File - Zumbro Valley Medical Society

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© Feb2014
ZVMS Effort
TMP 2014-08-23
Emergency Preparedness
conceptual model
National
State
City County
Tribal
Neighborhood
Individual / Family
Please send comments & suggestions
to ……
ZVMS Effort TMP
Next
Tom
Individual Dependencies
“things we take for granted “
Air
Food
Shelter
Water
Natural Gas
Electricity
Communication
Vital
Jobs
Individual
Family
Sewage
Neighborhood
Transportation
Law Enforcement
Next
Vital
Skills
City
County
State & National
© Feb2014
ZVMS Effort
TMP
Individual Dependencies
“things we do not for granted “
Air
Food
Shelter
Water
Natural Gas
95% of disaster victims
are rescued by
“Neighbors”
85% of our critical
infrastructure is private,
Vital
not government.
Electricity
Communication
Individual
Family
Sewage
Neighborhood
Transportation
Law Enforcement
Next
Jobs
Vital
Skills
City
County
State & National
© Feb2014
ZVMS Effort
TMP
Click on the individual dependency to view possible
consequences of it’s absence.
Then view possible preparations that would allow you more alternatives to cope with the loss
(long or short term).
Next
essentials & minimum
recommendations
© Feb2014
ZVMS Effort
TMP
ARE YOU PREPARED ???
For long periods: days, weeks …
•
•
•
•
•
•
•
•
•
•
•
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without unpolluted AIR
without municipal WATER supply
If not now….
without adequate FOOD
when?
without ELECTRICAL Power
without MEDICAL assistance
Click on Dependency to
understand
preparations
without SHELTER clothing – personal hygiene
without WASTE disposal capabilities
without COMMUNICATION ability
without adequate LAW enforcement
without TRANSPORTATION capabilities
without REFERENCES
without MINIMAL ITEMS
© Feb2014
ZVMS Effort
TMP
OOPS!
Go Back to Base
END
THIS
© Feb2014
ZVMS Effort
TMP
AIR Quality (unpolluted)
Respirators protect the user in two basic ways. The first (N95) is by the
removal of contaminants from the air. Respirators of this type include
particulate respirators, which filter out airborne particles; and "gas masks”
which filter out chemicals and gases
AIR quality
1.
2.
℗
Indoor Air Quality
Outdoor Air Quality
a.
b.
c.
Particulate Matter
Carbon Monoxide
Sulfur Dioxide
℗
3.
1)
2)
3)
Install High Efficient furnace air filters (2.5micron).
Short term solution: If tape available to seal outside air leaks, around doors,
windows, vents.
Ref: http://en.wikipedia.org/wiki/Shelter_in_place
Have available all purpose personal face air mask: N95 rating
Air Quality Index (AQI) greater than 150 Unhealthy
Additional References:
: http://airnow.gov/index.cfm?action=aqibasics.aqi
http://www.cdc.gov/air/default.htm
http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/n95list1.html
In the event of Contaminated or Polluted Air,
a. it would be best to consider evacuating to a designated “safe area”,
b. traveling perpendicular or counter to the contaminated flume or predicted
wind direction.
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© Feb2014
ZVMS Effort
TMP
AIR Quality (continued)
AQI
(AQI = Air Quality Index)
0-50
Good Air quality is considered satisfactory, and air pollution poses little or no risk.
Levels of Health Concern
51-100
Moderate Air quality is acceptable; however, for some pollutants there may be a moderate health
concern for a very small number of people. For example, people who are unusually sensitive to ozone
may experience respiratory symptoms
101-150 Unhealthy for Sensitive Groups" Although general public is not likely to be affected at this AQI range,
people with lung disease, older adults and children are at a greater risk from exposure to ozone,
whereas persons with heart and lung disease, older adults and children are at greater risk from the
presence of particles in the air.
151 to 200 Unhealthy Everyone may begin to experience some adverse health effects, and members of the
sensitive groups may experience more serious effects.
201 to 300 Very Unhealthy This would trigger a health alert signifying that everyone may experience more serious
health effects
301 to 500 Hazardous This would trigger a health warnings of emergency conditions. The entire population is
more likely to be affected
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© Feb2014
ZVMS Effort
TMP
WATER Quality (unpolluted)
Consequence: lack of WATER quality
Preparations / Alternatives
1) Maintain reserved of bottled water sufficient
Water & Food
for 1-2 gal/day/person.
