ASTM F1654-95

Standard Guide for Training and Evaluation of Individuals Who are Responsible for or Perform Triage in Prehospital Environment

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 and health practices and determine the applicability of regulatory limitations prior to use. For specific precautionary statements, see the document cited in Footnote 3.

General Information

• Status: Historical
• Publication Date: 09-Oct-1995
• Technical Committee: F30 - Emergency Medical Services
• Drafting Committee: F30.02 - Personnel, Training and Education

Standards Content (Sample)

NOTICE: This standard has either been superseded and replaced by a new version or discontinued.
Contact ASTM International (www.astm.org) for the latest information.
Designation: F 1654 – 95
Standard Guide for
Training and Evaluation of Individuals Who are Responsible
1
for or Perform Triage in a Prehospital Environment
This standard is issued under the fixed designation F 1654; 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 F 1489 Guide for the Performance of Patient Assessment by
2
the Emergency Medical Technician (Paramedic)
1.1 This guide covers minimum requirements for the train-
F 1651 Guide for Training the Emergency Medical Techni-
ing and evaluation of individuals who perform triage at an
2
cian (Paramedic)
emergency medical incident involving multiple casualties in a
F 1653 Guide for Scope of Performance of Triage in Pre-
prehospital environment.
2
hospital Environment
1.2 All training will be in accordance with Guide F 1653.
1.3 Included in this guide is a standard for knowledge and
3. Terminology
skill evaluation.
3.1 Definitions of Terms Specific to This Standard:
1.4 Operating within the framework of this guide may
3.1.1 first priority/immediate (RED)—those patients with
expose personnel to hazardous materials, procedures and
serious injuries that are life threatening but have a high
equipment. For additional information see Practice F 1031 and
probability of survival.
Guides F 1219, F 1253, F 1285, F 1288, F 1453 and F 1489.
3.1.2 fourth priority/dead/mortally wounded (BLACK)—
1.5 This standard does not purport to address all of the
Those patients who are obviously dead as determined by local
safety concerns, if any, associated with its use. It is the
medical protocol or those patients with severe injuries and a
responsibility of the user of this standard to establish appro-
low probability of survival, despite immediate care.
priate safety and health practices and determine the applica-
3.1.3 injured, adj—means both sick and injured patients.
bility of regulatory limitations prior to use. For specific
3.1.4 ongoing triage, n—the continuing process of patient
precautionary statements, see the document cited in Footnote 3.
assessment and prioritization in a multiple casualty incident.
2. Referenced Documents (Also known as secondary and tertiary.)
3.1.5 primary triage, n—the initial process of rapid assess-
2.1 ASTM Standards:
ment, provision of life saving interventions and assignment of
F 1031 Practice for Training the Emergency Medical Tech-
2,3
visual priority identification to each patient in a multiple
nician (Basic)
casualty incident.
F 1177 Terminology Relating to Emergency Medical Ser-
2
3.1.6 second priority/delayed (YELLOW)—those patients
vices
who are seriously injured and whose lives are not immediately
F 1219 Guide for Training the Emergency Medical Techni-
2
threatened.
cian (Basic) to Perform Patient Primary Assessment
3.1.7 third priority/minor (GREEN)—those patients who
F 1253 Guide for Training the Emergency Medical Techni-
2
are injured but do not require immediate medical attention and
cian (Basic) to Perform Patient Secondary Assessment
those apparently not physically injured.
F 1285 Guide for Training the Emergency Medical Techni-
2
3.1.8 triage, n—the process of sorting and prioritizing
cian (Basic) to Perform Patient Examination Techniques
emergency medical care of the sick and injured on the basis of
F 1288 Guide for Planning for and Response to a Multiple
2
urgency and type of condition present as well as the number of
Casualty Incident
patients and resources.
F 1453 Guide for Training and Evaluation of First Respond-
2
3.2 For definitions of other terms used in this guide, refer to
ers Who Provide Emergency Medical Care
Terminology F 1177.
1
This guide is under the jurisdiction of ASTM Committee F-30 on Emergency
4. Significance and Use
Medical Services and is the direct responsibility of Subcommittee F30.02 on
4.1 This guide is intended for use by those responsible for
Personnel, Training and Education.
Current edition approved Oct. 10, 1995. Published December 1995. the development and implementation of training programs, that
2
Annual Book of ASTM Standards, Vol 13.01.
include competency evaluation, for triage in the prehospital
3
Most recent “Standards and Guidelines for Cardiopulmonary Resuscitation and
environment.
Emergency Cardiac Care” as reprinted from the Journal of the American Medical
4.2 This guide is not intended to be used by itself, but as a
Association, available from American Heart Association, 7320 Greenville Avenue,
Dallas, TX 75231.
Copyright © ASTM, 100 Barr Harbor Drive, West Conshohocken, PA 19428-2959, United States.
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