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ASTM F1287-90(2007)

(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
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.
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.
This guide is intended to assist those who are responsible for defining the scope of performance for first responders.
This guide is not  intended to be used as a scope of performance for emergency ambulance personnel (see Practice F 1031).
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.
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
F30.02 - Personnel, Training and Education
Current Stage
Ref Project

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ASTM F1287-90(2007) - Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical CareASTM F1287-90(2007) - Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care
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ASTM F1287-90(2007) - Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care
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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:F1287–90(Reapproved 2007)
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 3. Terminology
1.1 This guide covers minimum requirements for the scope 3.1 Definitions of Terms Specific to This Standard:
of performance of first responders who may be responsible for 3.1.1 basic life support/cardiopulmonary resuscitation
the initial care of sick and injured persons of all ages in the (BLS/CPR)—a set of skills that includes airway management,
prehospital environment. chest compressions, and others as defined by the American
1.2 This guide includes objectives based on an individual’s Heart Association.
acquired knowledge, including signs and symptoms; patient 3.1.2 first responder (FR)—an individual trained to provide
assessment; basic life support/cardiopulmonary resuscitation initial care for sick or injured persons in accordance with this
(BLS/CPR); bleeding and shock; injuries to the skull, spine, guide.
chest, abdomen, and extremities; moving patients; medical and
4. Significance and Use
environmental emergencies; triage; gaining access; and haz-
ardous situations that the first responder may encounter. 4.1 The purpose of this guide is to improve the quality of
initial emergency medical care provided to the sick and
1.3 This standard does not purport to address all of the
safety concerns, if any, associated with its use. It is the injured. As the first trained person at an emergency medical
scene, it is critical that the first responder be proficient in
responsibility of the user of this standard to establish appro-
priate safety and health practices and determine the applica- providing patient care and minimizing further complications
until more highly trained emergency medical service personnel
bility of regulatory limitations prior to use.
intervene.
2. Referenced Documents
4.2 In identifying these minima, the guide acknowledges
2.1 ASTM Standards: many types of first responder emergency medical care courses
F1031 Practice for Training the Emergency Medical Tech- of study. This guide allows and encourages the addition of
nician (Basic) optional knowledge, skill, and attitudinal objectives. Programs
2.2 American Heart Association/American Red Cross such as those for law enforcement, firefighters, and ski patrol
(AHA/ARC) Standards: are examples of this diversity meeting specific local commu-
Standards and Guidelines for Cardiopulmonary Resuscita- nity needs.
tion and Emergency Cardiac Care 4.3 This guide is intended to assist those who are respon-
sible for defining the scope of performance for first responders.
4.4 This guide is not intended to be used as a scope of
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
performance for emergency ambulance personnel (see Practice
Medical Services and is the direct responsibility of Subcommittee F30.02 on
F1031).
Personnel, Training and Education.
Current edition approved Feb. 1, 2007. Published February 2007. Originally
approved in 1990. Last previous edition approved in 2002 as F1287 – 90(2002). 5. Objectives
DOI: 10.1520/F1287-90R07.
5.1 Required Objectives—These objectives are not in an
For referenced ASTM standards, visit the ASTM website, www.astm.org, or
order suggesting a particular performance sequence. The first
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM
Standards volume information, refer to the standard’s Document Summary page on
responder shall be able to:
the ASTM website.
5.1.1 Identify the roles and responsibilities of a first re-
Reprinted from the Journal of the American Medical Association (JAMA).
sponder within the local emergency medical services (EMS)
Copies are available from the American Heart Association, 7272 Greenville Ave.,
Dallas, TX 75231. syst
...

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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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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.
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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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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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4.9 This guide is intended to assist those who are responsible for defining the scope of performance of individuals who perform triage.  
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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.  
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