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ASTM F1219-00

(Guide)

Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Initial and Detailed Assessment (Withdrawn 2006)

Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Initial and Detailed Assessment (Withdrawn 2006)

SCOPE
1.1 This guide establishes the minimum training standard for the performance of the initial assessment of ill or injured patients of all ages.
1.1.1 Frequently repeated inital surveys are an essential and integral part of the complete care of the acutely ill or injured patient.
1.2 This guide establishes the minimum training standard for the detailed assesment of ill or injured patients of all ages.
1.3 This guide identifys the components of the focused detailed assessment.
1.4 This guide is one of a series which together describe the minimum training standard for the emergency medical technician (basic).
1.5 This standard may involve hazardous materials, operations, and equipment.
1.6 This standard does not purport to address all of 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.
WITHDRAWN RATIONALE
This guide establishes the minimum training standard for the performance of the initial assessment of ill or injured patients of all ages.
Formerly under the jurisdiction of Committee F30 on Emergency Medical Services, this guide was withdrawn in March 2006. This guide was withdrawn because it is no longer in line with the current national standards curriculum.

General Information

Status
Withdrawn
Publication Date
09-Oct-2000
Withdrawal Date
20-Mar-2006
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.02 - Personnel, Training and Education
Current Stage
Ref Project

Relations

Referred By
ASTM F1653-95(2020) - Standard Guide for Scope of Performance of Triage in a Prehospital Environment
Effective Date
10-Oct-2000
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
10-Oct-2000

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ASTM F1219-00 - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Initial and Detailed Assessment (Withdrawn 2006)ASTM F1219-00 - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Initial and Detailed Assessment (Withdrawn 2006)
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ASTM F1219-00 - Standard Guide for Training the Emergency Medical Technician (Basic) to Perform Patient Initial and Detailed Assessment (Withdrawn 2006)
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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:F1219–00
Standard Guide for
Training the Emergency Medical Technician (Basic) to
Perform Patient Initial and Detailed Assessment
This standard is issued under the fixed designation F 1219; 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.
1. Scope and evaluation of additional data from the detailed survey and
pertinent patient information.
1.1 This guide establishes the minimum training standard
3.1.2 focused detailed survey—the methodical physical ex-
for the performance of the initial assessment of ill or injured
amination of the patient to evaluate conditions discovered
patients of all ages.
during the primary survey and to find conditions not previously
1.1.1 Frequently repeated inital surveys are an essential and
identified.
integral part of the complete care of the acutely ill or injured
3.1.3 initial assessment—the identification of a patient’s
patient.
real or perceived problem(s) by means of the accumulation and
1.2 This guide establishes the minimum training standard
evaluation of data from a scene evaluation, an initial and
for the detailed assesment of ill or injured patients of all ages.
pertinent patient information.
1.3 This guide identifys the components of the focused
3.1.4 initial survey—the rapid assessment and management
detailed assessment.
of the patient’s immediately life-threatening conditions.
1.4 This guide is one of a series which together describe the
3.1.5 pertinent patient information—information obtained
minimum training standard for the emergency medical techni-
from all available resources that relates to the patient’s
cian (basic).
condition and problems. This information must be continu-
1.5
ously updated. All information must be recorded and reported.
1.6 This standard may involve hazardous materials, opera-
3.1.6 scene evaluation—a rapid evaluation of the environ-
tions, and equipment. This standard does not purport to
ment, conditions, and necessary resources.
address all of the safety concerns associated with its use. It is
the responsibility of the user of this standard to establish
4. Significance and Use
appropriate safety and health practices and determine the
4.1 This guide establishes the minimum national training
applicability of regulatory limitations prior to use.
standard for the performance of the initial assessment of the ill
2. Referenced Documents and injured patient of any age by the emergency medical
technician (basic).
2.1 ASTM Standards:
4.2 This guide shall be used by those who wish to identify
F 1031 Practice for Training the Emergency Medical Tech-
2 the minimum training standard of the emergency medical
nician (Basic)
technician (basic) as it relates to patient initial assessment.
3. Terminology 4.3 This guide establishes a minimum national standard for
training the emergency medical technician (basic) in the
3.1 Definitions of Terms Specific to This Standard:
preformance of the detailed assessment of ill and injured
3.1.1 focused detailed assessment—identification of the pa-
patients of all ages.
tient’srealorperceivedproblem(s)bymeansofdocumentation
4.4 This guide shall be used by those who wish to identify
the minimum training standard of the emergency medicial
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
technician (basic) as it relates to a focused patient detailed
Medical Services and is the direct responsibility of Subcommittee F30.02 on
assessment.
Personnel, Training, and Education.
4.5 This guide shall be used as the basis to revise Practice
Current edition approved Oct. 10, 2000. Published January 2001.
Originally published as F1219-89. DiscontinuedAugust 1998 and Reienstated as F 1031.
F 1219-00.
Annual Book of ASTM Standards, Vol 13.02.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
F1219–00
4.6 Every person who is identified as an emergency medical nents of the primary survey will be monitored during the
technician (basic) shall be trained in accordance with this detailed. The components of the detailed survey are:
guide. 8.3.1 Stabilize the cervical spine as indicated until in-line
immobilization can be preformed.
5. Scene Evaluation
8.3.2 Assess for altered mental status.
5.1 While approaching the scene and the patient the emer-
8.3.3 Determine vital signs:
gency medical technician (basic) will assess the scene for 8.3.3.1 Determine rate, rhythm and quality of respirations.
hazards, number of patients, need for additional resources, and
8.3.3.2 Determine rate, regularity and quality of the pulse.
then take appropriate action. 8.3.3.3 Measure blood pressure.
5.2 While approaching the patient the emergency medical
8.3.3.4 Asses caapillary refill time in pediatric patien
...

