Showing posts with label storms. Show all posts
Showing posts with label storms. Show all posts

August 23, 2011

Are you prepared for disaster? My notes on storm survival

If you’ve seen the news recently, you know that emergencies can happen unexpectedly in communities just like yours, to people like you. We’ve seen tornado outbreaks, river floods and flash floods, historic earthquakes, tsunamis, and even water main breaks and power outages in U.S. cities affecting millions of people for days at a time and now Hurricane Irene is coming. Health care professionals need to be prepared for unexpected weather and emergencies.

I was never concerned about weather patterns beyond the four seasons of the New York City atmosphere. It’s worth noting that my grandmother was born just off the Savannah River in the night of a storm, she's lived in New York for over 75 years, but continues to pay close attention when joint pain and a distinct stiffness combine with an inner sense telling her body that a storm is coming soon. I remember her strict commands that all electrical appliances should be shut off and no one should talk on the phone. We’d sit quietly and still, far away from windows with shutters closed. When the clap of loud thunderstorms came, she’d say "hush now God's talking" eventually there would be storytelling about dark nights, lightening strikes, flooding, other disasters and lives lost in the her South Carolina homeland. We’d also listen to radio reports.

The changing temperatures and severity of recent natural disasters around the world now have me following weather patterns and my storytelling prompt is the memory of Hurricane Ivan. My reflective essay is published in The New Physician magazine conveys early reflections on the traumatic experience of Ivan. While many years have passed, a residue of emotions and feelings still surface under the right conditions. The sudden approach of certain hues of grey in the sky, the hint of a sweet smell of moisture in the air, winds whistling gently stirring trees refresh my memory. It was a warm, clear, blue sky day filled with sunshine when the forecast of Hurricane Ivan was announced. In the early hours looking at the dopplers on CNN, we thought the storm might pass despite technological and sensory intelligence to the contrary. Within moments, the daylight disappeared, darkness emerged and the power failed soon thereafter. The results:

“Catastrophic damage to Grenada and heavy damage to Jamaica, Grand Cayman, and the western tip of Cuba. After peaking in strength, the hurricane moved north-northwest across the Gulf of Mexico to strike Gulf Shores, Alabama as a strong Category 3 storm, causing significant damage. Ivan dropped heavy rains on the Southeastern United States as it progressed northeast and east through the eastern United States, becoming an extratropical cyclone.”

Ear-popping pressure systems created by the wind should not be under-estimated, you can be blown away, physically. The effect of continual downpours with rising tides can trigger a real threat to life when water is everywhere. Storm surges, high winds, tornadoes, and flooding are the hallmarks of hurricane hazards.

Are you prepared for disaster? “ Preparing for the Unexpected” is the course that I taught for the American Red Cross course, I continue to serve on a volunteer medical reserve corps and have Advanced Disaster Life Support certification. National Preparedness Month is in September, here's a foretaste using the resources and tools provided.

"Individuals and families are the most important members of the nation's emergency management team.” Craig Fugate, FEMA Administrator 

Here are my notes on family disaster plans:

  • Discuss the type of hazards that could affect your family. Know your home's vulnerability to storm surge, flooding and wind.
  • Locate a safe room or the safest areas in your home for each hurricane hazard. In certain circumstances the safest areas may not be your home but within your community.
  • Determine escape routes from your home and places to meet. These should be measured in tens of miles rather than hundreds of miles.
  • Have an out-of-state friend as a family contact, so all your family members have a single point of contact.
  • Make a plan now for what to do with your pets if you need to evacuate.
  • Post emergency telephone numbers by your phones and make sure your children know how and when to call 911.
  • Check your insurance coverage - flood damage is not usually covered by homeowners insurance.
  • Stock non-perishable emergency supplies and a Disaster Supply Kit.
  • Use a NOAA weather radio. Remember to replace its battery every 6 months, as you do with your smoke detectors.
  • Take First Aid, CPR and disaster preparedness classes.

Visit http://www.ready.gov for additional details follow these three steps.

1. Get a Kit: Keep enough emergency supplies on hand for you and those in your care – water, non-perishable food, first aid, prescriptions, flashlight, battery-powered radio – for a checklist of supplies visit Ready.gov.
2. Make a Plan: Discuss, agree on, and document an emergency plan with those in your care. Work together with neighbors, colleagues and others to build community resilience.
3. Be Informed: Free information is available to assist you from federal, state, local, tribal, and territorial resources. You can find preparedness information by: Accessing Ready.gov to learn what to do before, during, and after an emergency.
Police, fire and rescue may not always be able to reach you quickly, such as if trees and power lines are down or if they're overwhelmed by demand from an emergency. The most important step you can take in helping your local responders is being able to take care of yourself and those in your care; the more people who are prepared, the quicker the community will recover.

May 26, 2011

For Compassion

What did you do last weekend? Were you waiting. The world is still a place we call home, for now.  The smell of fear is in the air across America and also around the globe with Icelandic ash halting travel and increasing concerns about climate change and the environment. Streams of pictures moving across the news about Joplin along with more tornado watches and grim forecasts are disheartening.
It’s time for relief efforts.  It’s time for compassion. It’s time to come together.
You see the devastation and despair.  While we’re carrying on with our lives  trying to find peace of mind with routines, schedules and more to-do lists, we miss the opportunity to reckon. We overlook the ruin of others’ lives thinking that there are no consequences. The gravity of the physical destruction, the significant loss of lives has its effects. Our response or lack thereof will have an impact.  Consider the call for compassion
“ the ability to ‘feel with’ the other, is now essential—not only for the integrity of the religious enterprise, but for a healthy economy and the survival of our species”   

                                                                        —Karen Armstrong, The Charter for Compassion
Compassion should be our response for the relief of pain and suffering.


