ASTM F1285-2013 Standard Guide for Training the Emergency Medical Technician to Perform Patient Examination Techniques《急救医务人员实施对患者检查的技术培训用标准指南》.pdf

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1、Designation: F1285 90 (Reapproved 2008)F1285 13Standard Guide forTraining the Emergency Medical Technician (Basic) toPerform Patient Examination Techniques1This standard is issued under the fixed designation F1285; the number immediately following the designation indicates the year oforiginal adopti

2、on 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 minimum patient examination techniques that the emer

3、gency medical technician (basic) shall betrained to use when assessing ill or injured patients of all ages.1.2 This guide is one of a series which together describe the minimum training standard for the emergency medical technician(basic).technician.1.3 This standard does not purport to address the

4、safety concerns associated with its use. It is the responsibility of the user ofthis standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations priorto use.2. Referenced Documents2.1 ASTM Standards:2F1031 Practice for Training the Emergenc

5、y Medical Technician (Basic)2.2 Other Referenced Standards:NHTSA National Scope of Practice Model3NHTSA National EMS Education Guidelines43. Terminology3.1 Emergency Medical Technician (EMT) (NHTSA)The primary duty of the Emergency Medical Technician is to providebasic emergency medical care and tra

6、nsportation for critical and emergent patients who access the emergency medical system. Thisindividual possesses the basic knowledge and skills necessary to provide patient care and transportation. Emergency MedicalTechnicians function as part of a comprehensive Emergency Medical Services response,

7、under medical oversight. EmergencyMedical Technicians perform interventions with the basic equipment typically found on an ambulance. The Emergency MedicalTechnician is a link from the scene to the emergency health care system. Emergency Medical Technicians scope of practiceincludes basic, non-invas

8、ive interventions to reduce the morbidity and mortality associated with acute out-of-hospital medical andtraumatic emergencies. Emergency care is based on assessment findings.3.2 Definitions of Terms Specific to This Standard:3.2.1 auscultationexamination by listening with a stethoscope.3.2.2 inspec

9、tionexamination by careful visualization of the body or a part of the body.3.2.3 palpationexamination by touching with the hand.4. Significance and Use4.1 This guide establishes the minimum national standard for training the emergency medical technician (basic) to performpatient examination techniqu

10、es on patients of all ages.1 This guide is under the jurisdiction of ASTM Committee F30 on Emergency Medical Services and is the direct responsibility of Subcommittee F30.02 on Personnel,Training and Education.Current edition approved Feb. 1, 2008Aug. 1, 2013. Published March 2008Spetember 2013. Ori

11、ginally approved in 1990. Last previous edition approved in 20032008as F1285 90 (2003).(2008). DOI: 10.1520/F1285-90R08.10.1520/F1285-13.2 For referencedASTM standards, visit theASTM website, www.astm.org, or contactASTM Customer Service at serviceastm.org. For Annual Book of ASTM Standardsvolume in

12、formation, refer to the standards Document Summary page on the ASTM website.3 Available from: http:/www.ems.gov/education/EMSScope.pdf4 Available from: http:/www.ems.gov/pdf/811077a.pdfThis document is not an ASTM standard and is intended only to provide the user of an ASTM standard an indication of

13、 what changes have been made to the previous version. Becauseit may not be technically possible to adequately depict all changes accurately, ASTM recommends that users consult prior editions as appropriate. In all cases only the current versionof the standard as published by ASTM is to be considered

14、 the official document.Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States14.2 This guide shall be used by those who wish to identify the minimum training standard for the emergency medical technician(basic) as it relates to the performan

15、ce of patient examination techniques.4.3 This guide shall be used as the basis to revise Practice F1031.4.4 Every person who is identified as an emergency medical technician (basic) shall have been trained in accordance with thisguide.4.5 This guide does not stand alone and must be used in conjuncti

16、on with the applicable documents cited in Section 2.5. Examination Techniques5.1 The emergency medical technician (basic) shall be trained to perform the following examination techniques and to recognizethe differences that exist because of age and sex:5.1.1 Assess respirations for rate, rhythm, and

17、 quality,quality;5.1.2 Auscultate for breath sounds,sounds;5.1.3 Assess rate and regularity of the following pulses: carotid, brachial, radial, femoral, and pedal,pedal;5.1.4 Palpate blood pressure,pressure;5.1.5 Auscultate blood pressure,pressure;5.1.6 Assess mental status and level of consciousnes

18、s,consciousness;5.1.7 Inspect the body,body;5.1.8 Palpate the body,body;5.1.9 Assess sensory perception,perception;5.1.10 Assess motor function,function; and5.1.11 Assess airway patency.ASTM International takes no position respecting the validity of any patent rights asserted in connection with any

19、item mentionedin this standard. Users of this standard are expressly advised that determination of the validity of any such patent rights, and the riskof infringement of such rights, are entirely their own responsibility.This standard is subject to revision at any time by the responsible technical c

20、ommittee and must be reviewed every five years andif not revised, either reapproved or withdrawn.Your comments are invited either for revision of this standard or for additional standardsand should be addressed to ASTM International Headquarters. Your comments will receive careful consideration at a

21、 meeting of theresponsible technical committee, which you may attend. If you feel that your comments have not received a fair hearing you shouldmake your views known to the ASTM Committee on Standards, at the address shown below.This standard is copyrighted by ASTM International, 100 Barr Harbor Dri

22、ve, PO Box C700, West Conshohocken, PA 19428-2959,United States. Individual reprints (single or multiple copies) of this standard may be obtained by contacting ASTM at the aboveaddress or at 610-832-9585 (phone), 610-832-9555 (fax), or serviceastm.org (e-mail); or through the ASTM website(www.astm.org). Permission rights to photocopy the standard may also be secured from the ASTM website (www.astm.org/COPYRIGHT/).F1285 132