ASTM_F_1419_-_00.pdf

Designation:F 1419 00Standard Guide forTraining the Emergency Medical Technician(Basic)ToManage Shock1This standard is issued under the fixed designation F 1419;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 in the management of shock in patients of all agesby the emergency 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 problems,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 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 1418 Guide for Training the Emergency Medical Techni-cian(Basic)in Roles and Responsibilities2F 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:Standards and Guidelines for Cardiopulmonary Resuscita-tion and Emergency Cardiac Care3(see latest edition)3.Terminology3.1 Definitions of Terms Specific to This Standard:3.1.1 Managementrefers to the suggested step(s)thatconstitute action taken by the emergency medical technician(basic)for a patient in need of assistance due to 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 thesuggested management of shock in patients of all ages.Thisguide does not preclude additions to or modifications of themanagement of shock as authorized by local medical direction.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 suggested management ofshock.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 steps outlined in this document are notnecessarily in sequential order and they will often vary with thepatients 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 prior toand following every therapeutic intervention.5.1.2 Manage patient problems in the order of their severity.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 December 2000.Originallypublished as F 1419-92.Last previous edition F 1419-92.2Annual Book of ASTM Standards,Vol 13.02.3Reprinted from Journal of theAmerican MedicalAssociation,June 6,1986,Vol255,pp.28423044(latest edition).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 reassur-ing manner.5.1.5 Transfer care of the patient to either ALS providersresponding to the scene or an appropriate hospital or othermedical facility in accordance with local protocols.5.1.6 Report the patients chief complaint and status to thereceiving hospital or medical control as soon as possiblewithout compromising 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 to the receiving facility atthe receiving facility.5.1.9 Upon completion of patient care responsibilities,pre-pare the ambulance or equipment,or both,and supplies to beready to care for the next patient.6.Management of Patients in Shock6.1 The emergency medical technician