Presented By: Mark Anthony T.

Padil BS Physical Therapist Shadow Teacher / ABA - VB Behavior Therapist for Children with Special Needs.
12th National Conference and 2nd Southeast Asian Conference on Autism April 28 & 29. Crowne Plaza Manila Galleria, Ortigas Ave. corner ADB Avenue, Quezon City. Autism Society Philippines (ASP)

Member of REACT Philippines Inc. (Regional Emergency Assistance Communications Team) REACT NCR - North CRS-AFP Civil Relations Service - Armed Forces of the Philippines Deputy Chief for Operations Volunteer Fire Fighter
Security No. DZR 200 - 01 -145

Standard Disaster Management Training

Introduction
For families of children with special needs planning becomes even more difficult. They may need emergency medical care more often and may have complex medical condition. The most important is the preparation of an emergency treatment or disaster management plan. For most people planning for emergencies is similar to planning for a camping trip or any other outdoor adventure where the normal conveniences of home are not available.
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Topic
Emergency Treatment Plans.
Developing Emergency Treatment Plan. Register Information with EMS provider. Emergency Training for your childs teachers. IEP and Treatment Plan. Communicate the Plan. Prepare a Go Bag, good for 1st few hours.

Disaster Ready. (72 hour Survival Kit) Field Trip Safety Tips. Helping Children Cope with Disaster.
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Emergency Treatment Plan

Develop an emergency treatment plan that will guide paramedics. There can be delays in treatment, unnecessary tests, and sometimes errors as result of lack of access to information available to the treating emergency physician. YOU are the expert on your childs condition!

Emergency Preparedness

Developing an Emergency Treatment Plan

To develop a treatment plan:
Discuss preparation with your childs doctor. Use the emergency information form provided by your hospital. Have your doctor sign the form to ensure that it will be followed. Pre-hospital care may differ from emergency room care; make sure your plans cover both. Contact your EMS provider to see if they have any recommendations. 8

Register Information with EMS

Make crucial information available to paramedics by providing your EMS communications center with a brief description of your childs condition. This helps ensure that they are adequately prepared when they arrived. Such villages and subdivisions are covered with private EMS agency. Check your nearest local emergency assistance provider.

Emergency Training for Teachers

Your childs teachers should receive emergency training to ensure that they:
Know the Chain of Survival Basic Life Support Standard First Aid

If your child has an IEP, and has a medical condition it should specify that emergency training is required.

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Chain of Survival

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Basic Life Support (CPR)

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Standard First Aid

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IEP and Treatment Plan

Ask your childs school to keep a copy in the classroom, not only in the nurses file. It should accompany your child on field trips. IEPs should incorporate or reference your childs treatment plan.
May modify standard treatment plan. May specify alternative treatments or medications.

Consider Medical Alert jewelry for your child.

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Medical Alert

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Communicate the Plan

Copies of the plan should be kept where you can find it easily in an emergency. Provide copies to:
Your childs school or child care center. Home-members, caregivers, teachers and therapist. Local EMS provider. Local hospital / clinic

Review the plan annually with your childs doctor.

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Prepare a Go Bag
Assemble a Go Bag with medications and spare clothes that you can grab quickly to take with you in the hospital. Things that your child (and you) will need in the first few hours. Such as:
Emergency Treatment Plan, Dr.s contact #s, small amount of cash, prepaid card/s, clothes, diapers, medications, bottled water, favorite toy, communication devices for non-verbal PWA, Etc

If you decide to store your emergency treatment plan online, or in flash drives, make sure you keep a printed copies at hand as well.
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Emergency Transport
In most instances, your EMS provider will only transport your child to hospitals in the immediate vicinity. Might be transported first to the nearest hospital for stabilization, and then transferred to the specialized hospital. But be aware that in serious emergencies, the paramedics will usually head directly to the closest hospital.
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Transport

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Disaster Ready
Prepare a plan that will ensure that your child continues to receive appropriate medical care following a disaster evacuation.

Get a kit. Make a plan. Be informed.

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Disaster can occur without warning.

