ASTM_F_2076_-_01_2014.pdf

Designation:F207601(Reapproved 2014)Standard Practice forCommunicating an EMS Patient Report to Receiving MedicalFacilities1This standard is issued under the fixed designation F2076;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.INTRODUCTIONThroughout all areas of emergency medical services(EMS),there exists a need for the EMSprovider to consult with medical direction and receiving medical facilities.These consultations can bepurely for patient arrival notification,medical consultation,or to request additional medicalintervention orders.Within the EMS community,no“standard”reporting scheme exists.Hundreds ofverbal reporting formats are currently used.Some agencies divide these further for those assessmentsinvolving medical from trauma.Failure to use a standard reporting scheme makes initial studenteducation difficult,makes recording of information cumbersome,and can lead to time delays in patientcare or worse yet an error.This consensus format was developed from a survey sent to over 100 emergency physicians,nurses,and field providers.The 25 that were returned were analyzed to construct the initial draft.One cleartheme was present.Receiving medical facilities want to know the most important informationfirst.medical information that affects the logistics of running a busy emergency department(ED).With the increased use of standing orders,the traditional detailed report to the ED was often not seenas time effective or making any change in the patients outcome.This practice uses the acronym PISA to describe the information to be presented in a generic patientreport.P is priority information that is considered absolutely critical if only 15 s of transmission(orreception)is accomplished;I is important information that needs to be communicated if an additional16 to 30 s is available;S is significant information that would be transmitted if an additional 31 to 60s were available;A is additional information that should be transmitted if 61+s are available.1.Scope1.1 This practice establishes the EMS standard for commu-nications entailing a patient radio(phone)report to a receivingmedical facility.1.1.1 This report is based on receiving facility needs and isgeneric for medical,traumatic,(ALS),and(BLS)patients.1.1.2 This report standard is based on the hierarchicalinformation needs of an average medical receiving facility.2.Referenced Documents2.1 ASTM Standards:2F1418 Guide for Training the Emergency Medical Techni-cian(Basic)in Roles and Responsibilities(Withdrawn2007)3F1629 Guide for Establishing Operating Emergency Medi-cal Services and Management Information Systems,orBothF1651 Guide for Training the Emergency Medical Techni-cian(Paramedic)2.2 Other Documents:USDOT National Standard Curriculum for EMT-B4USDOT National Standard Curriculum for EMT-P43.Terminology3.1 Definitions of Terms Specific to This Standard:1This practice is under the jurisdiction of ASTM Committee F30 on EmergencyMedical Services and is the direct responsibility of Subcommittee F30.04 onCommunications.Current edition approved June 1,2014.Published June 2014.Originallyapproved in 2001.Last previous edition approved in 2006 as F2076 01(2006).DOI:10.1520/F2076-01R14.2For 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.4Available from U.S.Government Printing Office Superintendent of Documents,732 N.Capitol St.,NW,Mail Stop:SDE,Washington,DC 20401,http:/www.access.gpo.gov.Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959.United States1 3.1.1 AVPUa brief neurological examination to determinea baseline level of consciousness and to assess central nervoussystem function.This assessment is universally taught as partof the initial assessment for EMS providers.3.1.2 Alert3.1.3 responds to Verbal stimuli3.1.4 responds to Painful stimuli3.1.5 Unresponsiveno gag or cough3.1.6 Glasgow Coma Scale(GCS)standard neurologicalevaluation that uses eye opening,motor response,and verbalresponse.This assessment is universally taught as part of thedetailed assessment for EMS providers.3.1.7 LOClevel of consciousness.3.1.8 PMSneurological evaluation checking pulses,motor,sensory status of the four extremities.3.1.9 trauma scorenumerical injury rating system basedon several parameters that may include patient body regioninjured,type of injury,central nervous system assessment,andvital sign evaluation.4.Significance and Use4.1 This practice establishes the national standard for train-ing the EMT in communicating pertinent pa