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ASTM F1556-94(2007)

(Guide)

Standard Guide for Spinal Immobilization and Extrication (SPINE) Device Characteristics

Standard Guide for Spinal Immobilization and Extrication (SPINE) Device Characteristics

SIGNIFICANCE AND USE
The intent of this guide is to identify characteristics that a SPINED shall possess.
As opposed to a full body spinal immobilization device, the SPINED incorporates additional features that assist in the extrication of a victim from a confined space.
It is not expected that the SPINED 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. A SPINE device may be one of the devices.
A device intended for use with adult patients shall accommodate the 95th percentile adult American male.
Devices that are labeled as intended for pediatric use shall not be required to accommodate adult patients.
The device shall be able to be used by the practitioner in an ergonomically sound manner.
SCOPE
1.1 This guide covers minimum standards for devices, designated here as spinal immobilization and extrication device(s) (SPINED), commonly referred to as short spine board. The SPINED is designed to be used as the platform for immobilization and extrication of a patient with potential spine or spinal cord injury by emergency medical service personnel.
1.2 This guide does not identify specific degrees of limitation of motion achieved by placement of a SPINED on a patient. Definitive requirements for immobilization of the spine, and, in particular, the degree of limitation associated with the use of a SPINED, 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 F1556-94(2002) - Standard Guide for Spinal Immobilization and Extrication (Spined) Device Characteristics
Effective Date
01-Feb-2007
Replaced By
ASTM F1556-94(2015) - Standard Guide for Spinal Immobilization and Extrication (SPINE) Device Characteristics (Withdrawn 2024)
Effective Date
01-Jun-2015

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ASTM F1556-94(2007) - Standard Guide for Spinal Immobilization and Extrication (SPINE) Device CharacteristicsASTM F1556-94(2007) - Standard Guide for Spinal Immobilization and Extrication (SPINE) Device Characteristics
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ASTM F1556-94(2007) - Standard Guide for Spinal Immobilization and Extrication (SPINE) Device Characteristics
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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: F1556 − 94(Reapproved 2007)
Standard Guide for
Spinal Immobilization and Extrication (SPINE) Device
Characteristics
This standard is issued under the fixed designation F1556; 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 Centers for Disease Control Standard:
Guidelines for Prevention of Transmission of HIV and HBV
1.1 This guide covers minimum standards for devices,
to Healthcare and Public Safety Workers
designated here as spinal immobilization and extrication de-
2.3 OSHA Standard:
vice(s) (SPINED), commonly referred to as short spine board.
29 CFR 1910.1030 Occupational Exposure to Bloodborne
The SPINED is designed to be used as the platform for
Pathogens; Final Rule
immobilization and extrication of a patient with potential spine
or spinal cord injury by emergency medical service personnel.
3. Terminology
1.2 This guide does not identify specific degrees of limita-
3.1 Definitions:
tion of motion achieved by placement of a SPINED on a
3.1.1 retention system—a retention system is an adjunct to
patient. Definitive requirements for immobilization of the
or an integral part of the primary platform that allows the
spine, and, in particular, the degree of limitation associated
patient to be securely attached to that platform used in
with the use of a SPINED, have not been established in the
whatever configuration and size necessary to accomplish the
medical literature.
goal, while still allowing reasonable and necessary access to
1.3 This standard does not purport to address all of the
the patient.
safety concerns, if any, associated with its use. It is the
3.1.2 spinal immobilization—spinalimmobilizationshallre-
responsibility of the user of this standard to establish appro-
fertoimmobilizationofthespineanditscontiguousstructures,
priate safety and health practices and determine the applica-
the pelvis, and skull.
bility of regulatory limitations prior to use.
3.1.3 spine—the spine shall include the cervical, thoracic,
lumbar, and sacral vertebrae.
2. Referenced Documents
3.2 Definitions of Terms Specific to This Standard:
2.1 ASTM Standards:
3.2.1 directions of movement—directions include flexion,
F1177 Terminology Relating to Emergency Medical Ser-
extension, rotation, distraction, lateral motion, and axial com-
vices
pression motion.
3.2.2 immobilization—limitation of motion.
1 3.2.3 spinal immobilization and extrication device—a plat-
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.01 on EMS
form to which the patient can be secured, which will support
Equipment.
the patient’s spine during immobilization and transportation.
Current edition approved Feb. 1, 2007. Published February 2007. Originally
approved in 1994. Last previous edition approved in 2002 as F1556 – 94(2002).
DOI: 10.1520/F1556-94R07.
2 3
For referenced ASTM standards, visit the ASTM website, www.astm.org, or Available from Centers for Disease Control & Prevention (CDC), 1600 Clifton
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM Rd., Atlanta, GA 30333, http://www.cdc.gov.
Standards volume information, refer to the standard’s Document Summary page on Available from Superintendent of Documents, U.S.
...

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4.1 Since the quality of EMT training depends, in large measure, on the instructional abilities and competencies of the EMT instructor, it is imperative that the individual selected and used in this capacity possess the qualifications and capabilities necessary to provide effective instruction.  
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4.1 Implementation of this practice will ensure that the EMS system has the authority commensurate with the responsibility to ensure adequate medical direction of all pre-hospital providers, as well as personnel and facilities that meet minimum criteria to implement medical direction of pre-hospital services.  
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Standard Guide for Training and Evaluation of Individuals Who Are Responsible for or Perform Triage in a Prehospital Environment

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SCOPE
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SCOPE
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