Whooping Cough “Pertussis”

Whooping cough can be a life threatening infection that affects Babies, toddlers and young children adversely. In babies whooping cough can lead to a life threatening symptom known as “Apnea” causing pauses in normal breathing, pneumonia, feeding problems, weight loss, seizures, brain damage and in some cases “Death“. Older children and adults can catch Whooping Cough and pass it on to babies and young children as carriers, continuing the spread.

Who is at risk? Anyone can get whooping cough unfortunately, people living in the same household with someone who has contracted whooping cough are especially at risk. Immunization “does” reduce the risk of infection, but immunity does fade over time and boosters should be utilized to hep prevent the spread.

Symptoms:

  • Much like a cold Whooping Cough usually begins with a blocked or runny nose, tiredness, mild fever and a cough.
  • As symptoms progress the cough worsens and leads to severe bouts of uncontrollable coughing. These coughing bouts may be followed by vomiting, choking or taking big gasping breaths which causes a “whooping” sound. This cough can last for many weeks and can be worse at night.
  • Some Newborns may not cough at all but they can stop breathing and turn blue. Some babies may even have difficulties feeding and can choke or gag easily.
  • Older children and adults may just have a cough that lasts for many weeks. They may also not have the “whoop” sound when they cough but are still able to pass on Whooping Cough.

How is it Spread?

Whooping cough is spread when an infectious person coughs bacteria / virus into the air, that same air or particulates are inhaled by people nearby. If they are not treated early, people who are infected with whooping cough are “very” infectious in the “first three weeks” of their illness. Whooping cough also spreads easily through families, childcare centers, schools and shopping centers.

Prevention:

Whooping cough vaccines are “proven” to provide a good protection from infection, however immune responses from a vaccine do fade with time, which means that boosters are needed.

  • Wash your hands
  • If your ill, prevent the spread by staying at home and avoiding group gatherings where you can spread the disease by accident.

Vaccines:

  • Vaccines “DO NOT” cause Autism. Autism is not a disease.
  • Vaccines “DO NOT” have mercury in them. Mercury is not a preservative.

Diagnosis & Treatments

“Always consult a medical professional before treating illness on your own, home made remedies may not have the desired effect and may make the illness-symptoms worse”

  • If you have been in contact with someone with whooping cough early in their illness “first 3 weeks” they are infectious and you may have been exposed. Watch for symptoms and see your doctor if a new cough begins. Some babies and some pregnant women need antibiotics to prevent whooping cough infection if they have had significant contact “family member” with an infectious person.

In Alberta Canada you can contact “811” to contact the Alberta Health Link, a Registered Nurse or Paramedic will help you with treatments and options, they may also refer to you to bring the child into a Hospital for treatment.

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

#Apnea #WhoopingCough #FirstAidCourseEdmonton #H2SAlive #BasicLifeSupport #BLS #BLSforHCP #H2sAliveEdmonton #EnformH2S #BCLS #BCLSCourseEdmonton #ACLS #AdvancedCardiovascularLifeSupport #EMR #EmergencyMedicalResponder #ThroatInfection

CROUP

Croup is a very common illness that affects children and has the potential to be mild in symptoms or even dangerous to life threatening if it goes untreated. Children from the ages of 6 months to 3 years have a chance of contracting “Croup” on average once or twice and can be linked to other “respiratory illness“. It is always a good measure for Parents and Guardians to take “all” respiratory illness” as serious and seek further medical advice, “We need to breath to live

Croup is an infection that causes swelling of the voice box “larynx” and windpipe “trachea“, making the airway just below the vocal cords inflamed, swollen and narrow. This makes breathing both noisy and difficult. There are two main types of Croup and as such must be seen as “Infectious”

Different Types of Croup

  • Viral Croup – This is the most common type of Croup and is the result of viral infection in the voice box or airway, Temperatures range from low fever to 39C/104F. Often Viral Croup will start with a cold that slowly turns into a “Barking Cough”. The child’s voice will become hoarse with noisy breathing “Stridor”.

Stridor” is the coarse musical sound that comes with breathing through an inflamed-swollen airway. The danger of “Croup with Stridor sounds” is that the airway is continuing to swell. If this happens it may reach a point when your child cannot breath at all. “Stridor” should always be assessed by a physician to prevent the danger of a closed airway. Stridor is common with mild Croup and increases with activity or crying, however if Stridor persists while the child is resting, it can be a sign of severe Croup and you must seek medical aid. Stridor may also be a sign of a serous breathing problem such as Epiglottitis.

  • Spasmodic Croup – This form of Croup is caused by a mild upper respiratory infection or even an “Allergy” normally no fever is present. This is the scariest form of Croup as it has a “sudden” onset and often presents in the middle of the night. The child will go to bed with mild “Cold” like symptoms then wake up gasping for breath with hoarse beathing, a barking cough and “stridor”. As the child’s effort to breath increases their energy levels will decrease, they may even stop eating or drinking and eventually become “too tired to cough“, if this is the case “seek medical attention immediately

Treatments

“Always consult a medical professional before treating illness on your own, home made remedies may not have the desired effect and may make the illness-symptoms worse”

  • If your child wakes up in the middle of the night with Croup, take them into the bathroom, close the door, then turn on the shower on the hottest setting “Do not put them in the shower“. The “Steam” from the shower is what you need for over 15-20 minutes, this will help ease the symptoms as you sit in the bathroom with the child. “The child will still have the barking cough though”,
  • For the rest of the night “and 2 to 3 nights after“, try to use a “cold” water vaporizer or humidifier in your child’s room. Your child may have another attack of Croup even within the same night, if they do repeat the shower steam treatment. Steam almost always works, if it does not, try fresh night air and open up the window of their room “wide“. If the child still persists with coarse hoarse breaths and Strider contact your local Medical Professional.

“In Alberta Canada you can contact “811” to contact the Alberta Health Link, a Registered Nurse or Paramedic will help you with treatments and options, they may also refer to you to bring the child into a Hospital for treatment.”