Where will your family be? How will you find each other? Are your children safe? What if your child has special needs? You may need to evacuate or be confined to your home. What would you do if basic services were cut off? Do you have a plan?
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Work as a TEAM!
Families can cope with disaster by preparing in advance and working together as a team. Being prepared is your best protection and responsibility. Three Steps to to be disaster ready.
Step 1 Step 2 Step 3 Think Ahead. Disaster Planning and Preparation. Response and Recovery.

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Step One

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Think Ahead
Types of disaster.
- natural and man-made disasters: - typhoons, fires, floods, earthquake, medical emergencies,

terrorist attack and more.

Consider potential situations so you can adapt your plan to familys needs. Identify location for all to meet. Disaster Preparation Checklist for children with special needs, your family, your home, and your childs school. Consider emergency kit for each vehicles. 25

Disaster Preparation Check List

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For Families with PWA (Person with Autism)

Current care plan & list of medications. Print an emergency info of your child. Two week supply of medications and/or current prescriptions. Back up system/plans for electricity. Discuss plan with childs MD. Advise local emergency management team that you have a child with special needs. Plan for your child while at school, field trip or at home.
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For Family and home-members

Do you have a plan; do you practice it? Emergency supply kit for the family members. (72 Hour Kit) Meeting place and central point of contact. Discuss and share info on emergency preparation with your family and PWA? Plans for your pets & service animals? Have you shown your PWA pictures of emergency workers and disaster scenes.
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Fire - Rescue Volunteers

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Para-Medical Team

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MMDA / Police PNP / Army

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Disaster Scene

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For your Home

Any hazardous materials inside/outside Locate and learn how to turn on/off utilities. (gas, water and electricity with a stand-by wrench) Smoke and carbon monoxide detectors. Water hose, fire extinguishers, generators. Plan with neighbor on how to help each other in case of an emergency? Set a temporary Community Command Post, TRIAGE and Staging area while waiting for proper authority.

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Community Command Post

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For your childs school

Meet with school nurses or administrators to have a medical emergency plan in place or disaster management procedures and practice it. (such as Earthquake, Fire Drill and other worst case scenarios) Emergency protocols during field trips, school assembly. (Nearest Hospital, Police and Fire station) Emergency transport on stand-by during school activities or big events. Consider Ingress and Egress of Emergency vehicles. Police, Ambulance and Fire Trucks.
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Step Two

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Disaster Planning & Preparation

Preparation is the key to surviving an disaster. Families with special needs must be prepared to manage their needs under undesirable conditions. Plan to share responsibilities and work together as a team. Pick two places to meet in the event you are separated. Have an out-of-state friend to be your family contact. Discuss evacuation plan for pets and service animals. Post emergency #s by phones; teach PWAs on how and when to call.
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Decide best evacuation routes from home. Demonstrate to each family member on how and when to turn off gas, water and electricity. (with a stand-by wrench) In case of evacuation do not forget to grab the Go Bag with you. Teach your PWAs to forget everything when things go really bad, just grab the Bag and Go! Then head to the designated meeting area.
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Disaster Supply Kit

(72 Hour Survival Kit + extra more for PWAs)

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Other example of 72Hour pack

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72 hour vest pack

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Disaster Supply Check List

(72 Hour Survival Kit + extra more for PWAs)

Water Food First Aid Supplies Non-Prescription Medications For Special Needs (PWA). For infants and children. Tools and emergency supplies. Sanitation. Clothing and bedding. Entertainment. Document and other important items.

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Water
One gallon per person per day. Store at least three day supply of water per person. Two quarts for drinking, Two quarts for each person in your household for food preparation/sanitation.* Change your stored water supply every six months so it stays fresh. Conversions: 1 gallon = 3.7 liters 2 quarts = 8 cups or 1.8 liters 1 cup = 8 fluid ounces

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Food
Store at least a three-day supply of non-perishable food. Select foods that require no refrigeration, preparation or cooking, and little or no water. If you must heat food, pack a can of sterno. Select food items that are compact and lightweight.
Ready-to-eat canned meats, fruits, and vegetables with pop tops Canned or PET bottle juices Staples (salt, sugar, pepper, spices, etc.) High-energy foods such as raisins, peanut butter, or granola bars* GORP 44

Vitamins / Supplements Food for infants* Food that meets diets of individuals with special needs (such as special formulas, Pedialyte)*
GFCF Organic MSG Free , Etc

Replace your stored food every six months.

