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FAMILY
EMERGENCY PLAN CHECKLIST The next time disaster strikes, you may not have much time to act and local first responders may not be able to reach you right away. PREPARE NOW for a sudden emergency and discuss these ideas
with your entire family to create a Family Emergency Plan. Even though this checklist looks long and scary, it is
easy to do and can help you make a plan. We suggest you and your family review this list, then read through the
Manual since there are many tips mentioned in various topics and Sections that could help develop your plan. PLEASE
make some time in your busy lives to prepare for a disaster… a few minutes now could possibly save a life when
a disaster hits! Remember - be aware… be prepared… and have a plan! LEARN ABOUT RISKS & EXISTING
PLANS:
[ ] Find out which disasters could occur in your area. [ ] Ask how to prepare for each disaster…
but read this Manual first! [ ] Ask how you will be warned of an emergency. [ ] Learn your community’s evacuation
routes. [ ] Ask about special assistance for elderly or disabled persons. [ ] Ask your workplace about Emergency
Plans. [ ] Learn about emergency plans for your children’s school(s) or day care center(s). TIPS ON MAKING
YOUR FAMILY PLAN: (Review all and complete Family Emergency Plan on pages 16-17): [ ] Meet with household members
to talk about the dangers of fire, severe weather, earthquakes and other emergencies. Explain how to respond to
each using the tips in this Manual.
[ ] Find safe spots in your home for each type of disaster that affects your community. (see Section 2 for explanations of each disaster) [ ] Talk about what to do when there are power outages
and injuries. [ ] Draw a floor plan of your home then, using a black or blue pen, show location of doors, windows,
stairways and large furniture. Mark locations of emergency supplies, disaster and first aid kits, fire extinguishers,
smoke detectors, collapsible ladders, and utility shutoff points. Next, use a colored pen to draw a broken line charting
at least two escape routes from each room. [ ] Show family members how to turn off water, gas and electricity at the main switches when necessary. [ ] Post emergency telephone numbers near telephones. [ ] Teach children how
and when to call 9-1-1, police and fire departments (see Section 3). [ ] Make sure household members understand
they should turn on the radio for emergency information. [ ] Pick one out-of-state and a local friend or relative
for family members to call if separated during a disaster. (It is often easier to call out-of-state than within
the affected area.) [ ] Pick two emergency meeting places in case you can’t go home. 1. A place near your
home. 2. A place outside the neighborhood [ ] Teach children emergency phone numbers and meeting places. [
] Put ICE before a name and number in cell phone address books so First Responders would know who to call “In Case
of Emergency”. [ ] Take a basic first aid and CPR class. (see Section 3 for some Red Cross programs) [
] Practice emergency evacuation drills with all household members at least two times each year. [ ] Keep family
records in a water- and fire-proof container. Consider keeping another set of records in a safety deposit box offsite. [ ] Check if you have enough insurance coverage.
---------------------------------------------------------------------------------------------------------------------------------- THINK ABOUT SHELTER Sheltering may take many forms since it depends on the type of
disaster or situation. There may be times where you and your family may need to “shelter-in-place” meaning
you stay put wherever you are (home, school, work or car) until wicked weather passes or local authorities say it’s
okay to come out. Or, in some cases, your family may have to leave your home and go to a shelter or mass care facility
determined by local officials (like a high school gym or convention center.) For example, during a tornado warning
you should seek shelter in a basement or an inside room away from windows. However, during a hazardous spill or
chemical attack you should take shelter in a room above ground and possibly seal off room to keep gas or fumes from coming
in. Or if there’s a wildfire nearby or a hurricane brewing along the Coast your family may need to evacuate
your home. Some things you should talk about in advance with family members include: Make a plan - Develop
a Family Emergency Plan and Disaster Supplies Kits for home, car and office / locker (covered on previous pages). Make sure you include important paperwork, money, etc. Pick safe rooms - Talk about which room would be best for each type
of disaster that may occur where you live.
Where would we go? - Decide in advance where you would go in case
you can’t return home for weeks or months .. or ever. If your home is damaged or destroyed or you’re
forced to leave your home due to on-going threats (like mudslides or flooding), you will need to find temporary or permanent living quarters. This could mean staying in a public shelter or hotel, living with friends or relatives, or renting
a home or apartment in the middle of all the chaos, so discuss several options now. Then, write down those options
and share them with relatives and friends. Away from home - Learn “shelter-in-place” procedures at work and
school so everyone knows what to expect for each type of disaster or incident. By planning ahead, your family will
know where to go and what to do which can help reduce some fear and anxiety that surrounds a disaster.
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--------------------------------------------------------------------------------------------------------------------------------------------------------- DISASTER
SUPPLIES KIT Disasters happen anytime and anywhere -- and, when disaster strikes, you may not have
much time to respond. And sometimes services may be cut off or first responders can’t reach people right away.
Would you and your family be prepared to cope until help arrives? Both FEMA and the Red Cross recommend keeping
enough supplies in your home to meet your family’s needs for at least three days (we suggest 4 days to 2 weeks
in home, if possible.) Once disaster threatens or hits, you may not have time to shop or search for supplies ... but,
if you’ve gathered supplies in advance in your Disaster Supplies Kit, your family could handle an evacuation
or shelter living easier. And since everything is all together in one place… all you gotta do is GRAB & GO! Put items you’d most likely need (water, food, first aid, emergency items, etc.) in a container that is easy-to-carry
and that will fit in your vehicle. For example, a large trash can or storage container with a lid that snaps shut tightly (some even come with wheels), or a waterproof backpack or large duffel bag (waterproof, if possible) would
be useful. We’re also including suggestions for a CAR KIT and a CLASSROOM or LOCKER or OFFICE KIT since these
are usually the most common places you would be if and when a disaster strikes. There are seven basic categories
of supplies you should stock in your home kit: water, food, first aid supplies, tools and emergency supplies, sanitation,
clothing and bedding, and special items. Take advantage of sales and stock up as you can -- also put dates on food cans or labels to show when they were purchased. Supplies should ALL be checked every 6 months to make sure they are
still good and working! We suggest you mark dates on your calendar and have the entire family help check all the
items together. It’ll be good quality time with the family and give you all a chance to update any phone numbers
or information that has changed. WATER A normally active person needs to drink at least 2 quarts (2 litres)
of water each day and possibly as much as a gallon (4 litres) a day. [ ] Store one gallon of water per person per
day (two quarts/litres for drinking and two quarts/litres for food preparation and sanitation). [ ] Keep at
least a three-day supply of water for each person in home and store extra water for pets. Rotate new bottles every 6
months. [ ] Consider purchasing a certified portable water purification filter. [ ] Review TIPS ON WATER PURIFICATION
at end of Section 2. FOOD Choose foods that require no refrigeration, preparation or cooking and little or
no water. If you must heat food, pack a can of sterno or a small propane camping stove. Select foods that are compact
and lightweight and rotate food out every 6 months. (Keep items like this handy in pantry too.) [ ] Ready-to-eat
canned meats, fish, fruits, and vegetables (and put in a manual can opener!!) [ ] Canned juices, milk, soups (if
powder or cubes, store extra water) [ ] Staples - sugar, salt, pepper [ ] High energy foods - peanut butter, jelly,
crackers, granola bars, trail mix, nuts, jerky, dried fruits, Emergency Food bars, etc. [ ] Vitamins & herbs
(e.g. a good multiple, Vitamins C & E, garlic pills [boosts immune], L-Tyrosine [amino acid for stress], etc.) [ ] Foods for infants, elderly persons or persons on special diets [ ] Foods for your pet (if necessary) [ ] Comfort
/ stress foods - cookies, hard candy, suckers, sweetened cereal, instant coffee, tea bags, powdered drink mixes, etc. [ ] Some companies offer survival and long-term storage foods that are freeze dried and sold in months, 1-year, and
2-year supplies FIRST AID KITS You should always be prepared and keep a First Aid Kit in your home and in every
car and make sure everyone knows where kits are and how to use them. And if you like the outdoors (hiking, biking, etc.)