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

#ViralCroup #SpasmodicCroup

#Croup #Stridor #FirstAidCourseEdmonton #H2SAlive #BasicLifeSupport #BLS #BLSforHCP #H2sAliveEdmonton #EnformH2S #BCLS #BCLSCourseEdmonton #ACLS #AdvancedCardiovascularLifeSupport #EMR #EmergencyMedicalResponder #ThroatInfection

The Emergency Medical Services

Most common it is believed that the Emergency Medical System starts with paramedics and nurses, in point of fact it is that the Emergency System begins with “You“. There are many reason’s why you may hold back from helping someone in an emergency, fear of infection, fear of Liability, fear of repercussions or even fear of helping in the wrong way.

Within our First Aid programs we touch on many subjects like the “Rule of 3’s“, this rule is simple and can help you see the benefit of early CPR and Emergency Response. To sum up the “Rule of 3’s“, on average, how many weeks can a human service without food? “3 weeks” On Average, how many days can a human survive without Water “3 Days“. On Average how many minutes does your brain have without Oxygen before damage occurs? “3 MinutesNOW – How long does it take for an Ambulance to arrive? For this reason you can see how easy it can be for Paramedics and Emergency Response personnel to arrive to late, CPR is in “YOUR” hands.

Just remember that in Alberta you are “NOT” obligated to perform any act of First Aid even if you are certified. However we do hope that you would help or at the very least Call 911.

Even if your nervous calling 911 is still helping. Emergency workers will only come and help if you call 911.

Remember Protect yourself!!! Call 911!!! & Don’t Wast Time!!!

#EmergencyResponseSystem #EmergencyMedicalServices #StandardFirstAidCourseEdmonton #BasicLifeSupportProvider #AdvancedCardiovascularLifeSupport #H2SAlive

Behavioral & Mental Emergencies

As a First Aid Responder or Family member you may be faced with someone going through a psychological or behavioral crisis. This is a very traumatic event for not only the patient but the rescuer as well. This crisis may be due to a medical condition, mental illness, mind-altering substances, stress, genetic disorders and so many other causes. For this post we will discuss various kinds of behavioral emergencies. “Overdoses, Suicide attempts, violent outbursts, depression, anxiety, inability to cope or understand the actions of others” are all forms of a Behavioral Emergencies. Lets go over what First Aid measures you may be able to implement during this emergency and what care may be required in these situations.

Never attempt to help a casualty of substance misuse & abuse with your “bare hands“, always ensure your Personal Protection Equipment is on before you help. Avoid secondary exposure as you may suffer adverse effects if you come into contact with the substance”

Myth Bust:

Everyone experiences an emotional crisis at some point in their life, some more severe than others. Perfectly healthy people may have some of the symptoms and signs of mental illness from time to time. Therefore, “you should not assume that you have a mental illness when you behave in certain ways“, for this reason “Please avoid” assumptions about a patient in any given situation. Emotional crisis’s in healthy individuals is normally short lived and can be coped with by following simple steps to overcome the situation that may seem overwhelming. Its “when an individual has repeated instances of the same pattern that leads to repeated emotional crisis situations, there may be a need to consult a medical professional“.

The most common misconception about mental illness is that if you are feeling “bad” or “depressed” or “blueyou must be sick!This is simply untrue, there are many perfectly justifiable reasons for feeling depressed, one part of our “Five Coping Stages” is actually “Depression”, – Denial – Anger – Bargaining – Depression – Acceptance are all natural forms of coping with emotional emergencies, each person is unique and will go through these five stages at their own pace and order.

What is a Behavioural or Mental Crisis?

The definition of a behavioral crisis or mental emergency is “any” prolonged or repeated reactions to events that interfere with “Normal Daily Living” or has behavior that is unacceptable to the patient, family, or community. For example, when someone has an interruption of their daily routine, such as washing, dressing, eating, sleeping. Conversely a “Psychiatric Emergency” includes outbursts of rage, disconnection from feelings or reality, feeling numb or anxiety and panicked over small matters that others would see as a daily chore. Behavioral emergencies that recur on a regular basis may be considered a “Mental Health crisis“, consult a medical professional for more details.

Having a Mental Disorder does not make youBroken”, “Defective”, “Unfit”, “Useless”, “Dangerous” or any less of a person than others around you.” Thoughts or feelings that lead you to believe you are, or if you believe that your “Overwhelmed and unable to cope” with the stresses around you “There is no point“, “ I’m all alone“ or that “nobody would care if I just disappeared” consult a professional. They may be able to help in ways that you have not considered before. Not all emotional emergencies require medications. Medications “Assist” the healing process, if you believe that the medication you are using is not working “Consult your Physicianbefore you stop taking your medication or adjust your dosage. You may feel good right now, but without the continued assistance of certain medical aids you may find your emotional state revert back to its previously undesirable state.

What to watch for:

People going through a “Behavioral Crisis” or even a “Psychiatric Emergency” may present in many different ways, each person is unique and will experience the emergency differently,:

  • Some may seem distant “in a different world
  • Disconnected
  • Numb to the world and those around them
  • Depressed with no end in sight
  • Have extreme bouts of sadness with the inability to be consoled
  • Agitated or violent with or without provocation
  • Threaten harm to themselves or others
  • Extreme habit changes to their daily routine, eating, sleeping, hygiene, dressing
  • Altered level of consciousness

How to help with a Behavioural or Mental Crisis:

  1. Check the area, once the area is safe, Check the person and ensure the persons ABC’s are present “Airway / Breathing / CirculationREMEMBER – Wear gloves if available to avoid bodily fluids or powdered chemical on their clothing / skin.
  2. Call 911 and get an AED if you are alone, you suspect a Head / Neck or Spine injury, there is a motor vehicle collision, the person is allergic or the injured persons life could be at risk. “911 will also try to help with specific questions and techniques that may help you, help the patient in this difficult situation.
  3. Care for the Behavioral or Mental Crisis by:

Always follow recommendations by your Emergency Response professionals and 911 Dispatch personnel. “Never endanger yourself or the victim, you may “not” need to move or roll the injured person

If there are other life threatening injuries, treat those first as quickly as possible with as little movement to the injured person.

