Wednesday, December 5, 2012

Preparation for the Great Critical Incident: First Aid Emergency ...

By J.W. Caesar

Hosea 4: 6 (KJV) My people perish from a lack of knowledge.

Knowledge is power for survival when it comes to overcoming disasters. It is vital to get educated on how to survive in the event of a myriad disaster scenerios. Many people die or get injured because they did not adequately plan, prepare or mitigate for unseen emergencies. In order to win the war on disasters; American citizens must take disaster preparation seriously and strengthen themselves mentally, spiritually, and physically to overcome the challenges in the future.

The Federal Emergency Management Agency states on their website that there are actions that should be taken before, during, and after an event that are unique to each hazard. Each person or group should identify the hazards that have happened or could happen in their area and plan for the unique actions for each hazard. They further note that mitigation can be defined as actions to reduce loss of life and property by decreasing the impact of disasters.? What this means is??taking action now??before the next disaster?to reduce human and financial consequences later (analyzing risk, reducing risk, insuring against risk).? Effective mitigation requires that we all understand local risks, address the hard choices, and invest in long-term community well-being. Without these actions, people jeopardize their safety, financial security, and self-reliance and quality of life.

Building an emergency kit with first aid equipment and taking medical classes are best practices in mitigation that can assist in reducing risk and loss to families and the community.? It is important to analyze what type of hazards would affect the community during a disaster, as well the decision to shelter in place or evacuate to a safe location.? By following this risk analysis process, it would help clarify what type and size of container or bag to place first aid items inside, the quantity, what too and what not to pack, where to pack it, the environment, hazard scenario and number of people it can provide care too. Your first aid kit or emergency supplies should be designed around an all hazards approach that insures against the risk of not being able to treat or prevent hazards from overtaking you and your group. These hazards can cause temporary or permanent damage to the critical infrastructure of this nation. Therefore everyone should be a stakeholder in public safety and security of this nation. As a result, many are designing their first aid kits around temporary disaster events where there is a short recovery period, while others are preparing their kits for a total collapse of the system where medical resources will be hard to find.

Caution: for medical legal and health safety reasons-Disaster Preparers should think about:

  1. Preparing physically, mentally, and spiritually now to adapt to changes caused by impact of disasters and?continuity of civil and infastructure recovery.
  2. Familiarizing with their local, state and federal laws on the boundaries of giving care to humans, pets and livestock.
  3. Getting prior training on how to use the items in the first aid kit.
  4. Working as a trained and covenant group, not loner.
  5. Trying to get written certification or medical authority to perform certain procedures.
  6. Not going beyond their scope of practice or their medical certifications.
  7. Abiding by the local laws of what is allowed in your first aid or medical kit.
  8. (Personal, Force, Asset?Protection)Avoiding making themselves a target for thieves, murderers, drug addicts that use false emergency scenes or requests for help.

A first aid kit can be purchased at many stores, disaster preparedness organizations and online merchants. Medical supplies can also be purchased individually to build your own kit.? Some have also combined the two as one mitigation measure. Others have crafted their own replacement first aid products by improvising. They use tampons for bleeding, card board for splints, and other homemade items, or pet supplies for their kit?s inventory. The real issue is finding the right items and kit skin for your needs. There are many questionable claims to first kits such as the number of people that it can actually treat in an emergency, the quality, sterility and durability of items, the protective covering of the container or bag and excessive prices for minimal supplies. This is why it is vital to do a risk analysis and make appropriate mitigation decisions for your own needs from an all hazards approach.

?Non exhaustive Example of items for Emergency First aid Survival Kit:

