ASTM F1258-1995(2014) Standard Practice for Emergency Medical Dispatch《应急医疗调度的标准实施规程》.pdf
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1、Designation: F1258 95 (Reapproved 2014)Standard Practice forEmergency Medical Dispatch1This standard is issued under the fixed designation F1258; the number immediately following the designation indicates the year oforiginal adoption or, in the case of revision, the year of last revision. A number i
2、n parentheses indicates the year of last reapproval. Asuperscript epsilon () indicates an editorial change since the last revision or reapproval.1. Scope1.1 This practice covers the definition of responsibilities,knowledge, practices, and organizational support required toimplement, perform, and man
3、age effectively the emergencymedical dispatch function.1.2 This practice is useful for planning and evaluating thetraining, implementation, and organizational support to satisfythe functional needs of emergency medical dispatching.1.3 This standard does not purport to address all of thesafety concer
4、ns, if any, 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
5、 Medical Tech-nician (Basic)F1381 Guide for Planning and Developing 9-1-1 EnhancedTelephone Systems (Withdrawn 2008)3F1552 Practice for Training Instructor Qualification andCertification Eligibility of Emergency Medical Dispatch-ersF1560 Practice for Emergency Medical Dispatch Manage-ment3. Terminol
6、ogy3.1 Definitions of Terms Specific to This Standard:3.1.1 emergency medical dispatcher (EMD)a trained pub-lic safety telecommunicator with additional training and spe-cific emergency medical knowledge essential for the efficientmanagement of emergency medical communications.3.1.2 emergency medical
7、 dispatchingthe reception andmanagement of requests for emergency medical assistance.3.1.3 emergency medical dispatch priority reference system(EMDPRS)a medically approved system used by a dispatchagency to provide aid to medical emergencies that includes:systematized caller interrogation questions,
8、 systematized pre-arrival instructions, and protocols matching the dispatchersevaluation of injury or illness severity with vehicle responsemode and configuration.3.1.4 medical directionthe management and accountabil-ity for the medical care aspects of an emergency medicaldispatch (EMD) program incl
9、uding: the medical monitoringoversight of the training of the EMD personnel; approval andmedical control of the operational emergency medical dispatchpriority reference system (EMDPRS); evaluation of the medi-cal care and prearrival instructions rendered by the EMDpersonnel; direct participation in
10、the EMD system evaluation,quality, assurance, and quality improvement process andmechanisms; and, responsibility for the medical decisions andcare rendered by the emergency medical dispatcher and emer-gency medical dispatch program.3.1.5 public safety telecommunicatoran individual trainedto communic
11、ate remotely with persons seeking emergencyassistance and with agencies and individuals providing suchassistance.3.1.6 telephone aidconsists of “ad-libbed” telephone in-structions provided by either trained or untrained dispatchersand differs from DLS-based prearrival instructions in that theinstruc
12、tions provided to the caller are based on the dispatchersknowledge or previous training in a procedure or treatmentwithout following a scripted prearrival instruction protocol.They cannot be medically preapproved since they do not existin written form.3.1.7 telephone treatment sequence protocols spe
13、cifictreatment strategies designed in a conversational script formatthat direct the EMD step by step in giving critical prearrivalinstructions such as CPR, Heimlich maneuver, mouth-to-mouth breathing, and childbirth instruction.3.1.8 vehicle response configurationthe specific vehicle(s)of varied typ
14、es, capabilities, and numbers responding to renderassistance.1This practice is under the jurisdiction of ASTM Committee F30 on EmergencyMedical Services and is the direct responsibility of Subcommittee F30.04 onCommunications.Current edition approved June 1, 2014. Published June 2014. Originallyappr
15、oved in 1990. Last previous edition approved in 2006 as F1258 95 (2006).DOI: 10.1520/F1258-95R14.2For 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 Docum
16、ent Summary page onthe ASTM website.3The last approved version of this historical standard is referenced onwww.astm.org.Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States13.1.9 vehicle response modethe use of emergency drivingtechniques,
17、 such as warning lights and siren, versus a routinedriving response.4. Summary of Practice4.1 An emergency medical dispatcher is a trained publicsafety telecommunicator with additional training and specificemergency medical knowledge essential for assessment ofmedical emergencies and limited remote
18、treatment and appor-tionment of medical priorities. The EMD functions under themedical authority of an off-line medical director to receive andmanage calls for emergency medical assistance through thesystematic interrogation of callers, using procedures estab-lished by the off-line medical director
19、who remains responsiblefor the medical quality assurance of the EMD program.4.1.1 The EMDs role includes the ability to:4.1.1.1 Remotely evaluate the patient or incident,4.1.1.2 Interpret the requirement and need for emergencymedical resources,4.1.1.3 Allocate the appropriate resources,4.1.1.4 Ident
20、ify conditions requiring prearrival instructionsand provide them to the caller when necessary, possible andappropriate,4.1.1.5 Coordinate the response of emergency medical andother public safety resources,4.1.1.6 Provide information to the responding units regard-ing the emergency scene and patient,
21、 and4.1.1.7 Record and retrieve emergency medical responserecords.4.1.2 There must be continuity in the delivery of EMD care.To provide correct medical care safely and effectively, theEMD that is medically directing, evaluating, and coding mustmaintain direct access to the calling party and must use
22、 amedically approved emergency medical dispatch priority ref-erence system. The person giving the medical instruction to thecaller must be the same person that asks the systematicinterrogation questions.4.1.3 To accomplish the above safely and effectively, theEMD must use a medically approved EMDPRS
23、 that includes:4.1.3.1 Systematized caller interrogation questions,4.1.3.2 Systematized prearrival instructions, and4.1.3.3 Protocols that determine vehicle response mode andconfiguration based on the EMDs evaluation of injury orillness severity.4.2 This practice is intended to be used by agencies a
24、s abaseline for establishing a certifying emergency medical dis-patch training program that includes the implementation of theemergency medical dispatch priority reference system, undermedical direction, and provides a means of evaluating theEMD program.4.3 This practice will provide a common set of
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