ASTM F1654-95(2007)

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 F 1288.
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 F 1653.
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 F 1031 and Guides F 1219, F 1253, F 1285, F 1288, F 1453 and F 1489.
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: 31-Jan-2007
• ICS: 03.100.30 - Management of human resources
• ICS: 11.160 - First aid
• Technical Committee: F30 - Emergency Medical Services
• Drafting Committee: F30.02 - Personnel, Training and Education

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NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.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:F1654–95 (Reapproved2007)
Standard Guide for
Training and Evaluation of Individuals Who are Responsible
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.
1. Scope F1253 Guide for Training the Emergency Medical Techni-
cian (Basic) to Perform Patient Secondary Assessment
1.1 This guide covers minimum requirements for the train-
F1285 Guide for Training the Emergency Medical Techni-
ing and evaluation of individuals who perform triage at an
cian (Basic) to Perform Patient Examination Techniques
emergency medical incident involving multiple casualties in a
F1288 Guide for Planning for and Response to a Multiple
prehospital environment.
Casualty Incident
1.2 All training will be in accordance with Guide F1653.
F1453 Guide for Training and Evaluation of First Respond-
1.3 Included in this guide is a standard for knowledge and
ers Who Provide Emergency Medical Care
skill evaluation.
F1489 Guide for Performance of PatientAssessment by the
1.4 Operating within the framework of this guide may
Emergency Medical Technician (Paramedic)
expose personnel to hazardous materials, procedures and
F1653 Guide for Scope of Performance of Triage in a
equipment. For additional information see Practice F1031 and
Prehospital Environment
Guides F1219, F1253, F1285, F1288, F1453 and F1489.
1.5 This standard does not purport to address all of the
3. Terminology
safety concerns, if any, associated with its use. It is the
3.1 Definitions of Terms Specific to This Standard:
responsibility of the user of this standard to establish appro-
3.1.1 first priority/immediate (RED)—those patients with
priate safety and health practices and determine the applica-
serious injuries that are life threatening but have a high
bility of regulatory limitations prior to use. For specific
probability of survival.
precautionarystatements,seethedocumentcitedinFootnote3.
3.1.2 fourth priority/dead/mortally wounded (BLACK)—
2. Referenced Documents Those patients who are obviously dead as determined by local
medical protocol or those patients with severe injuries and a
2.1 ASTM Standards:
low probability of survival, despite immediate care.
F1031 Practice for Training the Emergency Medical Tech-
3.1.3 injured, adj—means both sick and injured patients.
nician (Basic)
3.1.4 ongoing triage, n—the continuing process of patient
F1177 Terminology Relating to Emergency Medical Ser-
assessment and prioritization in a multiple casualty incident.
vices
(Also known as secondary and tertiary.)
F1219 Guide for Training the Emergency Medical Techni-
3.1.5 primary triage, n—the initial process of rapid assess-
cian (Basic) to Perform Patient Initial and DetailedAssess-
4 ment, provision of life saving interventions and assignment of
ment
visual priority identification to each patient in a multiple
casualty incident.
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
3.1.6 second priority/delayed (YELLOW)—those patients
Medical Services and is the direct responsibility of Subcommittee F30.02 on
who are seriously injured and whose lives are not immediately
Personnel, Training and Education.
threatened.
Current edition approved Feb. 1, 2007. Published February 2007. Originally
approved in 1995. Last previous edition approved in 2002 as F1654 – 95(2002).
3.1.7 third priority/minor (GREEN)—those patients who
DOI: 10.1520/F1654-95R07.
are injured but do not require immediate medical attention and
For referenced ASTM standards, visit the ASTM website, www.astm.org, or
those apparently not physically injured.
contact ASTM Customer Service at [e-mail]. For Annual Book of ASTM
Standards volume information, refer to the standard’s Document Summary page on 3.1.8 triage, n—the process of sorting and prioritizing
the ASTM website.
emergency medical care of the sick and injured on the basis of
Most recent “Standards and Guidelines for Cardiopulmonary Resuscitation and
urgency and type of condition present as well as the number of
Emergency Cardiac Care” as reprinted from the Journal of the American Medical
patients and resources.
Association, available from American Heart Association, 7272 Greenville Ave.,
Dallas, TX 75231. 3.2 For definitions of other terms used in this guide, refer to
Withdrawn. The last approved version of this historical standard is referenced
Terminology F1177.
on www.astm.org.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
F1654–95 (2007)
4. Significance and Use 5.1.6.1 Demonstrate the method(s) to identify victims who
appear to be uninjured or minimally injured and able to help
4.1 This guide is intended for use by those responsible for
themselves.
thedevelopmentandimplementationoftrainingprograms,that
5.1.6.2 Describe methods to identify safe areas for the
include competency evaluation, for triage in the prehospital
placement of patients.
environment.
5.1.6.3 Demonstrate methods for directing uninjured or
4.2 This guide is not intended to be used by itself, but as a
minimally injured victims to a designated area(s).
component of Guide F1288.
5.1.6.4 Describe the performance of a rapid assessment of
4.3 This guide acknowledges many types of individuals
remaining victim(s).
with varying levels of emergency medical training
...