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ASTM F1254-90(2001)

(Practice)

Standard Practice for Performance of Prehospital Manual Defibrillation (Withdrawn 2007)

Standard Practice for Performance of Prehospital Manual Defibrillation (Withdrawn 2007)

SCOPE
1.1 This practice covers guidelines for prehospital providers performing manual 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.
WITHDRAWN RATIONALE
This practice covers guidelines for prehospital providers performing manual defibrillation.
Formerly under the jurisdiction of Committee F30 on Emergency Medical Services, this practice was withdrawn in 2007 with no replacement because the change in 1994 to the national curriculum has made this standard obsolete and the committee does not see a need to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Withdrawn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
31-Dec-2000
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 F1254-90(1995)e1 - Standard Practice for Performance of Prehospital Manual Defibrillation
Effective Date
01-Jan-2001
Referred By
ASTM F1220-95(2022) - Standard Guide for Emergency Medical Services System (EMSS) Telecommunications
Effective Date
01-Jan-2001

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ASTM F1254-90(2001) - Standard Practice for Performance of Prehospital Manual Defibrillation (Withdrawn 2007)ASTM F1254-90(2001) - Standard Practice for Performance of Prehospital Manual Defibrillation (Withdrawn 2007)
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ASTM F1254-90(2001) - Standard Practice for Performance of Prehospital Manual Defibrillation (Withdrawn 2007)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NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.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: F 1254 – 90 (Reapproved 2001)
Standard Practice for
Performance of Prehospital Manual Defibrillation
This standard is issued under the fixed designation F 1254; 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 3.1.2 defibrillation—the discharge of an electrical current
through the heart for the purpose of restoring a perfusing
1.1 This practice covers guidelines for prehospital providers
cardiacrhythm.Forthepurposeofthisdocument,defibrillation
performing manual defibrillation.
may include cardioversion.
1.2 This practice is one in a set of performance guidelines
3.1.3 manual defibrillator—a monitor/defibrillator that has
for prehospital defibrillation.
no capability for rhythm analysis and will charge and deliver a
1.3 This practice is specifically not meant to deal with
shock only at the command of the operator.
equipment specifications, quality assurance, or training.
3.1.4 operator—as outlined in this practice, an Emergency
1.4 This practice is limited to external defibrillators used in
Medical Technician (Practice F 1031) who has successfully
the prehospital setting.
completed a course of training and may treat prehospital
1.5 This standard does not purport to address all of the
cardiac arrest with a manual defibrillator. Legal functioning as
safety concerns, if any, associated with its use. It is the
an operator will be based upon licensure/certification require-
responsibility of the user of this standard to establish appro-
ments as established by the authority or authorities having
priate safety and health practices and determine the applica-
jurisdiction.
bility of regulatory limitations prior to use.
3.1.5 protocols—see Terminology F 1177.
2. Referenced Documents 3.1.6 service medical director—the physician who is medi-
colegally responsible for the patient care provided by the
2.1 ASTM Standards:
operator (Practice F 1149).
F 1031 Practice for Training the Emergency Medical Tech-
3.1.7 standing orders—see Terminology F 1177.
nician (Basic)
F 1149 Practice for Qualifications, Responsibilities, and
4. Significance and Use
Authority of Individuals and Institutions Providing Medi-
2 4.1 This practice establishes minimum guidelines for pre-
cal Direction of Emergency Medical Services
hospital manual defibrillation.
F 1177 Terminology Relating to Emergency Medical Ser-
2 4.2 Any person who is identified as prehospital manual
vices
defibrillation operator shall be an Emergency Medical Techni-
2.2 American Heart Association Document:
cian, as defined by the authority or authorities having jurisdic-
National Standards and Guidelines for Cardiopulmonary
tion, and shall meet the requirements of this practice.
Resuscitation (CPR) and Emergency Cardiac Care (ECC),
3 4.3 Using this practice, emergency medical service institu-
American Heart Association (Current Edition)
tions, organizations, and certification/licensing agencies should
3. Terminology be able to develop standards for the certification/licensing and
practice of the prehospital manual defibrillation operator.
3.1 Definitions of Terms Specific to This Standard:
3.1.1 basic life support/cardiopulmonary resuscitation
5. Standards for Prehospital Manual Defibrillation
(BLS/CPR)—a set of skills that includes airway management,
5.1 The operator shall be familiar with all operations of the
chest compressions, and others defined by the American Heart
defibrillator.
Association.
5.2 The operator shall be capable of performing prehospital
defibrillation in accordance with standing orders or protocols,
This practice is under the jurisdiction ofASTM Committee F30 on Emergency
or both, developed or approved, or both, by the service medical
Medical Services and is the direct responsibility of Subcommittee F30.02 on
director or other medical authority or authorities, or both,
Personnel, Training, and Education.
Current edition approved March 5, 1990. Published April 1990.
having jurisdiction.
Annual Book of ASTM Standards, Vol 13.02.
5.3 The operator shall be capable of recognizing a patient
Available from the American Heart Association, 7320 Greenville Ave., Dallas,
who is unresponsive, apneic and pulseless.
TX 75231.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
F 1254 – 90 (2001)
5.4 The operator shall be capable of applying and activating 5.15.2.2 Call for help,
the defibrillator according to manufacturer’s recommendations 5.15.2.3 Dispatch (include advanced life support, where
and standing orders/protocols. a
...

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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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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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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.  
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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
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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.  
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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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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4.10 For the purpose of this guide the word “injured” includes both sick or injured patients, or both.
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.  
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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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