ASTM F1287-90(R2020) pdf free download

ASTM F1287-90(R2020) pdf free download.Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care
1. Scope
1.1 This guide covers minimum requirements for the scope of performance of first responders who may be responsible for the initial care of sick and injured persons of all ages in the prehospital environment. 1.2 This guide includes objectives based on an individual’s acquired knowledge, including signs and symptoms; patient assessment; basic life support/cardiopulmonary resuscitation (BLS/CPR); bleeding and shock; injuries to the skull, spine, chest, abdomen, and extremities; moving patients; medical and environmental emergencies; triage; gaining access; and haz- ardous situations that the first responder may encounter. 1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appro- priate safety, health, and environmental practices and deter- mine the applicability ofregulatory limitations prior to use. 1.4 This international standard was developed in accor- dance with internationally recognized principles on standard- ization established in the Decision on Principles for the Development of International Standards, Guides and Recom- mendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
4. Significance and Use
4.1 The purpose of this guide is to improve the quality of initial emergency medical care provided to the sick and injured. As the first trained person at an emergency medical scene, it is critical that the first responder be proficient in providing patient care and minimizing further complications until more highly trained emergency medical service personnel intervene. 4.2 In identifying these minima, the guide acknowledges many types of first responder emergency medical care courses of study. This guide allows and encourages the addition of optional knowledge, skill, and attitudinal objectives. Programs such as those for law enforcement, firefighters, and ski patrol are examples of this diversity meeting specific local commu- nity needs. 4.3 This guide is intended to assist those who are respon- sible for defining the scope ofperformance for first responders.4.4 This guide is not intended to be used as a scope of performance for emergency ambulance personnel (see Practice F1031).
5. Objectives
5.1 Required Objectives—These objectives are not in an order suggesting a particular performance sequence. The first responder shall be able to: 5.1.1 Identify the roles and responsibilities of a first re- sponder within the local emergency medical services (EMS) system, 5.1.2 Function within the medical-legal scope of care as a first responder in the local EMS system, 5.1.3 Determine vital signs and identify normal ranges, 5.1.4 Identify and report various forms of emergency medi- cal identification found on the patient, 5.1.5 Conduct a primary assessment for life-threatening conditions, 5.1.6 Provide BLS/CPR in accordance with American Heart Association/American Red Cross (AHA/ARC) standards, 5.1.7 Control bleeding, 5.1.8 Dress and bandage soft tissue injuries, 5.1.9 Care for a person in shock, 5.1.10 Supplement respirations with available mechanical aids to breathing, including oxygen, 5.1.11 Perform a secondary assessment, 5.1.12 Immobilize musculoskeletal injuries, 5.1.13 Immobilize the spine, 5.1.14 Move a sick or injured person from a hazardous environment in such a manner that the chance of aggravating injuries is minimized, 5.1.15 Move a person in conjunction with patient care activities in such a manner that the chance of aggravating injuries is minimized, 5.1.16 Care for a person who has non-traumatic chest pain, 5.1.17 Care for a person who is experiencing respiratory distress, 5.1.18 Care for a person who is experiencing a diabetic emergency,5.1.19 Care for a person who is experiencing seizure activity, 5.1.20 Care for a person who has ingested, injected, inhaled, or absorbed a poison, 5.1.21 Care for a person who is experiencing an altered level of consciousness, 5.1.22 Care for a person who has thermal, chemical, or electrical burns, 5.1.23 Care for a person who is adversely affected by the environment, 5.1.24 Provide initial care for: 5.1.24.1 Persons with behavioral problems, 5.1.24.2 Physically and sensory impaired persons, 5.1.24.3 Abused persons, and 5.1.24.4 Dying persons, 5.1.25 Recognize a multiple casualty incident and initiate an appropriate response, 5.1.26 Triage injured persons found at a multiple casualty incident