Field guide
The Survival Guide
What to do before, during and after the things that knock out the ordinary: storms, floods, fires and earthquakes, long power and phone outages, nuclear and radiation emergencies, and getting lost outdoors. Read it here for free. Members can print it whole or a section at a time, and bind their own copy.
In an emergency, call 911 (or your local emergency number) first. This guide is not a substitute for training: take a first aid and CPR class from the Red Cross or the American Heart Association.
Make your own bound copy
- Download the whole guide as a PDF, or print it on letter paper, double-sided.
- Pages already leave a wider inside margin for binding. A print or copy shop can spiral-bind it with clear and card covers for a few dollars.
- Or punch it for a three-ring binder, so you can reprint one chapter when it is updated.
- Fill in the pages at the back by hand, and keep one copy in your kit.
Regional editions
The big local hazards, with your region's agencies, maps and alerts.
- Cascadia (Pacific Northwest)Washington, Oregon, Northern California, British Columbia
- TexasTexas
- Hurricanes: Gulf and Atlantic coastsTexas, Louisiana, Mississippi, Alabama, Florida, Georgia, South Carolina, North Carolina, Virginia
- Tornado Alley and Dixie AlleyTexas, Oklahoma, Kansas, Nebraska, Missouri, Arkansas, Louisiana, Mississippi, Alabama, Tennessee, Kentucky, Georgia
- CaliforniaSan Francisco Bay Area, Greater Los Angeles, San Diego County, Inland Empire, Central Coast, Central Valley, Sierra foothills, North Coast and wine country
- New Madrid Seismic ZoneSoutheast Missouri, including the Bootheel, Cape Girardeau and St. Louis, Northeast and central Arkansas, including Jonesboro and Little Rock, West Tennessee, including Memphis, Western Kentucky, including Paducah, Southern Illinois, including Cairo and the Wabash Valley, Southwest Indiana, including Evansville, North Mississippi
- AlaskaAnchorage and Mat-Su, Kenai Peninsula and Prince William Sound, Fairbanks and the Interior, Juneau and Southeast, Kodiak, Alaska Peninsula and the Aleutians, Western and Arctic Alaska, Off-road and rural communities, Backcountry and national parks
- HawaiʻiHawaiʻi Island (Big Island), Maui, Molokaʻi, Lānaʻi, Oʻahu, Kauaʻi, Niʻihau
Make a Plan and Build a Kit
Your family may be apart when something happens. Decide now how you will get warnings, how you will reach each other, where you will meet, and what supplies you will live on for several days.
Sit down and make the plan
A plan is a short set of decisions everyone in the house knows ahead of time. Ready.gov says to talk through five things together: how you will get alerts, where you will shelter, how you will evacuate, how you will stay in touch, and whether your kit needs updating.
- Meet as a household and answer those five questions out loud.
- Look at what your household actually needs: ages, medical needs and prescriptions, medical equipment, disabilities, diet, languages spoken, pets or service animals, and school-age children.
- Write it down. Ready.gov has a free fill-in Family Emergency Communication Plan form. Record each person's phone numbers, schools, workplaces and caregivers, emergency contacts, meeting places, and medical details such as doctors, allergies, prescriptions, insurance, and the make and serial number of any assistive device.
- Practice it, including a drill where you actually go to a meeting place.
Also learn the plans at places your family spends time, like school, daycare and work, and how pick-up works there in an emergency.
Meeting places and an out-of-town contact
- Pick a meeting spot in your neighborhood, for example a neighbor's porch or a street corner, for sudden events like a house fire.
- Pick a second spot outside your neighborhood in case you cannot get home.
- Choose places that are safe, familiar and easy to reach. If you have pets or a service animal, pick places that allow them.
- Choose one out-of-town contact everyone checks in with. A person outside your area may be easier to reach when local lines are jammed.
- Give everyone a small contact card for a wallet, backpack or purse. Review the numbers from time to time.
- Anyone without a cell phone should carry coins or a prepaid phone card and know how to use it.
Text, don't talk. Unless you are in immediate danger, send a text. Texts often get through when calls do not, and they leave lines open for 911 (or your local emergency number). Teach everyone in the house how to text.
How you will get warnings
- Wireless Emergency Alerts (WEA): short alerts sent to phones in an affected area. They look like a text, with a special sound and vibration. They are free, need no sign-up, and are not slowed by network congestion. Check your phone settings; some phones label them "Government Alerts" or "Emergency Alerts", and very old phones may not get them.
- Emergency Alert System (EAS): warnings broadcast over TV and radio, including cable and satellite.
- NOAA Weather Radio: a nationwide network that broadcasts weather information from your nearest National Weather Service office 24 hours a day, 7 days a week. It also carries non-weather emergency alerts. Get one with a tone alert so it can wake you.
- Sign up for alerts from your local emergency management office. The FEMA app can send alerts for up to five locations.
The basic supply kit
Plan to get by on your own for several days. Ready.gov's basic kit:
- Water: one gallon per person per day, for several days (for drinking and sanitation)
- Food: at least a several-day supply of non-perishable food
- Manual can opener
- Battery-powered or hand-crank radio, plus a NOAA Weather Radio with tone alert
- Flashlight (one for each person is better)
- Extra batteries
- First aid kit
- Whistle to signal for help
- Dust mask to help filter contaminated air
- Plastic sheeting, scissors and duct tape for sheltering in place
- Moist towelettes, garbage bags and plastic ties for sanitation
- Wrench or pliers to turn off utilities
- Local paper maps
- Cell phone with chargers and a backup battery
Extras for your household, and keeping the kit fresh
- Babies: infant formula, bottles, diapers, wipes, diaper rash cream
- Medicines: prescription medicines, plus over-the-counter pain relievers, anti-diarrhea medicine, antacids or laxatives
- Older adults and anyone with medical needs: prescription glasses and contact lens solution, extra medicine, and a written list of devices, doctors and dosages. Ask your doctor for a plan for powered medical devices and medicine that must stay cold.
- Pets: pet food and extra water
- Documents: copies of insurance policies, ID and other key family papers, saved electronically or kept in a waterproof, portable container
- Keep canned food somewhere cool and dry.
- Store boxed food in tightly closed plastic or metal containers.
- Replace anything that has expired.
- Once a year, rethink your needs and update the kit as your family changes.
- Ready.gov: Build a Kit (https://www.ready.gov/kit)
- Ready.gov: Make a Plan (https://www.ready.gov/plan)
- Ready.gov: Emergency Alerts (https://www.ready.gov/alerts)
- Ready.gov: Family Emergency Communication Plan form (https://www.ready.gov/plan-form)
- National Weather Service: Communications Plan (https://www.weather.gov/owlie/communicationsplan)
Water
How much water to store, where to find more inside your home, and how to make doubtful water safe to drink.
How much to store
Water runs out before food does. A normally active adult drinks about three quarters of a gallon a day, and in very hot weather that need can double. The rest of the daily amount goes to basic washing.
| Item | Amount |
|---|---|
| Per person, per day | At least 1 gallon (drinking and sanitation) |
| Minimum supply | 3 days |
| Better supply | 2 weeks, if you can manage it |
| Family of 4, 3 days | 12 gallons |
| Family of 4, 2 weeks | 56 gallons |
- Someone pregnant or sick
- Pets
- A hot climate, or a summer emergency
Storing water
Sealed, store-bought bottled water is the simplest choice. Keep it in its original container in a cool, dark place. If you fill your own containers, use food-grade water storage containers and clean them first.
- Wash the container and cap with dish soap and rinse with clean water.
- Mix 1 teaspoon of unscented liquid household bleach (5% to 9% sodium hypochlorite) into 1 quart (4 cups) of water.
- Pour the mix into the container, cap it, and shake so it touches every inside surface.
- Wait at least 30 seconds, then pour it out.
- Fill with clean tap water and cap tightly.
- Label it "drinking water" with the date you filled it.
- Keep stored water between 50°F and 70°F.
- Replace water you bottled yourself every 6 months.
- Do not open sealed store-bought water until you need it.
Finding water already in your home
If local officials tell you the water supply is contaminated, you may need to shut off your main water valve. That keeps bad water out of your pipes and protects the water already inside your house.
- Your water heater tank (the one that feeds your faucets and showers, not a heating system tank).
- Melted ice cubes, if the ice was made from clean water.
- The toilet tank (not the bowl), only if the water is clear and has never had a tank cleaner or colored tablet in it.
- The liquid packed in canned fruits and vegetables.
- Swimming pools and spas.
- Collected rainwater, unless you treat it first (see below).
- Toilet bowl water.
- Radiators or hot water boilers that are part of the home heating system.
- Waterbeds. Fungicides added to the water and chemicals in the vinyl can make it unsafe.
- Any water that may contain fuel or toxic chemicals.
Water from outdoors (rain, streams, rivers, ponds, lakes, springs) must be treated before you drink it. Floods can also contaminate well water.
Boiling and bleach do not make water with fuel, toxic chemicals, heavy metals, salts or radioactive material safe. Use another source and call your local health department.
Making water safe: boiling
Boiling is the best way to kill germs. If the water is cloudy, let it settle and pour off the clear water, or strain it through a clean cloth, paper towel or coffee filter first.
- Bring clear water to a full rolling boil.
- Keep it boiling for 1 minute.
- Above 6,500 feet elevation, boil for 3 minutes. (EPA uses 5,000 feet as the cutoff, so if you live above 5,000 feet, boil for 3 minutes to be safe.)
- Let it cool.
- Store it in clean, sanitized containers with tight lids.
Distilling also removes germs and many other contaminants. Fill a pot halfway, tie a cup to the lid handle so it hangs upright inside the pot without touching the water, and boil for 20 minutes. The water that drips into the cup is distilled.
Making water safe: bleach, tablets and filters
Use plain, unscented household chlorine bleach. If the label has instructions for treating drinking water, follow them. If not, find the sodium hypochlorite percentage on the label (usually 5% to 9% in the US) and use the table below.
| Water | 5% to 9% bleach | 1% bleach |
|---|---|---|
| 1 quart or 1 liter | 2 drops (0.1 mL) | 10 drops (1/2 mL, or 1/8 tsp) |
| 1 gallon | 8 drops (1/2 mL, a little under 1/8 tsp) | 40 drops (2 1/2 mL, or 1/2 tsp) |
| 5 gallons | 40 drops (2 1/2 mL, or 1/2 tsp) | 200 drops (12 1/2 mL, or 2 1/2 tsp) |
- If the water is cloudy, murky, colored or very cold, double the amount in the table.
- Add the bleach and stir.
- Wait at least 30 minutes before drinking.
- Smell it. It should have a slight bleach odor.
- No odor? Add the same dose again and wait another 15 minutes.
- Still no odor after the second dose? Throw it out and find another source.
- If the taste is too strong, pour it back and forth between two clean containers and let it sit a few hours.