Lack of Drinking water ℗ 2) Additional water for hygiene and pets.
3) Have available water purifying tablets and/or
filtration capability
1) If sufficient time, fill the bathtub
Lack of Personal Hygiene ℗ 2) Additional water in heater and house
plumbing, must open upper level faucets to
avoid vacuum creation .
Lack of Waste Disposal ℗
1) Bury in ground or flush with water gathered
from ponds or streams. Potassium Nitrate to
control odor.
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© Feb2014
ZVMS Effort
TMP
FOOD supply adequate
Consequence: lack of
adequate & safe FOOD
Preparations / Alternatives
1. Store extra canned & dry goods, minimum
10 day supply, buy extra on sale and date
Inadequate food sources ℗
each item and FIFO use.
2. Also have Dehydrated fruits and veggies
3. Maintain a supply of High Energy bars
Inability to prepare food
℗ Outside grill, camp stoves, fire place.
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© Feb2014
ZVMS Effort
TMP
ELECTRICAL Power
Consequence: No or unreliable
ELECTRICAL POWER
Preparations / Alternatives
Remove main circuit breaker if electrical power is
Avoid possible damage ℗ fluctuating or sporadic
Photo Electrical Main Circuit Breaker
1.
2.
3.
No Electrical Lighting ℗
4.
5.
6.
No Electrical dependent:
1.
2.
Food preparation & refrigeration - cooking
[Oven, Microwave, toaster-oven]
No electrical refrigeration freezing
Flashlights with extra fresh batteries
Candles with matches or lighter, but with adults
Generator, external : distribution & fuel
Solar powered yard lights or solar charger
Power Inverter
Convert to LED lights as practical
1. Manual can opener
2. Cooking: Camp stove with fuel, dry & accessible
℗
firewood, candles
3. Storage: bagged ice, portable coolers,
Have blankets, clothing, socks, hats, gloves, mittens,
Indoor Climate Control:
slippers/shoes available Conserve available heat or
℗
No Heating or Cooling (AC),
cool, seal to outside. Several candles can heat a small
room (but consumes oxygen).
Continue
© Feb2014
ZVMS Effort
TMP
ELECTRICAL Power continued
No ELECTRICAL POWER consequences
1.
No Electrical Appliances: Electric
Shavers, Coffee Grinder, Blenders, ℗
2.
Radio & TV, Pagers,
3.
1.
No Electrical Devices : Garage Door
Opener, Electrical Access Locks, ℗
Security Systems
2.
1.
No Digital Communications (Internet)
℗
from home
Preparations / Alternatives
Have hand razor, toothbrush, combs &
hairbrush, available.
Hand crank portable radio.
Various cooking utensils
Understand how to manually open the garage
door using the red-rope to disengage the
mechanism Photo Garage Door Red Release
Know all manual overrides
Cellular communication service may be
operational … if you are configured for it.
Texting possible if voice communication not available.
2. Find an area of Wi-Fi or Cellular coverage.
3. Have a Power inverter 12 vdc to 120 vac.
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© Feb2014
ZVMS Effort
TMP
First Aid Kit
MEDICAL NEEDS
Consequences of unfulfilled
MEDICAL NEEDS
Lack of Prescriptions medication
Lack of ability to treat an injury
Other considerations
Preparations / Alternatives
1.
2.
Establish a back up supply of critical medicines
Have copies of prescriptions, or pharmacy
information (phone #s).
First Aid Kit
1.
2.
3.
First Aid Kit & reference book
Maintain essential supplies
Establish a Community Emergency Response
Team, with proper training
Have prescription glasses available
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© Feb2014
ZVMS Effort
TMP
SHELTER
clothing - personal hygiene
Preparations / Alternatives
Consequence: lack of SHELTER
1. Evacuate and secure structure.
2. Shut off Electrical, gas and water supplies
Unstable and unsecure
Photo Electrical Main Circuit Breaker
℗
structure or possible risks
Tools
Photo Gas Main Shut Off
1. Take documentation and notify others of new
location
1. Procure back up supplies.
2. Improvise repairs with available resources,
Unable to Repair or secure ℗
tools and supplies.
3. Know how to use tools
Preparations / Alternatives
Consequence: lack of HEATING fuel
1.
Consider fireplace/fire wood , or judicial use
Unavailable Supply of Natural Gas ℗
of candles.
