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ASTM F1255-90(2002)

(Practice)

Standard Practice for Performance of Prehospital Automated Defibrillation

Standard Practice for Performance of Prehospital Automated Defibrillation

SIGNIFICANCE AND USE
This practice establishes minimum guidelines for prehospital automated defibrillation.
This practice does not preclude the use of automated defibrillators as prescribed by a licensed physician.
All persons who are identified as prehospital automated defibrillation operators shall meet the requirements of this practice.
Using this practice, emergency medical service institutions, organizations, and certification/licensing agencies should be able to develop standards for the certification/licensing and practice of the prehospital automated defibrillation operator.
SCOPE
1.1 This practice covers guidelines for the performance of automated defibrillation.
1.2 This practice is one in a set of performance guidelines for prehospital defibrillation.
1.3 This practice is specifically not meant to deal with equipment specifications, quality assurance, or training.
1.4 This practice is limited to external defibrillators used in the prehospital setting.
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.

General Information

Status
Historical
Publication Date
04-Mar-1990
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 F1255-90(1995)e1 - Standard Practice for Performance of Prehospital Automated Defibrillation
Effective Date
05-Mar-1990
Replaced By
ASTM F1255-90(2008) - Standard Practice for Performance of Prehospital Automated Defibrillation (Withdrawn 2016)
Effective Date
01-Feb-2008

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ASTM F1255-90(2002) - Standard Practice for Performance of Prehospital Automated Defibrillation
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NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.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: F 1255 – 90 (Reapproved 2002)
Standard Practice for
Performance of Prehospital Automated Defibrillation
This standard is issued under the fixed designation F 1255; 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 3.1.3 defibrillation—the discharge of an electrical current
through the heart for the purpose of restoring a perfusing
1.1 This practice covers guidelines for the performance of
cardiac rhythm. For the purpose of this practice, defibrillation
automated defibrillation.
may include cardioversion.
1.2 This practice is one in a set of performance guidelines
3.1.4 operator—as outlined in this practice, a person who
for prehospital defibrillation.
has successfully completed a course of training and may treat
1.3 This practice is specifically not meant to deal with
prehospital cardiac arrest with an automatic or semi-automatic
equipment specifications, quality assurance, or training.
defibrillator. Legal functioning as an operator will be based
1.4 This practice is limited to external defibrillators used in
upon licensure or certification requirements, or both, as estab-
the prehospital setting.
lished by the authority or authorities having jurisdiction.
1.5 This standard does not purport to address all of the
3.1.5 protocols—See Terminology F 1177.
safety concerns, if any, associated with its use. It is the
3.1.6 service medical director—the physician who is
responsibility of the user of this standard to establish appro-
medico-legally responsible for the patient care provided by the
priate safety and health practices and determine the applica-
operator (Practice F 1149).
bility of regulatory limitations prior to use.
3.1.7 standing orders—See Terminology F 1177.
2. Referenced Documents
4. Significance and Use
2.1 ASTM Standards:
4.1 This practice establishes minimum guidelines for pre-
F 1149 Practice for the Qualifications, Responsibilities, and
hospital automated defibrillation.
Authority of Individuals and Institutions Providing Medi-
4.2 This practice does not preclude the use of automated
cal Direction of Emergency Medical Services
defibrillators as prescribed by a licensed physician.
F 1177 Terminology Relating to Emergency Medical Ser-
2 4.3 All persons who are identified as prehospital automated
vices
defibrillation operators shall meet the requirements of this
2.2 American Heart Association Document:
practice.
National Standards and Guidelines for Cardiopulmonary
4.4 Using this practice, emergency medical service institu-
Resuscitation (CPR) and Emergency Cardiac Care (ECC),
3 tions, organizations, and certification/licensing agencies should
American Heart Association (Current Edition)
be able to develop standards for the certification/licensing and
3. Terminology practice of the prehospital automated defibrillation operator.
3.1 Definitions of Terms Specific to This Standard:
5. Guidelines for Prehospital Automated Defibrillation
3.1.1 automated defibrillator—an automatic or semi-
5.1 The operator shall be familiar with all operations of the
automatic device, or both, capable of rhythm analysis and
automated defibrillator.
defibrillation after electronically detecting the presence of
5.2 The operator shall be capable of performing prehospital
ventricular fibrillation and ventricular tachycardia.
defibrillation in accordance with standing orders, protocols
3.1.2 basic life support/cardiopulmonary resuscitation
developed, approval by the service medical director or other
(BLS/CPR)—a set of skills that includes airway management,
medical authority or authorities having jurisdiction, or a
chest compressions, and others defined by the American Heart
combination thereof.
Association.
5.3 The operator shall be capable of recognizing a patient
who is unresponsive, apneic and pulseless.
This practice is under the jurisdiction ofASTM Committee F30 on Emergency
5.4 The operator shall be capable of preparing the auto-
Medical Services and is the direct responsibility of Subcommittee F30.02 on
mated defibrillator for operational use.
Personnel, Training, and Education.
Current edition approved March 5, 1990. Published April 1990. 5.5 The operator shall be capable of applying and activating
Annual Book of ASTM Standards, Vol 13.02.
the automated defibrillator according to the manufacturer’s
Available from the American Heart Association, 7372 Greenville
...

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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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Standard Guide for Selection and Practice of Emergency Medical Services Instructor for Emergency Medical Technician (EMT) Training Programs

SIGNIFICANCE AND USE
4.1 Since the quality of EMT training depends, in large measure, on the instructional abilities and competencies of the EMT instructor, it is imperative that the individual selected and used in this capacity possess the qualifications and capabilities necessary to provide effective instruction.  
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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.  
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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.  
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
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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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4.6 Triage allows the most efficient use of available resources.  
4.7 This guide acknowledges many types of individuals with varying levels of emergency medical training. It also establishes a minimum scope of performance and encourages the addition of optional knowledge, skills, and attitudinal objectives.  
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SCOPE
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