While you wait for an Ambulance:

  • a) Be prepared to spend extra time, it may take longer to assess, listen to, and prepare the patient going through the Behavioral or Mental Crisis that they may need further medical help than you can provide.
  • b) Have a definitive plan of action, “Never” endanger yourself, if the patient looks like they could become agitated or hostile, just stand back, give them space, and have others help you if possible “Never do this alone” if possible. You may find yourself confronted by a hostile individual that may not be able to control their actions, or they may use the time spent alone with you to “alter“ the events that took place when medical professionals arrive. “They may try to blame you, or make you the one experiencing the Behavioral or Mental Crisis” This is a defense mechanism as they do not wish to be judged or harmed.
  • c) Identify yourself calmly and speak in a low, calm tone. “Avoid shouting, cornering or blame for previous incidence
  • d) Be Direct “State your intentionscalmly
  • e) Stay with them – If you fear that they may hurt themselves, politely stay close to them and let them know that you are going to be there for them should they need you.
  • f) Encourage purposeful movement, help the patient gather appropriate belongings to take to the hospital.
  • g) Express interest in their story, If they are comfortable enough to confide in you about the crisis “Just listen” Avoid judgement or offering advice from your own personal opinion “Just listen”.
  • h) Keep a safe distance “Everyone needs personal space” know the cues, if they pull away, act indifferent, or get agitated with your presence. Keep your distance, you might inadvertently cause more anxiety by being to close.
  • I) Avoid fighting with them, If you know the patient, respond with understanding to the feelings they are expressing, whether this is anger, fear, or desperation “Just listen
  • j) Be honest and reassuring, if they ask whether they should go to the hospital, simply answer “yes”, its better to err on the side of caution and get help rather than let things take a turn for the worse. Your medical professionals will help you with this once they arrive.
  • k) Do not judge. You may see behavior that you dislike, set those feelings aside, and concentrate on providing emergency care.

Provide continual care and “Never” endanger yourself, some victims of a Behavioral or Mental crisis may also be subjected to a substance misuse & abuse emergency and may become combative and will be unaware of who you are even if they know you well.

While you wait for an Ambulance:Ask them if they wish to sit or lay in a position of comfort

RECOVERY Position:

  1. Kneel Beside the victim and place the victims furthest arm from you above their head.
  2. Place the arm closest to you across the victims chest as a protector arm.
  3. The Key is in their Knee, bend the nearest leg up at the knee.
  4. Carefully slip your hand under the hollow of the victims neck to support the Head Neck & Spine, at the same time use your forearm by slipping it carefully under the shoulder for leverage.
  5. Place your free hand on the Key Knee and gently roll the victim away from you by applying steady pressure against the knee and shoulder at the same time. The victims head should rest on their raised arm.
  6. To secure the position pull the key knee further up and bring their protector arm out to use the elbow to stabilize the position.
  7. Check the Airway to make sure their still breathing.

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

#Depression #SubstanceMisuseAbuse #Anxiety #BoarderlinePersonalityDissorder #FirstAidCourseEdmonton #H2SAlive #BasicLifeSupport #BLS #BLSforHCP #H2sAliveEdmonton #EnformH2S #BCLS #BCLSCourseEdmonton #ACLS #AdvancedCardiovascularLifeSupport #EMR #EmergencyMedicalResponder #Stimulants #Hallucinogens #BehavioralCrisis #MentalEmergencies #Suicide #MentalIllness

Basic Life Support Provider “BLS for HCP’s CPR-C & AED”

As of 2015 Health Care Professionals across Canada have had new guidelines and updates released to maintain a high level of education and medical practice. One such course that “All” Health Care Providers need “at any level” is the ‘Basic Life Support Provider “BLS for HCP’s CPR-C & AED” course taught through the Heart & Stroke Foundation of Canada. This program gives many additional techniques that all Health Care Providers can implement during their CPR practice to boost resuscitation rates to their peek.

  • Basic Life Support Provider is also known as BLS for HCP’s, or Basic Cardiac Life Support “BCLS“.

At this time Alberta Health Services “requires” all Health Care Providers to maintain a current level of Basic Life Support Provider CPR-C & AED through the Heart & Stroke Foundation of Canada.

Public level CPR “VS” HCP Level CPR:

For many programs taught for the General Public CPR is provided almost identically as it would be if you were a Health Care Professional. However, the differences are slight but very important to recognize. One such alteration we find quite commonly asked about is “Do we give breaths anymore?” To answer this question think of this,If you car ran out of gas, what would it do? it would quit right?, now can you start it again? No….. Not without adding more gas right?” Humans are almost identical in this fashion as you are a “Biological Machine” with Oxygen being your main source of fuel. If you do not give the patient any fuel how could you start their engine? We do understand however that “Barrier Devices – Pocket Masks” may not be available, so for this post we will include the “Compression’s Only CPR” guideline so that it can be better understood. Health Care Providers are “Required” to be able to give a breath to their patients with a multitude of devices.

Additional Skills for Health Care Providers include:

  1. Jaw Thrust
  2. Pulse Check
  3. Bag Valve Mask
  4. Rescue Breathing
  5. 2 Rescuer CPR
  1. JAW THRUST – “Requires 2 people” If you think a person might have a Head Neck or spine injury, use a “Jaw Thrust” to open the airway instead of a “Head Tilt Chin Lift
  • a) At the head of the patient place the fingers of both hands on the angles of the jaw following the mandible
  • b) Lift the jaw forward while keeping gentle pressure on the cheeks to keep the head from moving off the ground
  • c) have your partner place their Pocket mask or BVM over the persons mouth and nose and give breaths while you maintain the Jaw Thrust.

PULSE CHECK – HCP only skill, the general public is not required to know how to check the pulse, instead they will focus on breathing.

To perform a Pulse check on an Adult / Child:

  • a) Find the middle of the person’s throat “Adam’s Apple
  • b) Slide your fingers into the groove at the side of the neck closest to you and slight draw up “You should feel a pulsation against your fingertips ” 5-10 seconds.

“To perform a Pulse check on an infant:”

  • a) Place one or two fingers on the underside of the baby’s arm halfway between the elbow and the shoulder
  • b) Gently push in against the upper arm bone while holding your thumb back.”You should feel a pulsation against your fingertips” 5-10 seconds.

