ASTM_F_1420_-_01.pdf

Designation:F 1420 01Standard Guide forTraining the Emergency Medical Technician(Basic)toPerform Patient Management Techniques1This standard is issued under the fixed designation F 1420;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 national standardfor training the emergency medical technician(basic)toperform patient management techniques for patients of allages.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 1255 Practice for Performance of Prehospital AutomatedDefibrillation2F 1285 Guide for Training the Emergency Medical Techni-cian(Basic)to Perform Patient Examination Techniques2F 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 1418 Guide for Training the Emergency Medical Techni-cian(Basic)in Roles and Responsibilities2F 1419 Guide for Training the Emergency Medical Techni-cian(Basic)to Manage Shock2F 1421 Guide for Training the Emergency Medical Techni-cian(Basic)to Manage Obstetrical Emergencies22.2Other Documents:Standards and Guidelines for Cardiopulmonary Resuscita-tion and Emergency Cardiac Care3Textbook of Pediatric Advanced Life Support43.Terminology3.1 Definition3.1.1 management techniques,nrefers to those skills thatconstitute actions or activities conducted by the emergencymedical technician(basic)for a patient in need of assistance asa result of a real or perceived traumatic or medical condition.4.Significance and Use4.1 This guide establishes the minimum national standardfor training the emergency medical technician(basic)toperform management techniques for patients of all ages.Thisguide does not preclude additions to or modifications of themanagement techniques used by the emergency medical tech-nician(basic)as authorized by local medical protocol.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 the performance of manage-ment techniques.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 2.4.6 The management techniques outlined in this guide arenot necessarily in sequential order,and they will often varywith the patients age,size,location and condition.5.Management Techniques5.1 Use of airway management techniques and devices.5.2 Use of techniques for management of the compromisedcirculatory system.5.2.1 Direct pressure to the source of bleeding.5.2.2 Pressure dressings.5.2.3 Patient positioning.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 1420-92.Last previous edition F 1420-92.2Annual Book of ASTM Standards,Vol 13.02.3Reprinted from Journal of American Medical Association,June 6,1986,Vol255,pp 28423044.4Chameides,et al.,American Heart Association,Dallas,TX 1988.1Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959,United States.5.2.4 The pneumatic antishock garment in accordance withlocal medical control protocol.5.3 Use of spinal immobilization techniques.5.3.1 Manual spinal motion control.5.3.2 Cervical spine immobilization devices.5.3.3 Short spine boards.5.3.4 Long spine boards.5.3.5 Manual in-line spinal immobilization during rapidextrication.5.4 Use of techniques for management of musculoskeletalinjuries(nonspine).5.4.1 Manual in-line stabilization.5.4.2 External immobilization fixation devices:5.4.2.1 Traction devices.5.4.2.2 Rigid devices.5.5 Use of techniques for management of soft tissue inju-ries.5.5.1 Asceptic technique.5.5.2 Management of amputations.5.5.3 Bandaging techniques.5.6 Use of medications and techniques in accordance withlocal medical control p