you should carry a small Kit in your fanny pack or backpack as a precaution. ---------------------------------------------------------------------------------------------------------------------------------------------------- FAMILY INFORMATION & PHONE NUMBERS Place these records in a safe location (like a metal
box or safety deposit box). We suggest you review/update the information several times a year to keep records current. Since this data changes often, we suggest you use the information below as a guide and write everything down then paperclip
it inside this Manual for easy access. (Or create and save as a file on your PC.) Keep a record of each school your
child or children attend and please replace it every time there is a change. And make sure other family members get updates
too! LIST CONTACT DATA FOR ALL FAMILY MEMBERS: Parent/Guardian works at: ______________________________ Work
address: _________________________________________ Work & Cell Phone #s: __________________________________ Parent/Guardian
works at: ______________________________ Work address: _________________________________________ Work & Cell
Phone #s: __________________________________ Brother/Sister works at: ________________________________ Work address:
_________________________________________ Work & Cell Phone #s: __________________________________ LIST SCHOOL
INFORMATION FOR EACH CHILD IN FAMILY: Child’s name: __________________________________________ School name:
__________________________________________ School address: ________________________________________ Main phone #
for school: ________________________________ Contact name at school: _________________________________ - Will school
HOLD or RELEASE child if an emergency or disaster? - Where will the school move child if an emergency or disaster? - How will the school communicate with families during a crisis? - Does the school store adequate food, water and other
basic supplies? Suggestion: Parents and Guardians may want to keep a copy of your child or children’s information
at your place of employment and with another family member in case of a disaster or emergency. Please make sure you update records each year so everyone has the right data. OTHER IMPORTANT FAMILY INFORMATION: Please write information
down on a piece of paper (or create a file on PC, print, then burn file onto a CD) and place in a safe location (such
as a fireproof metal box or a safety deposit box). Again, we suggest you review and update information several times
a year to keep records current. Make a list of each Family Member’s Social Security Number Name: _______________________________________________ Social Security #: ______________________________________ HMO/Insurance Policies: Insurance Co. Name: ___________________________________ Policy #: ______________ Phone #: ______________________ Insurance Co. Name: ___________________________________ Policy #: ______________ Phone #: ______________________ Family Doctor Name ___________________________________ Family Doctor’s Address ________________________________ Dr. Phone #: __________________________________________ Closest Hospital Name __________________________________ Closest Hospital Address ________________________________ Hospital Phone #: ______________________________________
--------------------------------------------------------------------------------------------------------------------------------------------------------- FAMILY
EMERGENCY PLAN EMERGENCY CONTACT NUMBERS (Post a copy of this information near
each phone for easy access!) Out-of-State Contact Name _________________________________________________ City
___________________________________________________ Telephone (Day) _________________ (Evening) _______________ Local
Contact Name _________________________________________________ Telephone (Day) _________________ (Evening) _______________ Nearest Relative Name _________________________________________________ City ___________________________________________________ Telephone (Day) _______________ (Evening) ________________ Family Work Numbers Father ______________________ Mother
____________________ Guardian _______________________________________________ Brother _____________________ Sister
_____________________ Emergency Telephone Numbers In a life-threatening emergency, dial 9-1-1 or local emergency
medical services number: Police Department _______________________________________ Fire Department _________________________________________ Ambulance _____________________________________________ Hospital _______________________________________________ Poison Control 1-800-222-1222 (U.S. only) _____________________ Family Doctors Name__________________________
Phone # _________________ Name__________________________ Phone # _________________
Veterinarian: ___________________________________________ Animal Shelter or Humane Society: __________________________ In case you get separated from family members during an
emergency or disaster, please decide on two Meeting Places or Areas where you can join each other. Please make
sure your small children are included when making this decision and they understand why they should meet here. Meeting
Place or Meeting Area 1. Right outside your home _________________________________ ____________________________________________________ (Example: meet by the curb or by the mailbox in front of home or apartment building) 2. Away from the neighborhood,
in case you cannot return home ____________________________________________________ (Example: choose the home of
a family friend or relative and fill in below) Address ______________________________________________ Telephone
# __________________________________________ Directions to this place __________________________________ ____________________________________________________ ____________________________________________________
TERRORISM Terrorism is the use of force or violence against persons
or property usually for emotional or political reasons or for ransom. The main goal of terrorists is to create public
fear and panic. Obviously there is a lot of anxiety since the September 11, 2001 attacks on the U.S., however, being
afraid or worrying is very unhealthy - especially about something you have little control over. But remember, terrorist attacks are a very low risk possibility. Let’s put a few “risks” in perspective ... the chances of
having high blood pressure is 1 in 4 ... the odds of dying from cancer is 1 in 500 ... and the odds of dying from anthrax
is 1 in 56 million! People need to remain calm about the threat of terrorist attacks and learn about some of
the types, how to prepare for them, and what to expect in some cases. Discuss this with everyone - even the kids so they
can talk about their feelings too. Stay current on news but don’t obsess over it ... and just be aware of
your surroundings as you go about your daily routines. One type of terrorism that we can help prevent is the use of guns
and bombs by children and youth against other groups of children at schools. A key solution to stopping this type
of school violence is through communication, education and awareness – and it starts within the FAMILY! (see also APPENDIX C - SCHOOL SAFETY RESOURCES) The Federal Bureau of Investigation categorizes terrorism in two ways: Domestic terrorism - terrorist activities are directed at certain groups or parts of the government within the U.S.
without foreign direction. Some examples of domestic terrorism include shootings and bomb threats at schools, the
Oklahoma City bombing of the Federal Building, and the letters mailed to various groups with a white powdery substance
(anthrax scares). International terrorism - terrorist activities are foreign-based by countries or groups outside
the U.S. Some examples of international terrorism include bombings like the U.S.S. Cole in Yemen and U.S. Embassies
in other countries, the attacks on the Pentagon and World Trade Center, hostage situations with civilians in various countries, or threats with weapons of mass destruction.
Until recently, most terrorist attacks involved
bombs, guns, kidnappings and hijackings, but some other forms of terrorism involve cyber attacks, biological or
chemical agents, radiological or nuclear devices (the last 4 considered weapons of mass destruction [or “disruption”
in some cases]). Cyber attacks - computer-based attacks from individuals or terrorist groups causing severe problems
for government, businesses and public in general (sometimes causing or leading to injury and death) Biological agents
- infectious microbes (tiny life forms), germs or other substances that occur naturally or are “designed”
to produce illness or death in people, animals or plants -- can be inhaled, enter through a cut in the skin, or
swallowed when eating or drinking Chemical agents - poisonous vapors, liquids or solids that can kill or slow down
or weaken people, destroy livestock or crops -- can be absorbed through the skin, swallowed or inhaled Radiological
threat or device - a “dirty bomb” or RDD uses conventional explosives to spread radioactive materials over
a general or targeted area Nuclear device - a bomb or missile using weapons grade uranium or plutonium Weapons of
mass destruction (WMD) - chemical, biological, radiological, and nuclear devices are now all classed as WMDs Terrorism
is quite an extensive topic now -- Keep in mind, the best thing you can do about terrorism is prepare yourself and your family for the unexpected, so please review this topic and the previous one on “nuclear” threats.