BAG VALVE MASK – “Requires 2 people” A “Bag-Valve-Mask” has three parts, a bag, a valve and a mask. To use the BVM:

  • a) at the head of the patient place the mask over the face using the bridge of the nose as a guide
  • b) SLIP your “thump and Index finger” against the top of the mask to the opposite side of your palm
  • c) Turn your palm down and GRIP the mandible with your remaining 3 fingers pinching your thumb and index finger down against the mask
  • d) FLIP the chin back into a “Head Tilt Chin Lift” opening the airway, wait for your cues as your partner delivers high quality CPR and give two breaths by squeezing the bag when you are ready looking for a “chest rise”

RESCUE BREATHING – A “Rescue Breath” is given when you find a patient who is “NOT” breathing but “DOES” have a pulse. This may be due to Toxic Gas Inhalation, Impact to the chest, pulmonary edema, asthma, pneumonia and so on. To give a rescue breath:

  • a) With a BVM or a Pocket Mask if you do not hear normal breathing
  • b) Give one breath ever 6 seconds for an “Adult” or give one breath ever 3 seconds for a “Child / Infant“.
  • c) If there is a pulse, continue rescue breathing for two minutes, check for signs of circulation and normal breathing for no longer that 5-10 seconds, if there is circulation but no breathing continue rescue breathing until further medical help arrives.

TWO RESCUER CPR – For the HCP Health Care Provider only, your Basic Life Support Provider program will integrate team’s of 2-5 to boost chances of resuscitation by splitting the positions into tasks. This also comes with a difference in Age groups as well, to make this simple Saving Grace Medical Academy has come up with a pair of rhymes to help you see what we are doing.

POEM OF 1 “Single Rescuer”

  • If your by yourself always DO thirty and TWO, if its just you what should you do? 30 & 2 for “All Age Groups“. Remember Its “30 Compression’s & 2 Breaths repeated 5 Times” or “Its 30 & 2 X 5 to keep ALL HUMANS ALIVE”

POEM OF 2 “Team Rescue”

  • You can do 15 & 2 if there are 2 of you to 2 times the oxygen for the 2 that need it most “Child & Infant” But you need 2 people to do 15 & 2 so you can 2 times the fuel.

There are many variations of CPR around the world, by following the International Liaison Committee of Resuscitation ILCOR standards set within the 2015 guidelines all health care providers across the globe can now learn the “same” skills to keep continuity across the human species on how to perform High Quality CPR.

For more information on how to register for your BLS “Basic Life Support Provider” program contact Saving Grace Medical Academy and we’ll be happy to help you get the course you need when need it.

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

#FirstAidCourse #FirstAidCourseEdmonton #H2SAlive #BasicLifeSupport #BLS #BLSforHCP #H2sAliveEdmonton #EnformH2S #BCLS #BCLSCourseEdmonton #ACLS #AdvancedCardiovascularLifeSupport #EMR #EmergencyMedicalResponder #HealthCareProviderCPR #TwoRescuerCPR #RescueBreathing #BagValveMaskTechnique #PulseCheckAdult #PulseCheckInfant #HowToDoPulseCheck #JawThrust

Substance Misuse & Abuse

Many substances, such as alcohol, drugs and even medications can be used improperly. When these substances are misused or abused, they poison the body. Some people may unfortunately be exposed to these chemicals while attempting to help, as many illicit substances can be absorbed through your skin. As medical technology advances so does our ability to counteract these situations, consult your local medical centers for information on “Rehabilitation, Addiction and local protocols on medications that can help counteract drugs.

“Never attempt to help a casualty of substance misuse & abuse with your “bare hands“, always ensure your Personal Protection Equipment is on before you help. Avoid secondary exposure as you may suffer adverse effects if you come into contact with the substance”

Common illicit Substances:

  1. Stimulants
  2. Hallucinogens
  3. Depressants
  4. Designer Drugs
  • STIMULANTS – Stimulants affect your brain and nervous system to speed up physical and mental activity “Speed” Many stimulants are taken as pills, but some can be absorbed or inhaled.
  • HALLUCINOGENS – Hallucinogens cause changes in mood, sensation, thought, emotion, and self-awareness “Shrooms, Fentanyl” They can cause intense fear, panic, paranoid delusions, vivid hallucinations, deep depression, tension and anxiety.
  • DEPRESSANTS – Depressants send signals to your brain and nerves that slow down physical and mental activity. “Alcohol, THC” They make you drowsy and impair your coordination and judgment, alcohol is the most widely used and abused depressant in Canada.
  • DESIGNER DRUGS – Designer drugs do not fit into any of the categories mentioned above, they are chemically altered versions of medical drugs, such as “narcotics” and “amphetamines”. The effects can be unpredictable and dangerous. One of the more commonly used designer drugs is “Ectasy“.
  • ALCOHOL POISONING – Alcohol impairs your judgment, slows down your reflexes, and makes driving unsafe. Just two drinks in less than an hour can create unsafe levels of alcohol in the blood of an average 72.5 kilo / 160 lb person. “Don’t Drink & Drive

What to watch for:

Like other poisons, the general signs and symptoms of substance misuse and abuse are similar to those of other medical emergencies.

  • Moist or flushed skin, Sweating, chills or fever, nausea or vomiting, changes in breathing, seizures, changes in level of consciousness, altered mental status, hallucinations, low body temperature

Prevention:

Many people trapped within the world of substance misuse and abuse are seeking shelter within the sensation they achieve after they use. The temporary relief they get from their current situations is what drives them to continue to use, they see it often as a way to alleviate the symptoms of their “pain, anxiety, depression, past trauma” or even to blend in with the crowd “Peer pressure” is also a common reason why some may be trapped within the use of illicit substances.

Drug prevention programs are readily available in all country’s around the world and offer a wide range of help for those who may be affected. The Naloxone Project is a project sponsored by Health Canada to help stem the flow of overdoses associated with “Fentanyl“, for more information on how to help visit your local medical center or drugs and addictions counseling center.

