At the end of this chapter, you will be able to:
- review your child's medical emergency plan
- describe what to do in the event of a fire or power failure
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.
Information for emergency personnel
Preparing the information below will save you a lot of time and help you act quickly if needed.
Your child's details |
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Name: |
Date of birth: |
Child's health card number: |
Insurance company and policy number, if any: |
Other health insurance details, if any: |
Reason for tracheostomy: |
Child's medical history: |
Child's allergies: |
Street address: |
City: |
Postal code: |
Home phone: |
Cell phone: |
Emergency contact numbers: |
Primary care team name and contact numbers: |
Email: |
Other: |
Your child's medications | |||
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Medication name | What is the medication for? | How much your child takes (in a single dose) | When your child takes it |
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Your child's tracheostomy equipment |
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Make/brand (Shiley/Bivona/other): |
Size: |
Type: |
Cuffed/uncuffed:
If cuffed:
How many mL of air or water in the cuff when it is inflated: _____ mL |
Suction Catheter sizes for current size tracheostomy tube and one size smaller:
_____________FR _____________FR |
What does your child wear over their tracheostomy tube (indicate type, if needed)
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Oxygen devices for home and travel:
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Litre per minute (Lpm) of oxygen prescribed:
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Oxygen saturation (SpO2) goal range: __________to___________%: |
Dates of previous tracheostomy tube changes:
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Respiratory vendor information:
Name: ___________________________ Phone number: ____________________ Location: _________________________ Website (some vendors allow online ordering): _________________________ |
Other: |
Your child's ventilator settings (if they use a ventilator) | |||||
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Settings | Prescription | ||||
Tracheostomy | Brand/type | ||||
Size | |||||
Dual prescription | On/Off | ||||
Circuit type | Active/passive/other Disposable or reusable | ||||
Circuit size | Paediatric/adult | ||||
Circuit tubing | Heated
Auto feed water bag and canister setup? Y/N | ||||
Non-heated | |||||
Inline suction | Yes/No
If yes, indicate size | ||||
Settings below are for the commonly used Trilogy ventilator. Use the empty boxes below to fill in settings that are not here or different on your child’s ventilator. | Daytime/chair settings | Nighttime settings | |||
Mode | |||||
Dual prescription | |||||
AVAPS/tidal volume | On/Off/mLs | ||||
IPAP/inspiratory pressure | cmH2O | ||||
IPAP min/max pressure | cmH2O | ||||
EPAP/PEEP | cmH2O | ||||
Breath rate | bpm | ||||
Pressure support | cmH2O | ||||
Inspiratory time | seconds |
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Trigger type | Flow/Auto | ||||
Rise time | 1-6 | ||||
Trigger sensitivity | Lpm | ||||
Cycle sensitivity | % | ||||
Ramp length | 0-45 mins/Off | ||||
Alarms and options | |||||
Circuit disconnect | 60 sec-Off | ||||
Apnea/apnea rate | 60 sec-Off/bpm | ||||
Low/High Vte | mL | ||||
Low/high min vent | Lpm/Off | ||||
Low/high RR | bpm/Off | ||||
Oxygen | Lpm | ||||
Humidifier setting and/or type of inline HME |
Mechanical in-exsufflation (CoughAssist) settings | ||||
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Set parameters | Preset 1 | Preset 2 | Preset 3 | |
Mode | ||||
Cough trak | On/Off | |||
Inhale pressure | +cmH2O | |||
Inhale flow | low/medium/high | |||
Inhale time | sec | |||
Exhale pressure | -cmH2O | |||
Exhale time | sec | |||
Pause time | sec | |||
Oscillation | inhale/exhale/both | |||
Frequency | Hz | |||
Amplitude | cmH2O | |||
Mask size or tracheostomy adaptor | ||||
Prescribed treatment | ||||
Number of cough cycles per set: | ||||
Number of sets per treatment: | ||||
Number of treatments per day: |
Emergency planning in case of a fire or power failure
Always have a working fire extinguisher, smoke detector and carbon monoxide detector in your home. It is wise to record the details of your nearest fire department and your electricity provider. Notify your nearest fire department if you have oxygen in your home and notify your electricity provider that you have medical equipment at home.
Fire extinguishers
- Have two fire extinguishers in your home.
Smoke and carbon monoxide detectors
- 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.
- 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.
- Push the test button on the detectors once a month. If there is no alarm, replace the battery and test again.
- Follow the manufacturer’s instructions to keep the units free of dust so they can continue working properly.
- Post a "No Smoking/Flame" sign, if your child uses oxygen.
Fire department |
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Phone: |
Nearest intersection to your home: |
Electricity provider |
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Name: |
Phone: |
Your account number: |
Contact person: |
Role: |
Identifying the nearest acute care hospital
In an emergency, it is important to know where your nearest hospital emergency department is located.
Hospital |
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Name: |
Phone: |
Address: |
Nearest intersection to hospital: |
What equipment do I need to bring to the hospital in an emergency, if time permits?
In an emergency you will have to leave your home quickly. Preparing a list of supplies and equipment will help.
Your list should include:
- oxygen, if prescribed for your child
- oximeter and probes
- travel/chair vent/backup ventilator with travel circuit and inline HME
- CoughAssist machine, if your child has one
- back-up batteries
- emergency tracheostomy kit (Go kit) including manual suction setup
- suctioning machine and supplies
- manual resuscitation bag with mask(s)
- pre-prepared travel bag
- feeding supplies
- medications
- charged cell phone
- hand sanitizer
- bag for soiled supplies
- medical gloves
- child’s care plan including contact list