By learning about potential threats, we are all better prepared to know how to react if the unthinkable happens. BEFORE
ANY TYPE OF TERRORIST ATTACK: BE AWARE! - You should always be aware of your surroundings and report any suspicious
activities to local authorities. Stay current on threats - Both U.S. Department of Homeland Security www.dhs.gov and Canada’s PS www.publicsafety.gc.ca post alerts online. Learn “Threat Levels” - Review below Homeland Security Advisory System to see what
your family or business should do at each color. Know the targets - Terrorists usually prefer to pick targets that bring
little damage to themselves and areas that are easy to access by the public (like international airports, military
and government buildings, major events, schools, malls, etc.) Some other high risk targets include water and food supplies, nuclear power plants, and high-profile landmarks. Things to watch out for: • unknown packages -
DO NOT accept a package or case from a stranger • unattended bags - report unattended bags or backpacks to authorities and don’t ask strangers to watch your stuff or leave bags or purses alone (esp. when traveling) • emergency exits - always be aware of where EXITS are… just casually look around for signs since most
are marked well in public places Make a plan develop a Family Emergency Plan and Disaster Supplies Kit. Get
involved - Join a local Citizen Corps or CERT.
Natural Emergencies
 For Everyone, preparedness must now account for man-made disasters as well as natural ones.
Knowing what to do during an emergency is an important part of being prepared and may make all the difference when seconds
count.
Hurricane
Before a Hurricane
To prepare for a hurricane, you should take the following measures:
- Make plans to secure your property. Permanent storm shutters offer the best protection for windows. A second
option is to board up windows with 5/8” marine plywood, cut to fit and ready to install. Tape does not prevent windows
from breaking.
Install straps or additional clips to securely fasten your roof to the frame structure.
This will reduce roof damage.
- Be sure trees and shrubs around your home are well trimmed.
Clear loose and clogged
rain gutters and downspouts. Determine how and where to secure your boat. Consider
building a safe room.
During a Hurricane
If a hurricane is likely in your area, you should:
Listen to the radio or TV for information. Secure your home, close storm shutters,
and secure outdoor objects or bring them indoors.
Turn off utilities if instructed to do so. Otherwise,
turn the refrigerator thermostat to its coldest setting and keep its doors closed. Turn off propane
tanks.· Avoid using the phone, except for serious emergencies. Moor your boat if time permits. Ensure a supply of water for sanitary purposes such as cleaning and flushing toilets. Fill the bathtub and other large
containers with water. You should evacuate under the following conditions:If you are directed by local authorities to do so. Be sure to follow their instructions. If
you live in a mobile home or temporary structure—such shelters are particularly hazardous during hurricanes no matter
how well fastened to the ground.
- If you live in a high-rise building—hurricane winds are stronger at higher elevations.
- If you live on the coast, on a floodplain, near a river, or on an inland waterway.
- If you feel you are in danger. If you are unable to evacuate, go to your safe
room. If you do not have one, follow these guidelines:
- Stay indoors during the hurricane and away from windows and glass doors.
- Close all interior doors—secure and brace external doors.
Keep curtains and
blinds closed. Do not be fooled if there is a lull; it could be the eye of the storm - winds will pick up again.
- Take refuge in a small interior room, closet, or hallway on the lowest level.
- Lie on the floor under a table or another sturdy object.
Flooding
Flooding caused by heavy rains is dangerous and can occur without warning. Floods are particularly dangerous because
they can wash away vehicles and mobile homes and cause extensive damage to property. Individuals who can't swim, the elderly
and those in need of special assistance are particularly vulnerable to drowning. Also a serious threat during a flood, are
downed power lines. Those could fall into pools of water and cause electrocutions in homes and on public streets. Before
a flood:
- Avoid building in a floodplain unless you elevate and reinforce your home.
- Elevate the furnace, water heater, and electric panel if susceptible to flooding
- Install check valves in sewer traps to prevent floodwater from backing up into your home.
- Construct barriers (levees, beams, sandbags, floodwalls) to stop floodwater from entering the building.
- Seal walls in basements with waterproofing compounds to avoid seepage.
- Keep an adequate supply of food, candles and drinking water in case you are trapped inside your home.
During a flood:
- Seek higher ground. Do not wait for instructions.
- Be aware of flash flood areas such as canals, streams, drainage channels.
- Be ready to evacuate. If time allows bring outside furniture indoors. Move essential items to upper floors.
- If instructed, turn off main valves and switches. Avoid electrical equipment if you are wet.
- If you must leave your home, do not walk through moving water. Six inches of moving water can knock you off your feet.
Use a stick to test depth.
- Do not try to drive over a flooded road. If your car stalls, abandon it immediately and seek an alternate route.
After a flood:
- Avoid floodwaters. Do not let children play in the water.
- Be aware of areas where water has receded. Roadways may have weakened and could collapse.
- Avoid down power lines and muddy waters where power lines may have fallen.
- Return home only when authorities say it is safe to do so.
- Discard food that may have been contaminated.
- Check on sewage systems. If damaged, these can be a serious hazard.
Tornados
A tornado is a violent rotating column of air extending from a thunderstorm to the ground. One of the most powerful
forces of nature, a tornado can have rotating winds of up to 250 miles per hour and can occur at any time of year. The damage
path of a tornado can be in excess of one mile wide and fifty miles long. Unfortunately, tornados occur frequently in Kentucky
and thus citizens should be alert.
While watching the weather, listen for:
Tornado Warning - A tornado has been sighted or indicated by weather radar. If a tornado warning is issued for your area
and the sky becomes threatening, move to your pre-designated place of safety. Tornado Watch - Tornadoes are possible in all
areas of Kentucky. Remain alert for approaching storms.
Before a tornado:
- Develop a plan for yourself and your family for home, work, school and when outdoors, and practice with quarterly drills.
- Keep a NOAA Weather Radio with a warning alarm tone and a battery backup to receive warnings as part of your emergency
supply kit.
- Listen to radio and television for weather information.
During the tornado:
- Move to a pre-designated shelter, such as a basement. Use cushions, pillows or if time permits, a mattress to cover yourself
to prevent injury from flying debris.
- In a high-rise, go to the lowest level possible. Interior halls or stairwells offer the most protection. Get into a crouched
position and cover your head (with your hands if you have nothing else).
- Do not use elevators during a tornado.
- If no underground shelter is available, move to an interior room or hallway on the lowest floor and get under a sturdy
piece of furniture.
- Stay away from windows and DO NOT OPEN THEM.
- Do not try to outrun a tornado in your car. Instead, seek shelter in a ditch or depression with your head covered.
- If you live in a mobile home, seek shelter elsewhere nearby.
After a tornado:
- Before traveling, check to make sure roads are open.
