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ASTM F1285-90(2008)

(Guide)

Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Examination Techniques

Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Examination Techniques

SIGNIFICANCE AND USE
This guide establishes the minimum national standard for training the emergency medical technician (basic) to perform patient examination techniques on patients of all ages.
This guide shall be used by those who wish to identify the minimum training standard for the emergency medical technician (basic) as it relates to the performance of patient examination techniques.
This guide shall be used as the basis to revise Practice F 1031.
Every person who is identified as an emergency medical technician (basic) shall have been trained in accordance with this guide.
This guide does not stand alone and must be used in conjunction with the applicable documents cited in Section 2.
SCOPE
1.1 This guide covers the minimum patient examination techniques that the emergency medical technician (basic) shall be trained to use when assessing ill or injured patients of all ages.
1.2 This guide is one of a series which together describe the minimum training standard for the emergency medical technician (basic).
1.3 This standard does not purport to address the safety concerns 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-2008
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.02 - Personnel, Training and Education
Current Stage
Ref Project

Relations

Replaces
ASTM F1285-90(2003) - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Examination Techniques
Effective Date
01-Feb-2008
Referred By
ASTM F1653-95(2020) - Standard Guide for Scope of Performance of Triage in a Prehospital Environment
Effective Date
01-Feb-2008
Referred By
ASTM F1654-95(2020) - Standard Guide for Training and Evaluation of Individuals Who Are Responsible for or Perform Triage in a Prehospital Environment
Effective Date
01-Feb-2008
Referred By
ASTM F1339-92(2016) - Standard Guide for Organization and Operation of Emergency Medical Services Systems
Effective Date
01-Feb-2008

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ASTM F1285-90(2008) - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Examination TechniquesASTM F1285-90(2008) - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Examination Techniques
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ASTM F1285-90(2008) - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Examination Techniques
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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: F1285 − 90 (Reapproved2008)
Standard Guide for
Training the Emergency Medical Technician (Basic) to
Perform Patient Examination Techniques
This standard is issued under the fixed designation F1285; 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 3.1.3 palpation—examination by touching with the hand.
1.1 This guide covers the minimum patient examination
4. Significance and Use
techniques that the emergency medical technician (basic) shall
4.1 This guide establishes the minimum national standard
be trained to use when assessing ill or injured patients of all
for training the emergency medical technician (basic) to
ages.
perform patient examination techniques on patients of all ages.
1.2 This guide is one of a series which together describe the
4.2 This guide shall be used by those who wish to identify
minimum training standard for the emergency medical techni-
the minimum training standard for the emergency medical
cian (basic).
technician (basic) as it relates to the performance of patient
1.3 This standard does not purport to address the safety
examination techniques.
concerns associated with its use. It is the responsibility of the
4.3 This guide shall be used as the basis to revise Practice
user of this standard to establish appropriate safety and health
F1031.
practices and determine the applicability of regulatory limita-
tions prior to use.
4.4 Every person who is identified as an emergency medical
technician (basic) shall have been trained in accordance with
2. Referenced Documents
this guide.
2.1 ASTM Standards:
4.5 This guide does not stand alone and must be used in
F1031 Practice for Training the Emergency Medical Tech-
conjunction with the applicable documents cited in Section 2.
nician (Basic)
5. Examination Techniques
3. Terminology
5.1 The emergency medical technician (basic) shall be
3.1 Definitions of Terms Specific to This Standard:
trained to perform the following examination techniques and to
3.1.1 auscultation—examination by listening with a stetho-
recognize the differences that exist because of age and sex:
scope.
5.1.1 Assess respirations for rate, rhythm, and quality,
3.1.2 inspection—examination by careful visualization of
5.1.2 Auscultate for breath sounds,
the body or
...

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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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1.1 This guide is intended to assist emergency medical services (EMS) agencies and institutions in selecting and utilizing individuals who teach in EMT (emergency medical technician) training programs which include instruction in basic life support knowledge and skills.  
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Note 1: Also see Practice F1031.  
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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.  
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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.  
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.  
1.2 All training will be in accordance with Guide F1653.  
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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.  
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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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1.3 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, F1287, F1288, F1489 and F1651.  
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