How to help with Substance Misuse & Abuse:

  1. Check the area, once the area is safe, Check the person and ensure the persons ABC’s are present “Airway / Breathing / CirculationREMEMBER – Wear gloves if available to avoid bodily fluids or powdered chemical on their clothing / skin.
  2. Call 911 and get an AED if you are alone, you suspect a Head / Neck or Spine injury, there is a motor vehicle collision, the person is allergic or the injured persons life could be at risk. “911 will link you to the Poison Control Center if you do not have the number.”
  3. Care for the Substance Misuse & Abuse by:

Always follow recommendations by your Emergency Response professionals and 911 Dispatch personnel. “Never endanger yourself or the victim, you may “not” need to move or roll the injured person

  • If there are other life threatening injuries, treat those first as quickly as possible with as little movement to the injured person.
  • While you wait for an Ambulance:
  • a) You do not need to know exactly what substance the person has taken, just keep an eye on “Breathing / Skin Color / Temperature / Sweating / Behavior.
  • b) Provide continual care and “Never” endanger yourself, some victims of substance misuse & abuse may become combative and will be unaware of who you are even if they know you well.

While you wait for an Ambulance:

RECOVERY Position:

  1. Kneel Beside the victim and place the victims furthest arm from you above their head.
  2. Place the arm closest to you across the victims chest as a protector arm.
  3. The Key is in their Knee, bend the nearest leg up at the knee.
  4. Carefully slip your hand under the hollow of the victims neck to support the Head Neck & Spine, at the same time use your forearm by slipping it carefully under the shoulder for leverage.
  5. Place your free hand on the Key Knee and gently roll the victim away from you by applying steady pressure against the knee and shoulder at the same time. The victims head should rest on their raised arm.
  6. To secure the position pull the key knee further up and bring their protector arm out to use the elbow to stabilize the position.
  7. Check the Airway to make sure their still breathing.

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

#Poisons #SubstanceMisuseAbuse #AlcoholPoisoning #FirstAidCourse #FirstAidCourseEdmonton #H2SAlive #BasicLifeSupport #BLS #BLSforHCP #H2sAliveEdmonton #EnformH2S #BCLS #BCLSCourseEdmonton #ACLS #AdvancedCardiovascularLifeSupport #EMR #EmergencyMedicalResponder #Stimulants #Hallucinogens #Depressants #DesignerDrugs #Drugs #Overdose #Fentanyl #Naloxone

Animal Bites

Each region of the world has its own unique form of predator and prey animals. For this portion lets focus on some basic animal types that you can find in many regions of the world. “Remember” never assume an animal you randomly encounter is tame, animals within parks are wild and should be treated as such. Your personal safety and safety of others around you is the most important thing when dealing with wild animals or animals that attack humans. Be safe, Be aware, Be loud, many animal attacks in the wild occur due to a startled animal that is unaware of your presence.

Common Predatory animal types that you may encounter:

  1. K9, Dog, Wolf, Fox, Coyote
  2. Feline, Cat, Puma, Linx, Bob-Cat, Cougar
  3. Bear, Brown, Black, Kodiak, Grizzly
  4. Snake
  5. Marine Life

What to watch for:

  • Predator Type “Land” :Normally Carnivores / Omnivores – Posturing, growing, swiping at the ground, hissing or following you just out of sight or within a wooded area, these universal signs are of a predatory animal that is either intimidated by your presence, or is stalking you to determine if you are food.
  • Prey Type “Land”: Normally Herbivores – Hoof stamping, posturing, raised back with hissing, snorting, spitting or loud calls, may charge with head down. These universal signs are of a prey animal that is attempting to defend itself or its young.

Prevention:

When you are in a wooded, grassy or abandoned area:

  • Be loud, clapping of hands, talking loudly will help other animals know you are in the vicinity.
  • Be seen, wear brightly colored clothing that is easy to spot.
  • Be aware, consult your local fish and wildlife association before going into an unfamiliar wooded area, knowing the dangers can help you avoid them.
  • Don’t keep food on you while in wooded areas or camping, keep all food stores in a locked box away from your camp site in case predators are attracted.
  • If you have pets that go outdoors, be aware that smaller pets can be seen as food for larger predatory animals and may be taken. Keep an eye on your pets and be aware of the local Predators within your region
  • Never approach an unfamiliar animal
  • Animals in parks are not tame
  • Animals with collars are “Tagged” for research purposes and should be avoided as they me be a nuisance animal that has been tagged so that they may be removed from populated area’s.
  • The animal may seem calm, but keep your distance, getting to close may make the animal react to defend itself.

Stings from Marine Life:

“Know the water you are swimming in and stay away from stinging marine life”

Watch for – Pain, Rash, Redness, Swelling

  • How to help: While wearing gloves, remove any tentacles or pieces of the animal. Wash the area with vinegar for at least 30 seconds, if vinegar isn’t available use a mixture of baking soda and water “Make the consistency like toothpaste” and leave it on the area for 20 minutes. Then immerse the affected are in “hot” water “as hot as patient can tolerate” for 20 minutes or as long as the pain persists. ‘Do not Rub the area”. Scrape or shave the are with a razor or the edge of a knife, put a cold pack on the area for the first hour to reduce the pain “Seek Medical Attention” to verify that the bite / sting was non toxic.

Snakebites:

“Do not aggravate a snake, if out hiking watch where you are stepping, wear proper footwear when hiking”

Watch for – Intense Pain, Burning, red raised tender skin that blanches at the puncture site, liquid seeping from the wound.

  • How to help: Keep the injured site still and lower than the heart if possible. “Seek Medical Attention Immediately” by calling 911, if you have a physical description of the snake, report it to EMS personnel because it may help them provide the best treatment. Check the temperature and color of the limb beyond the site of the bite and note if it is abnormally cold or warm compared to the other limb. Report this to EMS personnel.

MYTH BUST:

  • NEVER – Apply ice, cut the wound “blood letting“, apply suction “Sucking it out“, apply a tourniquet to a snake bite. These myths will make the injury worse and can cause serious harm.
  • NEVER – Urinate on a wound, this may cause more pain and lead to further infection with psychological trauma.

