NFPA 450-2017 Guide for Emergency Medical Services and Systems (Effective Date 06 02 2016).pdf

1、 NFPA 450 Guide for Emergency Medical Services and Systems 2017IMPORTANT NOTICES AND DISCLAIMERS CONCERNING NFPA DOCUMENTS NOTICE AND DISCLAIMER OF LIABILITY CONCERNING THE USE OF NFPA DOCUMENTS NFPA codes, standards, recommended practices, and guides (“NFPA Standards”), of which the document contai

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29、are registered trademarks of the National Fire Protection Association, Quincy, Massachusetts 02169. Copyright 2016 National Fire Protection Association . All Rights Reserved. NFPA 450 Guide for Emergency Medical Services and Systems 2017 Edition This edition of NFPA 450, Guide for Emergency Medical

30、Services and Systems, was prepared by the Technical Committee on Emergency Medical Services. It was issued by the Standards Council on May 13, 2016, with an effective date of June 2, 2016, and supersedes all previous editions. This edition of NFPA 450 was approved as an American National Standard on

31、 June 2, 2016. Origin and Development of NFPA 450 In January 1999, the NFPA Standards Council considered NFPAs role in Emergency Medical Services (EMS). After a review of extensive information submitted on the need for such a project, the council voted to create a new EMS project to address EMS-rela

32、ted topics not covered by other existing NFPA projects. A forum on EMS was scheduled at the May 1999 Association meeting in Baltimore, Maryland. In June 1999, NFPA held a focus group meeting to further discuss NFPAs role in EMS. A request for persons interested in being members of this new project w

33、as sent out, and a Technical Committee was formed. The rst meeting of the Technical Committee was held in Tampa, Florida, to discuss what specic projects the Technical Committee wanted to address. The rst edition of NFPA 450, Guide for Emergency Medical Services and Systems, was issued in 2004 to as

34、sist individuals, agencies, organizations, or systems, as well as those interested or involved in emergency medical services system design, by providing EMS guidelines and recommendations. For the 2009 edition, the Technical Committee reviewed and revised a number of denitions in Chapter 3 and added

35、 new denitions for new material in Chapter 5. The committee also revised material in Section 5.6, Essential System Analysis Components. The table from Annex B was modied and moved to Chapter 5, and Annex B was deleted. For the 2013 edition, the committee went through and updated the referenced publi

36、cations to ensure that they were still relevant or pertinent to the document. The intent was to bring the document in line or ensure correlation with many of the nationally published EMS documents in use. Some changes were also made to clarify commonly used terms that initially might have been prese

37、nted with some confusion or misuse. For the 2017 edition, the Technical Committee updated several of the references throughout the document and addressed the many changes in the delivery of healthcare services as a result of the Affordable Care Act. Special attention was also made to include mobile

38、integrated healthcare and community paramedicine, growing areas in the delivery of emergency medical services.EMERGENCY MEDICAL SERVICES AND SYSTEMS 450-2 2017 Edition Technical Committee on Emergency Medical Services Kenneth R. Knipper, Chair National Volunteer Fire Council, KY U Rep. National Volu

39、nteer Fire Council Kyle R. Gorman, Secretary Clackamas County Fire District #1, OR E Scott R. Altemose, Trefoil Training & Technical Assistance, PA SE Chris Bell, Vermont Department of Health, VT U Lawrence T. Bennett, Univerity of Cincinnati, OH SE Richard G. Blais, Providence Fire Department, MA U

40、 David A. Bradley, Volunteer Firemens Insurance Services, Inc., PA I Timothy J. Crowley II, Las Vegas, NV SE Michael Dailey, Albany Medical College, NY SE Chad Deardorff, City of York Fire/Rescue Services, PA E Timothy Donovan, Bridgewater Fire Department, MA E Coleman D. Figg, Emerald Isle Fire Dep

41、artment, NC E Heather L. Fredenburg, McNeil and Company, Inc., NY I David R. Harris, U.S. Air Force, NJ U Jeffrey T. Lindsey, University of Florida, FL SE Charles Lucas, Bolivar County Fire Department, MS E Richard D. MacKinnon, Jr., Town of Whitman Fire Department, MA L Rep. International Associati

42、on of Fire Fighters Kevin J. McGee, Prince William County Fire & Rescue, VA E Marc E. Nason, Artesia Fire Department, NM U Mark Niemeyer, City of Meridian Fire Department, ID E Rep. Western Fire Chiefs Association Richard W. Patrick, U.S. Department of Homeland Security, MD SE Karen M. Pickard, UT S

43、outhwestern Medical Center, TX E Rep. International Association of Fire Chiefs Franklin D. Pratt, Los Angeles County Fire Department, CA U Rep. American College of Emergency Physicians Aarron Reinert, Lakes Region EMS, MN E David O. Simmons, Firemens Association of the State of New York, NY U David

44、K. Tan, Washington University School of Medicine, MO U Rep. National Association of EMS Physicians Robert A. Ungar, Robert A. Ungar, P.C., NY L Rep. American Federation of State, County & Municipal Employees Robert M. Ziegler, Emergency Resource Management, LLC, CT SE Alternates Byron F. Andrews, II

45、I, Sterling Volunteer Rescue Squad, VA E (Alt. to Karen M. Pickard) Thomas Breyer, International Association of Fire Fighters, DC L (Alt. to Richard D. MacKinnon, Jr.) Matt Ellis, Mississippi State Fire Academy, MS E (Alt. to Charles Lucas) Richard M. Huff, Atlantic Highlands First Aid & Safety Squa

46、d, NJ U (Alt. to Kenneth R. Knipper) William S. Niehenke, Glatfelter Insurance Group, PA I (Alt. to David A. Bradley) Kendall Holland, NFPA Staff Liaison This list represents the membership at the time the Committee was balloted on the nal text of this edition. Since that time, changes in the member

47、ship may have occurred. A key to classications is found at the back of the document. NOTE: Membership on a committee shall not in and of itself constitute an endorsement of the Association or any document developed by the committee on which the member serves. Committee Scope: This Committee shall ha

48、ve primary responsibility for documents relating to emergency medical services, except those documents covered by other existing NFPA committees.CONTENTS 450-3 2017 Edition Contents Chapter 1 Administration 450 5 1.1 Scope. . 450 5 1.2 Purpose. . 450 5 Chapter 2 Referenced Publications 450 5 2.1 Gen

49、eral. 450 5 2.2 NFPA Publications. 450 5 2.3 Other Publications. . 450 5 2.4 References for Extracts in Advisory Sections. . 450 6 Chapter 3 Denitions . 450 6 3.1 General. 450 6 3.2 NFPA Ofcial Denitions. 450 6 3.3 General Denitions. 450 6 Chapter 4 System Regulation and Policy 450 9 4.1 General. 450 9 4.2 Oversight. . 450 9 4.3 Authorization. 450 9 4.4 Evaluation. . 450 9 4.5 Roles and Responsibilities. 450 9 4.6 Service Levels. 450 9 4.7 Management Structure. 450 9