2. Warm clothing, close off rooms.
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© Feb2014
ZVMS Effort
TMP
SHELTER
clothing - personal hygiene
Consequences: lack of
PERSONAL NEEDS, clothing, hygiene
No Clothing changes (clean & dry)
Preparations / Alternatives
℗
Soaps, shampoos
℗
Medicines & Prescriptions
℗
Have changes of clothing put away to take with
you . Walking shoes, socks, sweaters, hats,
gloves, sunscreen,
Have a stash of extra soaps, shampoos,
toothpaste & brushes. Combs and brushes
Extra pair of prescription lens (glasses). Reserve
supply of prescription meds alone with
pharmacy info. Hearing Aid batteries
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© Feb2014
ZVMS Effort
TMP
WASTE Disposal
Consequences lack of
WASTE Disposal
Preparations / Alternatives
1.
Unavailable Waste
2.
℗
disposal, Toilet flushing
3.
4.
Bathing impractical
1.
℗
Can flush with captured rain water, or from ponds, creeks.
Maintain extra supplies of toilet paper and paperSanitation
towels.
Pre-moistened towelette
Disinfectants
Have towels, washcloths, deodorants and hand soap
Clothes lines, buckets, all purpose liquid soap, etc
Clothes washing ℗
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© Feb2014
ZVMS Effort
TMP
COMMUNICATIONS
DOCUMENTS, preparation planning
Communication in advance with a plan
Inability to define or declare losses
℗
Titles, Deeds, Insurance Policies
Inability to define your personal identity
℗
Personal Identification (Passports, Licenses)
Inability to assemble & assess
℗
Predefine Rally points, local & away
Inability to locate on the move
℗
PLANNING for family
Who else could help or have info
Inability to purchase needed supplies or
equipment or services
Define likely travel routes you expect to take
Personal Contact Information
℗
Contractor Info: phone
Have sufficient cash on hand and bank and investment
account information
℗
Pertinent personal Info: Acc#, Policy #,
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© Feb2014
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TMP
LAW Enforcement
Consequences: lack of
LAW ENFORCEMENT
Preparations / Alternatives
1.
No or inadequate
support available.
℗
2.
3.
4.
Form a Neighborhood Watch group.
Form a Community Emergency Response Team (CERT).
Carry photo IDs and photos of important documents
If neither a Neighborhood Watch or CERT capability was previously
established: it would be advisable to collaborate with neighbors for
mutual protection.
Self Defense References:
1.
2.
3.
http://www.chonday.com/Videos/riffledefense1
http://www.ehow.com/videos-on_2235_basic-self-defense-moves.html
http://www.howcast.com/guides/1064-Basic-SelfDefense-Moves
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© Feb2014
ZVMS Effort
TMP
TRANSPORTATION
Consequences: lack of
adequate TRANSPORTATION
Vehicle availability
Preparations / Alternatives
℗
Keep gas tank as full as practical, above
half.
Walking or bicycles more maneuverable
Roadways blocked ℗ conveyance. (Take water). If possible
travel in groups
Landmarks, street signs
Have reasonably current Local & State
℗
unrecognizable
MAPs in your vehicle for reference.
