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TM_F_1418_
_01
Designation:F 1418 01Standard Guide forTraining the Emergency Medical Technician(Basic)in Rolesand Responsibilities1This standard is issued under the fixed designation F 1418;the number immediately following the designation indicates the year oforiginal adoption or,in the case of revision,the year of last revision.A number in parentheses indicates the year of last reapproval.Asuperscript epsilon(e)indicates an editorial change since the last revision or reapproval.1.Scope1.1 This guide establishes the minimum training standardfor emergency medical technicians(basic)as it relates to theirroles and responsibilities.1.2 This guide is one of a series which together describe theminimum training standard for the emergency medical techni-cian(basic).1.3 This standard does not purport to address all of thesafety concerns,if any,associated with its use.It is theresponsibility of the user of this standard to establish appro-priate safety and health practices and determine the applica-bility of regulatory limitations prior to use.2.Referenced Documents2.1 ASTM Standards:F 1031 Practice for Training the Emergency Medical Tech-nician(Basic)2F 1219 Guide for Training the Emergency Medical Techni-cian(Basic)to Perform Patient Initial and DetailedAssess-ment2F 1220 Guide for Emergency Medical Services Systems(EMSS)Telecommunications2F 1285 Guide for Training the Emergency Medical Techni-cian(Basic)to Perform Examination Techniques2F 1288 Guide for Planning for and Response to a MultipleCasualty Incident2F 1328 Guide for Training Emergency Medical Technician(Basic)to Prepare Patients for Medical Transportation2F 1329 Guide for Training the Emergency Medical Techni-cian(Basic)in Basic Anatomy and Physiology2F 1419 Guide for Training the Emergency Medical Techni-cian(Basic)to Manage Shock2F 1420 Guide for Training the Emergency Medical Techni-cian(Basic)to Perform Patient Management Techniques2F 1421 Guide for Training the Emergency Medical Techni-cian(Basic)to Manage Obstetrical Emergencies22.2Other Documents:Centers for Disease Control:Recommendations for Preven-tion of HIV Transmission in Health-Care Settings3MMWR(most current recommendation)Centers for Disease Control:Update:Universal Precautionsfor Prevention of Transmission of Human Immunodefi-ciency Virus,Hepatitis B Virus,and Other BloodbornePathogens in Health-Care Settings3MMWR(most cur-rent recommendation)3.Terminology3.1 Definitions:3.1.1 EMSS communications subsystem,ncomprisesthose resources and arrangements for notifying the EMSsystem of an emergency,for mobilizing and dispatchingresources,for exchanging information,for remote monitoringof vital indicators,and for transmission of treatment proce-dures and directions(from F 1220).3.1.2 management,nrefers to the step(s)that constituteaction taken by the emergency medical technician(basic)for apatient in need of assistance because of a real or perceivedtraumatic or medical condition.3.1.3 stress,nnonspecific response of the body to anydemand made upon it.3.1.4 triage,nthe process of sorting and making prioritiesfor emergency medical care of the sick and injured on the basisof urgency and type of condition present,number of patientsand resources available to route them properly to medicalfacilities appropriately situated and equipped for their care.4.Significance and Use4.1 This guide establishes the minimum national standardfor training the emergency medical technician(basic)as itrelates to his/her roles and responsibilities.1This guide is under the jurisdiction of ASTM Committee F30 on EmergencyMedical Services and is the direct responsibility of Subcommittee F30.02 onPersonnel,Training and Education.Current edition approved Feb.10,2001.Published April 2001.Originallypublished as F 1418-92.Last previous edition F 1418-92.2Annual Book of ASTM Standards,Vol 13.02.3Available from Epidemiology Program Office,Centers for Disease Control,Public Health Service,U.S.Dept of Health and Human Services,Atlanta,GA30333.1Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959,United States.4.2 This guide shall be used by those who wish to identifythe minimum training standard for the emergency medicaltechnician(basic)as it relates to his/her roles and responsibili-ties.4.3 This guide shall be used as the basis to revise PracticeF 1031.4.4 Every person who is identified as an emergency medicaltechnician(basic)shall have been trained to this standard.4.5 This guide does not stand alone and must be used inconjunction with all referenced documents cited in Section 2.5.Roles and Responsibilities5.1 The role and responsibilities of the emergency medicaltechnician(basic)shall be patient care which includes:5.1.1 Providing scene evaluation and control,5.1.2 Carefully examining the patient for signs and symp-toms of illness or injuries,5.1.3 Communicating with and providing emergency man-agement for victims of sudden illnesses or injuries,5.1.4 Assuring that the patient receives the available re-s