Iodine: 2% tincture of iodine works too. Add 5 drops per quart or liter (10 drops if cloudy or colored), stir, and wait at least 30 minutes.
Skip iodine if you are pregnant, have a thyroid problem or are sensitive to iodine. No one should drink iodine-treated water for more than a few weeks.
- Disinfection tablets (chlorine, iodine or chlorine dioxide) come in different strengths. Follow the label exactly.
- Chlorine and iodine do not kill Cryptosporidium, a common parasite. Chlorine dioxide does, if used as directed.
- Portable filters do not remove viruses. Choose one rated to remove bacteria (absolute pore size 0.3 micron or smaller) and parasites (1 micron or smaller), then add a chemical disinfectant afterward.
- Sunlight works as a last resort. Fill clear plastic bottles with clear water and lay them on their side in direct sun for 6 hours, or 2 days if it is cloudy.
Until water is treated, do not use it to drink, brush teeth, wash dishes, make ice, cook or mix baby formula.
- Ready.gov: Water (https://www.ready.gov/water)
- CDC: Make Water Safe During an Emergency (https://www.cdc.gov/water-emergency/about/index.html)
- CDC: How to Create and Store an Emergency Water Supply (https://www.cdc.gov/water-emergency/about/how-to-create-and-store-an-emergency-water-supply.html)
- CDC: How to Find Clean Water in an Emergency (https://www.cdc.gov/water-emergency/about/how-to-find-clean-water-in-an-emergency.html)
- EPA: Emergency Disinfection of Drinking Water (https://www.epa.gov/ground-water-and-drinking-water/emergency-disinfection-drinking-water)
Food
What to keep on the shelf, how to rotate it, and how to tell which refrigerated and frozen food is still safe after the power goes out.
What to store
Keep at least a several-day supply of food that needs no refrigeration, no cooking and little or no water. Buy food your household already eats. A crisis is a bad time to learn you hate something.
- Ready-to-eat canned meat, fish, fruit and vegetables
- Canned juice
- Shelf-stable (non-perishable) pasteurized milk
- Peanut butter
- Protein bars, fruit bars and other high-energy foods
- Dry cereal or granola
- Dried fruit
- Comfort foods that ease stress, especially for children
- A manual can opener and eating utensils
- Special diets, allergies and medical needs in your household
- Infant food. Ready-to-feed formula needs no water. If you must mix powder, use bottled water, or boiled water as a last resort.
- Pet food
Store-bought canned food is already cooked. You can eat it straight from the can.
Storing and rotating
- Keep canned food in a cool, dry place.
- Keep boxed food in tightly sealed plastic or metal containers to keep out moisture and pests.
- Check dates and replace expired items.
- Rotate: eat the oldest items in normal meals and put new purchases at the back.
- Review your supply once a year, and whenever your household changes (a new baby, a new diet, a new pet).
Power outage: refrigerator and freezer
Germs multiply fast between 40°F and 140°F. Your goal is to keep cold food at 40°F or below for as long as you can. Keep the doors shut. Every opening lets cold out.
| Appliance | Normal setting | Safe for about |
|---|---|---|
| Refrigerator | 40°F or below | 4 hours |
| Full freezer | 0°F or below | 48 hours |
| Half-full freezer | 0°F or below | 24 hours |
- Keep an appliance thermometer in both the refrigerator and the freezer, so you know the real temperature instead of guessing.
- Dry ice extends the time. 25 pounds keeps a 10 cubic foot freezer below freezing for 3 to 4 days.
- Handle dry ice with dry, heavy gloves, and do not let it touch food directly.
Keep or throw out
- Check the refrigerator thermometer.
- Throw out perishable food (meat, poultry, fish, eggs, milk, leftovers) that has been above 40°F for 2 hours or more, or that sat in a refrigerator without power for more than 4 hours.
- Throw out any food left at room temperature for 2 hours or more.
- Check the freezer. Thawed food that still has ice crystals, or that is at 40°F or below, can be refrozen or cooked.
- Throw out anything that looks or smells abnormal.
Never taste food to find out if it is safe. When in doubt, throw it out.
Canned food and floods
- Bulging or swollen
- Dented, damaged or corroded
- Open
- Spurting liquid or foam when opened
A damaged can may still look fine inside. Throw it out anyway. Also discard any food that looks or smells wrong, even if the can looks normal.
After a flood, throw out any food in cardboard packaging that touched floodwater, including juice, milk and baby formula boxes. Undamaged cans can be saved.
- Remove the labels.
- Wash the cans and rinse them in clean water.
- Sanitize: soak for 15 minutes in 1 cup of unscented bleach per 5 gallons of water, or boil the cans for 2 minutes.
- Let them air dry.
- Relabel with a permanent marker, including the expiration date, and use them soon.
Cooking without power
- Indoors you can warm food with candle warmers, chafing dishes, fondue pots or a fireplace.
- To heat food in its can, remove the label, wash and disinfect the can, and open it before heating.
Charcoal grills and camp stoves are for outdoor use only. Indoors they can kill you with carbon monoxide.
- Ready.gov: Food (https://www.ready.gov/food)
- CDC: Keep Food Safe After a Disaster or Emergency (https://www.cdc.gov/food-safety/foods/keep-food-safe-after-emergency.html)
- CDC: How to Safely Clean and Sanitize with Bleach (https://www.cdc.gov/natural-disasters/safety/how-to-safely-clean-and-sanitize-with-bleach.html)
- Ready.gov: Build a Kit (https://www.ready.gov/kit)
Sanitation
How to keep hands clean, set up an emergency toilet, disinfect surfaces and hold waste safely when water or sewer service fails.
Why it matters
After a disaster, illness often spreads through human waste. Floodwater and broken sewers carry germs that make people sick if swallowed or if they reach a cut. Clean hands and a sealed toilet system are how you break that chain.
- Open wounds and rashes exposed to contaminated water can become infected. Keep them clean and covered with a waterproof bandage.
- Get medical care for a wound that turns red, swells or oozes.
- See a doctor if anyone develops vomiting or diarrhea. Call 911 (or your local emergency number) if someone seems seriously ill.
Handwashing
Soap and water is the best way to remove germs. If tap water is unavailable or unsafe, set up a handwashing station with a large water jug, and use water that has been boiled or disinfected if officials advise it.
- Wet your hands with clean running water, turn off the tap and apply soap.
- Rub to a lather, covering the backs of your hands, between fingers and under nails.
- Scrub for at least 20 seconds (hum "Happy Birthday" twice).
- Rinse well under clean running water.
- Dry with a clean towel or let them air dry.
- After using the toilet, emptying an emergency toilet or changing a diaper
- Before, during and after preparing food, and before eating
- Before and after caring for someone who is sick
- Before and after treating a cut
- After touching garbage, animals or animal waste
- After blowing your nose, coughing or sneezing
When soap and water are not available, use hand sanitizer with at least 60% alcohol.
Sanitizer does not kill every germ, works poorly on visibly dirty or greasy hands and may not remove chemicals. Wash with soap and water as soon as you can.
Emergency toilet
Which setup you need depends on what failed.
| Situation | What to do |
|---|---|
| Water is off, sewer still works | Flush by pouring stored water into the bowl |
| Sewer is broken, toilet is intact | Empty the bowl and line it with a heavy plastic bag |
| Toilet cannot be used | Use a bucket lined with a plastic bag |
- One or more 5-gallon plastic buckets with tight-fitting lids
- Heavy-duty plastic liners (5 to 6 gallon size) and twist ties
- A toilet seat, bought or cut from an old chair, to fit the bucket
- Liquid household bleach, or portable toilet chemicals from an RV supply store
- Cornstarch or another dry material to absorb liquid
- A large covered garbage can (at least 10 gallons) with a heavy liner
- Toilet paper, soap, baby wipes, gloves and hand sanitizer
- Line the bucket (or the empty toilet bowl) with a heavy-duty bag.
- After each use, add a small amount of cornstarch and disinfectant.
- Mix the disinfectant at 1 part liquid bleach to 10 parts water (for example, 1 cup bleach to 10 cups water).
- When the bag is ready, tie it securely.
- Put it in the large lined garbage can and close the lid.
- Wash your hands.
Do not flush if water or sewer lines may be damaged. Do not dig a hole for a toilet: raw sewage can pollute groundwater. Never use dry bleach, and never use pool chlorine products dry. Products meant to be mixed with water can be dangerous dry.
Disinfecting surfaces
Use regular, unscented household bleach (5% to 9% sodium hypochlorite). Clean off dirt first, then apply the solution, then let surfaces air dry.
| Use | Bleach | Water |
|---|---|---|
| Food-contact surfaces (counters, plates) | 1 tablespoon | 1 gallon |
| Hard surfaces that do not touch food (floors, sinks, tools, some toys) | 1 cup | 5 gallons |
| Undamaged food cans | 1 cup | 5 gallons |
| Mold on hard surfaces | 1 cup | 1 gallon |
Never mix bleach with ammonia or any other cleaner. The fumes can be deadly. Open windows and doors, and wear rubber gloves, boots and eye protection.
Garbage and waste storage
- Keep bagged toilet waste separate from food waste, in a large covered garbage can with a liner.
- Keep lids on tight to hold in odor and keep out flies and animals.
- Store garbage cans outside the living space if you can.
- Wear gloves when handling waste bags and wash hands afterward.
- Follow local officials for pickup. Many cities announce how and where to drop off waste bags after a disaster.
- CDC: When and How to Wash Your Hands (https://www.cdc.gov/clean-hands/about/index.html)
- CDC: Personal Hygiene During an Emergency (https://www.cdc.gov/water-emergency/safety/guidelines-for-personal-hygiene-during-an-emergency.html)
- CDC: How to Safely Clean and Sanitize with Bleach (https://www.cdc.gov/natural-disasters/safety/how-to-safely-clean-and-sanitize-with-bleach.html)
- Anchorage Office of Emergency Management: Emergency Sanitation (https://muni.org/Departments/OEM/Prepared/Pages/EmergencySanitation.aspx)
- Wayne County (MI) Emergency Management: Sanitation in an Emergency (https://www.waynecountymi.gov/Government/Departments/Homeland-Security-Emergency-Management/Homeland-Security/Sanitation-in-an-Emergency)
Evacuation
Know where you would go and how you would get there before you ever need to. When officials say leave, leave early, take your go-bag, and stick to the official routes.
Plan your way out now
- Learn your local evacuation zone and routes from your state or county emergency management website.
- Pick several places to go in different directions, such as a friend's home in another town, a motel, or a designated shelter.
- If you have pets, find pet-friendly places ahead of time. Public shelters generally accept only service animals.
- Know alternate routes, and other ways out if you do not drive.
- Keep at least half a tank of gas at all times. Fill up when an evacuation looks likely, because gas stations may close or lose power to pump.
- Keep a small emergency kit in the car.
- Ask local officials which shelters will be open this year.
The go-bag
Your go-bag is the portable part of your kit (see Make a Plan and Build a Kit). Keep it where everyone knows to find it.