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© Feb2014
ZVMS Effort
TMP
PLANNING & Documentation
DOCUMENTS, preparation planning
Titles, Deeds, Insurance Policies
Personal Identification (Passports,
Licenses)
PLANNINGS for family
Rally Points
Travel Route(s)
Personal Contact Information
Contractor Info: phone,
℗
℗
℗
℗
℗
℗
Banks, etc ℗
Pertinent personal Info: Acc#,
℗
Policy #,
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© Feb2014
ZVMS Effort
ZVMS Effort
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TMP
Other References
Informational Resource
Website URL
Zumbro Valley Medical Society
www.zvms.org/
Rochester Emergency Management
www.Rochestermn.gov/departments/emergencymanagement
Olmsted County Emergency Management
American Red Cross
www.redcross.org
www.redcross.org/preparedness/kit/water
www.redcross.org/preparedness/kit/disastes
Public Health Preparedness & Response
http://www.cdc.gov/phpr/
Federal Emergency Management Agency
www.Ready.gov
CDC Emergency Preparedness & Response
www.emergency.cdc.gov/hazards-all.asp
My Safe Home
www.mysafehome.org
Washington State, Emergency Mgmt site
www.emd.wa.gov/myn/index.shtml
Do One Thing
do1thing.com
Disaster Preparedness Guide
http://www.slideshare.net/cmgreo/disaster-preparednessguide?qid=e968ea6f-f44c-4ef9-b89274f99ee4015b&v=default&b=&from_search=6
More
© Feb2014
ZVMS Effort
TMP
Previous / Return
Other References continued
Disaster Preparedness
http://www.slideshare.net/guestb39a3295/disasterpreparedness?qid=e968ea6f-f44c-4ef9-b89274f99ee4015b&v=default&b=&from_search=10
Disaster & Emergency Preparedness
http://www.slideshare.net/enoji/disaster-nursing17317416?qid=e968ea6f-f44c-4ef9-b89274f99ee4015b&v=default&b=&from_search=3
Disaster & Contingency Planning
http://www.slideshare.net/dmcrosby/faith-communitydisaster-preparedness-workshop-businesscontinuity?qid=e968ea6f-f44c-4ef9-b89274f99ee4015b&v=default&b=&from_search=17
Critical Issues in Disaster Science & Mgmt
http://www.slideshare.net/northlandfox/nps6811061406?qid=e968ea6f-f44c-4ef9-b89274f99ee4015b&v=default&b=&from_search=2
Disaster Preparedness
http://www.slideshare.net/bestsurvivalpreparedness/disasterpreparedness-for-the-family-important-aspects-imperative-tosurvival?qid=e968ea6f-f44c-4ef9-b89274f99ee4015b&v=qf1&b=&from_search=56
How to escape (from NBC news)
http://www.nbcnews.com/watch/dateline/great-escape380149315690
If you find yourself alone and chocking…
http://www.dailyliked.net/alone-and-choking/
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© Feb2014
Effort
TMP
Garage Door Manual Override
Previous / Return
ZVMS Effort TMP
Electrical Power Panel
•
ZVMS Effort TMP
Return
Gas Shut Off -
Return
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Medicines
First Aid Kit
Medicine Kit: non-prescription &
prescription
Aspirin & non-aspirin pain reliever
Anti-diarrhea medication
Antacid (for stomach upset)
Laxative, stool softeners
Vitamins
Prescriptions & Pharmacy info
Extra eyeglasses/contact lenses (Contact lens
solutions & eye wash)
The Red Cross recommends family FIRST AID KITS
include the following:
2 absorbent compress dressings (5 x 9 inches)
25 adhesive bandages (assorted sizes)
1 adhesive cloth tape (10 yards x 1 inch)
5 antibiotic ointment packets (approximately 1 gram)
5 antiseptic wipe packets
2 packets of aspirin (81 mg each)
1 blanket (space blanket)
1 breathing barrier (with one-way valve)
2 pair of non-latex gloves (size: large)
2 hydrocortisone ointment packets (approximately 1 gram each)
Scissors & Tweezers
1 roller bandage each (3 inches wide) also (4 inches wide)
5 sterile gauze pads each (3 x 3 inches) also (4 x 4 inches)
Oral thermometer (non-mercury/non-glass)
2 triangular bandages
First aid instruction booklet
Check the kit regularly. particularly extra batteries
Check expiration dates &replace any used or out-of-date contents.
Flashlight (LED type) with extra batteries (long expiration dates)
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Back
TOOLS
Tools
Portable, battery powered radio or TV Have EXTRA Batteries
NOAA Weather Radio,
Flashlight (LED recommend) with extra batteries
Matches (waterproof) with Candles
Wrench sufficient size shutting off Gas, Water,
Shovel & other tools (hammer, wood saw, pliers, wrenches, nails, screws)
Plastic sheets, tarps, Duct Tape with scissors, knives
Tube tent, compass, work gloves
Paper, pens and pencils
Sewing needles & thread (thimble)
Battery operated travel alarm clock
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WATER & FOOD
Food & Water Supplies
Water 1-2 gallons / day per person
Ready-to-eat meats, fruits & vegetables
Canned or boxed juices, milk & soups
High energy foods: peanut butter, jelly, crackers, granola bars, trail mix
Cookies, hard candy
Cereals
Powdered milk
Kitchen Items
Manual can opener
Paper plate, cups and utensils (spoons, knives, folks)
Cooking utensils, pans and hot mitt
Household liquid bleach to treat drinking water
Salt, pepper, spices and sweeter (sugar, honey )
Aluminum foil & plastic wrap
Plastic storage bags
Large glass (or plastic) jars for water storage
ZVMS Effort TMP
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CLOTHING & Bedding
Clothing & Bedding Supplies
Complete change of clothes
Sturdy & comfortable shoes or boots with extra socks
Rain gear
Hat & gloves
Extra underwear or thermal underwear
Sunglasses
Blankets, sleeping bags & pillows
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SANITATION & HYGIENE
Sanitation & Hygiene Supplies
Washcloths & towels
Paper towels, soap, hand sanitizer wipes
Toothpaste, toothbrushes
Shampoo, combs & hair brushes
Deodorants
Sunscreen
Razors & Shaving Cream
Lip balm, insect repellent
Hand mirror
Feminine supplies
Heavy duty plastic garbage bags w/ties
Medium size plastic bucket with tight lid
Disinfectant & household chlorine bleach
Small metal shovel for digging a latrine
Toilet paper
Fill bath tub with water, also utilize Water Heater water supply
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Minimal Items
Be Prepared and have multiple survival options:
Proper Clothing, means to obtain Food & Water, Shelter and a good PLAN!
