220 Guide for Emergency Medical Services Systems
2 action taken by the emergency medical technician (basic) for a
(EMSS) Telecommunications
patient in need of assistance because of a real or perceived
F 1285 Guide for Training the Emergency Medical Techni-
2 traumatic or medical condition.
cian (Basic) to Perform Examination Techniques
3.1.3 stress, n—nonspecific response of the body to any
F 1288 Guide for Planning for and Response to a Multiple
2 demand made upon it.
Casualty Incident
3.1.4 triage, n—the process of sorting and making priorities
F 1328 Guide for Training Emergency Medical Technician
2 for emergency medical care of the sick and injured on the basis
(Basic) to Prepare Patients for Medical Transportation
of urgency and type of condition present, number of patients
F 1329 Guide for Training the Emergency Medical Techni-
2 and resources available to route them properly to medical
cian (Basic) in Basic Anatomy and Physiology
facilities appropriately situated and equipped for their care.
F 1419 Guide for Training the Emergency Medical Techni-
2
cian (Basic) to Manage Shock
4. Significance and Use
F 1420 Guide for Training the Emergency Medical Techni-
2
4.1 This guide establishes the minimum national standard
cian (Basic) to Perform Patient Management Techniques
for training the emergency medical technician (basic) as it
relates to his/her roles and responsibilities.
1
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.02 on
Personnel, Training and Education.
3
Current edition approved Feb. 10, 2001. Published April 2001. Originally Available from Epidemiology Program Office, Centers for Disease Control,
published as F 1418 - 92. Last previous edition F 1418 - 92. Public Health Service, U.S. Dept of Health and Human Services, Atlanta, GA
2
Annual Book of ASTM Standards, Vol 13.02. 30333.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
1

---------------------- Page: 1 ----------------------
F1418–01
4.2 This guide shall be used by those who wish to identify 5.4.2 The emergency medical technician (basic) shall be
the minimum training standard for the emergency medical familiar with the role of medical direction in the delivery of
technician (basic) as it relates to his/her roles and responsibili- prehospital emergency medical care.
ties.
4.3 This guide shall be used as the basis to revise Practice 6. Legal Issues
F 1031.
6.1 The emergency medical technician (basic) shall receive
4.4 Every person w
...

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5.1 This practice is intended to promote the use of trained telecommunicators in the role of emergency medical dispatcher. It defines the basic skills and medical knowledge to permit understanding and resolution of the problems that constitute their daily routine. To use trained telecommunicators fully as functioning members of the emergency medical team, it is deemed necessary to upgrade the telecommunicators' training by the addition of the concept of emergency medical dispatch priorities.  
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1.1 This practice covers the definition of responsibilities, knowledge, practices, and organizational support required to implement, perform, and effectively manage the emergency medical dispatch function.  
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SIGNIFICANCE AND USE
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.
SCOPE
1.1 This practice covers the function of the emergency medical dispatcher (EMD). This function is the prompt and accurate processing of calls for emergency medical assistance. The training and practice through the use of a written or automated medical dispatch protocol is not sufficient in itself to ensure continued medically correct functioning of the EMD. Their dispatch-specific medical training and focal role in EMS has developed to such a complexity that only through a correctly structured and appropriately managed quality assurance environment can the benefits of their practice be fully realized. The philosophies of emergency medical dispatch have established new duties to which the emergency medical dispatch agency must respond. It is important that their quality assurance/quality improvement (QA/QI) activities, including initial hiring, orientation, training and certification, continuing dispatch education, recertification, and performance evaluation be given appropriate managerial attention to help ensure the ongoing safety in the performance of the EMD. This practice establishes functional guidelines for these managerial, administrative, and supervisory functions.  
1.2 The scope of this practice includes:  
1.2.1 The entry level selection criteria for hiring emergency medical dispatchers;  
1.2.2 The orientation of new emergency medical dispatchers;  
1.2.3 Development of QA/QI mechanisms, management strategies, and organizational structures for use within a comprehensive emergency medical dispatch system;  
1.2.4 Performance evaluation as a component of a comprehensive and ongoing quality assurance and risk management program for an emergency medical dispatch system;  
1.2.5 Development and provision of continuing dispatch education activities for the emergency medical dispatcher;  
1.2.6 Requirements for initial certification and recertification of the emergency medical dispatcher;  
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1.2.8 Guidelines for implementation of an emergency medical dispatch program.  
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ASTM F1031-22(Practice)
Standard Practice for Training the Emergency Medical Technician (Basic)

