Planning for medical emergenciesPPlanning for medical emergenciesPlanning for medical emergenciesEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatment;Healthy living and preventionCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z

 

 

Planning for medical emergencies2956.00000000000Planning for medical emergenciesPlanning for medical emergenciesPEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatment;Healthy living and preventionCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z<p>An emergency plan will not ​only help your child with a tracheostomy tube but also help you feel more confident and in control when serious difficulties arise.</p><h2>Information for emergency personnel</h2><p>Preparing the information below will save you a lot of time and help you act quickly if needed.</p><table class="akh-table"><thead><tr><th>Your child's details</th></tr></thead><tbody><tr><td>First name:</td></tr><tr><td>Middle name:</td></tr><tr><td>Last name:</td></tr><tr><td>Date of birth:</td></tr><tr><td>Child's health card number:</td></tr><tr><td>Health insurance company and policy number, if any:</td></tr><tr><td>Other health insurance details, if any:</td></tr><tr><td>Child's allergies:</td></tr><tr><td>Street address:</td></tr><tr><td>City:</td></tr><tr><td>Postal code:</td></tr><tr><td>Home phone:</td></tr><tr><td>Cell phone:</td></tr><tr><td>Email:</td></tr></tbody></table><p></p><table class="akh-table"><thead><tr><th>Your child's tracheostomy equipment</th></tr></thead><tbody><tr><td>Make (Shiley/Bivona/other):</td></tr><tr><td>Size:</td></tr><tr><td>Type:</td></tr><tr><td>Cuffed/uncuffed:</td></tr><tr><td>Oxygen device:</td></tr><tr><td>Lpm:</td></tr><tr><td>SpO<sub>2</sub>:</td></tr><tr><td>Last tracheostomy tube change:</td></tr></tbody></table><p></p><table class="akh-table"><thead><tr><th colspan="6">Your child's ventilator settings (if they use a ventilator)</th></tr><tr><th colspan="2">Settings</th><th colspan="4">Prescription</th></tr></thead><tbody><tr><td rowspan="3">Mask type</td><td> Brand/model</td><td colspan="4"></td></tr><tr><td>Total/full/nasal</td><td colspan="4"></td></tr><tr><td>Size</td><td colspan="4"></td></tr><tr><td rowspan="2">Tracheostomy </td><td>Brand/type</td><td colspan="4"></td></tr><tr><td>Size</td><td colspan="4"></td></tr><tr><td> Dual prescription</td><td>On/Off</td><td colspan="4"></td></tr><tr><td>Circuit type</td><td>Active/passive</td><td colspan="4"></td></tr><tr><td style="width:117px;">Circuit size</td><td style="width:105px;">Paediatric/adult</td><td colspan="4"></td></tr><tr><td rowspan="2">Circuit tubing </td><td>Heated</td><td colspan="4"></td></tr><tr><td>Non-heated</td><td colspan="4"></td></tr><tr><td colspan="2"></td><td colspan="2">Daytime/chair settings </td><td colspan="2">Nighttime settings</td></tr><tr><td colspan="2"></td><td>S/T</td><td>PC-SIMV</td><td>S/T</td><td>PC-SIMV</td></tr><tr><td>AVAPS/tidal volume​</td><td>On/Off/mLs</td><td></td><td></td><td></td><td></td></tr><tr><td>IPAP/pressure</td><td>cmH<sub>2</sub>O</td><td></td><td></td><td></td><td></td></tr><tr><td>IPAP min/max pressure</td><td>cmH<sub>2</sub>O</td><td></td><td></td><td></td><td></td></tr><tr><td>EPAP/PEEP</td><td>cmH<sub>2</sub>O</td><td></td><td></td><td></td><td></td></tr><tr><td>Breath rate</td><td>bpm</td><td></td><td></td><td></td><td></td></tr><tr><td>Pressure support</td><td>cmH<sub>2</sub>O</td><td></td><td></td><td></td><td></td></tr><tr><td>Inspiratory time</td><td>seconds</td><td></td><td></td><td> <br> </td><td></td></tr><tr><td>Trigger type</td><td>Flow/Auto</td><td></td><td></td><td></td><td></td></tr><tr><td>Rise time</td><td>1-6</td><td></td><td></td><td></td><td></td></tr><tr><td>Trigger sensitivity</td><td>Lpm</td><td></td><td></td><td></td><td></td></tr><tr><td>Cycle sensitivity</td><td>%</td><td></td><td></td><td></td><td></td></tr><tr><td>Ramp length</td><td>0-45 mins/Off</td><td></td><td></td><td></td><td></td></tr><tr><th colspan="6">Alarms and options</th></tr><tr><td>Leak compensation</td><td>On/Off</td><td></td><td></td><td></td><td></td></tr><tr><td>Circuit disconnect</td><td>60 sec-Off</td><td></td><td></td><td></td><td></td></tr><tr><td>Apnea/apnea rate</td><td>60 sec-Off/bpm</td><td></td><td></td><td></td><td></td></tr><tr><td>Low/High Vte</td><td>mL</td><td></td><td></td><td></td><td></td></tr><tr><td>Low/high min vent</td><td>Lpm/Off</td><td></td><td></td><td></td><td></td></tr><tr><td>Low/high RR</td><td>bpm/Off</td><td></td><td></td><td></td><td></td></tr><tr><td>Oxygen</td><td>Lpm</td><td></td><td></td><td></td><td></td></tr><tr><td>Humidifier setting</td><td></td><td></td><td></td><td></td><td></td></tr></tbody></table><p></p><table class="akh-table"><thead><tr><th colspan="5">Mechanical in-exsufflation (CoughAssist) settings</th></tr><tr><th colspan="2">Set parameters</th><th>Preset 1</th><th>Preset 2</th><th>Preset 3</th></tr></thead><tbody><tr><td colspan="2">Mode</td><td></td><td></td><td></td></tr><tr><td>Cough trak</td><td>On/Off</td><td></td><td></td><td></td></tr><tr><td>Inhale