ASTM F2076-01

Standard Practice for Communicating an EMS Patient Report to Receiving Medical Facilities

SCOPE
1.1 This practice establishes the EMS standard for communications entailing a patient radio (phone) report to a receiving medical facility.
1.1.1 This report is based on receiving facility needs and is generic for medical, traumatic, (ALS), and (BLS) patients.
1.1.2 This report standard is based on the hierarchical information needs of an average medical receiving facility.

General Information

• Status: Historical
• Publication Date: 09-Jan-2001
• ICS: 11.140 - Hospital equipment
• Technical Committee: F30 - Emergency Medical Services
• Drafting Committee: F30.04 - Communications

Relations

• Replaced By: ASTM F2076-01(2006) - Standard Practice for Communicating an EMS Patient Report to Receiving Medical Facilities
• Effective Date: 01-Mar-2006

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NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.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:F2076–01
Standard Practice for
Communicating an EMS Patient Report to Receiving Medical
Facilities
This standard is issued under the fixed designation F 2076; 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.
INTRODUCTION
Throughout all areas of emergency medical services (EMS), there exists a need for the EMS
provider to consult with medical direction and receiving medical facilities.These consultations can be
purely for patient arrival notification, medical consultation, or to request additional medical
intervention orders. Within the EMS community, no “standard” reporting scheme exists. Hundreds of
verbal reporting formats are currently used. Some agencies divide these further for those assessments
involving medical from trauma. Failure to use a standard reporting scheme makes initial student
educationdifficult,makesrecordingofinformationcumbersome,andcanleadtotimedelaysinpatient
care or worse yet an error.
This consensus format was developed from a survey sent to over 100 emergency physicians, nurses,
and field providers. The 25 that were returned were analyzed to construct the initial draft. One clear
theme was present. Receiving medical facilities want to know the most important information
first . . . medical information that affects the logistics of running a busy emergency department (ED).
With the increased use of standing orders, the traditional detailed report to the ED was often not seen
as time effective or making any change in the patient’s outcome.
ThispracticeusestheacronymPISAtodescribetheinformationtobepresentedinagenericpatient
report. P is priority information that is considered absolutely critical if only 15 s of transmission (or
reception) is accomplished; I is important information that needs to be communicated if an additional
16 to 30 s is available; S is significant information that would be transmitted if an additional 31 to 60
s were available; A is additional information that should be transmitted if 61+ s are available.
1. Scope F 1651 Guide for Training the Emergency Medical Techni-
cian (Paramedic)
1.1 This practice establishes the EMS standard for commu-
2.2 Other Documents:
nications entailing a patient radio (phone) report to a receiving
USDOT National Standard Curriculum for EMT-B
medical facility.
USDOT National Standard Curriculum for EMT-P
1.1.1 This report is based on receiving facility needs and is
generic for medical, traumatic, (ALS), and (BLS) patients.
3. Terminology
1.1.2 This report standard is based on the hierarchical
3.1 Definitions of Terms Specific to This Standard:
information needs of an average medical receiving facility.
3.1.1 AVPU—a brief neurological examination to determine
a baseline level of consciousness and to assess central nervous
2. Referenced Documents
system function. This assessment is universally taught as part
2.1 ASTM Standards:
of the initial assessment for EMS providers.
F 1418 Guide for Training the Emergency Medical Techni-
3.1.2 Alert
cian (Basic) in Roles and Responsibilities
3.1.3 responds to Verbal stimuli
F 1629 Guide for Establishing and/or Operating Emergency
3.1.4 responds to Painful stimuli
Medical Services Management Information Systems
3.1.5 Unresponsive—no gag or cough
3.1.6 Glasgow Coma Scale (GCS)—standard neurological
evaluation that uses eye opening, motor response, and verbal
This practice is under the jurisdiction ofASTM Committee F30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.04 on
Communications.
Current edition approved Jan. 10, 2001. Published April 2001. Available from the Superintendent of Documents, U.S. Government Printing
Annual Book of ASTM Standards, Vol 13.02. Office, Washington, DC 20402.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
F2076–01
response. This assessment is universally taught as part of the 5.1.1.4 Additional = “Nice to know” information transmit-
detailed assessment for EMS providers. ted in the 61+-s time frame.
3.1.7 LOC—level of consciousness.
5.1.2 P—Priority information items to be communicated:
3.1.8 PMS—neurological eval
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