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ASTM F1558-94(2007)

(Guide)

Standard Guide for Characteristics for Adjunct Cervical Spine Immobilization Devices (ACSID)

Standard Guide for Characteristics for Adjunct Cervical Spine Immobilization Devices (ACSID)

SIGNIFICANCE AND USE
The intent of this guide is to identify characteristics that an ACSID shall possess.
It is not expected that the ACSID will be used alone to provide the entire scope of required immobilization. Clinical situations may require differing combinations of devices for adequate total spinal immobilization. An ACSID may be one of the devices.
An ACSID is intended to provide stabilization and/or support in addition to other immobilization devices in one or more of the planes of motion mentioned in 3.2.1 (see 4.2).
SCOPE
1.1 This guide establishes minimum standards for devices designated here as adjunct cervical spine immobilization device (ACSID); a lateral stabilizer for the head is an example of this type of device. The ACSID is designed to be used to assist in the immobilization of the cervical spine, by emergency medical services personnel.
1.2 This guide does not identify specific degrees of limitation of motion achieved by placement of an ACSID on a patient. Definitive requirements for immobilization of the spine, and, in particular, the degree of limitation associated with the use of an ACSID, have not been established in the medical literature.
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.

General Information

Status
Historical
Publication Date
31-Jan-2007
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.01 - EMS Equipment
Current Stage
Ref Project

Relations

Replaces
ASTM F1558-94(2002) - Standard Guide for Characteristics for Adjunct Cervical Spine Immobilization Devices (ACSID)
Effective Date
01-Feb-2007
Replaced By
ASTM F1558-94(2015) - Standard Guide for Characteristics for Adjunct Cervical Spine Immobilization Devices (ACSID) (Withdrawn 2024)
Effective Date
01-Jun-2015

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ASTM F1558-94(2007) - Standard Guide for Characteristics for Adjunct Cervical Spine Immobilization Devices (ACSID)ASTM F1558-94(2007) - Standard Guide for Characteristics for Adjunct Cervical Spine Immobilization Devices (ACSID)
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ASTM F1558-94(2007) - Standard Guide for Characteristics for Adjunct Cervical Spine Immobilization Devices (ACSID)
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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: F1558 − 94(Reapproved 2007)
Standard Guide for
Characteristics for Adjunct Cervical Spine Immobilization
Devices (ACSID)
This standard is issued under the fixed designation F1558; 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.
INTRODUCTION
The objective of this guide is to begin to address the recognized need to support and immobilize the
components of the spine or spinal cord. Although this guide does not quantitatively address
performance standards for this device, it does address the characteristics of the device(s) used to
provide support and immobilization of the components of the central nervous system for the patient
suspected of receiving trauma to that body system.
1. Scope 2.2 OSHA Standard:
20 CFR 1910.1030 Occupational Exposure to Bloodborne
1.1 This guide establishes minimum standards for devices
Pathogens; Final Rule
designated here as adjunct cervical spine immobilization de-
2.3 Centers for Disease Control Standard:
vice (ACSID); a lateral stabilizer for the head is an example of
Guidelines for Prevention of Transmission of HIV and HBV
this type of device. TheACSID is designed to be used to assist
to Healthcare and Public Safety Workers
in the immobilization of the cervical spine, by emergency
medical services personnel.
3. Terminology
1.2 This guide does not identify specific degrees of limita-
3.1 Definitions:
tion of motion achieved by placement of an ACSID on a
3.1.1 retention system—an adjunct to or an integral part of
patient. Definitive requirements for immobilization of the
the primary platform that allows the patient to be securely
spine, and, in particular, the degree of limitation associated
attached to that platform used in whatever configuration and
with the use of an ACSID, have not been established in the
size necessary to accomplish the goal while still allowing
medical literature.
reasonable and necessary access to the patient.
1.3 This standard does not purport to address all of the
3.1.2 spinal immobilization—immobilization of the entire
safety concerns, if any, associated with its use. It is the
spine and its contiguous structures, the pelvis and skull.
responsibility of the user of this standard to establish appro-
3.1.3 spine—the spine shall include the cervical, thoracic,
priate safety and health practices and determine the applica-
lumbar, and sacral vertebrae.
bility of regulatory limitations prior to use.
3.2 Definitions of Terms Specific to This Standard:
3.2.1 directions of movement—directions include flexion,
2. Referenced Documents
extension, rotation, distraction, lateral motion, and axial com-
2.1 ASTM Standards:
pression motion.
F1177 Terminology Relating to Emergency Medical Ser-
3.2.2 immobilization—limitation of motion.
vices
3.3 For definitions of other terms used in this guide, refer to
Terminology F1177.
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
4. Significance and Use
Medical Services and is the direct responsibility of Subcommittee F30.01 on EMS
4.1 The intent of this guide is to identify characteristics that
Equipment.
Current edition approved Feb. 1, 2007. Published February 2007. Originally
an ACSID shall possess.
approved in 1994. Last previous edition approved in 2002 as F1558 – 94(2002).
DOI: 10.1520/F1558-94R07.
2 3
For referenced ASTM standards, visit the ASTM website, www.astm.org, or Available from Superintendent of Documents, U.S. Government Printing
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM Office, Washington, DC 20402.
Standards volume information, refer to the standard’s Document Summary page on Available from Centers for Disease Control &
...

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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.  
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SCOPE
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