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Significance and Use
This guide is intended to expand the scope of the practice of first responders and improve the emergency medical care delivered to patients in the wilderness or delayed or prolonged transport settings.
This guide does not suggest a particular performance sequence.
Individuals will be trained initially or concurrently in accordance with the U.S. DOT HS 900-25, Course Guide, and Guide F 1453
This guide may be used by individuals who develop training programs for nontraditional EMS environments.
This guide acknowledges the need for additional or specific training required for the wilderness or delayed or prolonged transport settings.
1.1 This guide covers minimum performance requirements for first responders who may initially provide care for sick or injured persons in the specialized pre-hospital situations of the wilderness or delayed or prolonged transport settings, including catastrophic disasters.
1.2 Individuals who will operate in the wilderness or delayed or prolonged transport settings need to be aware of the physical requirements necessary to be able to perform all identified objectives and necessary skills required for the setting.
1.3 This guide establishes supplemental or continuing education programs that will be taught to individuals trained to the first responder level by an appropriate authority.
1.4 This guide does not establish performance standards for use in the traditional emergency medical services (EMS) or ambulance transportation environment.
1.5 This guide does not establish medical protocols; nor does it authorize invasive procedures without specific authorization and medical control.
1.6 Successful completion of a course based on this guide does not constitute or imply certification or licensure.
1.7 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.
2. Referenced Documents (purchase separately) The documents listed below are referenced within the subject standard but are not provided as part of the standard.
F1177 Terminology Relating to Emergency Medical Services
F1287 Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care
F1453 Guide for Training and Evaluation of First Responders Who Provide Emergency Medical Care
F1490 Terminology Relating to Search and Rescue
Code of Federal RegulationsTitle29, Part 1910.1030, Bloodborne Pathogens
Department of Transportation DocumentU.S.DOTHS900-25, Course Guide, Emergency Medical Services: First Responder Training Course , 1979
ICS Number Code 11.140 (Hospital equipment); 11.160 (First aid)