1.1 本指南涵盖了急救人员的最低性能要求，这些急救人员最初可能在荒野的专门院前情况下或延迟或延长运输环境中（包括灾难性灾害）为生病或受伤的人员提供护理。 1.2 将在荒野或延迟或长时间运输环境中作业的个人需要了解能够实现所有确定目标所需的身体要求以及该环境所需的必要技能。 1.3 本指南建立了补充教育或继续教育计划，由适当的机构向接受过急救人员培训的人员进行培训。 1.4 本指南未建立用于传统急救医疗服务（EMS）或救护车运输环境的性能标准。 1.5 本指南未制定医疗协议；在没有具体授权和医疗控制的情况下，它也不会批准侵入性手术。 1.6 根据本指南成功完成课程并不构成或意味着获得证书或执照。 1.7 本标准并非旨在解决与其使用相关的所有安全问题（如有）。本标准的用户有责任在使用前制定适当的安全和健康实践，并确定监管限制的适用性。 ====意义和用途====== 4.1 本指南旨在扩大急救人员的实践范围，并改善在野外或延迟或延长运输环境中向患者提供的紧急医疗护理。 4.2 本指南不建议特定的性能顺序。 4.3 个人将根据美国DOT HS 900-25进行初步或同时培训， 课程指南 ，和指南 F1453 . 4.4 本指南可供为非传统EMS环境开发培训计划的个人使用。 4.5 本指南承认需要对荒野或延迟或延长运输环境进行额外或特定的培训。

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. ====== Significance And Use ====== 4.1 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. 4.2 This guide does not suggest a particular performance sequence. 4.3 Individuals will be trained initially or concurrently in accordance with the U.S. DOT HS 900-25, Course Guide , and Guide F1453 . 4.4 This guide may be used by individuals who develop training programs for nontraditional EMS environments. 4.5 This guide acknowledges the need for additional or specific training required for the wilderness or delayed or prolonged transport settings.