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ASTM F1287-90(2020)

(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
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.

General Information

Status
Published
Publication Date
31-Oct-2020
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.02 - Personnel, Training and Education
Current Stage
Ref Project

Relations

Refers
ASTM F1031-00(2012) - Standard Practice for Training the Emergency Medical Technician (Basic)
Effective Date
01-Jul-2012
Refers
ASTM F1031-00(2006) - Standard Practice for Training the Emergency Medical Technician (Basic)
Effective Date
01-Mar-2006
Refers
ASTM F1031-00 - Standard Practice for Training the Emergency Medical Technician (Basic)
Effective Date
10-Oct-2000

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ASTM F1287-90(2020) - Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical CareASTM F1287-90(2020) - Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care
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ASTM F1287-90(2020) - Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care
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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.
Designation: F1287 − 90 (Reapproved 2020)
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 2.2 American Heart Association/American Red Cross
(AHA/ARC) Standards:
1.1 This guide covers minimum requirements for the scope
Standards and Guidelines for Cardiopulmonary Resuscita-
of performance of first responders who may be responsible for
tion and Emergency Cardiac Care
the initial care of sick and injured persons of all ages in the
prehospital environment.
3. Terminology
1.2 This guide includes objectives based on an individual’s
3.1 Definitions of Terms Specific to This Standard:
acquired knowledge, including signs and symptoms; patient
3.1.1 basic life support/cardiopulmonary resuscitation
assessment; basic life support/cardiopulmonary resuscitation
(BLS/CPR)—a set of skills that includes airway management,
(BLS/CPR); bleeding and shock; injuries to the skull, spine,
chest compressions, and others as defined by the American
chest, abdomen, and extremities; moving patients; medical and
Heart Association.
environmental emergencies; triage; gaining access; and haz-
3.1.2 first responder (FR)—an individual trained to provide
ardous situations that the first responder may encounter.
initial care for sick or injured persons in accordance with this
1.3 This standard does not purport to address all of the
guide.
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, health, and environmental practices and deter-
4.1 The purpose of this guide is to improve the quality of
mine the applicability of regulatory limitations prior to use.
1.4 This international standard was developed in accor- initial emergency medical care provided to the sick and
dance with internationally recognized principles on standard- injured. As the first trained person at an emergency medical
ization established in the Decision on Principles for the scene, it is critical that the first responder be proficient in
Development of International Standards, Guides and Recom- providing patient care and minimizing further complications
until more highly trained emergency medical service personnel
mendations issued by the World Trade Organization Technical
Barriers to Trade (TBT) Committee. intervene.
4.2 In identifying these minima, the guide acknowledges
2. Referenced Documents
many types of first responder emergency medical care courses
2.1 ASTM Standards:
of study. This guide allows and encourages the addition of
F1031 Practice for Training the Emergency Medical Tech-
optional knowledge, skill, and attitudinal objectives. Programs
nician (Basic)
such as those for law enforcement, firefighters, and ski patrol
are examples of this diversity meeting specific local commu-
nity needs.
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.02 on
4.3 This guide is intended to assist those who are respon-
Personnel, Training and Education.
sible for defining the scope of performance for first responders.
Current edition approved Nov. 1, 2020. Published November 2020. Originally
approved in 1990. Last previous edition approved in 2012 as F1287 – 90 (2012).
DOI: 10.1520/F1287-90R20.
For referenced ASTM standards, visit the ASTM website, www.astm.org, or
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM Reprinted from the Journal of the American Medical Association (JAMA).
Standards volume information, refer to the standard’s Document Summary page on Copies are available from the American Heart Association, 7272 Greenville Ave.,
the ASTM website. Dallas, TX 75231.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
F1287 − 90 (2020)
4.4 This guide is not intended to be used as a sco
...

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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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Standard Practice for Qualifications, Responsibilities, and Authority of Individuals and Institutions Providing Medical Direction of Emergency Medical Services

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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 establishes the minimum national standard for training the Emergency Medical Technician to perform patient examination techniques on patients of all ages.  
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4.1 Since the quality of EMT training depends, in large measure, on the instructional abilities and competencies of the EMT instructor, it is imperative that the individual selected and used in this capacity possess the qualifications and capabilities necessary to provide effective instruction.  
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SIGNIFICANCE AND USE
4.1 The purpose of this practice is to provide standardized means of providing Emergency Medical Technician training. The practice should be used by all individuals and agencies that train such persons.  
4.2 Successful completion of this course of training neither constitutes nor implies certification or licensure.  
4.3 This practice adopts the knowledge and skill objectives contained in the NHSTA curriculum (latest version) as the standard practice for training those persons who provide emergency medical care at the basic life support level and are known as Emergency Medical Technicians. The actual lesson plans contained in the referenced document are recommended for use; however, each instructor may modify the order of presentation according to local needs.  
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SCOPE
1.1 This practice covers a standard course for the training of the Emergency Medical Technician which will prepare a person to perform those skills commonly required to render lifesaving aid at the scene of an emergency and during transportation to a definitive care facility.  
1.2 It is not the intent of this practice to require that the curriculum be used exactly as presented, but only that the knowledge and skill objectives that are part of the curriculum be included in any course purporting to train an Emergency Medical Technician. It is not the intent of this practice to limit the addition of knowledge and skill objectives as required by local conditions.  
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ASTM F1268-90(2020)(Guide)
Standard Guide for Establishing and Operating a Public Information, Education, and Relations Program for Emergency Medical Service Systems

SIGNIFICANCE AND USE
4.1 It is essential to have the public's understanding and support for the EMS system to ensure its proper development and utilization.  
4.2 This guide encompasses those procedures, considerations, and resources that are necessary for a successful EMS public information, education, and relations program. Complex EMS systems may integrate or augment, or both, this guide in its entirety. Less complex systems may need to collaborate with other EMS organizations and related agencies. Responsibility for this guide will vary by level of authority, that is, state, regional, and local. (See Guide F1086.)  
4.3 The PIER tasks involve research, planning, production, distribution, and evaluation. Production requires significant resources and expertise and may be done most appropriately at the higher level, such as regional, state, and national levels.
SCOPE
1.1 The purpose of this guide is to provide national voluntary standards and recommendations to effectively provide emergency medical service system information and education to the public.  
1.2 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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ASTM F1453-92(2020)(Guide)
Standard Guide for Training and Evaluation of First Responders Who Provide Emergency Medical Care

SIGNIFICANCE AND USE
4.1 This guide is for those responsible for the development and implementation of training and evaluation programs for first responders (FRs).  
4.2 At the beginning of the program, students shall be informed of the course objectives and requirements for successful completion.  
4.3 This guide is not intended for use as a training guide for emergency ambulance personnel.
SCOPE
1.1 This guide covers the minimum training standards for First Responders (FRs) who may be responsible for the initial care of sick and injured persons of all ages in the prehospital environment.  
1.2 The scope of training will be in accordance with Guide F1287.  
1.3 Included in this guide is a standard for knowledge and skill evaluation.  
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1.5 Operating within the framework of this guide may expose emergency medical service personnel to hazardous materials, procedures and equipment. 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 documents cited in 2.2.  
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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SIGNIFICANCE AND USE
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4.2 This guide is not intended to be used by itself, but as a component of Guide F1288.  
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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.  
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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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