1、Designation:F145392(Reapproved 2012)Standard Guide forTraining and Evaluation of First Responders Who ProvideEmergency Medical Care1This standard is issued under the fixed designation F1453;the number immediately following the designation indicates the year oforiginal adoption or,in the case of revi
2、sion,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 minimum training standards forFirst Responders(FRs)who may be responsible for the in
3、itialcare of sick and injured persons of all ages in the prehospitalenvironment.1.2 The scope of training will be in accordance with GuideF1287.1.3 Included in this guide is a standard for knowledge andskill evaluation.1.4 This guide does not suggest a particular training se-quence.1.5 Operating wit
4、hin the framework of this guide mayexpose emergency medical service personnel to hazardousmaterials,procedures and equipment.This standard does notpurport to address all of the safety concerns,if any,associatedwith its use.It is the responsibility of the user of this standardto establish appropriate
5、 safety and health practices anddetermine the applicability of regulatory limitations prior touse.For specific precautionary statements,see the documentscited in 2.2.2.Referenced Documents2.1 ASTM Standards:2F1031 Practice for Training the Emergency Medical Tech-nician(Basic)F1177 Terminology Relati
6、ng to Emergency Medical Ser-vicesF1287 Guide for Scope of Performance of First RespondersWho Provide Emergency Medical Care2.2 Code of Federal Regulations:3Part 1910.1030 of Title 29 of the Code of Federal Regula-tions Concerning Bloodborne PathogensPart 1910.120 of Title 29 of the Code of Federal R
7、egulationsConcerning Hazardous Materials Emergency Response&TrainingPart 1910.132 of Title 29 of the Code of Federal RegulationsConcerning Personal Protective EquipmentPart 331.000 of Title 21 of the Code of Federal RegulationsConcerning Registration of Medical Devices2.3 Other Documents:Most recent
8、 Standards and Guidelines for CardiopulmonaryResuscitation and Emergency Cardiac Care as reprintedfrom the Journal of the American Medical Association(JAMA)43.Terminology3.1 Definitions of Terms Specific to This Standard:3.1.1 basic life support/cardiopulmonary resuscitation(BLS/CPR)a set of skills
9、that includes airway management,chest compressions,and others as defined by the AmericanHeart Association(AHA).3.1.2 first responder(FR)an individual trained to provideinitial care for sick or injured persons in accordance with thisguide.4.Significance and Use4.1 This guide is for those responsible
10、for the developmentand implementation of training and evaluation programs forfirst responders(FRs).4.2 At the beginning of the program,students shall beinformed of the course objectives and requirements for suc-cessful completion.4.3 This guide is not intended for use as a training guide foremergenc
11、y ambulance personnel.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 July 1,2012.Published August 2012.Originallyapproved in 1992.Last previou
12、s edition approved in 2008 as F1453 92(2008).DOI:10.1520/F1453-92R12.2For 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 websi
13、te.3Available from Standardization Documents Order Desk,Bldg.4 Section D,700Robbins Ave.,Philadelphia,PA 19111-5094,Attn:NPODS.4Available from American Heart Association(AHA),7272 Greenville Ave.,Dallas,TX 75231,http:/www.americanheart.org.Copyright ASTM International,100 Barr Harbor Drive,PO Box C7
14、00,West Conshohocken,PA 19428-2959.United States1 5.Required Performance Objectives5.1 The FR shall be trained to perform the following skills.These skills are not necessarily listed in the order in which theyare to be taught or that in which they may have to be performedduring the prehospital care
15、of a sick or injured person.5.1.1 Roles and ResponsibilitiesDescribe and demonstratean understanding of the roles and responsibilities of the FR forthe provision of prehospital emergency care within the localemergency medical services(EMS)system.5.1.2 Medicolegal AspectsDescribe and demonstrate anun
16、derstanding of the medicolegal aspects of a FRs provisionof emergency medical care in the jurisdiction having authority,including,but not limited to,duty to act,standard of care,consenttocare,forciblerestraint,abandonment,documentation,and any applicable Good Samaritan Laws.5.1.3 Vital Signs and other Indicators of a Sick or InjuredPersons ConditionDetermine and record vital signs exhib-ited by a sick or injured person,including pulse,respiration,skin color,temperature and moistness,level of con