- Go-bag or emergency supply kit
- Battery-powered radio
- Sturdy shoes
- Protective clothing: long pants, long-sleeved shirt, hat
- Medicines and copies of key documents
- Phone, chargers and backup battery
- Pets and their food, water and supplies
- Extra supplies for a longer trip if you are driving
When to leave and how to travel
Follow the instructions of local officials. Leave early enough that bad weather does not trap you. Be ready to evacuate on foot if you must.
- Use the recommended evacuation routes. Do not take shortcuts; they may be blocked.
- Watch for washed-out roads and bridges and downed power lines.
- Do not drive into flooded areas.
- If you can, take one car per family to reduce traffic.
Never drive into floodwater, and stay clear of downed power lines.
Before you lock the door
- Call or email your out-of-town contact and tell them where you are going.
- Close and lock all doors and windows.
- Unplug electrical equipment such as TVs, radios and small appliances.
- Leave the refrigerator and freezer plugged in unless there is a risk of flooding.
- If your home is damaged and officials tell you to, shut off water, gas and electricity.
- Leave a note saying when you left and where you are going.
- Check whether neighbors need a ride.
Shelter in place or evacuate?
Officials decide which one is safer for your area, so listen for their instructions on the radio, TV or a phone alert. Sometimes the safer choice is to stay put, for example during a tornado warning or when the air outside is badly contaminated. Sometimes it is to leave.
If you go to a public shelter, expect crowded and difficult conditions. Bring your kit plus soap, hand sanitizer and disinfecting wipes. To find an open shelter, text SHELTER and your ZIP code to 43362 (standard rates apply), or use the FEMA app.
- Ready.gov: Evacuation (https://www.ready.gov/evacuation)
- Ready.gov: Shelter (https://www.ready.gov/shelter)
- Ready.gov: Build a Kit (https://www.ready.gov/kit)
First Aid Basics
What to do first, how to stop severe bleeding, hands-only CPR, choking, burns, shock, and suspected broken bones, plus what to keep in a home first-aid kit.
First things first
This chapter is a reminder, not a substitute for training. Take a hands-on class from the American Red Cross, the American Heart Association, or Stop the Bleed. Practicing on a manikin or a training tourniquet is what makes these steps work under stress.
- Check that the scene is safe for you. Do not become a second patient. Look for traffic, fire, downed power lines, or an angry animal before you go in.
- Check the person. Tap their shoulder and shout. Look for normal, regular breathing and for heavy bleeding.
- Call 911 (or your local emergency number), or point at one person and tell them to call. Put the phone on speaker so the dispatcher can coach you.
- Send someone for an AED and a first-aid kit if they are nearby.
- Give care for the most dangerous problem first: not breathing, or bleeding that is spurting or will not stop.
- Stay with the person until help arrives. Keep them from getting too cold or too hot and keep watching their breathing.
Wear disposable gloves if you have them. If you do not, a plastic bag over your hand or having the person press on their own wound lowers your contact with blood.
Severe bleeding
Bleeding is life-threatening when blood is spurting or flowing steadily, or when the amount on the ground is about half a soda can or more (less in a small child). A person can die from blood loss within minutes, so act right away and call 911.
- Find where the blood is coming from. Open or cut away clothing if you need to.
- Put a dressing on the wound: gauze, a clean cloth, or a T-shirt. Use bleeding-control (hemostatic) gauze if you have it. Use your bare hand if nothing else is available.
- Press hard and steadily straight down on the wound, with the injured part on a firm surface. Use both hands and lean your weight in.
- Do not keep lifting to peek. Hold pressure until the bleeding stops, a tourniquet goes on, someone takes over, or help arrives.
- If blood soaks through, leave the first pad in place. You may add one pad on top, but do not pull the first one off.
- Use packing for heavy bleeding from the neck, shoulder, armpit, groin, back, or scalp, or from an arm or leg when you have no tourniquet.
- Open the clothing and wipe away pooled blood so you can see into the wound.
- Push gauze (hemostatic gauze is best, plain gauze or clean cloth also works) firmly into the wound with your fingers. Keep feeding it in until the wound is full.
- Press hard on top with both hands and keep pressing until medical responders take over.
- Place the tourniquet 2 to 3 inches above the wound, between the wound and the heart. Never place it on a joint (elbow or knee) or on top of the wound. If the wound is just below a joint, go above the joint.
- Pull the strap as tight as you can and fasten it.
- Twist the rod (windlass) until the bleeding stops. Keep twisting even if the person says it hurts. A tourniquet that works is painful, so warn them.
- Clip or lock the rod so it cannot untwist.
- If the first tourniquet is as tight as it will go and bleeding has not stopped, put a second one just above the first, closer to the body.
- Note the time it went on and tell the responders.
Once a tourniquet is on, do not loosen it or take it off. Only medical professionals should remove it. Leave any object stuck in a wound in place; pad around it and, if a tourniquet is needed, put it above the object.
A store-bought tourniquet with a windlass works far better than an improvised one. If you keep one, keep it where you can reach it fast and learn to use it in a Stop the Bleed class.
Hands-only CPR and the AED (adults)
Use this when an adult or teen collapses, does not respond, and is not breathing or is only gasping. Hands-only CPR means chest compressions without rescue breaths. If you are trained in full CPR with breaths, use your training.
- Call 911 or have someone call. If you are alone, call first and put the phone on speaker. Send someone for an AED.
- Lay the person on their back on a firm, flat surface. Kneel beside their chest.
- Put the heel of one hand in the center of the chest with your other hand on top. Lace your fingers and keep them off the ribs.
- Shoulders directly over your hands, elbows locked, arms straight.
- Push hard and fast: at least 2 inches (5 cm) deep, 100 to 120 pushes per minute. Let the chest come all the way back up after each push.
- Do not stop. Keep going until the person shows obvious signs of life, an AED is ready, help takes over, or you are too exhausted to go on.
- If someone else can help, switch every 1 to 2 minutes with as little pause as possible.
- Turn it on as soon as it arrives and follow the voice prompts. You do not need to be trained to use one.
- Bare the chest and wipe it dry if it is wet. Remove a bra if you can.
- Put one pad on the upper right chest and the other on the lower left side, a few inches below the armpit. If the pads would touch, put one on the center of the chest and one on the back between the shoulder blades.
- Plug in the pad cable if needed. Say "Clear!" loudly and make sure nobody touches the person while it analyzes.
- If it advises a shock, say "Clear!" again and press the shock button.
- Right after the shock, or if no shock is advised, start compressions again immediately.
If the person is lying in water, move them out first. An AED is safe to use in rain or snow. Do not delay to remove jewelry, but avoid placing pads directly over it or over a visible implanted device. Broken ribs can happen during compressions; they heal, and they are not a reason to stop.
Choking (adult or child over 1 year)
Signs of a blocked airway: hands at the throat, weak or no cough, high-pitched squeaking or no sound, cannot speak, and skin turning pale or blue. If the person can cough hard or talk, encourage them to keep coughing and stay with them.
- Have someone call 911.
- Stand to the side and slightly behind the person. Put one arm across their chest and bend them forward at the waist.
- Give 5 firm, separate back blows between the shoulder blades with the heel of your hand.
- If that does not clear it, stand behind them. Find the navel with two fingers, make a fist with your other hand, and place the thumb side just above your fingers.
- Cover your fist with your other hand and give 5 hard, separate thrusts inward and upward.
- Keep alternating 5 back blows and 5 abdominal thrusts until they can cough, cry, or speak, or until they become unresponsive.
- Pregnant, or too large to get your arms around: give chest thrusts instead of abdominal thrusts.
- If the person goes limp: lower them to the floor, make sure 911 has been called, and start CPR beginning with compressions.
- Only remove an object you can actually see in the mouth. Never sweep blindly with a finger; it can push the object deeper.
- Choking and alone: call 911 (an open line brings help even if you cannot talk), then give yourself abdominal thrusts or press your belly hard against the back of a chair. Avoid sharp edges.
- Anyone who needed thrusts should be checked by a doctor afterward.
Burns
- Stop the burning. Move away from the heat source. For electrical burns, make sure the power is off before you touch the person.
- Take off rings, watches, and clothing near the burn unless they are stuck to the skin.
- Hold the burn under clean, cool running water for 5 to 20 minutes. Lukewarm water is fine if that is all you have. With no running water, use a cool compress.
- Chemical or electrical burns: brush off dry powder, then flush with cool running water for at least 15 minutes.
- Cover loosely with a clean, dry, non-stick dressing. Do not use an adhesive bandage on the burn.
- When cooling a large area, especially on a child, watch for signs of getting too cold.
- Ice or ice water. It can damage the skin further.
- Butter, oil, mayonnaise, petroleum jelly, or other greasy home remedies. They trap heat.
- Do not pop blisters, and do not try to clean a severe burn.
Call 911 for burns that are deep (skin looks white, brown, or black), cover a large area, wrap around a limb, the chest, or the neck, or are on the face, hands, feet, joints, or groin. Also call for any electrical, chemical, or explosion burn, a burn in a very young or elderly person, or anyone who breathed in smoke. A small electrical burn can hide serious internal injury.
Shock
Shock means the body is not getting enough blood flow. It often follows severe bleeding, a severe allergic reaction, or any serious injury, and it gets worse over time. Call 911 for anyone who shows these signs.
- Fast, weak heartbeat
- Fast breathing
- Pale, gray, cool, or clammy skin
- Confused, restless, irritable, or not responding
- Nausea or vomiting
- Extreme thirst
- Call 911. Treat the cause if you can, such as stopping the bleeding.
- Lay the person flat on their back. If there is no sign of injury to the head, neck, back, or legs, raise their feet about 6 to 12 inches, unless another position is more comfortable for their breathing.
- If they are drowsy, vomiting, or you have to leave them, roll them onto their side (recovery position).
- Keep them at a comfortable temperature. Cover them with a blanket if they are cold.
- Do not give anything to eat or drink.
- Talk to them calmly and keep checking their breathing and alertness.
Sprains and suspected broken bones
You cannot tell a bad sprain from a break without an X-ray, even if the person can move the limb. Treat every bone, joint, or muscle injury as a possible fracture.
- Have the person rest and keep the injured part still. Do not straighten it or test whether it moves.
- If you need to keep it still for a while, splint it in the position you found it. Use a rolled newspaper, a board, or a folded blanket, and immobilize the joint above and below the injury.
- If the skin is broken and bleeding, apply direct pressure and cover the wound. Do not push a bone back in.
- For a closed injury, put a cold pack wrapped in a thin towel on it for no more than 20 minutes, then wait 20 minutes before applying it again. Do not use heat.
- Check circulation beyond the injury: the hand or foot should be warm, a normal color, and have feeling. Ask about numbness or tingling.
- If you are not calling 911, get the person seen by a doctor.
