ASTM F1254-90(1995)e1
(Practice)Standard Practice for Performance of Prehospital Manual Defibrillation
Standard Practice for Performance of Prehospital Manual Defibrillation
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.
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e1
Designation: F 1254 – 90 (Reapproved 1995)
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.
e NOTE—Section 7 on Keywords was added editorially in November 1995.
1. Scope cardiac rhythm. For the purpose of this document, defibrillation
may include cardioversion.
1.1 This practice covers guidelines for prehospital providers
3.1.3 manual defibrillator—a monitor/defibrillator that has
performing manual defibrillation.
no capability for rhythm analysis and will charge and deliver a
1.2 This practice is one in a set of performance guidelines
shock only at the command of the operator.
for prehospital defibrillation.
3.1.4 operator—as outlined in this practice, an Emergency
1.3 This practice is specifically not meant to deal with
Medical Technician (Practice F 1031) who has successfully
equipment specifications, quality assurance, or training.
completed a course of training and may treat prehospital
1.4 This practice is limited to external defibrillators used in
cardiac arrest with a manual defibrillator. Legal functioning as
the prehospital setting.
an operator will be based upon licensure/certification require-
1.5 This standard does not purport to address all of the
ments as established by the authority or authorities having
safety concerns, if any, associated with its use. It is the
jurisdiction.
responsibility of the user of this standard to establish appro-
3.1.5 protocols—See Terminology F 1177.
priate safety and health practices and determine the applica-
3.1.6 service medical director—the physician who is medi-
bility of regulatory limitations prior to use.
colegally responsible for the patient care provided by the
2. Referenced Documents operator (Practice F 1149).
3.1.7 standing orders—See Terminology F 1177.
2.1 ASTM Standards:
F 1031 Practice for Training the Emergency Medical Tech-
4. Significance and Use
nician (Basic)
4.1 This practice establishes minimum guidelines for pre-
F 1149 Practice for Qualifications, Responsibilities, and
hospital manual defibrillation.
Authority of Individuals and Institutions Providing Medi-
4.2 Any person who is identified as prehospital manual
cal Direction of Emergency Medical Services
defibrillation operator shall be an Emergency Medical Techni-
F 1177 Terminology Relating to Emergency Medical Ser-
cian, as defined by the authority or authorities having jurisdic-
vices
tion, and shall meet the requirements of this practice.
2.2 American Heart Association Document:
4.3 Using this practice, emergency medical service institu-
National Standards and Guidelines for Cardiopulmonary
tions, organizations, and certification/licensing agencies should
Resuscitation (CPR) and Emergency Cardiac Care (ECC),
3 be able to develop standards for the certification/licensing and
American Heart Association (Current Edition)
practice of the prehospital manual defibrillation operator.
3. Terminology
5. Standards for Prehospital Manual Defibrillation
3.1 Definitions of Terms Specific to This Standard:
5.1 The operator shall be familiar with all operations of the
3.1.1 basic life support/cardiopulmonary resuscitation
defibrillator.
(BLS/CPR)—a set of skills that includes airway management,
5.2 The operator shall be capable of performing prehospital
chest compressions, and others defined by the American Heart
defibrillation in accordance with standing orders or protocols,
Association.
or both, developed or approved, or both, by the service medical
3.1.2 defibrillation—the discharge of an electrical current
director or other medical authority or authorities, or both,
through the heart for the purpose of restoring a perfusing
having jurisdiction.
5.3 The operator shall be capable of recognizing a patient
This practice is under the jurisdiction of ASTM Committee F-30 on Emergency
who is unresponsive, apneic and pulseless.
Medical Services and is the direct responsibility of Subcommittee F30.02 on
5.4 The operator shall be capable of applying and activating
Personnel, Training, and Education.
Current edition approved March 5, 1990. Published April 1990.
the defibrillator according to manufacturer’s recommendations
Annual Book of ASTM Standards, Vol 13.01.
and standing orders/protocols.
Available from the American Heart Association, 7320 Greenville Ave., Dallas,
5.5 The operator shall be capable of assessing certain
TX 75231.
Copyright © ASTM, 100 Barr Harbor Drive, West Conshohocken, PA 19428-2959, United States.
F 1254
cardiac rhythms, including
...
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