- Help neighbors who may require special assistance--infants, seniors, and people with disabilities.
- Help injured or trapped persons. Administer first aid where appropriate. Do not move seriously injured persons unless
they are in immediate danger of further injury.
- Watch for fallen power lines or broken gas lines and report to 3-1-1 or 9-1-1.
- Avoid disaster areas. Your presence might hamper rescue and other emergency operations and put you at further risk from
the residual effects of tornadoes.
- If you are away from home, return only when authorities say it is safe.
- Use battery-powered lanterns or flashlights when examining buildings. Battery-powered lighting is the safest and reduces
fire hazard.
- Examine walls, floors, doors, staircases, and windows to make sure that the building is not in danger of collapsing.
- Look for fire hazards. Clean up spilled medicines, bleaches, gasoline, or other flammable liquids immediately.
- Check for gas leaks.
Earthquakes
There are many things you can do to help yourself in the event of an earthquake. Generally, an earthquake is divided into
three stages: before, during and after. Know what to do in each stage.
Before
- Develop a family earthquake plan. Prepare yourself and your home by completing the activities on this checklist.
- Decide how and where your family will reunite if separated.
- Choose an out-of-area friend or relative who separated family members can call after the quake to report their whereabouts
and condition.
- Know the safe spots in each room: under sturdy tables, desks, or against inside walls.
- Know the danger spots: windows, mirrors, hanging objects, fireplaces and tall, unsecured furniture.
- Conduct practice drills. Physically place yourself in safe locations.
- Learn first aid and CPR (cardiopulmonary resuscitation) from your local American Red Cross chapter or other community
organization.
- Keep a list of emergency phone numbers.
- Learn how to shut off gas, water and electricity in case the lines are damaged. (Safety note: Do not attempt to relight
a gas pilot).
- Secure water heaters and appliances that could move enough to rupture lines.
- Secure heavy furniture, hanging plants, heavy pictures or mirrors.
- Keep flammable or hazardous liquids in cabinets or on lower shelves.
- Maintain a three (3) day supply of emergency food, water and other supplies, including a flashlight, a portable battery-operated
radio, extra batteries, medicines, first aid kit and clothing.
During
- If indoors, stay there and take cover under a table, desk, or other sturdy furniture.
- Face away from windows and glass doors.
- A doorway without a door is an acceptable location in which to stand.
- Lie, kneel or sit near a structurally sound interior wall or corner away from windows, brick fireplaces, glass walls,
etc.
- Protect your head and body from falling or flying objects.
- Remain where you are until shaking stops. Think out your plan of action first, then move.
- Know exit routes if in a commercial building. Take cover and don't move until the shaking stops.
- If outside, get into an open area away from trees, buildings, walls and power lines.
- Lie down or crouch low to maintain balance.
- Get to the best available shelter if there is no open area available.
- If driving, stop safely as soon as possible. Stay inside your vehicle until the shaking stops.
- Do not stop your vehicle under overpasses or bridges.
- Stay below window level in your vehicle.
- Turn off the engine and turn on the radio. Follow emergency instructions.
- Stay in the vehicle if downed power lines have fallen across it. Do not touch metal. Wait for help. You might be able
to back away from lines.
- If you have to leave your vehicle, move to an open area quickly.
After
- Check for injuries. Render first aid. Do not move seriously injured victims unless they are in immediate danger. Do not
use the telephone immediately unless there is a serious injury, fire or other emergency. Hunt for hazards.
- Check for other hazards and control them (fire, chemical spills, toxic fumes and possible collapse).
- Check utilities (water, gas, electric). If there is damage, turn the utility off at the source.
- Check buildings for cracks and damage, including roof, chimneys, and foundation.
- Check food and water supplies.
- Emergency water can be obtained from water heaters, melted ice cubes, canned vegetables, and toilet tanks.
- Never use matches, lighters or candles inside.
- Turn on the radio and listen for emergency broadcasts/announcements, news reports, and instructions. Cooperate with public
safety officials.
- Do not use your vehicle unless there is an emergency. Keep the streets clear for emergency vehicles.
- If buildings are suspect, set up your shelter area away from damage.
- Work with your neighbors for a quicker recovery. Stay calm and lend a hand to others.
- Be prepared for aftershocks.
- Plan for evacuation in case events make this necessary. Leave written messages for other family members or searchers.
Blizzards
Extreme winter weather is responsible for the deaths of hundreds of people in the U.S. each
year, primarily due to traffic accidents, fires from improper use of heaters, overexertion and exposure. Familiarize yourself
with the following terms to stay alert and prepared:
- Winter Weather Advisory - cold, ice and snow are expected.
- Winter Storm Watch - severe winter weather such as heavy snow or ice is possible within the next day or two.
- Winter Storm Warning - severe winter conditions have begun or are about to begin.
- Blizzard Warning - heavy snow and strong winds will produce a blinding snow, near zero visibility, deep drifts and life-threatening
wind chill.
- Frost/Freeze Warning - below freezing temperatures are expected.
Winter storm tips:
- Make sure your emergency supply kit is stocked and winter storm ready.
- Buy rock salt to melt ice on walkways and sand to improve traction.
- Make sure you have sufficient heating fuel. Regular fuel sources may be cut off.
- Keep emergency heating equipment and fuel (a gas fireplace, wood burning stove, kerosene heater, or fireplace) so you
can keep at least one room of your house warm enough to be liveable.
- If you have a fireplace, store a supply of firewood.
- Keep fire extinguishers on hand, and make sure your family knows how to use them.
- Winterize your home to extend the life of your fuel supply. Insulate walls, attics, doors and windows.
- Install storm windows or cover windows with plastic.
- Do not overexert yourself or work outside for extended periods of time.
Other Emergencies
Biological Threats
Biological agents are organisms or toxins that can kill or incapacitate people, livestock, and crops. The
three basic groups of biological agents that would likely be used as weapons are bacteria, viruses, and toxins. Most biological
agents are difficult to grow and maintain. Many break down quickly when exposed to sunlight and other environmental factors,
while others, such as anthrax spores, are very long lived. Biological agents can be dispersed by spraying them into the air,
by infecting animals that carry the disease to humans, and by contaminating food and water. Delivery methods include:
Aerosols - biological agents are dispersed into the air, forming a fine mist that may drift for miles. Inhaling
the agent may cause disease in people or animals.
- Animals - some diseases are spread by insects and animals, such as fleas, mice, flies, mosquitoes, and livestock.
- Food and water contamination - some pathogenic organisms and toxins may persist in food and water supplies.
Most microbes can be killed, and toxins deactivated, by cooking food and boiling water. Most microbes are killed by boiling
water for one minute, but some require longer. Follow official instructions.
- Person-to-person - spread of a few infectious agents is also possible. Humans have been the source of infection
for smallpox, plague, and the Lassa viruses. Specific information on biological agents is available at the Centers for Disease Control and Prevention's Web site.
Before a Biological Attack
What you should do to prepare:
Check with your doctor to ensure all required or suggested immunizations are up to date. Children and older
adults are particularly vulnerable to biological agents.
Consider installing a High Efficiency Particulate Air (HEPA) filter in your furnace return duct. These filters
remove particles in the 0.3 to 10 micron range and will filter out most biological agents that may enter your house. If you
do not have a central heating or cooling system, a stand-alone portable HEPA filter can be used.