Call 911 if the limb is bent or deformed, bone shows through the skin, there is heavy bleeding, the area below the injury is cold, pale, blue, or numb, the injury is to the head, neck, back, pelvis, hip, or upper leg, there are signs of shock, or you cannot move the person safely. With a possible head, neck, or back injury, tell them not to move and leave them where they are unless the scene is unsafe or you must give CPR or stop bleeding.
A basic home first-aid kit
- 2 large absorbent compress dressings (5 x 9 inches)
- 25 adhesive bandages, assorted sizes
- 1 roll of cloth adhesive tape
- 5 sterile gauze pads (3 x 3 inches) and 5 sterile gauze pads (4 x 4 inches)
- 1 gauze roller bandage (3 inches) and 1 roller bandage (4 inches)
- 2 triangular bandages (for slings and splints)
- 5 antiseptic wipe packets and 5 antibiotic ointment packets
- 2 hydrocortisone ointment packets
- 2 packets of 81 mg aspirin
- 1 instant cold compress
- 1 emergency blanket
- 1 CPR breathing barrier with a one-way valve
- 2 pairs of non-latex gloves
- Tweezers and an oral thermometer (non-mercury, non-glass)
- Printed first-aid instructions
- A commercial windlass tourniquet and bleeding-control (hemostatic) gauze, once you have learned to use them
- Trauma shears or scissors
- Any prescription medicines your household depends on
Check the kit a couple of times a year. Replace anything used up or past its date.
- American Red Cross: Life-Threatening External Bleeding (https://www.redcross.org/take-a-class/resources/learn-first-aid/bleeding-life-threatening-external)
- American Red Cross: How to Apply a Tourniquet (https://www.redcross.org/take-a-class/resources/articles/how-to-apply-a-tourniquet)
- Stop the Bleed (Uniformed Services University / DoD) (https://stopthebleed.usuhs.edu/)
- American Red Cross: Hands-Only CPR for Adults (https://www.redcross.org/take-a-class/cpr/performing-cpr/hands-only-cpr)
- American Red Cross: Choking (Adult/Child) (https://www.redcross.org/take-a-class/resources/learn-first-aid/adult-child-choking)
- American Red Cross: Burns (https://www.redcross.org/take-a-class/resources/learn-first-aid/burns)
- American Red Cross: AED Steps (https://www.redcross.org/take-a-class/aed/using-an-aed/aed-steps)
- American Red Cross: Shock (https://www.redcross.org/take-a-class/resources/learn-first-aid/shock)
- American Red Cross: Fractures (https://www.redcross.org/take-a-class/resources/learn-first-aid/fractures)
- American Red Cross: Anatomy of a First Aid Kit (https://www.redcross.org/get-help/how-to-prepare-for-emergencies/anatomy-of-a-first-aid-kit.html)
- MedlinePlus: Bleeding (https://medlineplus.gov/ency/article/000045.htm)
- MedlinePlus: Adult CPR (https://medlineplus.gov/ency/article/000013.htm)
- MedlinePlus: Choking (https://medlineplus.gov/ency/article/000049.htm)
- MedlinePlus: Burns (https://medlineplus.gov/ency/article/000030.htm)
- MedlinePlus: Shock (https://medlineplus.gov/ency/article/000039.htm)
- MedlinePlus: Broken bone (https://medlineplus.gov/ency/article/000001.htm)
- American Burn Association: Burn First Aid (https://www.ameriburn.org/patients/burn-first-aid)
Heat and Cold Emergencies
How to spot and care for hypothermia, frostbite, heat exhaustion, heat stroke, and dehydration, and when each one needs 911.
Hypothermia
Hypothermia means the body's core temperature has dropped below 95°F (35°C). Cold air or water causes it, but so can long exposure to wind, rain, wet clothes, or sweat on a day that is not very cold. It is a medical emergency.
- Shivering, pale skin, cold to the touch
- Fumbling hands, slurred speech, memory loss, drowsiness, exhaustion
- Confusion, a glassy stare, or not caring about their situation
- Shivering that stops as things get worse
- Stiff muscles, slow or no breathing, slow or no heartbeat, not responding
Call 911 if the person is confused, has stopped shivering, is breathing slowly, or is not responding, or if their temperature is below 95°F. Do not assume someone found still and cold is dead. Start CPR if they are not breathing, and keep warming them during CPR.
- Move them somewhere warmer. If you cannot get indoors, block the wind and get them off the cold ground.
- Take off wet clothing and dry them.
- Put on dry clothes, including a hat, gloves, and socks. Wrap them in dry blankets, with plastic sheeting outside if you have it. Cover the head and neck.
- Warm the core first: chest, neck, and groin. Skin-to-skin contact under dry layers works.
- If you are far from medical help, you can use warm-water bottles or heating pads, but always wrap them in a thin dry cloth first.
- If they are alert and can swallow, give small sips of a warm drink without alcohol or caffeine, such as broth or warm water.
- Handle a severely cold person gently and with little effort on their part. Keep checking breathing until help arrives.
- Rewarm fast. Rapid rewarming can cause dangerous heart rhythms.
- Put hot water, a heat lamp, or an unwrapped heating pad directly on the skin.
- Give alcohol. It makes the body lose heat faster.
- Give anything by mouth to someone who is not fully awake.
Frostbite
Frostbite is frozen skin and the tissue beneath it, most often on fingers, toes, ears, nose, and cheeks. Because the area goes numb, people often do not notice it. Redness or pain can be the first warning.
- Numbness, or pins and needles that turn to no feeling
- Skin that is white, grayish-yellow, blue, or red
- Skin that feels hard, unusually firm, or waxy
- Blisters or blackened skin in severe cases
Blisters, black skin, or any sign of hypothermia need emergency care: call 911. Treat hypothermia first, because it is the bigger threat to life.
- Move the person somewhere warm. Remove wet clothing and any rings or tight jewelry from the area.
- If medical care is close, wrap the area loosely in dry, sterile dressings, put gauze between affected fingers or toes, and get them there.
- Do not walk on frostbitten feet unless you have to.
- If care is far away and the area will not refreeze, rewarm it in warm water that feels about body temperature to your hand, not hot (the Red Cross says no hotter than about 104°F / 40°C). Keep it in until normal color, warmth, and feeling come back.
- If you have no warm water, let it thaw in warm room air or against the person's own warm skin, such as fingers held in an armpit.
- After rewarming, cover it loosely with a dry, sterile bandage, with gauze between fingers or toes. Move the area as little as possible.
- Get the person checked by a doctor.
- Rub or massage the area. It damages the tissue more.
- Thaw it if there is any chance it will freeze again. Refreezing causes worse damage, so wait until you are somewhere warm and safe.
- Use a fire, stove, radiator, heat lamp, heating pad, or hair dryer. Numb skin burns easily.
- Break blisters.
Heat exhaustion and heat stroke
Heat exhaustion happens when the body loses more fluid through sweat than it takes in. If it is not treated it can turn into heat stroke, where the body's cooling system shuts down. Heat stroke can kill, and delay makes it worse.
| Heat exhaustion | Heat stroke | |
|---|---|---|
| Skin | Cool, moist, pale or gray, sometimes flushed | Hot; may be red and dry or still damp |
| Sweating | Heavy | May be little or none |
| Mind | Normal alertness, though dizzy or faint | Confused, slurred speech, seizure, or passes out |
| Pulse | Fast and weak | Fast |
| Other signs | Headache, nausea or vomiting, weakness, cramps, fainting | Throbbing headache, nausea, dizziness; body temperature 103°F or higher |
| What to do | Move to a cool place, loosen clothing, cool wet cloths, sip fluids | Call 911, then cool the person as fast as possible |
| When to call 911 | If they vomit, cannot drink, get confused, or do not improve within about an hour | Always, right away |
- Move them to a cooler place with moving air, ideally air conditioning.
- Loosen or remove extra clothing.
- Put cool, wet cloths on the skin or spray with cool water, and fan them.
- If they are awake and can swallow, have them sip a cool sports drink, coconut water, milk, or water. Not too fast.
- Let them rest lying down. Watch closely for signs of heat stroke.
- If they get worse, vomit, cannot keep fluids down, or become confused, call 911, stop giving fluids, and roll them on their side.
- Call 911 first.
- Start cooling right away while you wait. The best method is to put the person in cold water up to the neck.
- If you cannot do that, use a cold shower, ice packs, cold wet towels or sheets, or mist them with water and fan them. Combine methods if you can.
- Keep cooling until they are no longer confused, their condition improves, or responders take over.
- Do not give anything to drink to a person with heat stroke.
- Heat cramps are painful spasms in the legs, arms, or belly from losing fluid and salt in sweat. Stop activity, rest, sip a sports drink or water, and gently stretch and massage the muscle. Get help if cramps last more than an hour.
- Do not use salt tablets. They can make dehydration worse.
- Do not give aspirin or acetaminophen to bring down heat-illness temperature, and do not use alcohol rubs.
- A fan alone can make a person hotter when it is very hot out. The CDC advises using fans only when indoor temperatures are below 90°F; use water on the skin along with the fan.
Dehydration
- Thirst, dry or sticky mouth and lips
- Peeing less, and dark yellow urine
- Headache, muscle cramps, feeling tired or cranky
- Little or no urine, or very dark amber urine
- Dizziness or lightheadedness, fast heartbeat, fast breathing
- Confusion, unusual sleepiness, or passing out
- Sunken eyes; skin that stays tented when pinched
- Cannot keep fluids down, or vomiting or diarrhea for more than a few days
- Signs of shock or heat stroke
- Give small, frequent sips of water, an oral rehydration solution, or a sports drink. Increase the amount slowly as it stays down.
- Avoid sugary, caffeinated, and alcoholic drinks.
- Keep the person out of the heat and from getting chilled.
- Pale, nearly odorless urine is a sign they are getting enough.
Babies and young children lose fluid faster and cannot get a drink for themselves. Call a doctor if a child has not peed in more than 6 hours, an infant has had no wet diaper in 3 or more hours, or a child cries without tears.
This chapter does not replace hands-on training. A Red Cross first-aid class covers heat and cold emergencies with practice.
- American Red Cross: Hypothermia (https://www.redcross.org/take-a-class/resources/learn-first-aid/hypothermia)
- American Red Cross: Frostbite (https://www.redcross.org/take-a-class/resources/learn-first-aid/frostbite)
- American Red Cross: Heat Stroke (https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-stroke)
- National Weather Service: Heat Illness (https://www.weather.gov/safety/heat-illness)
- CDC: Preventing Hypothermia and Frostbite (Winter Weather) (https://www.cdc.gov/winter-weather/prevention/index.html)
- MedlinePlus: Dehydration (https://medlineplus.gov/ency/article/000982.htm)
- American Red Cross: Heat Exhaustion (https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion)
- American Red Cross: Dehydration (https://www.redcross.org/take-a-class/resources/learn-first-aid/dehydration)
- MedlinePlus: Hypothermia (https://medlineplus.gov/ency/article/000038.htm)
- MedlinePlus: Frostbite (https://medlineplus.gov/ency/article/000057.htm)
- MedlinePlus: Heat emergencies (https://medlineplus.gov/ency/article/000056.htm)
- CDC: Heat and Health (https://www.cdc.gov/heat-health/about/index.html)
Natural Disasters
What to do before, during and after an earthquake, flood, hurricane, tornado, wildfire, winter storm or heat wave.
