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ASTM F1230-89

(Specification)

Specification for Minimum Performance Requirements for Emergency Medical Service (EMS) Ground Vehicles (Withdrawn 1997)

Specification for Minimum Performance Requirements for Emergency Medical Service (EMS) Ground Vehicles (Withdrawn 1997)

SCOPE
1.1 This specification covers minimum performance and safety requirements for EMS ground vehicles used:
1.1.1 In the transportation of the sick and injured to or from an appropriate medical facility while basic or advanced, or both, life support services are being provided,
1.1.2 In the delivery of interhospital critical transport care,
1.1.3 In the delivery of nonemergency, medically required, transport services, and
1.1.4 In the transportation and delivery of personnel and supplies essential for proper care of an emergent patient.
1.2 It includes the performance standards for necessary materials, equipment, and systems to the levels outlined in recognized standards, whether clinical or vehicular.
1.3 The document is divided into two sections. Section A describes those vehicles used primarily for responding to and for transporting and treating the patient while en route to an appropriate medical facility. Section B will be developed at a later date and will describe those vehicles primarily used for transporting the nonemergency patient, for transporting essential personnel or equipment, or both, to and from a location where emergency medical care is required, or for transporting patients in areas not accessible by ambulances described in Section A.
1.4 This document establishes criteria that shall be considered in the performance, specification, purchase and acceptance testing of ground vehicles for EMS use.
1.5 This document does not define the staffing of ground vehicles or the clinical practice of emergency medicine.
1.6 The entire document should be read before ordering an ambulance, in order to be knowledgeable of which equipment is standard, and which options are desired. Due to the variety of ambulance equipment or features, some options may be incompatible with all chassis manufacturers' models. Detailed technical information is available from the chassis manufacturers.
1.7 The sections in this specification appear in the following sequence:  Section Scope 1 Referenced Documents 2 Terminology 3 Materials 4 Requirements 5 General Vehicle Types and Floor Plan 5.1 Vehicle, Components, Equipment, and Accessories 5.2 Vehicle Operation, Performance, and Physical Charac- teristics 5.3 Vehicle Weight Ratings and Payload 5.4 Chassis, Engine, and Components 5.5 Electrical System and Components 5.6 Lighting, Ambulance Exterior and Interior 5.7 Cab-body Driver Compartment and Equipment 5.8 Vehicle Body and Patient Area 5.9 Storage 5.10 Oxygen and Suction Systems and Equipment 5.11 Environmental: Climatic and Noise Parameters 5.12 Communications 5.13 Preparation for Painting, Color, and Markings 5.14 Undercoating 5.15 Corrosionproofing 5.16 Markings, Data Plates, Warranty Notice, etc. 5.17 Documentation 5.18 Predelivery Inspection and Servicing 5.19 Additional Systems, Medical Equipment, Accessories, and Supplies 5.20 Quality Assurance Provisions, Inspection, and Testing 6 Responsibility for Inspection and Tests 6.1 Inspection and Testing 6.2 Certifications 6.3 "Star of Life" Certification Requirements 6.4 Tests 6.5 Appendixes Partial Listing Specialty-Type Ground Vehicles X1 Typical Storage Volumes for Interior Compartments X1.2.1 Typical Extrication Equipment Might Include X1.2.2 Prepurchase Checklist X2 Rationale X3

General Information

Status
Withdrawn
Publication Date
31-Dec-1988
Withdrawal Date
09-Nov-1997
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.01 - EMS Equipment
Current Stage
Ref Project

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ASTM F1230-89 - Specification for Minimum Performance Requirements for Emergency Medical Service (EMS) Ground Vehicles (Withdrawn 1997)ASTM F1230-89 - Specification for Minimum Performance Requirements for Emergency Medical Service (EMS) Ground Vehicles (Withdrawn 1997)
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ASTM F1230-89 - Specification for Minimum Performance Requirements for Emergency Medical Service (EMS) Ground Vehicles (Withdrawn 1997)
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Standards Content (Sample)