Filtration in buildings
Building owners and managers should determine the type and level of filtration in their structures and the
level of protection it provides against biological agents. The National Institute of Occupational Safety and Health (NIOSH)
provides technical guidance on this topic in their publication Guidance for Filtration and Air-Cleaning Systems to Protect
Building Environments from Airborne Chemical, Biological, or Radiological Attacks. To obtain a copy, call 1 (800) 35NIOSH
or visit the National Institute for Occupational Safety and Health Web site and request or download NIOSH Publication 2003-136.
During a Biological Attack
In the event of a biological attack, public health officials may not immediately be able to provide information
on what you should do. It will take time to determine what the illness is, how it should be treated, and who is in danger.
Watch television, listen to radio, or check the Internet for official news and information including signs and symptoms of
the disease, areas in danger, if medications or vaccinations are being distributed, and where you should seek medical attention
if you become ill.
The first evidence of an attack may be when you notice symptoms of the disease caused by exposure to an agent.
Be suspicious of any symptoms you notice, but do not assume that any illness is a result of the attack. Use common sense and
practice good hygiene.
If you become aware of an unusual and suspicious substance nearby:
- Move away quickly.
Wash with soap and water. Contact authorities.
- Listen to the media for official instructions.
- Seek medical attention if you become sick.
- If you are exposed to a biological agent:
- Remove and bag your clothes and personal items. Follow official instructions for disposal of contaminated
items.
Wash yourself with soap and water and put on clean clothes.
- Seek medical assistance. You may be advised to stay away from others or even quarantined.
Using HEPA Filters
HEPA filters are useful in biological attacks. If you have a central heating and cooling system in your home
with a HEPA filter, leave it on if it is running or turn the fan on if it is not running. Moving the air in the house through
the filter will help remove the agents from the air. If you have a portable HEPA filter, take it with you to the internal
room where you are seeking shelter and turn it on.
If you are in an apartment or office building that has a modern, central heating and cooling system, the system’s
filtration should provide a relatively safe level of protection from outside biological contaminants.
HEPA filters will not filter chemical agents.
After a Biological Attack
In some situations, such as the
case of the anthrax letters sent in 2001, people may be alerted to potential exposure. If this is the case, pay close attention
to all official warnings and instructions on how to proceed. The delivery of medical services for a biological event may be
handled differently to respond to increased demand. The basic public health procedures and medical protocols for handling
exposure to biological agents are the same as for any infectious disease. It is important for you to pay attention to official
instructions via radio, television, and emergency alert systems.
Disease Outbreak
Health emergencies may occur naturally (more likely) or as the result of intentional actions by a person or persons who
wish to harm others. Each health emergency will differ in the population of people affected, the number of people affected,
and the type and severity of illness in the affected persons.
Many health emergencies are the result of infectious diseases. Infectious diseases are caused by microbes, including bacteria,
viruses, fungi or protozoa. To cause disease, a microbe must enter a person's body. Though there are multiple methods for
microbes to enter the body, the most frequent routes of microbe entry are through the lungs, ingestion, mucous membranes (eyes,
nose or mouth), and contact with injured skin.
Typically, when a microbe enters a person's body, the person's immune system works to fight it off and prevent infection.
If the immune system is unsuccessful and the microbe encounters an environment favorable for growth, the person will likely
develop an infection. Types of viral illnesses that may be considered health emergencies, depending on the situation, include
influenza (flu), measles, SARS, West Nile Virus, and an intentional release of smallpox.
Types of bacterial illness that may be considered health emergencies include bacterial meningitis, botulism (caused by
a bacterial toxin), and anthrax. Bacterial illness can usually be successfully treated with antibiotics. Some microbes can
be spread from person to person while others require direct contact with the primary source.
Stay home until directed to do otherwise by officials. If you need immediate medical attention for a life
threatening emergency, call 911.
Power Outages
Everyone experiences power interruptions from time to time. Many of these outages come at times of weather extremes or
accompany various disasters. When the power is out, safety becomes a major concern.
- Register life-sustaining equipment with your utility company.
- Make sure you have an alternate heat source and supply of fuel.
- Consider purchasing a generator, especially if someone in the house requires life-sustaining equipment that runs on electricity.
- When installing generators, follow the manufacturer's instructions very carefully.
- If your house is the only one without power, check your fuse box or circuit breaker panel. Turn off appliances before
replacing fuses or resetting circuits.
- If power is out in the neighborhood, disconnect all electrical heaters and appliances to reduce the initial demand and
protect the motors from possible low voltage damage.
- Unplug computers and other voltage-sensitive equipment to protect them against possible surges when the power is restored.
- Conserve water, especially if you are on a well.
- Keep your refrigerator and freezer doors closed. If the door remains closed, a fully loaded freezer can keep foods frozen
for two days.
- Never use a charcoal barbeque inside the home. If you use candles for light, keep in mind they can cause a fire. It's
far better to use battery-operated flashlights or glow sticks for alternative lighting.
- If you use a kerosene heater, gas lantern or stove inside the house, maintain ventilation to avoid a build up of toxic
fumes.
- If your power is out, leave a light switch in the on position to alert you when services are restored.
- If you own an electric garage door opener, learn how to open the door without power.
- Prepare a power outage kit, or better yet, make it a part of your disaster preparedness kit. Consider having light sticks,
flashlights, a battery-powered radio with extra batteries, and a wind-up clock as a part of the kit.
- Have a corded telephone available; remember cordless phones will not work when the power is out.
Nuclear Blast
A nuclear blast is an explosion with intense light and heat, a damaging pressure wave, and widespread radioactive material
that can contaminate the air, water, and ground surfaces for miles around. A nuclear device can range from a weapon carried
by an intercontinental missile launched by a hostile nation or terrorist organization, to a small portable nuclear devise
transported by an individual. All nuclear devices cause deadly effects when exploded, including blinding light, intense heat
(thermal radiation), initial nuclear radiation, blast, fires started by the heat pulse, and secondary fires caused by the
destruction.
Hazards of Nuclear Devices
The extent, nature, and arrival time of these hazards are difficult to predict. The geographical dispersion of hazard effects
will be defined by the following:
- Size of the device. A more powerful bomb will produce more distant effects.
- Height above the ground the device was detonated. This will determine the extent of blast effects.
- Nature of the surface beneath the explosion. Some materials are more likely to become radioactive and airborne than others.
Flat areas are more susceptible to blast effects.
- Existing meteorological conditions. Wind speed and direction will affect arrival time of fallout; precipitation may wash
fallout from the atmosphere.
Radioactive Fallout
Even if individuals are not close enough to the nuclear blast to be affected by the direct impacts, they may be affected
by radioactive fallout. Any nuclear blast results in some fallout. Blasts that occur near the earth’s surface create
much greater amounts of fallout than blasts that occur at higher altitudes. This is because the tremendous heat produced from
a nuclear blast causes an up-draft of air that forms the familiar mushroom cloud. When a blast occurs near the earth’s
surface, millions of vaporized dirt particles also are drawn into the cloud. As the heat diminishes, radioactive materials
that have vaporized condense on the particles and fall back to Earth. The phenomenon is called radioactive fallout. This fallout
material decays over a long period of time, and is the main source of residual nuclear radiation.
Fallout from a nuclear explosion may be carried by wind currents for hundreds of miles if the right conditions exist. Effects
from even a small portable device exploded at ground level can be potentially deadly.
