1、Designation: F1229 01 (Reapproved 2012)Standard Guide forQualification and Training of EMS Air Medical Patient CareProviders1This standard is issued under the fixed designation F1229; the number immediately following the designation indicates the year oforiginal adoption or, in the case of revision,
2、 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.INTRODUCTIONThis guide describes the minimum qualifications and training of air medical providers. Theseguidelines ar
3、e 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 involved
4、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 est
5、ablishes 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 any,
6、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:2F1031 Practice for Training the Emergency Medical Tec
7、h-nician (Basic)F1124 Specification for Rotary Wing Advanced Life Sup-port Transport Units3F1256 Guide for Selection and Practice of EmergencyMedical Services Instructor for Basic Life Support/Emergency Medical Technician (BLS/EMT) Training Pro-gramsF1257 Guide for Selection and Practice of Emergenc
8、yMedical Services Instructor for Advanced Life Support/Emergency Medical Technician (ALS/EMT) Training Pro-gramsF1274 Specification for Fixed Wing Advanced Life SupportTransport Units3F1453 Guide for Training and Evaluation of First Respond-ers Who Provide Emergency Medical CareF1552 Practice for Tr
9、aining Instructor Qualification andCertification Eligibility of Emergency Medical DispatchersF1651 Guide for Training the Emergency Medical Techni-cian (Paramedic)F1705 Guide for Training Emergency Medical ServicesAmbulance Operations2.2 U.S. Department of Transportation National StandardCurricula:4
10、Emergency Medical DispatcherEmergency Medical CareFirst ResponderEmergency Medical TechnicianBasicEmergency Medical TechnicianIntermediateEmergency Medical TechnicianParamedicEmergency Medical Services InstructorEmergency Vehicles Operators CourseAir-Medical Crew Education3. Terminology3.1 Definitio
11、ns of Terms Specific to This Standard: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
12、in 1989. Last previous edition approved in 2006 as F1229 01 (2006).DOI: 10.1520/F1229-01R12.2For 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 S
13、ummary page onthe ASTM website.3Withdrawn. The last approved version of this historical standard is referencedon www.astm.org.4Available from U.S. Department of Transportation, 400 Seventh St., S.W.,Washington, DC 20590.1Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshoho
14、cken, PA 19428-2959, United States.3.1.1 aeromedicine, nthe branch of medicine that dealswith the physiological, 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,
15、 na physician who is licensed,or otherwise legally authorized to practice, and who functionswith an 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.
16、1.5 air medical patient care providers, npatient careproviders onboard medical flights.3.1.6 air medicine, 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, tra
17、ining, and clinicalpractice.3.1.8 qualification, npossessing a recognized, definablebody of knowledge 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 g
18、uide identifies additional subject areas of trainingnecessary to become an air medical patient care 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
19、optional objectives contained in the EMT-Paramedic DOT National Standard Curriculum. Commensu-rate with 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
20、of atmosphericphysics (gas laws);5.1.3 Aviation communications;5.1.4 Crash and survival procedures;5.1.5 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
21、 altitude;5.1.10 Patient assessment in the airborne environment;5.1.11 Roles and responsibilities; and5.1.12 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 objective
22、scontained in an accredited registered nursing program. Com-mensurate with the patient care mission, 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 aspresc
23、ribed by the air medical director.7. Air Medical Director, Flight PhysicianQualifications,Training, 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 thos
24、e areasof medicine and prehospital care that are commensurate withthe patient care mission(s). Additional 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 p
25、atent rights asserted in connection with any 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 revisi
26、on at any time by the responsible technical committee 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 co
27、mments will receive careful consideration at a 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 copyrigh
28、ted 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). Permission rights to photocopy the standard may also be secured from the ASTM website (www.astm.org/COPYRIGHT/).F1229 01 (2012)2
