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#79756 - 12/11/06 02:37 AM how to evacuate disabled person in the family?
picard120 Offline
Old Hand

Registered: 07/10/05
Posts: 763
How do you transport a disabled wheelchair person quickly for evacuation?
Katrina storm illustrated the weakness in evacuation plans of most families when there is a disabled member in the family. Most of these families were stuck behind in New orleans.

Is there some sort of transportation device that is more mobile than the wheelchair?

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#79757 - 12/11/06 02:48 AM Re: how to evacuate disabled person in the family?
Ors Offline
Namu (Giant Tree)
Addict

Registered: 09/16/05
Posts: 664
Loc: Florida, USA
One thing that may help is pulling the wheelchair instead of pushing it. This might be a little unsettling for the rider, but the big wheels in back are less likely to get snagged on bumps, debris , big cracks in the pavement or what not.

If the person has the phyical capabilities, perhaps one of those sit down hand pedeled bikes? That's probably a stretch though.

Not sure if that is any help, but thought I'd chime in anyway...moved a lot of wheelchairs in one of my jobs...learned a few tricks.

For short distances, if there are people strong enough to do it, the wheelchair can be carried by two or three people with the rider still in it...don't trip!
_________________________
Ors, MAE, MT-BC
Memento mori
Vulnerant omnes, ultima necat (They all wound, the last kills)

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#79758 - 12/11/06 10:02 AM Re: how to evacuate disabled person in the family?
311 Offline
Enthusiast

Registered: 03/12/06
Posts: 285
Loc: NY USA
Perhaps wheelchair mfgrs could add extension handles to the chair so that it could be pulled like a rickshaw.

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#79759 - 12/11/06 05:02 PM Re: how to evacuate disabled person in the family?
wildman800 Offline
Carpal Tunnel

Registered: 11/09/06
Posts: 2851
Loc: La-USA
Having a severely handicapped daughter AND living in Lousy-anna, I have some things to offer.
1. Common sense! It is a necessary ingredient to deal with any problem in a timely manner!
2. Be PROACTIVE! Don't rely on someone else to provide what your common sense tells you to plan and allow for!
3. If you don't have transportation and you live in a low lying area, call the local authorities (Police, Fire Department, State Social Services, etc.) and ask for assistance!
4. If you have transportation, open the car or truck door and work/climb your way into the seat. Relatives can help, especially if you can't drive! My handicapped friends can rely on me to come & get them.
5. If there is no room for the wheelchair, make a decision to either to put it in the safest place that you can OR stay with it and die quietly!
6. Accept responsibility for yourself and well-being. If you're waiting on the "Gummint gonna take care of me", don't complain when the accommodations are less than what you coulda, woulda done for yourself!

NOW, I'll get off of my soapbox!
_________________________
QMC, USCG (Ret)
The best luck is what you make yourself!

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#79760 - 12/12/06 12:54 AM Re: how to evacuate disabled person in the family?
KI6IW Offline
Enthusiast

Registered: 12/23/05
Posts: 203
Loc: San Francisco Bay Area, USA
Depending upon the situation, you might be able to use a stair chair to get them over the rough and tight spots, them put them back into the wheelchair. You would require some strong people, however.
_________________________
"We are not allowed to stop thinking"

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#79761 - 12/12/06 01:13 AM Re: how to evacuate disabled person in the family?
picard120 Offline
Old Hand

Registered: 07/10/05
Posts: 763
good idea 0311. By adding extension to handles of wheel chair would definitely facilitate faster movement of the wheelchair.

Do you think a SUV would be necessary to evacuate a disable person instead of using the car?

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#79762 - 12/12/06 07:24 AM Re: how to evacuate disabled person in the family?
ironraven Offline
Cranky Geek
Carpal Tunnel

Registered: 09/08/05
Posts: 4642
Loc: Vermont
Is there a particular degree of disability you have in mind?
_________________________
-IronRaven

When a man dare not speak without malice for fear of giving insult, that is when truth starts to die. Truth is the truest freedom.

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#79763 - 12/13/06 02:36 AM Re: how to evacuate disabled person in the family?
CJK Offline
Addict

Registered: 08/14/05
Posts: 601
Loc: FL, USA
Check this out.....I had seen things like this before....though I have not used one, it may be just what you are looking for.

http://www.pvcdme.com/9811/top_wheelchair.html

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#79764 - 12/13/06 06:06 AM Re: how to evacuate disabled person in the family?
311 Offline
Enthusiast

Registered: 03/12/06
Posts: 285
Loc: NY USA
It looks like it is made of pvc pipe. Perhaps one could be homemade.

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#79765 - 12/13/06 05:50 PM Re: how to evacuate disabled person in the family?
JimJr Offline
Member

Registered: 05/03/05
Posts: 133
Loc: Central Mississippi
The other day, someone was also thinking about moving his young child across uneven terrain (SHTF scenerio). That evening I just happened t o look through a Cabelas catalog and wound up looking at game carts & carriers. Maybe something like this would fit the bill?



JimJr

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#79766 - 12/13/06 07:40 PM Re: how to evacuate disabled person in the family?
picard120 Offline
Old Hand

Registered: 07/10/05
Posts: 763
this is good cart for moving elderly people over rough terrain which is not possible with standard wheel chair.

elderly parents can become disabled at later age. It is usually difficult to evacuate them before / in the after math of disaster.