Earthquake
- Practice Drop, Cover, Hold On with everyone in your home.
- Strap down or anchor bookcases, TVs, the refrigerator, the water heater and anything hung on walls. Keep heavy or breakable things on low shelves.
- Keep a kit with several days of food and water, a flashlight, a fire extinguisher and a whistle.
- Pick an out-of-state contact and a place to meet if your family gets separated.
- Standard homeowner's insurance does not cover earthquake damage. Look into earthquake coverage if you live in a risk area.
- Drop onto your hands and knees right where you are.
- Cover your head and neck with one arm. Crawl under a sturdy table or desk if one is close. If not, get beside an interior wall away from windows and stay low, bent over.
- Hold on until the shaking stops. Under a table, grip it with one hand and be ready to move with it. With no shelter, cover your head and neck with both arms.
- Indoors: stay inside. Do not run outside and do not stand in a doorway.
- In bed: roll face down and cover your head and neck with a pillow.
- Driving: pull over, stop and set the parking brake.
- Outdoors: move to an open spot away from buildings, trees, streetlights and power lines, then Drop, Cover, Hold On.
- Wheelchair or walker: lock the wheels, get as low as you safely can, cover your head and neck with your arms, a book or a pillow, and hold on.
- Expect aftershocks. Drop, Cover, Hold On each time.
- Leave a damaged building quickly and do not go back in.
- Watch for gas or water leaks and downed power lines.
- If you are trapped, text, or bang on a pipe or wall. Use a whistle instead of shouting and cover your mouth with your shirt against dust.
- Near the coast, go inland or to high ground as soon as the shaking stops in case of a tsunami.
- Text rather than call, to keep lines open and save battery.
Flood
Turn Around, Don't Drown. Six inches of fast-moving water can knock an adult off their feet. Twelve inches of rushing water can carry away most cars, and two feet can carry away SUVs and trucks. Never walk, swim or drive into floodwater.
More than half of flood drownings happen when someone drives into dangerous water. The road under the water may already be washed out, so never drive around a barricade.
- Sign up for local alerts and get a weather radio.
- Homeowner's policies usually exclude flooding. Flood insurance typically takes up to 30 days to start, so do not wait for a storm.
- Plan your evacuation route and where you and your pets will go.
- Move valuables up high and keep drains and gutters clear.
- If told to evacuate, leave right away.
- Stay off bridges over fast-moving water.
- If your car is caught in fast water, stay inside. If water rises inside the car, get onto the roof.
- If trapped in a building, go to the highest floor. Do not go into a closed attic, where you could be trapped. Go onto the roof only if you must, and signal for help.
- Go home only when officials say it is safe.
- Stay out of floodwater. It can carry sewage, chemicals and debris, and downed power lines can electrify it.
- Do not touch wet electrical equipment. Shut off power only if you can do it safely.
- Watch for snakes and other animals.
- Run a generator only outdoors, away from windows.
- For cleanup wear heavy gloves, boots and a mask. Children should not help clean up, and people with asthma or weak immune systems should stay out of moldy buildings.
Hurricane
Hurricanes bring wind, heavy rain, flooding and tornadoes, often far inland from the coast.
- Find out if you live in an evacuation zone. Learn and practice the route, and decide where you will stay.
- Bring in outdoor furniture and clear drains and gutters.
- Pack medicine, pet supplies and copies of IDs and insurance papers in a go bag. You may go days or weeks without stores.
- Charge your phone and backup batteries once a storm is forecast.
- Check on older neighbors and anyone who may need help getting ready.
- If officials order your zone to evacuate, go right away.
- For high winds, shelter in a storm shelter or a small interior room.
- If water rises, go to the highest floor. Do not go into a closed attic.
- Do not walk, swim or drive through floodwater.
- Follow instructions from local officials.
- Do not touch wet electrical equipment or anything electrical while standing in water. If it is safe, turn off power at the main breaker.
- Text instead of calling so lines stay open for emergencies.
- Photograph damage for your insurance company.
Tornado
| Alert | What it means | What to do |
|---|---|---|
| Tornado Watch | Tornadoes are possible in a large area. | Review your plan, check supplies and your safe spot, and be ready to move fast. |
| Tornado Warning | A tornado has been seen or shows on radar. Danger is close. | Take shelter now. |
- A rotating, funnel-shaped cloud.
- An approaching cloud of debris.
- A loud roar like a freight train.
- Go to a safe room, storm shelter or basement. If you have none, go to a small interior room with no windows on the lowest floor of a sturdy building.
- Stay away from windows, doors and outside walls.
- Cover your head and neck with your arms. Pull blankets or a mattress over you for more protection.
- Mobile homes, sheds and cars are not safe. Get to the nearest sturdy building.
- In a car with no shelter nearby, you can stay buckled in with your head below the windows and covered, or get out and lie in a ditch or other spot clearly lower than the road. Never shelter under a bridge.
- Stay clear of fallen power lines.
- Keep listening to a weather radio or local officials for updates.
- Wear thick-soled shoes, long pants and work gloves for cleanup.
Wildfire
- Keep the area within at least 30 feet of your home clear of leaves, debris and anything that burns easily.
- Have a hose long enough to reach every part of your property.
- Choose one room you can close off from outside air, and have a portable air cleaner for smoke.
- Learn your evacuation routes, practice them with your pets, and choose where you will go.
- Keep a go bag with a first aid kit, N95 masks and phone chargers.
- Check air quality at AirNow.gov.
- If officials tell you to evacuate, go right away.
- If you are trapped, call 911 (or your local emergency number) and give your location. Help may be delayed. Turn on lights so rescuers can see you.
- For smoke: wear an N95 mask, stay in your closed-off room, and set your air system to recirculate.
- Do not go home until officials say it is safe.
- Stay away from hot ash, burned trees and smoldering debris. The ground can hide hot pockets.
- Wear long sleeves, long pants, gloves, thick-soled shoes and a respirator for cleanup. Wet debris down to keep dust low.
Winter Storm
- Seal drafts and learn how to keep pipes from freezing.
- Install and test smoke alarms and carbon monoxide alarms with battery backup, on every level of your home.
- Stock several days of supplies in case the power goes out, including medicine and batteries.
- Car kit: jumper cables, sand, flashlight, warm clothes, blankets, water and snacks. Keep the gas tank full.
- Under a Winter Storm Warning, get to shelter right away.
- Stay off the roads. If you are stuck in your car, stay inside it.
- Dress in layers and limit time outdoors.
- Go easy shoveling snow. Overexertion can bring on a heart attack.
Carbon monoxide has no color or smell and can kill. Never heat your home with a gas stove or oven. Use generators and grills only outdoors, at least 20 feet from windows, doors and attached garages.
| Problem | Signs | What to do |
|---|---|---|
| Frostbite | Numbness; white or grayish-yellow skin; skin that feels firm or waxy. Usually face, fingers, toes. | Get to a warm room. Soak in warm water or warm with body heat. Do not rub it or use a heating pad. |
| Hypothermia | Shivering, exhaustion, confusion, fumbling hands, memory loss, slurred speech, drowsiness. Body temperature below 95°F is an emergency. | Get to a warm room. Warm the chest, neck, head and groin first. Keep the person dry and wrapped in warm blankets, head and neck included. |
Extreme Heat
Extreme heat means high heat and humidity, with temperatures above 90°F for at least two to three days.
- Never leave a person or pet in a closed car on a warm day.
- Do not count on a fan to cool you down. It moves air but does not lower body temperature in serious heat. If you have no air conditioning, go to a cooling center, library or mall.
- Drink plenty of fluids and take cool showers.
- Wear loose, light-colored clothes and a wide-brimmed hat. Stay in the shade.
- Avoid hard work or exercise outside in the middle of the day.
- Check on older adults and neighbors.
- Give pets water and shade. Hot pavement can burn their paws.
| Problem | Signs | What to do |
|---|---|---|
| Heat cramps | Painful cramps in the legs or belly, heavy sweating. | Press firmly on or gently massage the muscle. Give sips of water unless the person feels sick to their stomach. Get medical help if cramps last over an hour. |
| Heat exhaustion | Heavy sweating; cool, pale, clammy skin; fast, weak pulse; weakness; dizziness; headache; nausea or vomiting; fainting. | Move to a cooler place. Loosen clothes. Use cool wet cloths or a cool bath. Give sips of water. Get medical help right away if they vomit, get worse, or it lasts over an hour. |
| Heat stroke | Body temperature above 103°F; hot, red, dry or damp skin; fast, strong pulse; confusion; slurred speech; fainting. | Call 911 (or your local emergency number) now. Move them somewhere cooler and cool them with cold wet cloths or a cool bath, or ice packs on the neck, armpits and groin. Do not give them anything to drink. |
Heat stroke is a life-threatening emergency. Call for help first, then start cooling.
- Ready.gov: Earthquakes (https://www.ready.gov/earthquakes)
- Ready.gov: Floods (https://www.ready.gov/floods)
- National Weather Service: Turn Around Don't Drown (https://www.weather.gov/safety/flood-turn-around-dont-drown)
- Ready.gov: Hurricanes (https://www.ready.gov/hurricanes)
- National Weather Service: Tornado Watch vs. Warning (https://www.weather.gov/safety/tornado-ww)
- Ready.gov: Wildfires (https://www.ready.gov/wildfires)
- Ready.gov: Winter Weather (https://www.ready.gov/winter-weather)
- Ready.gov: Extreme Heat (https://www.ready.gov/heat)
- National Weather Service: Heat Illness (https://www.weather.gov/safety/heat-illness)
Power Outages and Staying in Touch
Keep food cold by keeping doors shut, protect your electronics, plan for medical devices, and never let a generator or grill poison your home with carbon monoxide. Text instead of calling.
Before and during an outage
- List everything in your home that needs electricity, and plan a backup such as a power bank.
- Keep a flashlight for each person. Use flashlights, not candles, when you can.
- Find out whether your home phone works without power, and for how long.
- Keep coolers, ice and a food thermometer on hand.
- Install battery-backed carbon monoxide (CO) alarms (see below).
- Keep the refrigerator and freezer closed.
- Unplug appliances and electronics so a surge cannot damage them when power returns.
- If it is very hot or very cold, ask local officials about open cooling or warming centers, or go somewhere that has power.
- If you must use a candle, keep it away from anything that can burn and never leave it alone.
| Appliance | Stays cold for about |
|---|---|
| Refrigerator | 4 hours |
| Full freezer | 48 hours |
Throw out food that has been at 40 degrees F or warmer for two hours or more, and anything with an odd smell, color or texture. When in doubt, throw it out.
