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ASTM F1255-90(2008)

(Practice)

Standard Practice for Performance of Prehospital Automated Defibrillation (Withdrawn 2016)

Standard Practice for Performance of Prehospital Automated Defibrillation (Withdrawn 2016)

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.
WITHDRAWN RATIONALE
This practice covered guidelines for the performance of automated defibrillation.
Formerly under the jurisdiction of Committee F30 on Emergency Medical Services, this practice was withdrawn in June 2016. This standard is being withdrawn without replacement due to its limited use by industry.

General Information

Status
Withdrawn
Publication Date
31-Jan-2008
Withdrawal Date
20-Jun-2016
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(2002) - Standard Practice for Performance of Prehospital Automated Defibrillation
Effective Date
01-Feb-2008

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ASTM F1255-90(2008) - Standard Practice for Performance of Prehospital Automated Defibrillation (Withdrawn 2016)ASTM F1255-90(2008) - Standard Practice for Performance of Prehospital Automated Defibrillation (Withdrawn 2016)
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ASTM F1255-90(2008) - Standard Practice for Performance of Prehospital Automated Defibrillation (Withdrawn 2016)
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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:F1255 −90(Reapproved2008)
Standard Practice for
1
Performance of Prehospital Automated Defibrillation
This standard is issued under the fixed designation F1255; 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 defibrillation after electronically detecting the presence of
ventricular fibrillation and ventricular tachycardia.
1.1 This practice covers guidelines for the performance of
3.1.2 basic life support/cardiopulmonary resuscitation
automated defibrillation.
(BLS/CPR)—a set of skills that includes airway management,
1.2 This practice is one in a set of performance guidelines
chest compressions, and others defined by the American Heart
for prehospital defibrillation.
Association.
1.3 This practice is specifically not meant to deal with
3.1.3 defibrillation—the discharge of an electrical current
equipment specifications, quality assurance, or training.
through the heart for the purpose of restoring a perfusing
1.4 This practice is limited to external defibrillators used in
cardiac rhythm. For the purpose of this practice, defibrillation
the prehospital setting.
may include cardioversion.
1.5 This standard does not purport to address all of the
3.1.4 operator—as outlined in this practice, a person who
safety concerns, if any, associated with its use. It is the
has successfully completed a course of training and may treat
responsibility of the user of this standard to establish appro-
prehospital cardiac arrest with an automatic or semi-automatic
priate safety and health practices and determine the applica-
defibrillator. Legal functioning as an operator will be based
bility of regulatory limitations prior to use.
upon licensure or certification requirements, or both, as estab-
lished by the authority or authorities having jurisdiction.
2. Referenced Documents
3.1.5 protocols—See Terminology F1177.
2
2.1 ASTM Standards:
3.1.6 service medical director—the physician who is
F1149 Practice for Qualifications, Responsibilities, and Au-
medico-legally responsible for the patient care provided by the
thority of Individuals and Institutions Providing Medical
operator (Practice F1149).
Direction of Emergency Medical Services
3.1.7 standing orders—See Terminology F1177.
F1177 Terminology Relating to Emergency Medical Ser-
vices
4. Significance and Use
2.2 American Heart Association Document:
4.1 This practice establishes minimum guidelines for pre-
National Standards and Guidelines for Cardiopulmonary
hospital automated defibrillation.
Resuscitation (CPR) and Emergency Cardiac Care (ECC),
3
American Heart Association (Current Edition)
4.2 This practice does not preclude the use of automated
defibrillators as prescribed by a licensed physician.
3. Terminology
4.3 All persons who are identified as prehospital automated
3.1 Definitions of Terms Specific to This Standard:
defibrillation operators shall meet the requirements of this
3.1.1 automated defibrillator—an automatic or semi-
practice.
automatic device, or both, capable of rhythm analysis and
4.4 Using this practice, emergency medical service
institutions, organizations, and certification/licensing agencies
1
This practice is under the jurisdiction ofASTM Committee F30 on Emergency
should be able to develop standards for the certification/
Medical Services and is the direct responsibility of Subcommittee F30.02 on
licensing and practice of the prehospital automated defibrilla-
Personnel, Training and Education.
tion operator.
Current edition approved Feb. 1, 2008. Published March 2008. Originally
approved in 1990. Last previous edition approved in 2002 as F1255 – 90(2002).
DOI: 10.1520/F1255-90R08. 5. Guidelines for Prehospital Automated Defibrillation
2
For referenced ASTM standards, visit the ASTM website, www.astm.org, or
5.1 The operator shall be familiar with all operations of the
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 automated defibrillator.
the ASTM website.
3
5.2 The operator shall be capable of performing prehospital
Available from American Heart Association (AHA), 7272 Greenville Ave.,
Dallas, TX 75231, http://www.americanheart.org. defibrillation in accordance with standing orders, protocols
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
1

---------------------- Page: 1 ----------------------
F1255−90(2008)
developed, approval by the service medical director or other 5.13.2.2 Call for help,
medical authority or authorities having jurisdiction, or a 5.13.2.3 Dispatch (
...

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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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1.2 The scope of this practice includes:  
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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.
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Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care

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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.  
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SCOPE
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