Nuclear radiation cannot be seen, smelled, or otherwise detected by normal senses. Radiation can only be detected by radiation
monitoring devices. This makes radiological emergencies different from other types of emergencies, such as floods or hurricanes.
Monitoring can project the fallout arrival times, which will be announced through official warning channels. However, any
increase in surface build-up of gritty dust and dirt should be a warning for taking protective measures.
Radioactive Fallout
In addition to other effects, a nuclear weapon detonated in or above the earth’s atmosphere can create an electromagnetic
pulse (EMP), a high-density electrical field. An EMP acts like a stroke of lightning but is stronger, faster, and shorter.
An EMP can seriously damage electronic devices connected to power sources or antennas. This includes communication systems,
computers, electrical appliances, and automobile or aircraft ignition systems. The damage could range from a minor interruption
to actual burnout of components. Most electronic equipment within 1,000 miles of a high-altitude nuclear detonation could
be affected. Battery-powered radios with short antennas generally would not be affected. Although an EMP is unlikely to harm
most people, it could harm those with pacemakers or other implanted electronic devices.
How can I protect myself from a nuclear blast?
Protection from a Nuclear Blast
The danger of a massive strategic nuclear attack on the United States is predicted by experts to be less likely today.
However, terrorism, by nature, is unpredictable.
If there were threat of an attack, people living near potential targets could be advised to evacuate or they could decide
on their own to evacuate to an area not considered a likely target. Protection from radioactive fallout would require taking
shelter in an underground area or in the middle of a large building.
In general, potential targets include:
- Strategic missile sites and military bases.
- Centers of government such as Washington, DC, and state capitals.
- Important transportation and communication centers.
- Manufacturing, industrial, technology, and financial centers.
- Petroleum refineries, electrical power plants, and chemical plants.
- Major ports and airfields.
The three factors for protecting oneself from radiation and fallout are distance, shielding, and time.
- Distance - the more distance between you and the fallout particles, the better. An underground area such
as a home or office building basement offers more protection than the first floor of a building. A floor near the middle of
a high-rise may be better, depending on what is nearby at that level on which significant fallout particles would collect.
Flat roofs collect fallout particles so the top floor is not a good choice, nor is a floor adjacent to a neighboring flat
roof.
- Shielding - the heavier and denser the materials - thick walls, concrete, bricks, books and earth - between
you and the fallout particles, the better.
- Time - fallout radiation loses its intensity fairly rapidly. In time, you will be able to leave the fallout
shelter. Radioactive fallout poses the greatest threat to people during the first two weeks, by which time it has declined
to about 1 percent of its initial radiation level.
Remember that any protection, however temporary, is better than none at all, and the more shielding, distance, and time
you can take advantage of, the better.
Before a Nuclear Blast
To prepare for a nuclear blast, you should do the following:
- Find out from officials if any public buildings in your community have been designated as fallout shelters. If none have
been designated, make your own list of potential shelters near your home, workplace, and school. These places would include
basements or the windowless center area of middle floors in high-rise buildings, as well as subways and tunnels.
- If you live in an apartment building or high-rise, talk to the manager about the safest place in the building for sheltering
and about providing for building occupants until it is safe to go out.
- During periods of increased threat increase your disaster supplies to be adequate for up to two weeks.
Taking shelter during a nuclear blast is absolutely necessary. There are two kinds of shelters - blast and fallout. The
following describes the two kinds of shelters:
- Blast shelters are specifically constructed to offer some protection against blast pressure, initial
radiation, heat, and fire. But even a blast shelter cannot withstand a direct hit from a nuclear explosion.
- Fallout shelters do not need to be specially constructed for protecting against fallout. They can be
any protected space, provided that the walls and roof are thick and dense enough to absorb the radiation given off by fallout
particles.
During a Nuclear Blast
The following are guidelines for what to do in the event of a nuclear explosion.
If an attack warning is issued:
- Take cover as quickly as you can, below ground if possible, and stay there until instructed to do otherwise.
- Listen for official information and follow instructions.
If you are caught outside and unable to get inside immediately:
- Do not look at the flash or fireball - it can blind you.
- Take cover behind anything that might offer protection.
- Lie flat on the ground and cover your head. If the explosion is some distance away, it could take 30 seconds or more for
the blast wave to hit.
- Take shelter as soon as you can, even if you are many miles from ground zero where the attack occurred - radioactive fallout
can be carried by the winds for hundreds of miles. Remember the three protective factors: Distance, shielding, and time.
After a Nuclear Blast
Decay rates of the radioactive fallout are the same for any size nuclear device. However, the amount of fallout will vary
based on the size of the device and its proximity to the ground. Therefore, it might be necessary for those in the areas with
highest radiation levels to shelter for up to a month.
The heaviest fallout would be limited to the area at or downwind from the explosion, and 80 percent of the fallout would
occur during the first 24 hours.
People in most of the areas that would be affected could be allowed to come out of shelter within a few days and, if necessary,
evacuate to unaffected areas.
Remember the following when returning home:
- Keep listening to the radio and television for news about what to do, where to go, and places to avoid.
- Stay away from damaged areas. Stay away from areas marked “radiation hazard” or “HAZMAT.” Remember
that radiation cannot be seen, smelled, or otherwise detected by human senses.
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First Aid Information & Tips
CONTROLLING BLEEDING Things
to watch for… Source of bleeding Pain and/or Swelling Object sticking out or stuck in wound (like a
piece of metal or glass or a bullet) Shock (pale, cold or clammy, drowsy, weak or rapid pulse, etc.) What
to do… • Be aware of your surroundings and be prepared to call for help. (see TIPS ON CALLING FOR AN
AMBULANCE) If there IS object sticking out of wound (or possibly deep inside): • Put thick soft pads around
the object (or around wound). • Gently try to apply pressure to help stop the bleeding. • DO NOT try to
remove or press on the object! • Carefully wrap with a roller bandage to hold thick pads around the object. • Get medical attention immediately! If there is NO object sticking out of the wound: • Be careful since
there might be something inside wound. • Cover wound with a clean cloth or sterile gauze pad and press firmly
against the wound… and follow above steps if victim has an object inside the wound. • If cloth or gauze
becomes soaked with blood, DO NOT remove it! Keep adding new dressings on top of old ones. • Carefully elevate
injured body part above the level of victim’s heart but be aware…there may be broken bones. •
Keep applying pressure on dressings until bleeding stops. • Use firm roller bandage to cover gauze or cloth dressings. If bleeding won’t stop: • Put pressure on nearby artery to help slow blood flow Arm – press inside
upper arm, between shoulder & elbow Leg – press area where leg joins front of the hip (groin)
INTERNAL
BLEEDING Minor internal bleeding is like a bruise - a vein, artery or capillary can break or rupture
spewing blood under the skin. A more serious form of internal bleeding can be caused by a major fall, crushing accident
or a blow to the head. It’s very hard to tell if a person is suffering from internal bleeding since there
may not be blood outside the body. Symptoms don’t always appear right away but can be life-threatening so get medical
help quickly. Things to watch for… Abdominal pain or tenderness Pain and/or Swelling in abdomen (around
belly button) Shock (pale, cold or clammy, drowsy, weak or rapid pulse, etc.) Either a fast or slow pulse Coughing up bright, foamy blood (if dark red means been bleeding inside for a while) Blood shows up in victim’s
pee, poop or puke What to do… • Be aware of surroundings and call for an ambulance. • Don’t
move victim if injuries to head, neck or spine. • Check ABCs… Airway, Breathing & Circulation. •
Stay with victim until help arrives . NOSEBLEEDS What to do… •
Have the person sit down, lean forward and pinch the soft part of the nose for about 10 minutes. • Put an icepack
or cold compress on the bridge of the nose. SLASHED OR SEVERED BODY PARTS/AMPUTATION What
to do… • Keep direct pressure on the stump to stop the bleeding. • Find body part, if possible,
and wrap in gauze or clean cloth. • Put body part in an airtight plastic bag, put bag in ice water and
take it to the hospital with the victim.