How to help with animal Bites:

  1. Check the area, once the area is safe, Check the person and ensure the persons ABC’s are present “Airway / Breathing / Circulation” REMEMBER – Wear gloves if available to avoid bodily fluids or venom.
  2. Call 911 and get an AED if you are alone, you suspect a Head / Neck or Spine injury, there is a motor vehicle collision, the person is allergic or the injured persons life could be at risk. “911 will link you to the Animal Control Center if you do not have the number.”
  3. Care for the animal Bite by:

Always follow recommendations by your Emergency Response professionals and 911 Dispatch personnel. “Never endanger yourself or the victim, you may “not” need to move or roll the injured person”

  • If there are other life threatening injuries, treat those first as quickly as possible with as little movement to the injured person.
  • a) Try to get the person safely away from the animal without injuring yourself. Make loud noises and get other people to help if available “Strength in numbers”
  • b) Never try to “Capture the animal” this may endanger yourself
  • c) If the wound is minor, wash it with soap and water, control any bleeding and put a dressing on the wound. Watch for signs of infection.
  • d) Seek medical aid, all animal bites and stings should be checked by a physician to ensure no infection is present and that the patients psychological well being is maintained. Being attacked by a wild animal can be traumatic.

While you wait for an Ambulance:

RECOVERY Position:

  1. Kneel Beside the victim and place the victims furthest arm from you above their head.
  2. Place the arm closest to you across the victims chest as a protector arm.
  3. The Key is in their Knee, bend the nearest leg up at the knee.
  4. Carefully slip your hand under the hollow of the victims neck to support the Head Neck & Spine, at the same time use your forearm by slipping it carefully under the shoulder for leverage.
  5. Place your free hand on the Key Knee and gently roll the victim away from you by applying steady pressure against the knee and shoulder at the same time. The victims head should rest on their raised arm.
  6. To secure the position pull the key knee further up and bring their protector arm out to use the elbow to stabilize the position.
  7. Check the Airway to make sure their still breathing.

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

#Poisons #AnimalBites #AnimalAttacks #FirstAidCourse #FirstAidCourseEdmonton #H2SAlive #BasicLifeSupport #BLS #BLSforHCP #H2sAliveEdmonton #EnformH2S #BCLS #BCLSCourseEdmonton #ACLS #AdvancedCardiovascularLifeSupport #EMR #EmergencyMedicalResponder #AnimalBiteFirstAid

Insect Stings & Bites

Each region of the world has its own unique form of plants, animals and insects. For this portion lets focus on some basic insects that you can find in many regions of North America. “Remember” insects travel as weather changes in temperature, many new species of insects both toxic or otherwise may be in your region where they previously were not. Its always a good course of action to know what to look for.

Common insects types that may be harmful or fatal:

  1. (Spider) Black Widow, Brown Recluse
  2. Scorpions
  3. Tick’s
  4. Bee’s, Wasps, Yellow Jackets, Hornets
  5. Caterpillars

What to watch for:

Many toxic species of insect come with a natural warning sign, bright colors, smells, or even posturing can be a significant sign from the insect to “STAY BACK“, its a good idea to keep yourself and your children up to date on local insects in case they do encounter them.

Prevention:

When you are in a wooded, grassy or abandoned area:

  • Wear a long sleeved shirt and long pants
  • Tuck your pant legs into your socks or boots and tuck your shirt into your pants. In areas with ticks, use a rubber band or tape the area where your pants meet your socks so that nothing can get underneath.
  • wear light colored clothing to make it easier to see tiny insects or ticks.
  • Avoid perfume as it may attract certain insects
  • Stay away from “underbrush” decomposed wood, wood piles or tall grass
  • Check yourself carefully for insects or ticks after you get inside.
  • If you have pets that go outdoors, spray them with repellent made for your type of pet. Check them for ticks and insects often because your pet can bring these into your home.
  • If your allergic keep an “EpiPen” with you while outdoors.

If bitten What to look for:

  • Pain, redness, or swelling at the site of the injury
  • Insects at the site or nearby
  • Intense burning, itching or color change of the skin with a puncture mark.
  • The insect is lodged within your tissue “Tick / Leach”
  • Archery Target or “Bulls-eye” mark on your skin “Tick Bite”
  • The stinger is lodged within your tissue “Bee’s”
  • Allergic reaction

How to help with Insect Bites:

  1. Check the area, once the area is safe, Check the person and ensure the persons ABC’s are present “Airway / Breathing / Circulation” REMEMBER – Wear gloves if available to avoid bodily fluids or from being bitten.”
  2. Call 911 and get an AED if you are alone, you suspect a Head / Neck or Spine injury, there is a motor vehicle collision, the person is allergic or the injured persons life could be at risk. “911 will link you to the Animal Control Center if you do not have the number.
  3. Care for the Insect Bite by:

Always follow recommendations by your Emergency Response professionals and 911 Dispatch personnel. “Never endanger yourself or the victim, you may “not” need to move or roll the injured person

  • If there are other life threatening injuries, treat those first as quickly as possible with as little movement to the injured person.

a) STINGER EMBEDDED

  • Using a hard thin smooth object “Credit Card
  • Holding the skin taught scrape towards the stinger using the card “light even pressure” until the stinger comes free.
  • Watch for signs of allergic reaction
  • Wash with soap and water and seek medical attention if the person feels ill, light headed, or the swelling begins to spread.

b) TICK BITES

  • If the tick hasn’t started to dig into the flesh, remove it by brushing it off the skin.
  • If the tick has started to dig into the flesh, grasp the head of the tick with tweezers and pull it out gently not to crush the tick.
  • If a rash or flu-like symptoms appear within a month after the tick bite, seek medical attention. “Lyme Disease” is a common disease for Tick’s to be infected with.
  • Watch for signs of allergic reaction
  • Wash with soap and water and seek medical attention if the person feels ill, light headed, or the swelling begins to spread.

c) SPIDER / SCORPION BITES

  • If you are bitten, attempt to photograph the spider using your cell phone, or “Don’t endanger yourself” place the specimen in a sealed container. Doctors may need to double check to see if its toxic.
  • If the wound begins to burn, raise up and spread there may be a toxic exposure.

RECOVERY Position:

  1. Kneel Beside the victim and place the victims furthest arm from you above their head.
  2. Place the arm closest to you across the victims chest as a protector arm.
  3. The Key is in their Knee, bend the nearest leg up at the knee.
  4. Carefully slip your hand under the hollow of the victims neck to support the Head Neck & Spine, at the same time use your forearm by slipping it carefully under the shoulder for leverage.
  5. Place your free hand on the Key Knee and gently roll the victim away from you by applying steady pressure against the knee and shoulder at the same time. The victims head should rest on their raised arm.
  6. To secure the position pull the key knee further up and bring their protector arm out to use the elbow to stabilize the position.
  7. Check the Airway to make sure their still breathing.

