ASTM F1558-94

NOTICE: This standard has either been superseded and replaced by a new version or discontinued.
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Designation: F 1558 – 94
Standard Guide for
Characteristics for Adjunct Cervical Spine Immobilization
Devices (ACSID)
This standard is issued under the fixed designation F 1558; 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 Centers for Disease Control Standard:
Guidelines for Prevention of Transmission of HIV and HBV
1.1 This guide establishes minimum standards for devices
to Healthcare and Public Safety Workers
designated here as adjunct cervical spine immobilization de-
vice (ACSID); a lateral stabilizer for the head is an example of
3. Terminology
this type of device. The ACSID is designed to be used to assist
3.1 Definitions:
in the immobilization of the cervical spine, by emergency
3.1.1 retention system—an adjunct to or an integral part of
medical services personnel.
the primary platform that allows the patient to be securely
1.2 This guide does not identify specific degrees of limita-
attached to that platform used in whatever configuration and
tion of motion achieved by placement of an ACSID on a
size necessary to accomplish the goal while still allowing
patient. Definitive requirements for immobilization of the
reasonable and necessary access to the patient.
spine, and, in particular, the degree of limitation associated
3.1.2 spinal immobilization—immobilization of the entire
with the use of an ACSID, has not been established in the
spine and its contiguous structures, the pelvis and skull.
medical literature.
3.1.3 spine—the spine shall include the cervical, thoracic,
1.3 This standard does not purport to address all of the
lumbar, and sacral vertebrae.
safety concerns, if any, associated with its use. It is the
3.2 Definitions of Terms Specific to This Standard:
responsibility of the user of this standard to establish appro-
3.2.1 directions of movement—directions include flexion,
priate safety and health practices and determine the applica-
extension, rotation, distraction, lateral motion, and axial com-
bility of regulatory limitations prior to use.
pression motion.
2. Referenced Documents 3.2.2 immobilization—limitation of motion.
3.3 For definitions of other terms used in this guide, refer to
2.1 ASTM Standards:
Terminology F 1177.
F 1177 Terminology Relating to Emergency Medical Ser-
vices
4. Significance and Use
2.2 OSHA Standard:
4.1 The intent of this guide is to identify characteristics that
20 CFR 1910.1030 Occupational Exposure to Bloodborne
3 an ACSID shall possess.
Pathogens; Final Rule
4.2 It is not expected that the ACSID will be used alone to
provide the entire scope of required immobilization. Clinical
situations may require differing combinations of devices for
This guide is under the jurisdiction of ASTM Committee F-30 on Emergency
adequate total spinal immobilization. An ACSID may be one of
Medical Services and is the direct responsibility of Subcommittee F30.01 on EMS
the devices.
Equipment.
Current edition approved Nov. 15, 1994. Published December
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