Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care

SIGNIFICANCE AND USE
4.1 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.  
4.2 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.  
4.3 This guide is intended to assist those who are responsible for defining the scope of performance for first responders.  
4.4 This guide is not  intended to be used as a scope of performance for emergency ambulance personnel (see Practice F1031).
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.  
1.3 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, health, and environmental practices and determine the applicability of regulatory limitations prior to use.  
1.4 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

General Information

Status
Published
Publication Date
31-Oct-2020

Relations

Effective Date
01-Jul-2012
Effective Date
01-Mar-2006
Effective Date
10-Oct-2000

Overview

ASTM F1287-90(2020): Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care establishes the minimum requirements for the scope of performance for first responders delivering initial emergency medical care. Developed by ASTM International, this guide focuses on ensuring that first responders can provide effective and competent care for sick and injured persons of all ages in prehospital settings. The standard aims to enhance the quality of emergency care, minimize complications, and support a fluid transition to advanced emergency medical services (EMS).

First responders covered by this standard include trained personnel such as law enforcement officers, firefighters, ski patrol members, and similar roles that can differ according to local community needs. The guide is essential for organizations or authorities responsible for defining roles, training, and scope for first responder personnel.

Key Topics

  • Minimum Scope of Performance: Identifies the baseline skills and knowledge required for first responders, including patient assessment, BLS/CPR, trauma management, and emergency scene safety.
  • Knowledge and Skills Objectives: Covers assessment of vital signs, recognition of life-threatening conditions, and appropriate use of medical equipment.
  • Patient Care Interventions: Skills outlined include controlling bleeding, caring for shock, managing respiratory and diabetic emergencies, and basic obstetric support (e.g., assisting with childbirth).
  • Scene Management & Safety: Guidance for recognizing hazardous situations, triage during multiple-casualty incidents, and safe movement of patients.
  • Special Populations: Training objectives include addressing the needs of children, elderly individuals, persons with behavioral issues, those with disabilities, and victims of abuse.
  • Flexibility and Adaptability: The guide encourages adding optional objectives tailored to specific local, regional, or organizational requirements.

Applications

ASTM F1287-90(2020) is widely used by:

  • Public Safety Agencies: Police, fire departments, and community emergency response teams rely on this standard to define the expectations and scope of first responders.
  • Training Institutions: Educational bodies and training providers use the guidelines to structure courses and evaluate first responder competence.
  • Healthcare and EMS Administrators: Hospital-based and prehospital care providers reference the standard to harmonize and benchmark first responder capabilities.
  • Regulatory Bodies: State, local, and organizational officials use the standard to set compliance requirements, credentialing, and certification criteria.

By adhering to ASTM F1287-90(2020), organizations ensure that their first responders deliver consistent, effective care and integrate smoothly into the broader EMS and healthcare infrastructure.

Related Standards

  • ASTM F1031 - Practice for Training the Emergency Medical Technician (Basic): Defines competencies and scope for EMTs, a distinct role from first responders as specified in F1287-90(2020).
  • American Heart Association/American Red Cross Standards - For Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR).
  • World Trade Organization (WTO) Technical Barriers to Trade (TBT) Principles: The ASTM F1287-90(2020) guide aligns with international standardization practices outlined by these principles to promote global application.

Keywords: first responder scope of performance, emergency medical care standard, ASTM F1287, prehospital care, BLS, CPR, EMS, patient assessment, medical emergencies, emergency response training, trauma management.

Ensure organizational compliance and improve emergency medical outcomes by implementing the guidance offered in ASTM F1287-90(2020). This standard is a foundational document for any program involved in first responder training and operational planning.

Buy Documents

Guide

ASTM F1287-90(2020) - Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care

English language (2 pages)
sale 15% off
sale 15% off

Get Certified

Connect with accredited certification bodies for this standard

BSI Group

BSI (British Standards Institution) is the business standards company that helps organizations make excellence a habit.

UKAS United Kingdom Verified

TÜV Rheinland

TÜV Rheinland is a leading international provider of technical services.

DAKKS Germany Verified

TÜV SÜD

TÜV SÜD is a trusted partner of choice for safety, security and sustainability solutions.