Airway Control Kit

_____ Pocket Mask kit

_____ Breathing Barrier with gloves kit

Diagnostic Instruments/Tools

_____ First aid booklet _____Trauma/Bandage scissors _____Protective Face masks

_____12 hour Cyalume Lightsticks _____Candles_____Straws

_____ Scissors, fine point_____ Splinter Forceps _____Nail clippers ____Tweezers

_____ Disposable Penlight or flashlight _____Head Lamp _____ Flashlight

_____Permanent Markers_____Pen _____Pencil_____Writing Paper Tablet _____

_____ Disposable Gloves_____ Splints_____Trash bags ______Ziploc bags

_____Duct Tape_____Clear tape____Painter?s tape____Scotch tape

_____Lockman tool_____Knife_____Razor_____ Box Cutter

_____Cable ties______Rope______String_____Plastic Wrap______Foil

______Belts______Straps____Batteries____Heavy protective gloves

Circulation/Bleeding Control Shock Kit

_____ Triangular Bandages(Cravats)______Rubber Latex gloves_______ Eye protection

______Military Field Dressing bandages______Abdominal bandages___Burn Kit

______ Large Absorbent pad dressings _____ Elastic Bandages

______Gauze Roll Bandages______ Adhesive Bandages

______ Tourniquets______ Gauze Pads, 4?x4?______ Gauze Pads, 2?x2?

______ Bandage tape_____ Disposable Rescue Blanket for shock

Sickcall /First Aid items

____Band Aids____Salt____Pepper____Sugar____Ammonia Inhalents

____Tongue depressors____Tempa-dots Thermometers____Eyewash kit____Eye drops

_____Eye pads_____KY-Jelly ____ Aspirin____Tylenol____Cough drops

_____Cold Med.Tablets_____Nasal spray_____Immodium Tablets ____Anaphalaxis kit

____Anti-biotic Ointment______Antifungal cream______Iodine wipes._____Betadine wipes.

_____Alcohol wipes._____Cleaning wipes. ______Anti-bacterial Soap solution

Alcohol Bottle. ____Hydrogen Peroxide Bottle. _____Hand cleaning solution Bottle.

_____Ice Pack______Heat Packs____Moleskin cover bandage

Medical Supplies and their Skins

Medical supplies for a first aid kit can be put inside of a various items that are all weather resistant, waterproof, durable, floatable, not previously had any toxic or corrosive materials stored inside of it, and clearly marked as a first aid or medical kit. Ziploc bags and plastic trash bags can give extra all weather protection and longetivity of items. The kit should also be easy to carry with straps or handles, have reasonable space or compartments for medical items, and easy to open or secure during an emergency. The size and type of first aid emergency kit may be based on varied factors such as the personal needs of the individual, group, or community, different hazards, ?medical training, number of sick and injured, terrain, response time, life cycle of disaster, use with vehicles, walking distance, evacuation, and weather.

Examples:

  • Military Unfolding zippered Aid Bag M-3 & M-17
  • Military Chest with handles
  • Military Aid Station chest containers
  • Military hard plastic or metal containers
  • Nylon, Leather or Canvas Back Packs
  • Luggage with wheels and handle
  • Purse or designer bag
  • Lunch box
  • Square or rectangle storage containers
  • Tupperware containers
  • Plastic Ice Cream or used Food Containers
  • Hunting vests
  • Belt Pouches

A well-stocked and well maintained list of items in the first aid kit should be kept up to date at all times by rotating and replacing items.? A best practice for maintaining the mitigation investment of life saving equipment is doing inventory and preventative maintenance checks before and after using the kit. It can take place on a daily, weekly, monthly, quarterly, or yearly cycle. ?The outside and inside of the emergency kit should be inspected for damage such as cracks, tears or holes. Mitigations measures such as health safety inspections for spoilage and expiration dates of items are important also.? However, some questions have been raised about keeping items regardless of expiration dates because of future scarcity of items during extreme disaster periods. These questions should be addressed by medical authorities who are expert in disasters and laws of the land. ?In any case, some items can lose their shelf life, sterility, durability, and may become toxic because of the hot storage temperatures. Another temperature issue is freezing. ?Solutions can freeze causing the containers to crack and break causing contamination of other items or damaging the first aid container.

The kit should work as expected: treat injuries and save life when you need it and cause no harm when it is not needed. It is vital to verify that the items consisting within the kit still function as expected, including the batteries in the medical equipment. The first aid kit should be stored in a place that is of the right temperature for medical supplies, in a safe location, away from pests, where no damage can occur, can be accessible to adults, but not to children or pets that can be poisoned and injured.

In summary, disasters can happen at anytime and anyplace. The consequences of not preparing for them may be immeasurable. To minimize this risk, it is vital to mitigate these impacts by building an emergency first aid kit based on analyzing, reducing, and insuring against future risks. It would be wise to assemble an emergency first aid kit that is adaptable and maintainable for your needs, take first aid classes, get familiarized with medical ? legal laws, learn how to take protective measures in emergency situations, and establish mutual-aid and covenant partnerships well in advance of an emergency situation. All of these steps help reduce the impact of hazards associated with future events and improve the chances of winning the war over disasters.? Americans, must remember that everyone is a stakeholder in public safety, God given freedoms, continuity of civil government,?and protecting the critical infastructure and key resources of this nation.

References:

  1. KJV
  2. ?http://www.fema.gov/what-mitigation

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