ASTM F1559-94(2002)

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Designation:F1559–94 (Reapproved2002)
Standard Guide for
Characteristics for Cervical Spine Immobilization Collar(s)
(CSIC)
This standard is issued under the fixed designation F 1559; 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.
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 2.3 OSHA Standard:
29 CFR 1910.1030 Occupational Exposure to Bloodborne
1.1 This guide establishes minimum standards for devices,
Pathogens; Final Rule
designated here as cervical spine immobilization collar(s)
(CSIC), commonly referred to as cervical collars. The CSIC is
3. Terminology
used as the initial device for immobilization of the cervical
3.1 Definitions:
spine, of a patient by emergency medical service personnel.
3.1.1 retention system—a retention system is an adjunct to
1.2 This guide does not identify specific degrees of limita-
or an integral part of the primary platform that allows the
tion of motion achieved by placement of a CSIC on a patient.
patient to be securely attached to that platform used in
Definitiverequirementsforimmobilizationofthespine,and,in
whatever configuration and size necessary to accomplish the
particular, the degree of limitation associated with the use of a
goal, while still allowing reasonable and necessary access to
CSIC, have not been established in the medical literature.
the patient.
1.3 This standard does not purport to address all of the
3.1.2 spinal immobilization—spinal immobilization shall
safety concerns, if any, associated with its use. It is the
refer to immobilization of the spine and its contiguous struc-
responsibility of the user of this standard to establish appro-
tures, the pelvis, and skull.
priate safety and health practices and determine the applica-
3.1.3 spine—the spine shall include the cervical, thoracic,
bility of regulatory limitations prior to use.
lumbar, and sacral vertebrae.
2. Referenced Documents 3.2 Definitions of Terms Specific to This Standard:
3.2.1 cervical spine immobilization collar—a device that
2.1 ASTM Standards:
can be applied and secured to a patient to support and
F 1177 Terminology Relating to Emergency Medical Ser-
immobilize the cervical spine during immobilization and
vices
transportation.
2.2 Centers for Disease Control Standard:
3.2.2 directions of movement—directions include flexion,
Guidelines for Prevention of Transmission of HIV and HBV
3 extension, rotation, distraction, lateral motion, and axial com-
to Healthcare and Public Safety Workers
pression motion.
3.2.3 immobilization—limitation of motion.
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
3.3 For definitions of other terms used in this guide, refer to
Medical Services and is the direct responsibility of Subcommittee F30.01 on EMS
Terminology F 1177.
Equipment.
Current edition approved Oct. 15, 1994. Published December 1994.
Annual Book of ASTM Standards, Vol 13.02.
3 4
Available from Centers for Disease Control and Prevention (CDC), 1600 Available from Superintendent of Documents, U.S. Government Printing
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F1559–94 (2002)
4. Significance and Use 5
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