BROKEN OR FRACTURED BONES A fracture is the
same as a break and can range from a small chip to a bone that breaks through the skin. If you suspect a fracture, use
a splint to keep the victim from moving too much and get professional help… and let the trained medical experts
decide what is wrong! Note: Also review HEAD, NECK OR SPINE INJURIES if needed. Things to watch for… Pain,
bruising or swelling Bleeding Limb or area moves strange or looks strange Shock (pale, cold or clammy, weak
or rapid pulse, etc.) What to do… • DO NOT move bone or try to straighten limb if bone breaks through
skin! • Try not to move the victim unless they are in danger. • Have victim sit or lie down to rest the
injured part. • If possible, raise or elevate the injured part. • Put a cold compress or ice pack on injury
to reduce swelling. • If help is delayed or you need to move victim, splint injury the same way it was
found. • Be prepared to call an ambulance, if necessary. TIPS ON SPLINTING A splint can be made using
magazines, newspapers, a pillow, wood, etc. Some basic tips on splinting include… …always splint an
injury the same way it was found …make sure item being used is longer than the broken bone …use cloth
strips, neck ties, thin rope, etc. for ties …put something soft between the splint and the bone …tie
splint above and below the break… but not too tight! …touch area below the splint and ask victim if they
can feel it -- if not, loosen ties! …keep the victim warm with a blanket or whatever is available.
BROKEN
OR FRACTURED BONES A fracture is the same as a break and can range from a small chip to a bone that
breaks through the skin. If you suspect a fracture, use a splint to keep the victim from moving too much and get professional
help… and let the trained medical experts decide what is wrong! Note: Also review HEAD, NECK OR SPINE INJURIES
if needed. Things to watch for… Pain, bruising or swelling Bleeding Limb or area moves strange
or looks strange Shock (pale, cold or clammy, weak or rapid pulse, etc.) What to do… • DO NOT move
bone or try to straighten limb if bone breaks through skin! • Try not to move the victim unless they are in
danger. • Have victim sit or lie down to rest the injured part. • If possible, raise or elevate the injured
part. • Put a cold compress or ice pack on injury to reduce swelling. • If help is delayed or you
need to move victim, splint injury the same way it was found. • Be prepared to call an ambulance, if necessary. TIPS ON SPLINTING A splint can be made using magazines, newspapers, a pillow, wood, etc. Some
basic tips on splinting include… …always splint an injury the same way it was found …make sure
item being used is longer than the broken bone …use cloth strips, neck ties, thin rope, etc. for ties …put
something soft between the splint and the bone …tie splint above and below the break… but not too tight! …touch area below the splint and ask victim if they can feel it -- if not, loosen ties! …keep the
victim warm with a blanket or whatever is available.
CHOKING Things to watch for… Trouble breathing Coughing or choking for several minutes Gripping the throat with one or both hands High-pitched
wheezing Bluish color of skin, lips, fingertips/nails, and earlobes ATTENTION: There
are TWO separate “What to do…” parts here… one for ADULTS & CHILDREN and one for INFANTS
ADULTS
& CHILDREN (Children over age 1) • Tell victim to try and cough it out. • If victim stops
breathing, then BE PREPARED to give Heimlich maneuver (next 2 bullets) and tell someone to call an ambulance. • Stand behind victim and place your fist (thumb side in) just above victim’s belly button. •
Grab fist with your other hand and give quick, upward thrusts into their stomach until object is coughed up (or victim
passes out). ADULT or CHILD passes out: • Check for an object in victim’s
mouth and try to clear it out with your fingers. • Begin Rescue Breathing (see BREATHING PROBLEMS) If
NO air gets in ADULT or CHILD during Rescue Breathing: Combine Heimlich maneuver with Rescue Breathing • Put
heel of one hand just above victim’s belly button and put your other hand on top of the first. • Give
6-10 upward thrusts to try to clear their windpipe. • Check for an object in victim’s mouth and try to clear
it out with your fingers. • Try to give Rescue Breathing again to see if air will go in. • Continue
above steps until victim can breathe on their own or until help arrives.
INFANTS (Newborn
to age 1) • If infant stops breathing, have someone call an ambulance. • Turn infant face down
on your forearm and support its head with that hand -- hold at angle so it’s head is lower than chest. (May
want to brace arm holding infant against your thigh!) • Give 5 back blows between infants’ shoulder blades
with heel of your other hand. • Turn infant over so it is facing up on your forearm (still at an angle
so head lower than chest) -- use your first two fingers to find center of the breastbone on infant’s chest. • Give 5 thrusts to infant’s chest using only 2 fingers! (Each thrust should be 1/2 to 1 inch [1 to 2.5
cm] deep!) • Repeat steps until object is coughed up or infant passes out. If INFANT passes out: •
Check for object in the infant’s mouth and try to clear it out with your fingers. • Begin Rescue Breathing
… and remember, cover both mouth and nose on Infants! (see BREATHING PROBLEMS) If no air gets in INFANT during
Rescue Breathing: • Turn infant face down on your forearm again supporting its head with that hand -- hold
at angle so head lower than chest. • Give 5 back blows between infants’ shoulder blades with heel
of your other hand. • Turn infant over so it is facing up on your forearm and use your first two fingers to
find center of the breastbone on infant’s chest. • Give 5 thrusts to infant’s chest using only
2 fingers! (Each thrust should be 1/2 to 1 inch [1 to 2.5 cm] deep!) • Try to give Rescue Breathing again to
see if air will go in. • Continue above steps until infant can breathe on its own or until help arrives.
DROWNING Things to watch for… Signs of breathing Bluish color of skin, lips, fingertips or nails (may not be getting air) Pulse What to do… • Have someone call for an ambulance. • Once victim
is out of the water, check ABCs... Airway, Breathing & Circulation. • Check to see if there are any injuries
or objects in mouth. • If victim is not breathing or has no pulse, begin Rescue Breathing and/or CPR. for
Rescue Breathing and HEART PROBLEMS for CPR) • Once victim starts breathing on their own, cover with a blanket
or dry towels to keep warm and have them lay on their side for a while. • Stay with victim at all times until
medical help arrives. HEART PROBLEMS Heart attacks can kill and most victims die within 2
hours of the first few symptoms. Most people deny they are having a heart attack - even if they have chest pains
and shortness of breath… but DON’T take any chances! These are your body’s warning signs, so pay attention!