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

#Poisons #InjectedPoisons #InsectBites #InsectStings #FirstAidCourse #FirstAidCourseEdmonton #H2SAlive #BasicLifeSupport #BLS #BLSforHCP #H2sAliveEdmonton #EnformH2S #BCLS #BCLSCourseEdmonton #ACLS #AdvancedCardiovascularLifeSupport #EMR #EmergencyMedicalResponder #TickBites #BeeStings #SpiderBites

Poison’s & How to Help

There are many substances that we have in our environment that can be natural or even man made, many of these can be toxic or cause harsh chemical reactions to our bodies. Poisons are substances that have a harmful effect within the body if it is inhaled, swallowed, absorbed, or injected. Poisons are immediately life-threatening if they affect breathing or circulation. “When you treat someone who has been poisoned, you should take precautions to make sure that you do not come into contact with the poison yourself.

4 Routs of Exposure:

  1. Injected – Enters the body through bites, stings or needles
  2. Inhaled – Enters the body through the lungs “breathed in”
  3. Ingested – Swallowed or contacts the lips & mouth
  4. Absorbed – Enters through the skin from exposure

What it looks like:

  1. Injected – Puncture wound, problems breathing, pain, prescription medication or illegal drugs nearby, redness and swelling at the entry point.
  2. Inhaled – Breathing difficulties, irritated eye, nose or throat, vomiting, dizziness, seizures, bluish color around the mouth, unconsciousness, and unusual smell in the air, a cloud or plume in the air.
  3. Ingested – An open container of poison nearby, burns around the mouth, increased production of saliva and/or saliva that is an abnormal color, Abnormal cramps and vomiting, seizures, dizziness and or drowsiness, unconsciousness, a burning sensation in the mouth, throat or stomach, diarrhea.
  4. Absorbed – Rash, burning, itching, swelling blisters, hives “raised itchy area of skin“, burns, unconsciousness.

Prevention:

  • Keep all medications, vitamins, household cleaners, hygiene products, decorative plants and other toxic substances well out of reach of children. “Duel Tab Child Locks are recommended”
  • Use child-resistant safety caps on medications and other potentially toxic products.
  • Treat all household, cosmetic or drugstore products as if they could be dangerous.
  • Teach children to check with an adult before eating an unknown substance.
  • Never call medicine “Candy or juice” to persuade a child to take it.
  • Keep products in their “original” Containers with their original labels.
  • Use poison symbols to identify dangerous substances and teach children what the symbols mean.
  • All medicine bottles and boxes should be carefully labelled. Read the label three times when you are taking or giving medications.1) When you take the medication from the cupboard or refrigerator, 2) when you take the medication out of the package, 3) just before you assist the patient taking the medication.
  • Always follow your local legislation on Medication Administration” before you give any medication.
  • Prescription medicine should be taken only by the person whom it was prescribed too, “never self medicate”
  • Carefully dispose of outdated medication by giving them to your pharmacist “Never flush down the toilet or throw in the garbage
  • Wear proper protective clothing any time you may come into contact with a poisonous substance.
  • Many cleaning products have toxic fumes, read the labels and use in a well ventilated area. “Always follow the manufacturers recommendations to avoid damage or injury.”
  • Mixing certain household cleaning products, such as “Bleach and ammonia or household cleaners, can create toxic fumes that may be fatal if inhaled or exposed.”

WHMIS or GHSWorkplace Hazardous Material Information System or Global Harmonization System

  • Always refer to your MSDS “Material Safety Data Sheet” before you use a new chemical, cosmetic or pharmaceutical.
  • The MSDS will provide you with all “Who’s, Whats, Where’s, When’s, Why’s & How’s” of the chemical you are working with to avoid exposure or potentially harmful effects.
  • Check all warning labels before use and replace warning labels that are damaged or unreadable.

For more information on taking the WHMIS or GHS course please consult your local First Aid and Safety school for course listings, WHMIS or GHS is now available for Online certification and you may not need to “attend” and in class portion.

How to help with Poisoning:

  1. Check the area, once the area is safe, Check the person and ensure the persons ABC’s are present “Airway / Breathing / Circulation” REMEMBER – Wear gloves if available to avoid bodily fluids or exposure to the chemical. A particle mask or SCBA “Self Contained Breathing Apparatus” may be needed to avoid inhaling chemicals in the air “Never run into a dangerous area where you suspect poisonous gas, wait for the rescue teams who are trained to do so”.
  2. Call 911 and get an AED if you are alone, you suspect a Head / Neck or Spine injury, there is a motor vehicle collision, you suspect toxic gas, dangerous environment or the injured persons life could be at risk. “911 will link you to the Poison Control Center if you do not have the number.
  3. Care for the Poisoned casualty by:

Always follow recommendations by your Emergency Response professionals and 911 Dispatch personnel. “Never endanger yourself or the victim, you may “not” need to move or roll the injured person

  • If there are other life threatening injuries, treat those first as quickly as possible with as little movement to the injured person.
  • a) Determine the type of exposure the person is experiencing “Injected, Inhaled, Absorbed or Ingested
  • b)Inhaled” Get the Person into fresh air, but “DO NOT” enter into ta hazardous atmosphere yourself to do so. Refer to the MSDS if available about treatments, listen to your 911 dispatcher for further treatments.
  • c)Swallowed” Check the packaging of the poison if available and refer back to the MSDS if available about treatments, listen to your 911 dispatcher for further treatments.
  • d)Absorbed” Check the packaging of the poison if available and refer back to the MSDS if available about treatments, listen to your 911 dispatcher for further treatments. – Flush the skin with cool running water for 15 minutes to “Dilute, remove and reduce the chemical reaction.
  • e) Injected” Check the packaging of the poison if available and refer back to the MSDS if available about treatments, listen to your 911 dispatcher for further treatments. – keep the puncture site lower than the heart if possible, have the person rest comfortably, “NEVER” suck out the poison seek medical aid.