Medicines and medical devices
- Before an outage, ask your doctor for a plan for powered medical devices and for medicine that needs to stay cold.
- Ask how long each medicine can safely stay at higher temperatures, and get specific advice for any life-saving drug.
- Have a backup way to keep medicine cold and to power devices.
- If the power has been out for more than a day, throw out medicine that should be refrigerated unless the label says otherwise, and call your doctor or pharmacist for a new supply right away.
Generators and carbon monoxide
Never run a generator inside your home or garage, even with doors and windows open. Run it outdoors only, more than 20 feet from windows, doors and vents.
- Never use camp stoves, charcoal grills or other fuel-burning equipment indoors, in a basement or in a garage. Use them outside, at least 20 feet from windows.
- Never heat your home with a gas stove or oven.
- Keep the generator dry. Touching a wet generator can shock you.
- Plug appliances in with heavy-duty extension cords.
- Let the generator cool before refueling. Fuel spilled on hot parts can catch fire.
- Follow the maker's instructions.
- Use battery-operated or battery-backup CO alarms near every sleeping area and on every level of the home.
- Check the batteries when you change your clocks in spring and fall.
- Replace the alarm every 5 years or as the maker says.
You cannot see or smell CO. Early signs feel like the flu: headache, dizziness, weakness, upset stomach, vomiting, chest pain and confusion. A lot of it can make people pass out or die. Someone who is asleep or has been drinking can die before they notice anything. Babies, older adults, and people with heart disease, anemia or breathing problems are at higher risk.
If a CO alarm sounds, get everyone out of the house right away and call 911 (or your local emergency number) from outside.
Staying in touch
- Text, don't talk. Unless you are in immediate danger, send a text. Texts often get through when calls do not, and they keep lines open for 911.
- Keep messages short, like "I'm OK, at the library."
- Check in with your one out-of-town contact so the family has a single place to share news.
- Keep your phone charged, and keep chargers and a backup battery in your kit.
- Keep a battery-powered or hand-crank radio and a NOAA Weather Radio for news and warnings when phones and internet are down.
- Wireless Emergency Alerts still reach phones when networks are busy, so leave them turned on.
- Ready.gov: Power Outages (https://www.ready.gov/power-outages)
- CDC: Carbon Monoxide Poisoning Basics (https://www.cdc.gov/carbon-monoxide/about/index.html)
- CDC: Safety After a Hurricane or Tropical Storm (https://www.cdc.gov/hurricanes/safety/how-to-safely-stay-safe-after-a-hurricane-or-other-tropical-storm.html)
- Ready.gov Kids: Make a Plan (https://www.ready.gov/kids/make-a-plan)
- Ready.gov: Emergency Alerts (https://www.ready.gov/alerts)
When Phones and Internet Are Down
Cell networks and the internet can be jammed or knocked out in a disaster. Plan now so your household can still find each other and hear official news: a paper contact list, agreed meeting places, an out-of-town contact, a radio that needs no network, and two-way radios you are allowed to use.
Make a paper plan before you need it
- Write down the names and phone numbers of everyone in your household and your key contacts. Do not rely on your phone's memory.
- Give each person a paper copy to keep somewhere safe, such as a wallet or backpack. Save the same contacts in each phone too.
- Pick one out-of-town contact that everyone checks in with. Ready.gov notes that someone far away may be easier to reach than someone local during a disaster.
- Choose meeting places that are safe, familiar and easy to reach: one at home, one in your neighborhood, and one outside your city or town.
- If you have pets or service animals, make sure your meeting places allow them.
- Learn the emergency plans at your children's schools, your workplace and any care facility a relative lives in.
- Use Ready.gov's free fillable family communication card to put it all on one page.
Using your phone when networks are strained
- Text, don't call. Ready.gov says phone lines may be jammed, and a text often gets through when a call will not. Texting also keeps lines open for emergency workers.
- CDC also advises sending text messages (SMS) when calls are hard to complete.
- Keep phones and other devices charged while you still have power.
- If a battery-powered device stops working, CDC suggests taking the batteries out, putting them back in, and restarting it.
- Officials may also post updates by email and on their verified social media accounts, if you can get online.
Radios that work without a network
A radio needs no cell tower or internet. CDC recommends a battery-powered or hand-crank emergency radio and calls a NOAA Weather Radio one of the best options.
- AM/FM radio: battery or hand-crank. Keep extra batteries in your kit.
- NOAA Weather Radio: broadcasts around the clock from your nearest National Weather Service office. It carries warnings, watches and forecasts, and also non-weather emergency alerts such as national security or public safety threats.
- Some radios combine AM, FM and NOAA Weather Radio in one unit.
How emergency alerts reach you
- Emergency Alert System (EAS): the national warning system on broadcast TV and radio, cable and satellite. The President can use it to address the nation, and local officials use it for weather, threats and local incidents. A radio is your way to receive EAS when the power is out.
- Wireless Emergency Alerts (WEA): short alerts that look like texts but come with a distinct sound and vibration. You do not need to sign up and they are free. Ready.gov says network congestion does not affect them. They still need cell towers in your area to be working.
- FEMA app: weather and emergency alerts for up to five locations, plus shelter locations. It needs data service.
- Open your phone's settings and make sure emergency alerts are turned on. Some carriers call them Government Alerts or Emergency Alert Messages.
- Older phones may not support WEA. If you still get none, contact your wireless provider.
Two-way radios: what you are allowed to use
Handheld two-way radios let family and neighbors talk with no network at all. In the United States, which ones you may use depends on the radio service and your license.
| FRS (Family Radio Service) | GMRS (General Mobile Radio Service) | Amateur (ham) radio | |
|---|---|---|---|
| License | No individual license. FCC rules authorize anyone eligible to use these radios. | Individual FCC license required. | FCC license required. |
| Test | None | None mentioned in the FCC rule | Yes. Technician: one 35-question exam. General: another 35-question exam. Amateur Extra: a 50-question exam. |
| Who | Anyone eligible | License holder must be 18 or older. Immediate family (spouse, children, parents, grandparents, siblings and others listed in the rule) may use the radios under that one license. | Each operator holds their own license. |
| License term | Not applicable | Usually 10 years | Not covered here |
| Good for | Simple talk within a family or a street | Family use, including higher-power radios | Local and long-distance contact. Technician covers all ham frequencies above 30 MHz plus limited long-range (HF) privileges. |
Range claims on radio packages are not verified here. Real-world range depends on terrain, buildings and the radio. Test your radios with your family before an emergency, and agree on a channel ahead of time.
The ARRL (the national association for amateur radio) has study and exam information and runs ARES, the Amateur Radio Emergency Service, through which licensed volunteers support emergency communications. For signaling without any radio, keep a whistle in your kit, as Ready.gov recommends.
- Ready.gov Kids: Make a Plan (https://www.ready.gov/kids/make-a-plan)
- Ready.gov: Emergency Alerts (https://www.ready.gov/alerts)
- National Weather Service: NOAA Weather Radio (https://www.weather.gov/nwr/)
- CDC: Stay Tuned (Radiation Emergencies) (https://www.cdc.gov/radiation-emergencies/response/stay-tuned.html)
- 47 CFR 95.305: Authorization to operate Personal Radio Service stations (https://www.law.cornell.edu/cfr/text/47/95.305)
- 47 CFR 95.1705: GMRS individual licenses (https://www.law.cornell.edu/cfr/text/47/95.1705)
- ARRL: Getting Licensed (https://www.arrl.org/getting-licensed)
Shelter, Warmth and Fire Safety
Hold in heat without risking fire or carbon monoxide, know how to seal a room if the air outside turns dangerous, and make sure smoke alarms and an escape plan will get everyone out of a house fire.
Staying warm without power
- Close off rooms you do not need so heat is not wasted.
- Stuff towels or rags in the cracks under doors.
- Close blinds and curtains.
- Wear layers of loose, lightweight, warm clothing. Take a layer off before you start to sweat, since damp clothes chill you.
- Eat and drink. Food gives your body fuel to make heat. Drink water or drinks without caffeine or alcohol.
- If someone in the home is over 65, keep an easy-to-read thermometer where you will see it and check the room temperature often.
- If it gets dangerously cold, ask local officials about warming centers.
- Never heat your home with a gas stove or oven.
- Never burn charcoal indoors, and never use camp stoves or grills inside.
- Keep anything that can burn at least 3 feet from fireplaces, wood stoves, radiators, space heaters and candles.
- Turn space heaters off when you leave the room or go to bed.
- Do not run appliances on extension cords.
- If you use a fireplace, wood stove or kerosene heater, put a smoke alarm and a battery-operated CO alarm near the area you heat. Test them monthly and change the batteries twice a year.
- Make sure all fuel-burning equipment vents to the outside, and have chimneys and heating equipment inspected every year.
- Keep a multipurpose dry-chemical fire extinguisher nearby.
Cold injuries
| Problem | Signs | What to do |
|---|---|---|
| Hypothermia (body temperature below 95 degrees F is an emergency) | Shivering, exhaustion, confusion, fumbling hands, memory loss, slurred speech, drowsiness | Get to a warm room. Warm the chest, neck, head and groin first. Keep dry and wrapped in warm blankets, including head and neck. Get medical help. |
| Frostbite | Numbness, white or grayish-yellow skin, skin that feels firm or waxy | Get to a warm room. Soak in warm water or use body heat. Do not rub the area or use a heating pad. |
Shelter in place
If officials say the outside air is contaminated or full of debris, stay inside and seal yourself in. Keep listening to local media, because instructions may be slow to come.
- Bring everyone, pets included, inside.
- Lock doors. Close windows, air vents and fireplace dampers.
- Turn off fans, air conditioning and forced-air heat.
- Take your kit with you, unless it may be contaminated.
- Go to an inside room with as few windows as possible.
- Seal windows, doors and vents with thick plastic sheeting and duct tape. Cut each sheet several inches wider than the opening and label it. Tape the corners first, then the edges.
- Stay there until officials say it is safe.
A sealed room only works for a short time, and only if you planned ahead. Keep plastic sheeting and duct tape in your kit. If you have none, use whatever you have to make a barrier.
Smoke alarms
A small flame can become a major fire in less than 30 seconds. A house can be engulfed in five minutes. Working smoke alarms buy you the time to get out.
- Put alarms inside and outside every bedroom and sleeping area, and on every level of the home, including the basement.
- Mount them on the ceiling or high on a wall, as the maker directs.
- Test every alarm once a month.
- Replace 9-volt batteries, and backup batteries in hardwired alarms, at least once a year.
- Replace the whole alarm 10 years from its manufacture date.
- Choose interconnected alarms if you can, so when one sounds they all sound.
- Pick dual-sensor alarms, or have both ionization and photoelectric types.
- Never disable an alarm while cooking.