AMERICAN SOCIETY FOR TESTlNfl AN0 MATERIALS
Designation: F 1230 - 89
1918 R8Ca $1. Phlldlphia, Pa. 19103
Roprinlad lmm Iha AnnuJ Book ol &TM Standards, CwrQhl CISIM
If nol lklcd h thr currant combined index, will apparr In tha next rdlion.
Standard Specification for
Minimum Performance Requirements for Emergency Medical
Service (EMS) Ground Vehicles’
This standard is issued under the fixed designation F 1230; 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 (c) indicates an editorial change since the last revision or reapproval.
1. Scope
5.1
GeneralVehicIeTypesandFIoorPIan .
1.1 This specification covers minimum performance and
5.2
Vehicle, Components, Equipment, and Accessories .
safety requirements for EMS ground vehicles used:
Vehicle Operation, Performance, and Physical Charac-
teristics . . . 5.3
1.1. I In the transportation of the sick and injured to or
Vehicle Weight Ratings and Payload . 5.4
from an appropriate medical facility while basic or advanced,
5.5
Chassis,Engine,andComponents .r .
or both, life support services are being provided,
................ 5.6
Electrical System and Components.
Lighting, Ambulance Exterior and Interior . 5.1
1.1.2 In the delivery of interhospital critical transport
Cab-body Driver Compartment and Equipment .
care,
VehicleBodyandPatientArea . 1 . ::i
1.1.3 In the delivery of nonemergency, medically re-
Storage . . . 5.10
quired, transport services, and 5.11
Oxygen-and Suction Systems and Equipment .
5.12
Environmental: Climatic and Noise Parameters .
1. I .4 In the transportation and delivery of personnel and
Communications . ., . . . 5.13
supplies essential for proper care of an emergent patient.
5.14
Preparation for Painting, Color, and Markings . I. .
1.2 It includes the performance standards for necessary
Undercoating . .- . 5.15
Corrosionproofmg . 5.16
materials, equipment, and systems to the levels outlined in
Markings, Data Plates, Warranty Notice, etc. _, . 5.17
recognized standards, whether clinical or vehicular.
5.18
Documentation . . .
1.3 The document is divided into two sections. Section A
5.19
Predelivery Inspection and Servicing .
Additional Systems, Medical Equipment, Accessories,
describes those vehicles used primarily for responding to and
and Supplies .,-, *. . . . 5.20
for transporting and treating the patient while en route to an
6
Quality Assurance Provisions, Inspection, and Testing .
appropriate medical facility. Section B will be developed at g
6.1
Responsibility for Inspection and Tests .
later date and will describe those vehicles primarily used for Inspection and Testing .
it:
Certifications .
transporting the nonemergency patient, for transporting
_ “Star of Life” Certification Requirements . 614
essential personnel or equipment, or both, to and from ti
TeSts . .*.s . 6.5
location where emergency medical care is required, or for
Appendixes
X1
Partial Listing Specialty-Type Ground Vehicles .
transporting patients in areas not accessible by ambulances
x1.2.1
Typical Storage Volumes for Interior Compartments . .
described in Section A.
x1.2.2
Typical Extrication Equipment Might Include .
1.4 This document establishes criteria that shall be consid-
Prepurchase Checklist . x2
Rationale . . . x3
ered in the performance, specification, purchase and accept-
ance testing of ground vehicles for EMS use.
2. Referenced Documents
1.5 This document does not define the staffing of ground
vehicles or the clinical practice of emergency medicine.
2.1 ASTM Standards:
1.6 The entire document should be read before ordering
B 117 Method of Salt Spray (Fog) Testing’
an ambulance, in order to be knowledgeable of which
F I177 Terminology Relating to Emergency Medical
equipment is standard, and which options are desired. Due
Services3
to the variety of ambulance equipment or features, some
2.2 SAE Standards!
options may be incompatible with all chassis manufacturers’
J 163 Low Tension Wiring and Cable Terminals and
models. Detailed technical information is available from the
Splice Clips
chassis manufacturers.
J 53? Storage Batteries
1.7 The sections in this specification appear in the fol-
J 541 Voltage Drop for Sfarting Motor Circuits
lowing sequence:
J 553 Circuit Breakers
Section
...

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1.7 This guide applies only to instructors who teach in AEMT training courses designed to prepare an individual for certification to practice above the level of the EMT. It does not apply to instructors who teach in specialized courses that do not in themselves qualify the individual for a level of EMT certification.  
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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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1.1 This practice covers the qualifications, responsibilities, and authority of individuals and institutions providing medical direction of emergency medical services.  
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1.3 This practice also addresses components of on-line medical direction (direct medical control) including the qualifications and responsibilities of on-line medical physicians and the relationship of the pre-hospital provider to on-line medical direction.  
1.4 This practice addresses the relationship of the on-line medical physician to the off-line Medical Director.  
1.5 The authority for control of medical services at the scene of a medical emergency is addressed in this practice.  
1.6 The requirements for a Communication Resource are also addressed within this practice.  
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4.2 This guide shall be used by those who wish to identify the minimum training standard for the Emergency Medical Technician as it relates to the performance of patient examination techniques.  
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1.1 This guide covers the minimum patient examination techniques that the Emergency Medical Technician shall be trained to use when assessing ill or injured patients of all ages.  
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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, health, and environmental practices and determine the applicability of regulatory limitations prior to use.  
1.4 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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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.  
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.
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 F1653.  
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 F1031 and Guides F1219, F1253, F1285, F1288, F1453, and F1489.  
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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Standard Guide for Scope of Performance of Triage in a Prehospital Environment

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4.1 This guide is not intended to be used by itself, but as a component of Guide F1288. Merely conforming to the guidelines described herein will not ensure that adequate triage is carried out in a multiple casualty incident.  
4.2 The purpose of this guide is to establish a methodology for performing triage.  
4.3 Individuals responsible for performing triage must be proficient in triage methods and related life-saving techniques.  
4.4 A basic concept of triage is to do the greatest good for the greatest number of casualties.  
4.5 The assessment process must be focused so as to identify those most at risk of early death who are likely to be salvaged by rapid medical intervention.  
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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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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.  
1.2 This guide acknowledges objectives based on an individual's required knowledge of signs and symptoms, patient assessment, and basic life support.  
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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1.5 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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Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care

SIGNIFICANCE AND USE
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.  
4.2 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.  
4.3 This guide is intended to assist those who are responsible for defining the scope of performance for first responders.  
4.4 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, health, and environmental practices and determine the applicability of regulatory limitations prior to use.  
1.4 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.

  • Guide
    2 pages
    English language
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