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ASTM F1420-01

(Guide)

Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Management Techniques (Withdrawn 2007)

Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Management Techniques (Withdrawn 2007)

SCOPE
1.1 This guide establishes the minimum national standard for training the emergency medical technician (basic) to perform patient management techniques for patients of all ages.
1.2 This guide is one of a series which together describe the minimum training standard for the emergency medical technician (basic).
1.3 This standard does not purport to address all of the safety problems, 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WITHDRAWN RATIONALE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 guide establishes the minimum national standard for training the emergency medical technician (basic) to perform patient management techniques for patients of all ages.
Formerly under the jurisdiction of Committee F30 on Emergency Medical Services, this guide was withdrawn in 2007 with no replacement because the change in 1994 to the national curriculum has made this standard obsolete and the committee does not see a need to develop new standards under the new curriculum.

General Information

Status
Withdrawn
Publication Date
09-Feb-2001
Withdrawal Date
20-Feb-2007
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 F1420-92 - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Management Techniques
Effective Date
10-Feb-2001

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ASTM F1420-01 - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Management Techniques (Withdrawn 2007)ASTM F1420-01 - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Management Techniques (Withdrawn 2007)
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ASTM F1420-01 - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Management Techniques (Withdrawn 2007)
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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:F1420–01
Standard Guide for
Training the Emergency Medical Technician (Basic) to
1
Perform Patient Management Techniques
This standard is issued under the fixed designation F 1420; 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.
1. Scope Standards and Guidelines for Cardiopulmonary Resuscita-
3
tion and Emergency Cardiac Care
1.1 This guide establishes the minimum national standard
4
Textbook of Pediatric Advanced Life Support
for training the emergency medical technician (basic) to
perform patient management techniques for patients of all
3. Terminology
ages.
3.1 Definition
1.2 This guide is one of a series which together describe the
3.1.1 management techniques, n—refers to those skills that
minimum training standard for the emergency medical techni-
constitute actions or activities conducted by the emergency
cian (basic).
medical technician (basic) for a patient in need of assistance as
1.3 This standard does not purport to address all of the
a result of a real or perceived traumatic or medical condition.
safety concerns, if any, associated with its use. It is the
responsibility of the user of this standard to establish appro-
4. Significance and Use
priate safety and health practices and determine the applica-
4.1 This guide establishes the minimum national standard
bility of regulatory limitations prior to use.
for training the emergency medical technician (basic) to
2. Referenced Documents perform management techniques for patients of all ages. This
guide does not preclude additions to or modifications of the
2.1 ASTM Standards:
management techniques used by the emergency medical tech-
F 1031 Practice for Training the Emergency Medical Tech-
2 nician (basic) as authorized by local medical protocol.
nician (Basic)
4.2 This guide shall be used by those who wish to identify
F 1219 Guide for Training the Emergency Medical Techni-
the minimum training standard for the emergency medical
cian (Basic) to Perform Patient Initial and DetailedAssess-
2
technician (basic) as it relates to the performance of manage-
ment
ment techniques.
F 1255 Practice for Performance of Prehospital Automated
2 4.3 This guide shall be used as the basis to revise Practice
Defibrillation
F 1031.
F 1285 Guide for Training the Emergency Medical Techni-
2 4.4 Every person who is identified as an emergency medical
cian (Basic) to Perform Patient Examination Techniques
technician (basic) shall have been trained to this standard.
F 1328 Guide for Training Emergency Medical Technician
2 4.5 This guide does not stand alone and must be used in
(Basic) to Prepare Patients for Medical Transportation
conjunction with all referenced documents cited in Section 2.
F 1329 Guide for Training the Emergency Medical Techni-
2 4.6 The management techniques outlined in this guide are
cian (Basic) in Basic Anatomy and Physiology
not necessarily in sequential order, and they will often vary
F 1418 Guide for Training the Emergency Medical Techni-
2 with the patient’s age, size, location and condition.
cian (Basic) in Roles and Responsibilities
F 1419 Guide for Training the Emergency Medical Techni-
5. Management Techniques
2
cian (Basic) to Manage Shock
5.1 Use of airway management techniques and devices.
F 1421 Guide for Training the Emergency Medical Techni-
2 5.2 Use of techniques for management of the compromised
cian (Basic) to Manage Obstetrical Emergencies
circulatory system.
2.2 Other Documents:
5.2.1 Direct pressure to the source of bleeding.
5.2.2 Pressure dressings.
5.2.3 Patient positioning.
1
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.02 on
Personnel, Training and Education.
3
Current edition approved Feb. 10, 2001. Published April 2001. Originally Reprinted from Journal of American Medical Association, June 6, 1986, Vol
published as F 1420 - 92. Last previous edition F 1420 - 92. 255, pp 2842–3044.
2 4
Annual Book of ASTM Standards, Vol 13.02. Chameides, et al., American Heart Association, Dallas, TX 1988.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
1

---------------------- Page: 1 ----------------------
F1420–01
5.2.4 The pneumatic antishock garment in accordance with 5.7 Use of basic life support as described in Standards and
local medical control protocol. Guidelines for Cardiopulmonary Resuscitation and Emergency
5.3 Use of spinal immobilization techniques. Cardiac Care and the Textbook of Pediatric Advanced Life
5.3.1 Manual spinal motion control. S
...

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1.3 This guide includes specific guidelines for qualifications, training, education, experience, scope of authority, responsibilities, continuing education, evaluation, and maintenance of competency when applicable.  
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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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1.5 The authority for control of medical services at the scene of a medical emergency is addressed in this practice.  
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SIGNIFICANCE AND USE
4.1 This guide establishes the minimum national standard for training the Emergency Medical Technician to perform patient examination techniques on patients of all ages.  
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.  
4.3 This guide shall be used as the basis to revise Practice F1031.  
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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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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.  
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