1. 1 Emergencies Entry-level Training Module I Lesson Four

2. 2 Emergency Preparedness Before CPR, First Aid Training, stock First Aid Kit Emergency Information Emergency/Evacuation/Disaster Plan During Call 911 Stay calm! Get a flashlight, portable/cell phone, first aid kit, battery- powered radio, children’s emergency cards After Accident/Injury Log Help children cope

3. 3 Emergency Plan (part 1) Reporting/handling the following incidents: Lost or missing child Child maltreatment (physical, sexual, neglect) Injuries requiring medical/dental care Death of child or staff member (even when death occurs outside of child care hours) Serious illness requiring hospitalization

4. 4 Emergency Plan (part 2) Procedures to manage the following: How to transport child and staff to hospital, and providing substitute for staff. Posting names/numbers of emergency medical care, dental care, poison control. Periodic re-supply of first aid kits and other emergency supplies. Evacuation in case of a fire, gas leak, etc. Survival in case of blizzard or power outage, etc.

5. 5 Identifying Emergencies Severe bleeding Signs of shock * pale/cool/clammy skin, increased perspiration confusion/anxiety/restlessness weakness, rapid/shallow breathing Abnormal or no breathing Signs of poisoning * Unusual appearance, behavior, sights, noises, odors, or conditions

6. 6 Bleeding Call 911 if bleeding cannot be stopped. Follow Universal Precautions Latex gloves, sterile materials Apply pressure Elevate only if no sign of possible fracture. Use of ice pack, wrapped in towel, may slow bleeding.

7. 7 Shock Call 911 Assess ABCs (airway, breathing, circulation) Identify cause and treat cause first. Elevate feet, if no sign of possible fracture. Keep person warm, give no food, fluids, or medication. (If thirsty, moisten lips/tongue) Stay calm and with the victim until help arrives.

8. 8 Absence of breathing Call 911 Assess ABCs Begin rescue breathing, CPR, or Heimlich maneuver as needed and continue until victim recovers or help arrives

9. 9 Poisoning Do NOT make the child vomit. Try to determine the type of poisoning. Call Poison Control or 911 and follow their instructions. Lie the victim down on his/her side. Monitor the victim closely, continually assess the ABCs.

10. 10 Other emergencies Whenever you encounter anything out of the ordinary, that doesn’t seem right, take a second to assess the situation BEFORE reacting. You don’t want to be the next victim! Possible examples: Electrocution, robbery in progress, gas leak, etc.

11. 11 Disasters Stay calm Determine if evacuation (get out) or survival (stay put) plan is needed Locate first aid kit, flashlights, cell phone, battery operated radio, children’s emergency cards. If evacuating, let parents know where you’ll be. If staying put, locate food, water, and blankets, etc.

12. 12 After the emergency is over… Help children cope Document all injuries/incidents Restock emergency supplies Take care of your needs

13. 13 Helping Children Cope Model calmness Monitor children’s emotional needs Reassure children Listen to fears and feelings Re-establish routines as quickly as possible Understand regression, continue monitoring and reassuring