ASTM_F_1651_-_95_2009.pdf

Designation:F165195(Reapproved 2009)Standard Guide forTraining the Emergency Medical Technician(Paramedic)1This standard is issued under the fixed designation F1651;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()indicates an editorial change since the last revision or reapproval.1.Scope1.1 This guide covers the training standard for the emer-gency medical technician(paramedic)to deal with emergen-cies.Primary care and wilderness/delayed/prolonged contexttraining for the emergency medical technician(paramedic)isnot within the scope of this guide,but may be dealt with inother ASTM standards.1.2 This guide identifies the knowledge and skills that allprograms that train the emergency medical technician(para-medic)should include in their training program.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:2F1149 Practice for Qualifications,Responsibilities,and Au-thority of Individuals and Institutions Providing MedicalDirection of Emergency Medical ServicesF1220 Guide for Emergency Medical Services System(EMSS)TelecommunicationsF1254 Practice for Performance of Prehospital Manual De-fibrillation(Withdrawn 2007)3F1255 Practice for Performance of Prehospital AutomatedDefibrillationF1258 Practice for Emergency Medical DispatchF1288 Guide for Planning for and Response to a MultipleCasualty IncidentF1489 Guide for Performance of Patient Assessment by theEmergency Medical Technician(Paramedic)(Withdrawn2003)3F1517 Guide for Scope of Performance of Emergency Medi-cal Services Ambulance Operations3.Terminology3.1 Definitions of Terms Specific to This Standard:3.1.1 auscultationexamination by listening with a stetho-scope.3.1.2 EMSS communications subsystemcomprises thoseresource arrangements for notifying the EMS system of anemergency,for mobilizing and dispatching resources,forexchanging information,for remote monitoring of vitalindicators,and for transmission of treatment procedures anddirections(see Guide F1220).3.1.3 human anatomythe branch of science dealing withthe structure of the human organisms.3.1.4 human physiologythe science dealing with the func-tions of the human living organism.3.1.5 incident command systemthe combination offacilities,equipment,personnel,procedures,and communica-tions operating within a common organizational structure withresponsibility for the management of assigned resources toeffectively accomplish stated objectives pertaining to an inci-dent.3.1.6 inspectionexamination by careful visualization ofthe body or a part of the body.3.1.7 managementactions taken by the emergency medi-cal technician(paramedic)for a patient in need of assistancedue to a real or perceived traumatic or medical condition.3.1.8 palpationexamination by touching with the hand(s).3.1.9 stressnonspecific response of the body to any de-mand made upon it.3.1.10 topographic anatomya study of all the structuresand their relationships in a given region.3.1.11 triagethe 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 patients,and resources available.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 1,2009.Published March 2009.Originallyapproved in 1995.Last previous edition approved in 2002 as F1651 95(2002).DOI:10.1520/F1651-95R09.2For referenced ASTM standards,visit the ASTM website,www.astm.org,orcontact ASTM Customer Service at serviceastm.org.For Annual Book of ASTMStandards volume information,refer to the standards Document Summary page onthe ASTM website.3The last approved version of this historical standard is referenced onwww.astm.org.Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959.United States1 4.Significance and Use4.1 This guide establishes the national standard for trainingthe emergency medical technician(paramedic).4.2 This guide shall be used by those who develop thetraining curriculum to be used to train the emergency medicaltechnician(paramedic).4.3 Every person who is identified as an emergency medicaltechnician(paramedic)shall have been trained to this guide.4.4 It is understood that the scope of the medical practice isconstantly evolving.Therefore,this guide does not containrecommendations for the management of illnesses and injuries.Furthermore,it is not intended to supersede the protocols andstanding orders of the system medical director or the on-line