pressure</td><td>+cmH<sub>2</sub>O</td><td></td><td></td><td></td></tr><tr><td>Inhale flow</td><td>low/medium/high</td><td></td><td></td><td></td></tr><tr><td>Inhale time</td><td>sec</td><td></td><td></td><td></td></tr><tr><td>Exhale pressure</td><td>-cmH<sub>2</sub>O</td><td></td><td></td><td></td></tr><tr><td>Exhale time</td><td>sec</td><td></td><td></td><td></td></tr><tr><td>Pause time</td><td>sec</td><td></td><td></td><td></td></tr><tr><td>Oscillation</td><td>inhale/exhale/both</td><td></td><td></td><td></td></tr><tr><td>Frequency</td><td>Hz</td><td></td><td></td><td></td></tr><tr><td>Amplitude</td><td>cmH<sub>2</sub>O</td><td></td><td></td><td></td></tr><tr><td colspan="2">Mask size</td><td></td><td></td><td></td></tr><tr><td colspan="5"> <strong>Prescribed treatment</strong></td></tr><tr></tr><tr><td colspan="2">Number of cough cycles per set:</td><td></td><td></td><td></td></tr><tr><td colspan="2">Number of sets per treatment:</td><td></td><td></td><td></td></tr><tr><td colspan="2">Number of treatments per day:</td><td></td><td></td><td></td></tr></tbody></table><p></p> <table class="akh-table"><thead><tr><th colspan="4">Your child's medications</th></tr><tr><th>Medication name</th><th>What the medication does</th><th>How much your child takes (in a single dose)</th><th>When your child takes it</th></tr></thead><tbody><tr><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td></tr><tr><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td></tr><tr><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td></tr><tr><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td></tr><tr><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td></tr><tr><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td></tr><tr><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td></tr><tr><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td></tr><tr><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td></tr><tr><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td><td><p> <br> </p></td></tr></tbody></table> <p></p><h2>Emergency planning in case of a fire or power failure</h2><p>Always have a working fire extinguisher, smoke detector and carbon monoxide detector in your home. It is also wise to record the details of your nearest fire department and your electricity provider.</p><h3>Fire extinguishers</h3><ul><li>Have two fire extinguishers in your home.</li></ul><h3>Smoke and carbon monoxide detectors</h3><ul><li>Have one working smoke detector and carbon monoxide detector on every level in your home, away from bathrooms, the kitchen, heating equipment and ceiling fans.</li><li>Change the batteries in your smoke and carbon monoxide detectors twice a year, for example when you change your clocks in the spring and the fall. Each time you change the batteries, write the date on the detectors.</li><li>Push the test button on the detectors once a month. If there is no alarm, replace the battery and test again. </li><li>Follow the manufacturer’s instructions for keeping the units free of dust so they can continue working properly.</li><li>Post a “No Smoking/Flame” sign, if your child uses oxygen.</li></ul><table class="akh-table"><thead><tr><th>Fire department</th></tr></thead><tbody><tr><td>Phone:</td></tr><tr><td>Nearest intersection to your home:</td></tr></tbody></table><p></p><table class="akh-table"><thead><tr><th>Electricity provider</th></tr></thead><tbody><tr><td>Name:</td></tr><tr><td>Phone:</td></tr><tr><td>Your account number:</td></tr><tr><td>Contact person:</td></tr><tr><td>Role:</td></tr></tbody></table><h2>Identifying the nearest acute care hospital</h2><p>In an emergency, it is important to know where your nearest hospital emergency department is located.</p><table class="akh-table"><thead><tr><th>Hospital</th></tr></thead><tbody><tr><td>Name:</td></tr><tr><td>Phone:</td></tr><tr><td>Address:<br> <p></p> <br> </td></tr><tr><td>Nearest intersection to hospital:</td></tr></tbody></table><p></p><h3>What equipment do I need to bring to the hospital in an emergency, if time permits?</h3><p>In an emergency you will have to leave your home quickly. Preparing a list of supplies and equipment will help.</p><p>Your list should include:</p><ul><li> <a href="/Article?contentid=2958&language=English">oxygen</a>, if needed</li><li> <a href="/Article?contentid=2963&language=English">oximeter and probes</a></li><li>travel ventilator<br></li><li>back-up batteries<br></li><li>emergency tracheostomy kit</li><li> <a href="/Article?contentid=2944&language=English">manual resuscitation bag</a></li><li>travel bag</li><li> <a href="/Article?contentid=2950&language=English">feeding supplies</a><br></li><li> <a href="/Article?contentid=2927&language=English">suctioning</a> equipment.</li></ul> ​​ <p></p> <a class="btn btn-primary" href="https://www.aboutkidshealth.ca/trachvent">Return to trach-vent learning hub</a><br>Planning for medical emergenciesTruehttps://www.aboutkidshealth.ca/Article?contentid=2957&language=Englishhttps://www.aboutkidshealth.ca/Article?contentid=2955&language=English

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.