“Survival is not about luck “
Recommended Minimal Emergency Preparation
What to have and where:
Water
Food
Flashlight
Home Phone
Cell Phone
Tool Kit
Home
Car
Shelter
All Three
1 Gallon of water per person per day - minimum 3 days. Additional gallon per 3 days per pet. Store in cool,
dark place. Replace or Rotate every 3 months. Drink at minimum 2 quarts per day. Do not ration.
3 day supply of food at minimum. Keep diet in mind. High energy foods like nuts/protein bars in addition to
canned goods. Note expiration dates. Remember can opener and utensils.
Remember batteries. Keep flashlight and batteries in an easily accessible place.
Phone with a cord to maintain function during power outage.
Charger with wall and car charging capabilities.
Should contain at minimum: wrench, hammer, pliers, duct tape, jumper cables, folding shovel, flares.
First Aid
Sheltering
Cash
Emergency
Contacts
Should contain at minimum: Gauze, antiseptic, scissors, tweezers, pain relievers, bandages, cloth tape.
Unique Family
Needs
Medications
Critical Info
Baby items: Formula, diapers, wipes. Pet Care Items: Food and water enough for three days. Assistive
Devices: Walker, hearing aids, oxygen.
Stay away from windows, skylights, breakables. If advanced notice, follow announced precautions.
Small denominations. ATMs and credit cards may be unusable.
Keep contact list and plan for notifying family members in the event of an emergency.
Community
Prescriptions, pharmacy name and location, contact numbers for pharmacy and physician.
Critical identification numbers, Insurance (auto/home/health), Bank/Investment account numbers. Property ID.
Evacuation routes, emergency plans of places often visited. Location of fire extinguishers. Community
evacuation plans. Emergency Alert Radio.
Miscellaneous
Sleeping bag, blanket, change of clothing.
More
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ZVMS Effort TMP
Minimal Information
List of Additional Information you should establish and have with you.
Name _________________ Blood Type _______,
Identify Gathering Point
contact information
Name _________________ Blood Type ________
Locally: _______________________
Remote: _______________________
___________
City ___________________ State________
City___________________ State________
Phone
Phone
____________________
____________________
____________________
____________________
____________________
____________________
Locations of Critical
Documents & ID info
Wills _______ Deeds _______
SS# _______ SS# ________
Pass Ports,
___________
Drivers License __________
Birth Certificates ________
Marriage License ________
Critical Information:
Credit Cards
#’s _________________
PWs ________________
Bank Accounts Info
#’s _________________
PWs ________________
Insurance Info
#’s _________________
PWs ________________
Proscriptions & Pharmacy
____________________
____________________
Doctor Info
____________________
____________________
Hospital Info
Methodist
507-266-7890
St Mary’s
507-255-5504
Olmsted Med 507-282-8000
Shut Off:
Gas  Electricity Water
Leave Information of your
Keys or Entry Codes:
Critical Persons:
Phone & e-Mails
IDs & Pass-Words
Personal Medical
Secure Home
Communications
Immediate Neighbors: name, address phone e-mail
_________________________
_______________________
_________________________
_______________________
Emergency Radio
________
NOAA Weather stations _____
Know your vital information; where it is stored and accessible
ZVMS Effort TMP
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THE END
ZVMS Effort TMP
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