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ASTM F1287-90(2012)

(Guide)

Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care

Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care

SIGNIFICANCE AND USE
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.
In identifying these minima, the guide acknowledges many types of first responder emergency medical care courses of study. This guide allows and encourages the addition of optional knowledge, skill, and attitudinal objectives. Programs such as those for law enforcement, firefighters, and ski patrol are examples of this diversity meeting specific local community needs.
This guide is intended to assist those who are responsible for defining the scope of performance for first responders.
This guide is not  intended to be used as a scope of performance for emergency ambulance personnel (see Practice F1031).
SCOPE
1.1 This guide covers minimum requirements for the scope of performance of first responders who may be responsible for the initial care of sick and injured persons of all ages in the prehospital environment.
1.2 This guide includes objectives based on an individual's acquired knowledge, including signs and symptoms; patient assessment; basic life support/cardiopulmonary resuscitation (BLS/CPR); bleeding and shock; injuries to the skull, spine, chest, abdomen, and extremities; moving patients; medical and environmental emergencies; triage; gaining access; and hazardous situations that the first responder may encounter.
1.3 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.le:normal;">22
1.3 The values stated in SI units are to be regarded as the standard.  
1.4 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 hazard and precautionary statements, see Section 5 and Practices E50.

General Information

Status
Historical
Publication Date
30-Jun-2012
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.02 - Personnel, Training and Education
Current Stage
Ref Project

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ASTM F1287-90(2012) - Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical CareASTM F1287-90(2012) - Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care
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ASTM F1287-90(2012) - Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care
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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: F1287 − 90 (Reapproved 2012)
Standard Guide for
Scope of Performance of First Responders Who Provide
Emergency Medical Care
This standard is issued under the fixed designation F1287; 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 3.1.1 basic life support/cardiopulmonary resuscitation
(BLS/CPR)—a set of skills that includes airway management,
1.1 This guide covers minimum requirements for the scope
chest compressions, and others as defined by the American
of performance of first responders who may be responsible for
Heart Association.
the initial care of sick and injured persons of all ages in the
3.1.2 first responder (FR)—an individual trained to provide
prehospital environment.
initial care for sick or injured persons in accordance with this
1.2 This guide includes objectives based on an individual’s
guide.
acquired knowledge, including signs and symptoms; patient
assessment; basic life support/cardiopulmonary resuscitation
4. Significance and Use
(BLS/CPR); bleeding and shock; injuries to the skull, spine,
4.1 The purpose of this guide is to improve the quality of
chest, abdomen, and extremities; moving patients; medical and
initial emergency medical care provided to the sick and
environmental emergencies; triage; gaining access; and haz-
injured. As the first trained person at an emergency medical
ardous situations that the first responder may encounter.
scene, it is critical that the first responder be proficient in
1.3 This standard does not purport to address all of the
providing patient care and minimizing further complications
safety concerns, if any, associated with its use. It is the
until more highly trained emergency medical service personnel
responsibility of the user of this standard to establish appro-
intervene.
priate safety and health practices and determine the applica-
4.2 In identifying these minima, the guide acknowledges
bility of regulatory limitations prior to use.
many types of first responder emergency medical care courses
2. Referenced Documents
of study. This guide allows and encourages the addition of
optional knowledge, skill, and attitudinal objectives. Programs
2.1 ASTM Standards:
such as those for law enforcement, firefighters, and ski patrol
F1031 Practice for Training the Emergency Medical Tech-
are examples of this diversity meeting specific local commu-
nician (Basic)
nity needs.
2.2 American Heart Association/American Red Cross
4.3 This guide is intended to assist those who are respon-
(AHA/ARC) Standards:
sible for defining the scope of performance for first responders.
Standards and Guidelines for Cardiopulmonary Resuscita-
tion and Emergency Cardiac Care
4.4 This guide is not intended to be used as a scope of
performance for emergency ambulance personnel (see Practice
3. Terminology
F1031).
3.1 Definitions of Terms Specific to This Standard:
5. Objectives
5.1 Required Objectives—These objectives are not in an
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
order suggesting a particular performance sequence. The first
Medical Services and is the direct responsibility of Subcommittee F30.02 on
responder shall be able to:
Personnel, Training and Education.
Current edition approved July 1, 2012. Published August 2012. Originally
5.1.1 Identify the roles and responsibilities of a first re-
approved in 1990. Last previous edition approved in 2007 as F1287 – 90 (2007).
sponder within the local emergency medical services (EMS)
DOI: 10.1520/F1287-90R12.
system,
For referenced ASTM standards, visit the ASTM website, www.astm.org, or
5.1.2 Function within the medical-legal scope of care as a
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
first responder in the local EMS system,
the ASTM website.
5.1.3 Determine vital signs and identify normal ranges,
Reprinted from the Journal of the American Medical Association (J
...

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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.  
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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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SCOPE
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