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Emergency & Disaster Planing
On this page we provide information on Emergency & Disaster planing. We also provide other helpful information including First Aid Tips at bottom of page.  

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.
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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.
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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 #: ______________________________________
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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.

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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