DAKKS Germany Verified

Sponsored listings

Frequently Asked Questions

ASTM F1287-90(2020) is a guide published by ASTM International. Its full title is "Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care". This standard covers: SIGNIFICANCE AND USE 4.1 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. 4.2 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. 4.3 This guide is intended to assist those who are responsible for defining the scope of performance for first responders. 4.4 This guide is not intended to be used as a scope of performance for emergency ambulance personnel (see Practice F1031). 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. 1.3 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, health, and environmental practices and determine the applicability of regulatory limitations prior to use. 1.4 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

SIGNIFICANCE AND USE 4.1 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. 4.2 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. 4.3 This guide is intended to assist those who are responsible for defining the scope of performance for first responders. 4.4 This guide is not intended to be used as a scope of performance for emergency ambulance personnel (see Practice F1031). 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. 1.3 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, health, and environmental practices and determine the applicability of regulatory limitations prior to use. 1.4 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

ASTM F1287-90(2020) is classified under the following ICS (International Classification for Standards) categories: 11.160 - First aid. The ICS classification helps identify the subject area and facilitates finding related standards.

ASTM F1287-90(2020) has the following relationships with other standards: It is inter standard links to ASTM F1031-00(2012), ASTM F1031-00(2006), ASTM F1031-00. Understanding these relationships helps ensure you are using the most current and applicable version of the standard.

ASTM F1287-90(2020) is available in PDF format for immediate download after purchase. The document can be added to your cart and obtained through the secure checkout process. Digital delivery ensures instant access to the complete standard document.

Standards Content (Sample)


This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the
Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
Designation: F1287 − 90 (Reapproved 2020)
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 2.2 American Heart Association/American Red Cross
(AHA/ARC) Standards:
1.1 This guide covers minimum requirements for the scope
Standards and Guidelines for Cardiopulmonary Resuscita-
of performance of first responders who may be responsible for
tion and Emergency Cardiac Care
the initial care of sick and injured persons of all ages in the
prehospital environment.
3. Terminology
1.2 This guide includes objectives based on an individual’s
3.1 Definitions of Terms Specific to This Standard:
acquired knowledge, including signs and symptoms; patient
3.1.1 basic life support/cardiopulmonary resuscitation
assessment; basic life support/cardiopulmonary resuscitation
(BLS/CPR)—a set of skills that includes airway management,
(BLS/CPR); bleeding and shock; injuries to the skull, spine,
chest compressions, and others as defined by the American
chest, abdomen, and extremities; moving patients; medical and
Heart Association.
environmental emergencies; triage; gaining access; and haz-
3.1.2 first responder (FR)—an individual trained to provide
ardous situations that the first responder may encounter.
initial care for sick or injured persons in accordance with this
1.3 This standard does not purport to address all of the
guide.
safety concerns, if any, associated with its use. It is the
responsibility of the user of this standard to establish appro-
4. Significance and Use
priate safety, health, and environmental practices and deter-
4.1 The purpose of this guide is to improve the quality of
mine the applicability of regulatory limitations prior to use.
1.4 This international standard was developed in accor- initial emergency medical care provided to the sick and
dance with internationally recognized principles on standard- injured. As the first trained person at an emergency medical
ization established in the Decision on Principles for the scene, it is critical that the first responder be proficient in
Development of International Standards, Guides and Recom- providing patient care and minimizing further complications
until more highly trained emergency medical service personnel
mendations issued by the World Trade Organization Technical
Barriers to Trade (TBT) Committee. intervene.
4.2 In identifying these minima, the guide acknowledges
2. Referenced Documents
many types of first responder emergency medical care courses
2.1 ASTM Standards:
of study. This guide allows and encourages the addition of
F1031 Practice for Training the Emergency Medical Tech-
optional knowledge, skill, and attitudinal objectives. Programs
nician (Basic)
such as those for law enforcement, firefighters, and ski patrol
are examples of this diversity meeting specific local commu-
nity needs.
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.02 on
4.3 This guide is intended to assist those who are respon-
Personnel, Training and Education.
sible for defining the scope of performance for first responders.
Current edition approved Nov. 1, 2020. Published November 2020. Originally
approved in 1990. Last previous edition approved in 2012 as F1287 – 90 (2012).
DOI: 10.1520/F1287-90R20.
For referenced ASTM standards, visit the ASTM website, www.astm.org, or
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM Reprinted from the Journal of the American Medical Association (JAMA).
Standards volume information, refer to the standard’s Document Summary page on Copies are available from the American Heart Association, 7272 Greenville Ave.,
the ASTM website. Dallas, TX 75231.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
F1287 − 90 (2020)
4.4 This guide is not intended to be used as a sco
...

Questions, Comments and Discussion

Ask us and Technical Secretary will try to provide an answer. You can facilitate discussion about the standard in here.

Loading comments...