ASTM_F_1219_-_00.pdf

Designation:F 1219 00Standard Guide forTraining the Emergency Medical Technician(Basic)toPerform Patient Initial and Detailed Assessment1This standard is issued under the fixed designation F 1219;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 the performance of the initial assessment of ill or injuredpatients of all ages.1.1.1 Frequently repeated inital surveys are an essential andintegral part of the complete care of the acutely ill or injuredpatient.1.2 This guide establishes the minimum training standardfor the detailed assesment of ill or injured patients of all ages.1.3 This guide identifys the components of the focuseddetailed assessment.1.4 This guide is one of a series which together describe theminimum training standard for the emergency medical techni-cian(basic).1.51.6 This standard may involve hazardous materials,opera-tions,and equipment.This standard does not purport toaddress all of the safety concerns associated with its use.It isthe responsibility of the user of this standard to establishappropriate safety and health practices and determine theapplicability of regulatory limitations prior to use.2.Referenced Documents2.1 ASTM Standards:F 1031 Practice for Training the Emergency Medical Tech-nician(Basic)23.Terminology3.1 Definitions of Terms Specific to This Standard:3.1.1 focused detailed assessmentidentification of the pa-tients real or perceived problem(s)by means of documentationand evaluation of additional data from the detailed survey andpertinent patient information.3.1.2 focused detailed surveythe methodical physical ex-amination of the patient to evaluate conditions discoveredduring the primary survey and to find conditions not previouslyidentified.3.1.3 initial assessmentthe identification of a patientsreal or perceived problem(s)by means of the accumulation andevaluation of data from a scene evaluation,an initial andpertinent patient information.3.1.4 initial surveythe rapid assessment and managementof the patients immediately life-threatening conditions.3.1.5 pertinent patient informationinformation obtainedfrom all available resources that relates to the patientscondition and problems.This information must be continu-ously updated.All information must be recorded and reported.3.1.6 scene evaluationa rapid evaluation of the environ-ment,conditions,and necessary resources.4.Significance and Use4.1 This guide establishes the minimum national trainingstandard for the performance of the initial assessment of the illand injured patient of any age by the emergency medicaltechnician(basic).4.2 This guide shall be used by those who wish to identifythe minimum training standard of the emergency medicaltechnician(basic)as it relates to patient initial assessment.4.3 This guide establishes a minimum national standard fortraining the emergency medical technician(basic)in thepreformance of the detailed assessment of ill and injuredpatients of all ages.4.4 This guide shall be used by those who wish to identifythe minimum training standard of the emergency medicialtechnician(basic)as it relates to a focused patient detailedassessment.4.5 This guide shall be used as the basis to revise PracticeF 1031.1This 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 Oct.10,2000.Published January 2001.Originally published as F1219-89.DiscontinuedAugust 1998 and Reienstated asF 1219-00.2Annual Book of ASTM Standards,Vol 13.02.1Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959,United States.4.6 Every person who is identified as an emergency medicaltechnician(basic)shall be trained in accordance with thisguide.5.Scene Evaluation5.1 While approaching the scene and the patient the emer-gency medical technician(basic)will assess the scene forhazards,number of patients,need for additional resources,andthen take appropriate action.5.2 While approaching the patient the emergency medicaltechnician(basic)will assess the patient and the environmentfor clues relating to the mechanism of injury or illness.6.Initial Survey6.1 Frequently repeated initial surveys are an essential andintegral part of the complete care of the acutely ill or injuredpatient.This guide identifies the preferred sequence for patientPrimary Initial assessment;however,it must be emphasizedthat much of the initial assessment is done simultaneously andnot necessarily sequentially.The Initial survey addresses:6.1.1 The ability of the patient to communicate,6.1.2 Cervical spine stability,6.1.3 Airway patency,6.1.4 Adequacy of ventilations,6.1.5 Adequacy