- Alarms with flashing lights or bed shakers are available for people who are deaf or hard of hearing.
Fire escape plan
- Find two ways out of every room.
- Make sure windows open, screens come out quickly, and security bars can be opened.
- Choose a meeting spot outside.
- Practice your escape twice a year, including in the dark or with eyes closed.
- Teach children never to hide from firefighters.
- Get low and crawl under the smoke to your exit.
- Feel the door and knob before opening. If either is hot or smoke comes around the door, keep it shut and use your second way out.
- Open doors slowly and be ready to shut them fast.
- If you cannot get out, close the door, cover vents and cracks, call 911 (or your local emergency number), and signal from a window.
- Once you are out, stay out. Tell firefighters if a person or pet is still inside.
- If your clothes catch fire: stop, drop, cover your face with your hands, and roll until the flames are out.
- For a burn, run cool water over it for 3 to 5 minutes, cover it with a clean dry cloth, and get medical help.
- National Weather Service: Winter Safety, During a Storm (https://www.weather.gov/safety/winter-during)
- CDC: Winter weather safety (https://www.cdc.gov/winter-weather/safety/index.html)
- Ready.gov: Winter Weather (https://www.ready.gov/winter-weather)
- Ready.gov: Shelter (https://www.ready.gov/shelter)
- US Fire Administration: Smoke Alarms (https://www.usfa.fema.gov/prevention/home-fires/prepare-for-fire/smoke-alarms/)
- US Fire Administration: Heating fire safety (https://www.usfa.fema.gov/prevention/home-fires/prevent-fires/heating/)
- Ready.gov: Home Fires (https://www.ready.gov/home-fires)
Nuclear Detonation and Radiation Emergencies
If officials warn of radiation or a nuclear blast, the most protective things you can do are simple: get inside, stay inside for at least 24 hours, and stay tuned. This chapter covers where to shelter, how to clean yourself and your pets, what food and water is safe, and what potassium iodide can and cannot do.
Get inside right away
After a nuclear detonation, Ready.gov says you may have 10 minutes or more before fallout arrives. Use that time to reach the best shelter close to you. Any building is safer than being outdoors.
- Go into the nearest building now. Do not wait to find a perfect one.
- Best choices: a basement, or the middle of a large multi-story building. Brick or concrete gives the most protection.
- Underground parking garages and subway stations can also work.
- Inside, go to the basement or the center of the building. Radioactive material settles on the outside of buildings, so stay as far from the outer walls and the roof as you can.
- Move away from windows. Put as many walls as possible between you and the outdoors.
- If you are in a car, get out and into a building. CDC does not treat a vehicle as shelter.
Do not go out to collect family members. Going outside can expose you and them to dangerous radiation. Schools, daycares, hospitals and nursing homes have their own emergency plans and will shelter the people in their care.
Stay inside: how long and how
Ready.gov and CDC both say to plan on sheltering for at least 24 hours. Radiation levels fall quickly during the first 24 hours, so that first day matters most.
- Stay in the most protected spot for the first 24 hours.
- Leave earlier only if there is an immediate danger such as fire, a gas leak or a building collapse, or if officials say it is safe.
- Close and lock windows and doors. Close fireplace dampers.
- Turn off fans, air conditioners and forced-air heating that pull in outside air.
- Wait for official guidance before leaving the area. Do not go back into an evacuated area until local officials say you may.
If someone arrives who was outside, let them in. CDC says sheltering them can save their life without endangering yours. Ask them to take off their outer layer of clothing before coming in, wash any skin that was uncovered, and change into clean clothes if possible.
Clean yourself off (decontamination)
CDC says removing your outer layer of clothing can remove up to 90% of radioactive material. Do it as soon as you are safely inside.
- Take off your outer layer of clothing slowly and carefully so dust does not shake loose and get breathed in.
- Put the clothing in a plastic bag or other sealable container. Close it and set it away from people and pets.
- Avoid touching your eyes, nose and mouth until you have washed.
- If you can shower, use warm water with plenty of soap. Wash gently. Do not scald, scrub or scratch your skin.
- Wash your hair with shampoo or soap. Do not use conditioner. CDC says it makes radioactive material stick to your hair.
- Keep cuts and scrapes covered while you wash.
- No shower? At a sink, wash your hands, face and any skin that was uncovered with soap and lots of water.
- No sink? Use a moist wipe, clean wet cloth or damp paper towel on uncovered skin, especially hands and face. Gently blow your nose and wipe your eyelids, eyelashes and ears.
- Bag the used wipes or towels and keep them away from people and pets.
- Put on clean clothes. Clothes that were in a closet or drawer away from contamination are safe to wear.
Do not use household cleaning wipes on skin. Hand sanitizer does not protect against radioactive material. Tap water is still fine for washing, even if officials have not yet cleared it for drinking.
If you help someone else wash, wear waterproof gloves and a dust mask if you have them. Afterward, wash your own hands, face and exposed skin again.
Pets, food, water and medicine
- Bring pets inside with you.
- If a pet was outside after fallout arrived, gently brush its coat to remove dust.
- Then wash the pet with shampoo or soap and water and rinse well.
- Wear waterproof gloves and a dust mask if you can, and keep your cuts and the pet's cuts covered.
- Wash your own hands and face when you are done.
- Bring in and wipe off any outdoor supplies your pets will need for at least 24 hours.
- Food and drinks that were already inside, or that were sealed, are safe.
- Sealed cans, bottles and boxes that were outdoors are safe once you wipe them with a damp cloth. Bag that cloth and keep it away from people and pets.
- Do not eat garden produce, or any food or drink left uncovered outdoors, until officials say it is safe.
- Officials will test public water and tell you when it is safe to drink.
- Boiling tap water does not remove radioactive material.
Medicine: if it was indoors, keep taking it as directed. If the container was outdoors, wipe it off first, then keep taking it.
Stay tuned, and the truth about potassium iodide
Officials will announce when it is safe to go out, whether to evacuate, which routes to use and where shelters are. A battery-powered or hand-crank radio keeps working when phones and internet do not.
Potassium iodide (KI) is often sold as radiation protection. Its real job is narrow. It fills the thyroid with ordinary iodine so the thyroid does not absorb radioactive iodine. FDA says plainly that it is not a general protection against radiation.
- It protects only the thyroid, and only from radioactive iodine. It does nothing against other radioactive materials.
- It does not repair thyroid damage that has already happened.
- It may not give full thyroid protection.
- After a nuclear detonation, CDC says the larger danger is external radiation from fallout. Leaving shelter to look for KI could increase your exposure.
- Take it only when public health or emergency officials, or your health care provider, tell you to. Do not take it ahead of time as a precaution.
- CDC says it works best taken within 24 hours before, or up to 4 hours after, exposure.
- One dose protects for about 24 hours. Officials will say whether more doses are needed.
- Take only the recommended dose. FDA warns that more, or more often, adds no protection and can cause severe illness or death.
- Highest priority: infants, children, and people who are pregnant or breastfeeding. Adults over 40 should take it only if officials specifically recommend it for them.
- Newborns under 1 month need special care: more than one dose may cause later developmental problems, so officials will favor other protective steps.
- Do not take KI if you have a known iodine sensitivity, dermatitis herpetiformis or hypocomplementemic vasculitis. If you have a thyroid condition, ask a health care provider first. A shellfish allergy does not necessarily mean you are sensitive to iodine.
Table salt, foods with iodine and iodine supplements are not substitutes for KI. CDC says they do not protect the thyroid this way, and large amounts can hurt you.
What to have ready
- A battery-powered or hand-crank radio, plus spare batteries.
- Alerts set up ahead of time: the FEMA app (up to five locations) and your local emergency management alerts.
- A spare set of clothes for each person in the household.
- Plastic or trash bags for contaminated clothing and used wipes.
- Sealed food, water and medicines.
- Moist wipes or clean cloths for people who cannot shower.
- Waterproof gloves and dust masks for helping others or washing pets.
- A family communication plan with a meeting place and an out-of-state contact.
- Knowledge of the shelter and evacuation plans at your children's schools, your workplace and any care facility a relative lives in.
- Ready.gov: Nuclear Explosion (https://www.ready.gov/nuclear-explosion)
- CDC: What to Do: Get Inside (https://www.cdc.gov/radiation-emergencies/response/get-inside.html)
- CDC: What to Do: Stay Inside (https://www.cdc.gov/radiation-emergencies/response/stay-inside.html)
- CDC: Decontamination for Yourself and Others (https://www.cdc.gov/radiation-emergencies/infographic/decontamination.html)
- CDC: Potassium Iodide (KI) (https://www.cdc.gov/radiation-emergencies/treatment/potassium-iodide.html)
- FDA: Frequently Asked Questions on Potassium Iodide (https://www.fda.gov/drugs/bioterrorism-and-drug-preparedness/frequently-asked-questions-potassium-iodide-ki)
EMP, Solar Storms and a Long Grid-Down Outage
An electromagnetic pulse attack or an extreme solar storm could knock out power, communications, water systems and transportation over a wide area. Both are rare. This chapter explains what official sources say about them, what is still uncertain, and how to prepare your household for a long outage of power and networks.
What an EMP or a solar storm is
CISA groups two different events together because they hurt infrastructure in similar ways.
- EMP (electromagnetic pulse): a deliberate attack. It can come from a nuclear weapon set off high in the atmosphere, from specialized conventional weapons, or from non-nuclear directed-energy devices. CISA is most concerned about the high-altitude nuclear kind (HEMP), because it could disable large parts of the power grid and its control systems.
- Geomagnetic disturbance (GMD), or solar storm: a natural event. The sun throws off a cloud of charged plasma (a coronal mass ejection). When it reaches Earth it shakes the planet's magnetic field.
- The power grid. NOAA says storms drive harmful electric currents into power lines and pipelines. At the most extreme level, some grids could collapse into blackout and transformers could be damaged.
- Electronics that are not protected against an extreme EMP (CISA).
- Communications equipment, water and wastewater systems, and transportation (CISA).
- GPS and other satellite navigation, which can give wrong positions or degrade for days in an extreme storm (NOAA).
- Long-distance (HF) radio, which can be impossible in many areas for one to two days in an extreme storm (NOAA).
- Satellites and undersea cables (CISA).
CISA expects these failures to cascade: when power goes down, water, fuel, communications and stores that depend on it follow, affecting millions of households.
What is known and what is not
- CISA calls both events low probability but high consequence.
- Scientists understand space weather fairly well, according to CISA.
- A real example: in 1989 a solar storm cut power to much of Quebec for nearly nine hours.
- NOAA rates storms G1 to G5. The extreme G5 level happens about 4 times per solar cycle. The severe G4 level happens about 100 times per cycle.
- CISA says an EMP from an attacker with basic capability may disrupt a region but is unlikely to cause catastrophic damage to the grid across the continent. A highly capable nuclear power in an escalating war might cause widespread harm.