SIGNIFICANCE AND USE
4.1 The purpose of this practice is to provide standardized means of providing Emergency Medical Technician training. The practice should be used by all individuals and agencies that train such persons.  
4.2 Successful completion of this course of training neither constitutes nor implies certification or licensure.  
4.3 This practice adopts the knowledge and skill objectives contained in the NHSTA curriculum (latest version) as the standard practice for training those persons who provide emergency medical care at the basic life support level and are known as Emergency Medical Technicians. The actual lesson plans contained in the referenced document are recommended for use; however, each instructor may modify the order of presentation according to local needs.  
4.4 This practice outlines a comprehensive course that covers most common emergencies encountered by the Emergency Medical Technician. Emergency Medicine Technician courses that do not include all of the knowledge and skill objectives of this practice may not be referred to as meeting this standard.
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SIGNIFICANCE AND USE
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4.3 Using this guide, EMS institutions and organizations should be able to develop requirements for selection and utilization of EMT instructors for EMT training and education programs.
SCOPE
1.1 This guide is intended to assist emergency medical services (EMS) agencies and institutions in selecting and utilizing individuals who teach in EMT (emergency medical technician) training programs which include instruction in basic life support knowledge and skills.  
1.2 This guide identifies six categories of instructor in an EMT (emergency medical technician) training program: adjunct instructor, clinical/field preceptor, practical skills instructor, associate instructor, course instructor/coordinator (I/C), and course administrator. The guide recognizes that an individual may, depending on his/her level of practice and the training program involved, function in any or all of these categories.  
1.3 This guide includes specific guidelines for qualifications, training, education, experience, scope of authority, responsibilities, continuing education, evaluation, and maintenance of competency when applicable.  
1.4 This guide does not include specific guidelines for the course administrator or the adjunct instructor. While the guide recognizes, by offering a definition of each category, that these types of individuals function in many EMT training programs, the limited instructional roles played by these individuals preclude the need for specific selection and utilization guidelines.  
1.5 This guide is intended to apply to any individual who teaches in EMT training programs regardless of the individual's present level of clinical practice.  
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1.5 This guide is intended to apply to any individual who teaches in an AEMT training program regardless of the individual's present level of clinical practice.  
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1.7 This guide applies only to instructors who teach in AEMT training courses designed to prepare an individual for certification to practice above the level of the EMT. It does not apply to instructors who teach in specialized courses that do not in themselves qualify the individual for a level of EMT certification.  
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4.1 Implementation of this practice will ensure that the EMS system has the authority commensurate with the responsibility to ensure adequate medical direction of all pre-hospital providers, as well as personnel and facilities that meet minimum criteria to implement medical direction of pre-hospital services.  
4.1.1 The state will develop, recommend, and encourage use of a plan that would ensure the standards outlined in this document can be implemented as appropriate at the local, regional, or state level (see Guide F1086).  
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1.1 This practice covers the qualifications, responsibilities, and authority of individuals and institutions providing medical direction of emergency medical services.  
1.2 This practice addresses the qualifications, authority, and responsibility of a Medical Director (off-line) and the relationship of the EMS (Emergency Medical Services) provider to this individual.  
1.3 This practice also addresses components of on-line medical direction (direct medical control) including the qualifications and responsibilities of on-line medical physicians and the relationship of the pre-hospital provider to on-line medical direction.  
1.4 This practice addresses the relationship of the on-line medical physician to the off-line Medical Director.  
1.5 The authority for control of medical services at the scene of a medical emergency is addressed in this practice.  
1.6 The requirements for a Communication Resource are also addressed within this practice.  
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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.  
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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.  
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ASTM F1654-95(2020)(Guide)
Standard Guide for Training and Evaluation of Individuals Who Are Responsible for or Perform Triage in a Prehospital Environment

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.  
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, 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.  
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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Standard Guide for Scope of Performance of Triage in a Prehospital Environment

SIGNIFICANCE AND USE
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.  
4.3 Individuals responsible for performing triage must be proficient in triage methods and related life-saving techniques.  
4.4 A basic concept of triage is to do the greatest good for the greatest number of casualties.  
4.5 The assessment process must be focused so as to identify those most at risk of early death who are likely to be salvaged by rapid medical intervention.  
4.6 Triage allows the most efficient use of available resources.  
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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.  
1.2 This guide acknowledges objectives based on an individual's required knowledge of signs and symptoms, patient assessment, and basic life support.  
1.3 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, F1287, F1288, F1489 and F1651.  
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1.5 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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Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care

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.  
1.2 This guide includes objectives based on an individual's acquired knowledge, including signs and symptoms; patient assessment; basic life support/cardiopulmonary resuscitation (BLS/CPR); bleeding and shock; injuries to the skull, spine, chest, abdomen, and extremities; moving patients; medical and environmental emergencies; triage; gaining access; and hazardous situations that the first responder may encounter.  
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