The turn of the economy and high rates of unemployment are having an impact  on many low- and moderate- income families are seeking unprecedented support from federal and state programs like Medicaid.  Kaiser Family Foundation just released the results of an independent survey revealing 60% Americans want to sustain Medicaid with funding and policies in place to guarantee coverage as well as set guidelines for benefits and eligibility, perhaps a sign of compassion.


We're all vulnerable especially during times of illness even with insurance some individuals require Medicaid to meet gaps in coverage.  Dr. Atul Gawande tweets about these results with some surprise.  I know that the sicker (and the poorer) you are the more likely you are to need Medicaid.  The high cost of treatment and specialists make Medicaid all the more relevant for access to health care.




Kaiser results indicate that "Americans have a strong attachment to Medicaid" with about half self-reporting that someone in their lives if not themselves has received Medicaid benefit --  69 million people will be covered by Medicaid this year.  Most Americans see Medicaid as a resource they would use if needed.




This weekend we’ll remember loved ones and honorable lives.  Families will come together.  Stories and sermons of hope and faith will be told to bring us closer.  Plan to offer and/or accept the invitation for healing and love.
Need help?  Click here to download the Charter for Compassion.


June 01, 2010

Spending the Night with Ivan: Revisiting Lessons in Storm Survival

It’s the first day of  Hurricane season.  My urban life experiences never gave me reason to be concerned with weather patterns beyond the four seasons of the New York City atmosphere.  Yet, my grandmother was born and raised just off the Savannah River, she demands that all the electricity be shut off and sits still away from closed windows in her home when loud thunderstorms come, she says "hush now God's talking" eventually she gets around to her own storytelling of lighting strikes, flooding and lives lost.  She pays attention when joint pain, sudden stiffness and an inner sense indicate that a storm is coming soon.  The changing temperatures and severity of recent natural disasters around the world have me now following weather patterns. My fascination turned compulsion is also driven by a personal experience embedded in my psyche, a long summer night in a catastrophic hurricane. It changed my world perspective and awakened something within me.
My field report published in The New Physician magazine conveyed early reflections on the traumatic experience as I was in the first days of medical school when Ivan hit. While many years have passed, a residue of emotions and feelings still surface under the right conditions.  The sudden approach of certain hues of grey in the sky, the hint of a sweet smell of moisture in the air, winds whistling gently stirring trees refresh my memories.  It was a warm, clear, blue sky day filled with sunshine when the forecast of Hurricane Ivan was announced and in the early hours looking at the dopplers on CNN, we thought the storm might pass even with technological and sensory intelligence to the contrary. Within moments, the daylight disappeared, darkness emerged and the power failed soon thereafter.  Category 5 Hurricane Ivan results:
“Catastrophic damage to Grenada and heavy damage to Jamaica, Grand Cayman, and the western tip of Cuba. After peaking in strength, the hurricane moved north-northwest across the Gulf of Mexico to strike Gulf Shores, Alabama as a strong Category 3 storm, causing significant damage. Ivan dropped heavy rains on the Southeastern United States as it progressed northeast and east through the eastern United States, becoming an extratropical cyclone.”
The ear-popping pressure systems created by the wind should not be underestimated, it’s hard to imagine that you can be physically blown away.  The effect of continuos downpours with rising tides, water can trigger a real threat to life.  Storm surges, high winds, tornadoes, and flooding are the hallmarks of hurricane hazards.
Storm stories make me shiver, but The Moth Podcast of Deborah Scaling Kiley's storytelling “Lost at Sea” is struck with true meaning on what survive storms means in finding purpose in life. You can listen also at http://bit.ly/96gNjO  

She's author of The Sinking and No Victims Only Survivors: Ten Lessons of Survival and a survivor of a near-death shipwreck and shark attack. 
I still love spending time by the sea as well as swimming, returning to the water again has been a healing process of overcoming fears, letting go of control issues and finding the power of simple pleasures in life. I’ve been meaning to watch the Disney nature movie documentary Oceans to review the amazing cycle that water and wind work to produce in our natural weather system. Our encounters with nature can speak into our situations with truth and purpose so that we can see beyond our lives and look into the world finding purpose as well meaning in life.

Final note - Preparing for the Unexpected
I teach the American Red Cross course “Preparing for the Unexpected” and have been certified in the American Medical Association's Basic and Advanced Disaster Life Support courses.  You should do what you can to prepare. Here are some tips you can follow:

Family Disaster Plan
  • Discuss the type of hazards that could affect your family. Know your home's vulnerability to storm surge, flooding and wind.
  • Locate a safe room or the safest areas in your home for each hurricane hazard. In certain circumstances the safest areas may not be your home but within your community.
  • Determine escape routes from your home and places to meet. These should be measured in tens of miles rather than hundreds of miles.
  • Have an out-of-state friend as a family contact, so all your family members have a single point of contact.
  • Make a plan now for what to do with your pets if you need to evacuate.
  • Post emergency telephone numbers by your phones and make sure your children know how and when to call 911.
  • Check your insurance coverage - flood damage is not usually covered by homeowners insurance.
  • Stock non-perishable emergency supplies and a Disaster Supply Kit.
  • Use a NOAA weather radio. Remember to replace its battery every 6 months, as you do with your smoke detectors.
  • Take First Aid, CPR and disaster preparedness classes.

For additional details visit www.hurricanes.gov/prepare

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