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GORP
(Good Old Raisins and Peanuts)

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First Aid Supplies Check List

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For home, school, work and one for each car

A first aid kit should include:
Sterile adhesive bandages in assorted sizes Assorted sizes of safety pins Sanitary napkin Cleansing agent/soap including waterless alcohol based Latex gloves (2 pairs) Sunscreen Anti-mosquito lotion / Bug spray (Citronella) 2-inch sterile gauze pads (46) 4-inch sterile gauze pads (4-6) 48

Triangular bandages (3) Anti-itch cream (Hydrocortisone) 2-inch sterile roller bandages (3 rolls) 4-inch sterile roller bandages (3 rolls) Eye dressing pads Scissors (Trauma Scissors) Tweezers Needles and thread Moistened towelettes Antiseptic Thermometer and BP monitor (Digital) Tongue blades (2) Tube of petroleum jelly or other lubricant

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Cold pack Hot pack CPR one way valve - Pocket Mask Emergency Thermal Blanket Cotton buds Cotton balls Pen light with extra batteries Adhesive tape

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Non-Prescription Medications
Age appropriate doses for all family members:
Tylenol or Ibuprofen pain reliever Anti-diarrhea medication Antacid (for stomach upset) Laxative Activated charcoal if advised by the Poison Control Center (Tel.No.:_____________________)

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For Special Needs (PWA):

Two week supply of all disposable medical supplies such as dressing materials, nasal cannulas, or suction catheters* Two-week supply of all medications, prescription, nonprescription* Generator or battery backup for all electrical medical equipment. Copies of prescriptions for medical equipment, supplies, and medications*

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Extra contact lenses and supplies or glasses* Extra batteries for hearing aids, Communication devices* Special dietary foods and supplies* Manual wheelchairs and other necessary equipment* Ask your physician or pharmacist about storing prescription medications that must be refrigerated. Have a cooler and ice on hand for this purpose.

*Items that should be packed in preparation for an evacuation to a shelter or a safe location. 53

For infants and children:

(Two week supply)
Formula-ready to eat or with sterile water for mixing* Diapers* Bottles* Powdered milk* Medications* Pacifiers* Favorite blanket* Favorite toy* (non-battery operated) 54

Tools and emergency supplies

Cups, plates, and plastic utensils Emergency preparedness manual Battery / wind-up radio with extra batteries Flashlight (LED) with extra batteries Cash or traveler's checks, change Non-electric can opener, utility knife Fire extinguisher: small canister ABC type Tube tent - pop up tent Pliers 55

Tape (Duct tape) Compass Matches in a waterproof container or lighter Aluminum foil Plastic storage containers Signal flare Permanent marker, paper, pencil and a sharpener Needles, thread Medicine dropper Shut-off wrench, to turn off household gas and water 56

Whistle ( _ _ _... ) Morse code for S.O.S.

To attract attention, if needed

Knowledge on Land to Air Signal. Plastic sheeting Map of the area (with shelter locations) Non electric cooking utensil (for outside use only camp stove or burner) Charcoal (for outside use only)

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Sanitation
Toilet paper, towelettes Soap, liquid detergent (waterless, antibacterial) Feminine supplies Personal hygiene items Plastic garbage bags, ties (for personal sanitation) Plastic bucket with tight lid Disinfectant or household chlorine bleach

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Clothing and bedding

Include at least one complete change of clothing and footwear per person appropriate for the season and conditions* Sturdy shoes or work boots* Rain gear Blankets and packable sleeping bags Hat and gloves Bonnet Sunglasses 59

Entertainment
Must be compact, light weight or pocket size.
Games (card or board games)* Books for all ages*
Minimize use of electronic gadgets or toys. Assume your evac-site has no power supply.

