ASTM_F_1421_-_01.pdf

Designation:F 1421 01Standard Guide forTraining the Emergency Medical Technician(Basic)ToManage Obstetrical Emergencies1This standard is issued under the fixed designation F 1421;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 management of obstetrical emergencies by the emer-gency medical technician(basic).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 Primary Assessment2F 1285 Guide for Training the Emergency Medical Techni-cian(Basic)to Perform Patient Examination Techniques2F 1328 Guide for Training the Emergency Medical Techni-cian(Basic)to Prepare Patients for Medical Transporta-tion2F 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 Management Techniques22.2Other Documents:Standards and Guidelines for Cardiopulmonary Resuscita-tion and Emergency Cardiac Care3Textbook of Pediatric Advanced Life Support43.Terminology3.1 Definitions:3.1.1 management techniques,nrefers to the step(s)thatconstitute action taken by the emergency medical technician(basic)for a patient in need of assistance as a result of a real orperceived traumatic or medical condition.4.Significance and Use4.1 This guide establishes the minimum national standardfor training the emergency medical technician(basic)in themanagement of obstetrical emergencies in patients of all ages.This guide does not preclude additions to or modifications ofthe management of obstetrical emergencies by the emergencymedical technician(basic)as authorized by local medicalprotocol.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 management of obstetricalemergencies.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 guide.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 steps outlined in this guide are notnecessarily in sequential order,and they will often vary withthe patients age,size,location,and condition.5.General Guidelines5.1 All emergency medical technicians(basic)shall betrained to:5.1.1 Reassess all patients frequently and at least before andfollowing every therapeutic intervention.5.1.2 Deal with patient problems in the order of theirseverity.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 March 10,2001.Published April 2001.Originallypublished as F 1421-92.Last previous edition approved F 1421-92.2Annual Book of ASTM Standards,Vol 13.02.3Reprinted from JAMA,6 June 1986,Vol 255,pp 28423044.4Chameides,et al.,American Heart Association,Dallas,1988.1Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959,United States.5.1.3 Immediately transport patients with life-threateningconditions that cannot be resolved in the field in accordancewith local protocol.5.1.4 Treat all patients in a professional,caring,and reas-suring manner.5.1.5 Transfer care of the patient to either advanced lifesupport(ALS)providers responding to the scene or an appro-priate hospital or other medical facility in accordance withlocal protocols.5.1.6 Report the patients problem and status to the receiv-ing hospital or medical control as soon as possible withoutcompromising patient care.5.1.7 Transport patient expeditiously and safely.5.1.8 The emergency medical technician(basic)shall pro-vide all pertinent patient information at the receiving facility.5.1.9 Upon completion of patient care responsibilities,pre-pare the ambulance or equipment and supplies,or both,to beready to care for the next patient.6.Obstetrical EmergenciesLabor and Delivery6.1 The emergency medical technician(basic)shall betrained to manage a patient in acti