A heart attack can lead to Cardiac Arrest. Cardiac arrest means that the heart stops beating and causes victim to pass out followed by no sign of breathing and no pulse. Cardiopulmonary resuscitation (CPR) is used to help pump oxygenated blood through the body to the brain until the medical experts arrive. When you combine CPR and Rescue Breathing, you
are giving a victim better odds of surviving since you help supply more oxygen to vital organs. However, if CPR
is not done correctly, there’s a chance of injuring a victim internally… especially on the elderly, children
and infants. Please realize the primary step during CPR is doing compressions to keep blood flowing. If you have
not been trained or don’t feel comfortable doing Rescue Breathing - at least do the compressions. You don’t
even have to stop and check for a pulse - look and listen for signs and keep pumping! The Red Cross teaches many
First Aid courses, including CPR. HEART ATTACK Things to watch for… Chest pain
that can spread to shoulder, arm, or jaw Shortness of breath or trouble breathing Strange pulse (faster or slower
than normal or sporadic) Pale or bluish skin color What to do… • Tell victim to STOP what they’re
doing, sit down and rest. • Call for an ambulance immediately! • Loosen any tight clothing, esp. around
neck and waist. • Ask victim if they are taking any prescribed medicines for their heart… and if they
do, have them take it! • Take a couple of pure aspirin, if available. • Watch victim’s breathing
and be prepared to give CPR. CARDIAC ARREST (GIVING CPR) Main thing is do compressions
to keep blood moving until help arrives! Things to watch for… Not responding or passed out Not breathing
and no pulse Broken bones or chest, head, neck or spine injuries What to do… • Call for an ambulance
immediately! • Check ABCs… Airway, Breathing, & Circulation. • Tilt head all the way back and
lift chin. (Be careful with child’s or infant’s head… just tilt a little bit!) • Watch chest,
listen, and feel for breathing for 5 seconds. If victim is NOT breathing begin Rescue Breathing… • Pinch
victim’s nose shut. • Open mouth wide to make tight seal around victim’s mouth. For INFANT - cover
both mouth and nose! • Give victim 2 full breaths (each breath should be 1-2 seconds long and make the chest
rise.) • Immediately begin giving CPR. To begin CPR • Find hand position in center of chest over
breastbone – see illustrations on next 3 pages... • Begin chest compressions (at least 100 compressions
per minute according to American Heart Association) using the following guidelines: ADULTS – Using both
hands, compress chest 30 times. CHILDREN – Using one hand, compress chest 30 times. INFANTS – Using
2 fingers, compress chest 30 times. • Give victim 2 full breaths. (If not comfortable giving rescue breaths,
keep doing compressions - push hard & push fast to keep oxygenated blood moving through victim!) • Repeat
30 chest compressions (and 2 full breaths, if doing) until victim recovers or medical help arrives. • If victim
recovers (starts breathing and pulse resumes), turn victim onto their side to keep airway open.
HEAD,
NECK OR SPINE INJURIES Things to watch for… Convulsions or seizures Intense pain in the head,
neck or back Bleeding from the head, ears or nose Blurry vision Tingling or loss of feeling in the hands, fingers,
feet or toes Weird bumps on the head or down the spine Shock (pale, cold or clammy, drowsy, weak or rapid pulse, etc.) What to do… • Do not try to move victim unless they are in extreme danger and support
victim’s head and neck during movement. • Have someone call an ambulance immediately! • Check to
see if victim is alert and check ABCs... Airway, Breathing& Circulation ... and if you need to give them Rescue
Breathing or CPR… DO NOT tilt their head back! (see BREATHING PROBLEMS for Rescue Breathing and HEART PROBLEMS
for CPR) • Try to control any bleeding using direct pressure.• If victim is passed out, hold their head gently
between your hands while waiting for help to arrive. This will keep them from moving suddenly when/if they wake
up. SHOCK Things to watch for… Pale, cold, and clammy skin Rapid heartbeat
but weak pulse Quick and shallow breathing Dizziness or confusion Bluish color on lips and fingertips or nails Sick to their stomach or puking Intense thirst What to do… • Call for an ambulance. •
Look for injuries and watch ABCs… Airway, Breathing & Circulation. • Position victim using the following
tips: alert and awake - place victim flat on their back with legs raised slightly passed out or puking - place
victim on side to keep airway open • Loosen any tight or restrictive clothing. • Cover victim with
a blanket or towel. • Talk calmly to victim until help arrives (whether they are alert or not!)
A
STROKE According to the American Stroke Association, about 700,000 Americans suffer strokes each year and
almost 1/4 of those victims die making stroke the #3 killer in the U.S. Canada reports about 40,000-50,000 new strokes annually killing about 16,000 Canadians making it the 4th leading cause of death according to the Heart and Stroke
Foundation of Canada. A stroke (or “brain attack”) occurs when oxygen and vital nutrients carried by
blood are cut off causing brain cells to die. It’s cut off because… …a blood vessel is blocked in
the neck or brain (by a blood clot or narrowing of an artery) -- called an ischemic [is-KEM-ik] stroke (causes about
83% of strokes) ... or ... …a blood vessel bursts or leaks -- called hemorrhagic [hem-o- RAJ-ik] stroke
or bleeder (causes 17% of strokes) NOTE: You only have 2 - 6 hours maximum to stop permanent brain damage from a
stroke - so get to a hospital as quickly as possible (within 3 hours is best!) Things to watch for… Sudden
confusion, trouble speaking or understanding Loss of muscle control on one side of the body Loss of balance, stumbling,
dizziness or fainting Different sized pupils (one pupil small / one enlarged) Severe headache Blurred or double-vision
in one or both eyes Shock (pale, cold or clammy, weak or rapid pulse, etc.) Transient ischemic attack (TIA / mini-stroke)
- a minor or warning stroke - risk of major stroke is high What to do… • Call 9-1-1 for an ambulance. • Get victim to lie back with head raised (put pillows or blankets under head and shoulders so partially sitting
up). • Loosen any tight or restrictive clothing. • See if there are any other injuries. • If
victim is drooling or having problems swallowing, place them on their side to keep the airway open. • Stay
with victim until medical help arrives.
BURNS Depending on how bad
a burn is will determine what it is called: First degree burns - hurts only top layer of skin; turns pink or red; some pain and swelling; no blisters (usually from sun, chemicals, or touching something hot) Second degree burns -
hurts the two upper layers of skin; very painful and causes swelling that lasts several days; blisters and possibly scars
(usually from deep sunburn, chemicals, fire or hot liquid spills) Third degree burns - hurts all skin layers and
possibly tissue; charred, raw or oozing areas; destroys cells that form new skin; nerve cells are destroyed and
can take months to heal (usually from being exposed to fire or electrical shock for a long time). Can cause severe loss
of fluids, shock and death. BURNS FROM FIRE OR HOT LIQUIDS Things to watch for… Skin is red and swollen Blisters may open and ooze clear or yellowish fluid Minor to Severe Pain What to do… • BE AWARE…
and don’t put yourself in danger! • Stop the burning by putting out flames and move victim from source
of the burn. (If victim is on fire, tell them to STOP, DROP and ROLL!) • Cool burn by using large amounts of
running cool water for about 10 minutes. For hard to reach areas, wet a cloth, towel or sheet and carefully keep
adding water. • Try to remove clothing, rings or jewelry in case of swelling. (DO NOT remove items stuck to
burned areas!) • Cover burn with a sterile bandage or clean cloth. (Try to keep fingers and toes separated
with bandage or cloth.) • Seek medical attention, if necessary.
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