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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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4.1 This guide establishes the minimum national standard for training the Emergency Medical Technician to perform patient examination techniques on patients of all ages.  
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4.3 This guide shall be used as the basis to revise Practice F1031.  
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SCOPE
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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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1.9 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.
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Standard Guide for Establishing and Operating a Public Information, Education, and Relations Program for Emergency Medical Service Systems

SIGNIFICANCE AND USE
4.1 It is essential to have the public's understanding and support for the EMS system to ensure its proper development and utilization.  
4.2 This guide encompasses those procedures, considerations, and resources that are necessary for a successful EMS public information, education, and relations program. Complex EMS systems may integrate or augment, or both, this guide in its entirety. Less complex systems may need to collaborate with other EMS organizations and related agencies. Responsibility for this guide will vary by level of authority, that is, state, regional, and local. (See Guide F1086.)  
4.3 The PIER tasks involve research, planning, production, distribution, and evaluation. Production requires significant resources and expertise and may be done most appropriately at the higher level, such as regional, state, and national levels.
SCOPE
1.1 The purpose of this guide is to provide national voluntary standards and recommendations to effectively provide emergency medical service system information and education to the public.  
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Standard Guide for Training and Evaluation of First Responders Who Provide Emergency Medical Care

SIGNIFICANCE AND USE
4.1 This guide is for those responsible for the development and implementation of training and evaluation programs for first responders (FRs).  
4.2 At the beginning of the program, students shall be informed of the course objectives and requirements for successful completion.  
4.3 This guide is not intended for use as a training guide for emergency ambulance personnel.
SCOPE
1.1 This guide covers the minimum training standards for First Responders (FRs) who may be responsible for the initial care of sick and injured persons of all ages in the prehospital environment.  
1.2 The scope of training will be in accordance with Guide F1287.  
1.3 Included in this guide is a standard for knowledge and skill evaluation.  
1.4 This guide does not suggest a particular training sequence.  
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1.6 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.

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4.7 This guide acknowledges many types of individuals with varying levels of emergency medical training. It also establishes a minimum scope of performance and encourages the addition of optional knowledge, skills, and attitudinal objectives.  
4.8 A vital role in the development of 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.  
4.9 This guide is intended to assist those who are responsible for defining the scope of performance of individuals who perform triage.  
4.10 For the purpose of this guide the word “injured” includes both sick or injured patients, or both.
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.  
1.2 This guide acknowledges objectives based on an individual's required knowledge of signs and symptoms, patient assessment, and basic life support.  
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.  
1.4 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. For specific precautionary statements, see Footnote 2.2  
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