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Documents and other important items

Keep these records in a waterproof, portable container:
Will* Insurance policies* Contracts & deeds* Stocks and bonds* Passports* Social security cards* Immunization records* Bank account numbers* Credit card account numbers and companies* 61

Inventory of valuable household goods* Phone book with important telephone numbers* Family records (birth, marriage, death certificates)* Hospital Dental records. Cash, travelers checks, and change* Disposable camera* Family picture and your PWAs recent photo. Scan Documents; store on flash drive or on line. 62

Land to Air Signal

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Important considerations:
The emergency survival kit items listed in this guide are only a suggestion and may or may not apply to every emergency situation and/or a persons special needs. Therefore you should decide which essential items to include for yourself and your family members.

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Step Three

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Response & Recovery

Stay in your home or shelter in disaster Do not use fire in your home Listen to radio for updates/directions Follow directions of officials Do not hide from officials Stay out of unfamiliar places Keep all pets in safe and secure place

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If Disaster Strikes What to do?

Stay Calm & put your plan into action. Check for injuries; first aid or seek help. Listen to battery/wind-up radio. Evacuate if told to do so. Check for damage in your home. Use flashlightsno matches/electricity. Check for fire, gas leaks; turn off. Put pets in safe place; call family contact. Check neighbors; stay away from downed power lines; text-message locally. (May opt to use FRS radio) 67

Tips to Help Families Support their Children

Dont get caught up in hype. Have a plan; know what you will do. Talk on a level child will understand. Give children information they need. Keep routines and regular schedule. Make sure children know what to do. Medical Alert for special needs child. Teach children to recognize/accept help from emergency officials. (Police, Fire Fighters, EMTs)
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Field Trip Safety Tips

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Field trip tips

Taking a day trip with young children can provide wonderful learning opportunities to enrich and extend your curriculumbut day trips are not for the faint of heart! However, with careful planning, adequate staffing and a spirit of adventure, adults and children can safely enjoy outings. Below is important information to consider when planning and making field trips with young children.

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Research your destination before you take a trip. Obtain written consent for each participating child. Maintain staffing requirements. Use child safety restraints. Bring important health and safety materials with you. Bring a roster sheet of participants. Plan for safe and nutritious food. Maintain basic hygiene during the outing. Wear identifying labels or apparel.
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When our PWAs feel prepared, they cope better.

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Helping Children Cope with Disaster.

This offers parents, caregivers, and other adults suggestions on how to help children cope with the effects of disaster, as well as how to be prepared before a disaster strikes. Children can feel very frightened during a disaster and afterwards some children will show temporary changes of behavior.

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Factors that contribute to greater vulnerability include:

Direct exposure to disaster. Personal loss. On-going stress from the secondary effects of disaster. Prior exposure to disaster or other traumatic event.

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Childrens Reaction to Disaster

Birth through 6 years.
Irritable and frightened.

7 through 10 years.
Can understand the permanence of loss.

11 through 18 years.
Responses become more similar to those of adults.

PWAs reaction to disaster may vary through age, case-medical condition, severity and type of disaster that the child experienced.
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What parents and caregivers can do.

It is important for parents and other caregivers to understand what is causing a childs anxieties and fears. Following a disaster, children are most afraid that:
The event will happen again. Someone close to them will be killed or injured. They will be left alone or separated from their family.

Parents and caregivers can clarify misunderstandings of risk and danger by acknowledging childrens concerns and perceptions.
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Discussions of preparedness plans can strengthen a childs sense of safety and security. Listen to what a child is saying. If a young child asks questions about the event, answer them simply without the elaboration needed for an older child or adult. Children vary in the amount of information they need 4 and can use. If a child has difficulty expressing his or her thoughts and feelings, then allowing them to draw a picture or tell a story of what happened may help. 77

Parents and Caregivers Can Take the Following Actions:

Encourage your children to talk and listen to their concerns. Calmly provide factual information about the disaster and plans for insuring their ongoing safety. Involve your children in updating your family disaster plan and disaster supplies kit (refer to pages 7-9) Practice your plan. Involve your children by giving them specific tasks to let them know they can help restore family and community life.
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Spend extra time with your children. Re-establish daily routines for work, school, play, meals, and rest.

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MONITOR AND LIMIT YOUR FAMILYS EXPOSURE TO THE MEDIA

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This is my Go Bag

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Thank You!
Start your kit NOW. Practice your plan before its too LATE.

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