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#79767 - 12/13/06 09:08 PM Re: how to evacuate disabled person in the family?
311 Offline
Enthusiast

Registered: 03/12/06
Posts: 285
Loc: NY USA
That's a good suggestion about the game carriers, since they are designed to move a heavy "disabled" animal across all sorts of terrain. When you get to the road, remember what you are doing & don't strap Grandpa to the hood of the truck! <img src="/images/graemlins/grin.gif" alt="" /> <img src="/images/graemlins/grin.gif" alt="" />

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#79768 - 12/14/06 03:24 AM Re: how to evacuate disabled person in the family?
Susan Offline
Geezer

Registered: 01/21/04
Posts: 5163
Loc: W. WA
Emergencies with disabled people need to be thought out well ahead of need. On foot overland, is simply out of the question.

Regular wheelchairs are bulky and heavy. You might consider getting a folding one like this http://support-mobility.drleonards.com/Support-Mobility/Wheelchairs/Deluxe-Travel-Chair/25056.cfm

My Mom had one of these and they are great. They're sturdy, they fold to 8" wide, and weigh just under 30 lbs. You want to have a flat gel pad to go with it. Yes, they have small wheels, but two people can lift the chair with occupant fairly easily if the person isn't too big. My sister and I carried Mom up steps in hers.

If the big wheelchair is something you need to keep handy, consider getting a carrier for it that fits on the back of the car, that either folds down or can be attached in a hurry.

If oxygen is an issue, try to have more than one source. The most common are the machines, but they do need electric. If there's a reasonable chance you will be evacuating to a site with power, take it. You might want to keep a portable unit for power outages and travel. I always kept 6 or 7 of the small tanks handy. The big ones are a real pain to deal with.

Medications are often critical. Murphy's Law says that a disaster will occur with minimal meds available. Try to get a supply at least 30 days ahead. Don't let anyone tell you that you can't do this. It's the insurance company that won't allow this, not your doctor or pharmacist or any law. Talk to the disabled person's doctor and explain what you want to do. The doctor will usually write out an extra prescription, but it has to be paid for as a non-insurance-covered item. Start with the most critical, on the doctor's advice.

Type out all the pertinent information on the patient's medical conditions, who the doctors are, their addresses, phones & fax numbers, SS info, current meds and dosages, and any
drug allergies. Label it as MEDICAL INFO FOR JANE SMITH with a red felt tip marker, and seal in a clear, waterproof container.

Keep enough special foods and favorite comfort foods in a quick-grab container. Consider stocking some Ensure.

Don't forget some entertainment, paperbacks, lg print books, books on tape, etc. My Mom loved those little $10 electronic poker machines. Got extra glasses? Take 'em all!

Favorite or special pillow, fuzzy blankets, water bottle, personal care items, lots of handi-wipes or bath-wipes, a roll of soft paper towels (like Viva).

Pay attention to what the person needs and uses every day, then be ready to provide it or a good substitute.

Always keep in mind that it's bad enough to be in a disaster situation -- how would you feel if you were disabled, too?

Sue


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#79769 - 12/14/06 04:31 PM Re: how to evacuate disabled person in the family?
Arney Offline
Pooh-Bah

Registered: 09/15/05
Posts: 2485
Loc: California
I have searched on this topic in the past and there is very little out there.

The only decent, profressionally done document I have ever run across is produced by the County of Los Angeles's Emergency Survival Program in conjunction with the American Red Cross. The ESP's website is www.espfocus.org. From here, you can drill down to various resources, including this webpage of lots of publications produced by ESP, many in Spanish. In particular, you might be interested in this booklet called "Emergency Preparedness: Taking Responsibility for Your Safety. Tips for People with Disabilities and Activity Limitations". A lot of it is general preparedness advice, and it does have a bunch of questions to get you to think about potential problem areas specifically for this population that you may not have thought of like "Can you give quick instructions about how to safely carry you if needed?" The information may seem obvious to you in your head, but if you have never actually tried or practiced explaining the info quickly and succintly to someone else, in a real emergency, you could fumble with your words, give conflicting info, etc. Anyway, I think it's a worthwhile resource for everyone to read through since we will all interact with people with mobility issues at some point.

Oh, here's the really sad thing about this valuable document. I remember hearing on the radio last year when this booklet was first produced that the county didn't budget enough money to actually reproduce and distribute the handbooks! As far as I know, unless more money was coughed up after that story came out, the Internet is the only widely accessible way to get this document. <shakes head>

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#79770 - 12/28/06 06:46 PM Re: how to evacuate disabled person in the family?
physics137 Offline
journeyman

Registered: 10/28/03
Posts: 64
Loc: New York City
In EMS we use a stair chair:

http://www.med-worldwide.com/media/JU-JSA800B.JPG

It's somewhat more maneuverable than a standard wheelchair, and significantly less weight.

Typical chairs such as the one above are rated at 400-500 lbs.

As the name implies, it can be used (by either 2 or 4 rescuers, preferably with a spotter in addition though this is not necessary) to carry a patient up or down a flight of stairs, wheel the patient along a flat surface, or carry the patient across an uneven surface.

But as another poster mentioned, if the patient is dependent on oxygen that is likely to be a much greater limitation. A standard D tank will only last 15 minutes or so if operating into a non-rebreather. Using a nasal cannula, maybe 45 minutes to an hour (I've never fully emptied a D tank through a cannula so I don't know for sure).

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