1、Designation: F 1229 01 (Reapproved 2006)Standard Guide forQualification and Training of EMS Air Medical Patient CareProviders1This standard is issued under the fixed designation F 1229; the number immediately following the designation indicates the year oforiginal adoption or, in the case of revisio
2、n, the year of last revision. A number in parentheses indicates the year of last reapproval. Asuperscript epsilon (e) indicates an editorial change since the last revision or reapproval.INTRODUCTIONThis guide describes the minimum qualifications and training of air medical providers. Theseguidelines
3、 are built on a foundation of recognized courses that are used to train patient care providers.The developers of this guide are experienced air medical providers and users with broad anddistinctive EMS backgrounds.1. Scope1.1 This guide applies to patient care providers onboardmedical flights involv
4、ed in the provision of patient care duringair medical transport. It does not necessarily address thequalifications and training of additional specialty care provid-ers or other allied health professionals during air medicaltransport.1.2 This guide establishes air medical nomenclature.1.3 This guide
5、establishes minimum qualifications andtraining requirements for the air medical patient care provid-er(s) and the air medical director.1.4 This guide identifies the general content of the curriculafor air medical training.1.5 This standard does not purport to address all of thesafety concerns, if an
6、y, associated with its use. It is theresponsibility of the user of this standard to establish appro-priate safety and health practices and determine the applica-bility of regulatory limitations prior to use.2. Referenced Documents2.1 ASTM Standards:2F 1031 Practice for Training the Emergency Medical
7、 Tech-nician (Basic)F 1124 Specification for Rotary Wing Advanced Life Sup-port Transport Units3F 1256 Guide for Selection and Practice of EmergencyMedical Services Instructor for Basic Life Support/Emergency Medical Technician (BLS/EMT) Training Pro-gramsF 1257 Guide for Selection and Practice of E
8、mergencyMedical Services Instructor for Advanced Life Support/Emergency Medical Technician (ALS/EMT) Training Pro-gramsF 1274 Specification for Fixed Wing Advanced Life Sup-port Transport Units3F 1453 Guide for Training and Evaluation of First Respond-ers Who Provide Emergency Medical CareF 1552 Pra
9、ctice for Training Instructor Qualification andCertification Eligibility of Emergency Medical DispatchersF 1651 Guide for Training the Emergency Medical Techni-cian (Paramedic)F 1705 Guide for Training Emergency Medical ServicesAmbulance Operations2.2 U.S. Department of Transportation National Stand
10、ardCurricula:4Emergency Medical DispatcherEmergency Medical CareFirst ResponderEmergency Medical TechnicianBasicEmergency Medical TechnicianIntermediateEmergency Medical TechnicianParamedicEmergency Medical Services InstructorEmergency Vehicles Operators CourseAir-Medical Crew Education1This guide i
11、s 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 March 1, 2006. Published March 2006. Originallyapproved in 1989. Last previous edition approved in 2001 as
12、 F 1229 01.2For 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.3Withdrawn.4Available from U.S. Department of Tran
13、sportation, 400 Seventh St., S.W.,Washington, DC 20590.1Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.3. Terminology3.1 Definitions of Terms Specific to This Standard:3.1.1 aeromedicine, nthe branch of medicine that dealswith the ph
14、ysiological, psychological, pathological, and epide-miological conditions, diseases, and disturbances that arisefrom flying.3.1.2 air medical, nthe practice of air medicine.3.1.3 air medical director, na physician who is licensed,or otherwise legally authorized to practice, and who functionswith an
15、air medical operation as the individual ultimatelyresponsible for the quality of patient care.3.1.4 air medical operations, nthat aspect of air medicineinvolving policies, procedures, and protocols.3.1.5 air medical patient care providers, npatient careproviders onboard medical flights.3.1.6 air med
16、icine, na discipline of medicine associatedwith the care and management of patients transported byaircraft.3.1.7 educational experience, nthe accumulation ofknowledge and skills through education, training, and clinicalpractice.3.1.8 qualification, npossessing a recognized, definablebody of knowledg
17、e or specific credential (certificate, license,registration, or degree).4. Significance and Use4.1 This guide provides minimum guidance for the devel-opment of air medical training programs.4.2 This guide identifies additional subject areas of trainingnecessary to become an air medical patient care
18、provider.5. Flight EMT-P (Flight Paramedic)Qualifications andTraining5.1 The minimum entry level for a flight EMT-paramedicshall be the body of knowledge and skills identified by both therequired and optional objectives contained in the EMT-Paramedic DOT National Standard Curriculum. Commensu-rate w
19、ith the patient care mission, additional training is at thediscretion of the air medical director. Additional areas includethe following:5.1.1 Aircraft safety;5.1.2 Altitude physiology and principles of atmosphericphysics (gas laws);5.1.3 Aviation communications;5.1.4 Crash and survival procedures;5
20、.1.5 Familiarization with EMS systems in the service area;5.1.6 Hazardous materials response procedures;5.1.7 In-flight treatment modalities;5.1.8 Infection control;5.1.9 Oxygen therapy in relation to altitude;5.1.10 Patient assessment in the airborne environment;5.1.11 Roles and responsibilities; a
21、nd5.1.12 Stress recognition and management.6. Flight NurseQualifications and Training6.1 The minimum entry level for a flight nurse shall be thebody of knowledge and skills identified by the objectivescontained in an accredited registered nursing program. Com-mensurate with the patient care mission,
22、 the flight nurse shallpossess all of the knowledge and skills required of a flightEMT-paramedic and may have additional training in theassessment and management of patients with special needs asprescribed by the air medical director.7. Air Medical Director, Flight PhysicianQualifications,Training,
23、and Educational Experience7.1 The air medical director or flight physician shall be aphysician who is licensed or otherwise legally authorized topractice and who has had educational experience in those areasof medicine and prehospital care that are commensurate withthe patient care mission(s). Addit
24、ional training shall includeareas listed in 5.1.1-5.1.12.8. Keywords8.1 air medical providers; EMS; patient care providers;trainingASTM International takes no position respecting the validity of any patent rights asserted in connection with any item mentionedin this standard. Users of this standard
25、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 committee and must be reviewed every five years andif no
26、t 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 meeting of theresponsible technical committee, which
27、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 Drive, 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).F 1229 01 (2006)2