RECOVERY Position:

  1. Kneel Beside the victim and place the victims furthest arm from you above their head.
  2. Place the arm closest to you across the victims chest as a protector arm.
  3. The Key is in their Knee, bend the nearest leg up at the knee.
  4. Carefully slip your hand under the hollow of the victims neck to support the Head Neck & Spine, at the same time use your forearm by slipping it carefully under the shoulder for leverage.
  5. Place your free hand on the Key Knee and gently roll the victim away from you by applying steady pressure against the knee and shoulder at the same time. The victims head should rest on their raised arm.
  6. To secure the position pull the key knee further up and bring their protector arm out to use the elbow to stabilize the position.
  7. Check the Airway to make sure their still breathing.

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Learn First Aid Today, Save a Life Tomorrow, let first aid training in Edmonton be your Saving Grace

#Poisons #InjectedPoisons #InhaledPoisons #IngestedPoisons #AbsorbedPoisons #PoisonExposure #MSDS #WHMISorGHS #FirstAidCourse #FirstAidCourseEdmonton #H2SAlive #BasicLifeSupport #BLS #BLSforHCP #H2sAliveEdmonton #EnformH2S #BCLS #BCLSCourseEdmonton #ACLS #AdvancedCardiovascularLifeSupport #EMR #EmergencyMedicalResponder #NaturalDisasterKits #SurvivalKits

First Aid Kits “Stocking List”

One question that we get in our courses is “What should we put in our First Aid Kits?“, during any emergency a well stocked First Aid Kit can be the difference between life and death, infection control, stable spine and many more concerns. Emergencies are just that “Random“, so lets compile a stocking list for you to use in case you want to make your own First Aid Kit.

“Many prepackaged First Aid Kits are stocked for ease of use with a great selection of emergency supplies, you can normally purchase them at your local Safety Supply outlet, Pharmacy or even larger Chain Mega Stores.”

Where should I keep my First Aid Kit?

Best place to keep your first aid kit is in the kitchen under the sink or even in the bathroom. As many people seek sources of water during an emergency keeping your First Aid Kit where people go is a valuable resource. It is also recommended to keep an MSDS and an Emergency Response Plan in the same place you keep your First Aid Kit.

First Aid Kit “Stocking List

  • Sterile gauze pads “dressings” in small and large squares to place over wounds “6 each of the 2X2 and 4X4
  • Adhesive tape “Medical Tape 2 Rolls
  • Roller Gauze “2-4 Rolls
  • Triangular bandages “6 each” Good for slings and bandages.
  • Adhesive Band-aids “various sizes” 12-24 each
  • Scissors “EMS Grade if possible, Check Supply Sargent
  • Tweezers
  • Safety Pins “X6
  • Ice Packs “X2
  • Hot Packs “X2
  • Nitrile Gloves “Not Latex” such as surgical or examination gloves
  • Flashlight / Pen Light + extra batteries
  • Antiseptic wipes, soap & hand sanitize
  • Pencil & Pad
  • Eye Patches or “4X4 gauze pad
  • Thermometer
  • Pocket Masks & Barrier devices
  • First Aid Manual
  • Vaseline
  • Ziploc Baggies 6X6 “X4

Spine Collars & Spine Boards are recommended in facilities with high impact machinery, equipment, tools, far distance from hospitals, veterinary outposts / training arena’s

What is an Emergency Supply kit?

An emergency supply kit is a kit that you can put together that has supplies ready for an emergency and can fit into a backpack or duffle bag so you can easily take them with you. Speed and ability to escape are the keys to this particular kit, they are recommended for homes that are prone to natural disaster or in high conflict areas

Emergency Supply Kit “Stocking List

  • Four liters “One gallon” of water per person per daySealed unbreakable containers are best, swap water every six monthsA portable survival water filter” you can find the survivalists water filter at many sporting goods stores.
  • Packaged, canned or freeze dried food “Replace each year or before expiration date
  • Walking shoes, rain gear & a change of clothing
  • Survival Blankets or compressed sleeping bags.
  • First Aid Kit with Iodine, Polysporin, antiseptic wipes
  • Toilet paper, bar of soap, toothpaste / brushes body wash
  • Spare Cash
  • Spare set of Car Keys
  • A list of Family Doctors
  • Family information: Such as medical conditions, members of the family, medical devices need ie:pacemaker.
  • Photocopies of all important identification for you and your family, including health card numbers
  • Special items for babies, elderly, or disabled household members.
  • Cellphone & contact information for family and friends
  • Directions to Hospital & 2 alternate safe locations known to all family members.
  • Maps of your region
  • Matches & Candles in a deep can that will burn for many hours
  • Plant & Animal identification guide for your region

What should I keep for First Aid in my Vehicle?

An Emergency Car Kit is always a great idea for those who find themselves traveling or commuting to work frequently. This will help prepare your vehicle with an easily accessible kit that may assist during a sudden emergency or break down

Emergency Car Kit “Stocking List”

  • A battery-powered radio & flashlight with extra batteries or is “naturally chargeable
  • Survival Blanket
  • Booster “jumper” cables
  • Fire extinguisher
  • First Aid Kit
  • Bottled water & non-perishable high-energy foods “replace the water every six months with the food
  • Maps of your region
  • A shovel
  • Flares & Glow Sticks
  • Tire repair kit / pump
  • Matches & Candles in a deep can that will burn for many hours.

These kit “Stocking lists” are a good start to keeping your family prepared for emergencies. Many of the components can be easily purchased at your local Mega Mart, Sporting Goods Center and Pharmacy. For more information on what you can do to better prepare yourself and your family contact your local First Aid and Safety Training Schools.

In any emergency just remember to Protect Yourself!!! Call 911!!! Don’t Waste Time!!!

Swoop into First Aid and give a breath of Life, let first aid training in Edmonton be your Saving Grace.

#FirstAidKit #HowToMakeFirstAidKits #FirstAidKitStockingList #EmergencyCarKit #EmergencySuppliesKit #FirstAidKitPlacement #HowToStockFirstAidKits #FireSafetyTips #FirstAidCourse #FirstAidCourseEdmonton #H2SAlive #BasicLifeSupport #BLS #BLSforHCP #H2sAliveEdmonton #EnformH2S #BCLS #BCLSCourseEdmonton #ACLS #AdvancedCardiovascularLifeSupport #EMR #EmergencyMedicalResponder #NaturalDisasterKits #SurvivalKits