- Extreme solar storms are so rare that, CISA says, there is little data for predicting their effects.
- No official source gives a number for how likely an EMP attack is.
- No official source says how long a large outage would last. Plan for longer than a typical storm outage.
NOAA's Space Weather Prediction Center offers free email alerts, watches and warnings for solar storms through its subscription service.
Water, food, cash and paper
Ready.gov notes that a long outage can close stores, gas stations, ATMs and banks, and can disrupt water and communications. Plan to get by on your own for at least several days, longer if you can.
- Water: at least one gallon per person per day for several days, for drinking and sanitation.
- Food: non-perishable food that needs no refrigeration, and a manual can opener.
- Cash, because card readers and ATMs need power and networks.
- Copies of important documents (insurance, identification, bank records) in a waterproof container. Paper copies matter when you cannot reach the cloud.
- Local paper maps, since phone maps and GPS may not work.
- A flashlight for every person, and extra batteries.
- A whistle to signal for help.
- A battery-powered or hand-crank radio, and a NOAA Weather Radio with tone alert.
- Phone chargers, a power bank, and other backup power.
- Prescription and over-the-counter medicines.
- Make a list of everything in your home that needs electricity, and decide what you will do without each item.
- Find out whether your home phone works without power, and how long its battery backup lasts.
- Store canned food somewhere cool and dry. Keep boxed food in tightly closed plastic or metal containers.
- Replace expired items, and review the kit every year as your household changes.
Refrigerated food, medicines and medical devices
- Keep the refrigerator and freezer doors closed as much as you can.
- A closed refrigerator keeps food cold for about 4 hours.
- A full freezer holds its temperature for about 48 hours.
- Use coolers with ice once those times run out.
- Check temperatures with a food thermometer. Throw out food that has been at 40 degrees F or higher for 2 hours or more, or that smells, looks or feels wrong. When in doubt, throw it out.
- Ask your doctor or pharmacist now how long each of your medicines can safely stay warm, especially any you cannot live without.
- Plan ahead for how you will keep refrigerated medicine cold.
- If power has been out for more than a day, throw out refrigerated medicine unless the label says otherwise, and get a new supply as soon as you can.
- If anyone depends on a powered medical device, make a backup power plan with your medical provider before an outage.
Heating, cooling and generators
Carbon monoxide kills during outages. Run generators, camp stoves and charcoal grills outdoors only, at least 20 feet from windows, doors and attached garages. Never heat your home with a gas stove or oven. Put battery-backup carbon monoxide detectors on every level of your home.
- Follow the manufacturer's instructions.
- Keep the generator dry.
- Connect appliances with heavy-duty extension cords.
- Let it cool before refueling. Fuel spilled on hot parts can catch fire.
If it gets dangerously hot or cold, go to a community location that has power. Ask local officials which heating or cooling centers are open.
Protecting electronics, and leaning on neighbors
During any outage, Ready.gov says to turn off or unplug appliances and electronics, because power can come back with surges. Leave them unplugged until power is steady.
For EMP, the most detailed federal advice is CISA's EMP Protection and Resilience Guidelines. They were written for operators of critical infrastructure equipment, not households, and the measures were not tested in homes. Here is what they suggest for spare equipment:
- Unplug power, data and antenna cables from spare equipment. Turn off equipment you cannot unplug.
- Use surge protectors rated for lightning.
- For small spare electronics, put the device in a plastic or paper bag, then wrap it completely in heavy-duty aluminum foil with all seams overlapping. Two or more full layers are better.
- A purpose-made Faraday bag is another option. Choose one tested as a whole bag, because the closure is where most leaks happen.
- An ordinary Mylar food bag gives little protection.
- A metal trash can usually does not give reliable protection unless it has been modified to seal the gaps around the lid and handles.
- An unplugged microwave oven can serve as a makeshift shield, but only if a phone or radio inside it gets no signal. Never turn the oven on with anything inside.
- The guidelines say small handheld electronics are fairly resistant to EMP unless long antennas or power cords are attached.
Unproven: many products and videos promise that a box or bag will make electronics EMP-proof. No source we checked tests or guarantees household shielding. Treat foil or a Faraday bag as a cheap backup for spare items like a radio or old phone, not a guarantee. Keep paper copies of anything you cannot afford to lose.
Ready.gov points out that a long outage hits the whole community at once. Plan with the people around you: know who nearby depends on medical devices or refrigerated medicine, and share where the community heating or cooling centers are. If someone is caught outside during a radiation warning, CDC encourages letting them shelter with you.
- CISA: Electromagnetic Pulse and Geomagnetic Disturbance (program page) (https://www.cisa.gov/resources-tools/programs/electromagnetic-pulse-and-geomagnetic-disturbance)
- CISA: EMP Protection and Resilience Guidelines for Critical Infrastructure Equipment (2019) (https://www.cisa.gov/sites/default/files/publications/19_0307_CISA_EMP-Protection-Resilience-Guidelines.pdf)
- NOAA Space Weather Prediction Center: Geomagnetic Storms (https://www.spaceweather.gov/phenomena/geomagnetic-storms)
- NOAA Space Weather Scales (https://www.spaceweather.gov/noaa-scales-explanation)
- Ready.gov: Power Outages (https://www.ready.gov/power-outages)
- Ready.gov: Build a Kit (https://www.ready.gov/kit)
Lost Outdoors
What to do if you get lost, how to signal rescuers, how to find direction, how to handle fire safely, and what to teach children.
If You Are Lost: STOP
- Stop. The moment you think you are lost, stop walking and stay calm. Panic is your biggest danger.
- Think. Go back over how you got here. What landmarks should you be able to see?
- Observe. Check your map, compass or GPS. If you are on a trail, stay on it. Do not wander.
- Plan. Only move if you are sure of the plan. If you are not sure, stay where you are.
- If you have signal, call 911 (or your local emergency number).
- Tell them your GPS coordinates if your phone shows them, where you started, your last known spot, nearby landmarks, what you are wearing and carrying, and any medical problems.
Stay put. Moving makes you harder to find. Only move if staying would put your life in immediate danger. Always stay put if it is getting dark, if you are hurt, or if you are close to exhausted.
Before any trip, tell someone your route, when you expect to be back, where your car is parked and who is with you.
First Priorities While You Wait
- Shelter: get out of the sun, rain or snow.
- Warmth: add layers before you get cold. Stay dry.
- Supplies: take stock of what you have and ration it.
- Water: drink enough to avoid dehydration. Warning signs are thirst, a dry or sticky mouth, dark yellow urine, headache and cramps.
- Energy: rest, stay calm and wait for help. Yelling wastes energy; use a whistle instead.
Always carry more food and water than you think you need, plus a flashlight, warm layers and matches in a waterproof container, in case you have to spend a night out.
Signaling for Rescue
Anything done three times in a row is a widely recognized distress signal: three whistle blasts, three flashes, three fires, three columns of smoke.
- Whistle: blow three quick blasts, pause, then repeat. A whistle carries farther than your voice and uses less energy. Whistles have been heard up to about 1 mile (1.6 km) away.
- Mirror: on a sunny day a mirror is your best signal. Flash it at planes and helicopters. With no mirror, use any shiny object. Do not flash rapidly, and do not hold the beam on a cockpit for more than a few seconds, since it can blind the pilot.
- Flashlight: at night, flash SOS (three short, three long, three short) and repeat. Use it sparingly to save the battery.
- Fire: at night, three fires in a triangle, about 25 meters (80 feet) apart, signal distress. If you are alone, one fire will do.
- Smoke: by day, use smoke that stands out against the background: dark smoke against a light sky or snow, light smoke against dark ground.
- Be seen: go to the biggest open, flat area you can find, on high ground. Lay out your shelter, bright clothing or rocks in a shape that can be seen from the air.
| Symbol | Meaning |
|---|---|
| V | Need help |
| X | Need medical help |
| N | No |
| Y | Yes |
| Arrow | Going this way |
Make each symbol at least 1 meter (about 3 feet) wide and 6 meters (about 20 feet) long. If you go bigger, keep the same proportions. It must contrast sharply with the ground.
Finding Direction
A map and compass are the best tools, but only if you know how to use them. Practice at home before you need them. The methods below give only a rough direction.
- Push a straight stick about 1 meter (3 feet) long into level ground where it casts a clear shadow.
- Mark the tip of the shadow with a stone. This first mark is west.
- Wait 10 to 15 minutes and mark the new shadow tip.
- Draw a line through the two marks. That line runs roughly east to west.
- Stand with the first mark on your left and the second on your right. You are now facing north.
- The sun rises in the east and sets in the west, though not exactly due east or west.
- In the northern hemisphere, the sun is due south when it is highest in the sky.
Knowing direction is not a reason to walk off. If you are not sure where you are going, stay put and let rescuers come to you.
Making Fire Safely
Fire needs three things: air, heat and fuel. Take away any one and the fire goes out. Build it from tinder (fine, dry material that catches a spark), then kindling (small sticks), then fuel (larger wood).
Do not light a fire when fire danger is high, during wildfire season, or where it is banned. A fire could start a wildfire.
- Choose a flat, dry spot sheltered from wind, with nothing overhead.
- Stay at least 15 feet from tents, brush and low branches.
- Clear an area at least 10 feet across. Use an existing fire ring if there is one, or ring your pit with rocks.
- Light it from the upwind side. Never use gasoline or other flammable liquids.
- Keep it small. Never leave it unattended, and keep children and pets back.
- Drown: pour water on it until the hissing stops. Dirt alone is not enough.
- Stir: mix the ashes and embers with a stick or shovel. Scrape burned sticks and logs.
- Drown again: keep adding water until everything is cool.
- Feel: hold the back of your hand near the ashes. If it is too hot to touch, it is too hot to leave.
If your fire spreads, call 911 (or your local emergency number) right away.
Teaching Children What to Do
The Hug-a-Tree program teaches children a few simple rules. A child who stays in one place is found much faster than one who keeps moving.
- Before you go, always tell a grown-up where you are going, who you are with and when you will be back.
- If you are lost, stop. Call out the names of your group, since they may be close by.
- Hug a tree. Pick a tree, big rock or bench close by and stay right there. Talking to the tree can help you feel calm.
- Blow your whistle: three quick blasts, count to 30, then repeat.
- Stay warm and dry. Zip up, put on your hat or hood, and tuck your pants into your socks.
- Make yourself big. Wave your arms, flash a light, wear bright colors, and lie down in an open spot when a helicopter flies over. Make a big X with sticks or rocks if you can.
- Answer the people calling your name. They are not angry, they are worried. Tell them where you are.
- If you hear a noise at night, yell. An animal will run away, and if it is a searcher, you will be found.
- You are not in trouble. Anyone can get lost, even grown-ups.
- A whistle on a lanyard around the neck.
- A large trash bag to wear for warmth and rain. Cut a hole for the face first so it never covers the mouth and nose.
- An extra jacket and water.
For lost children, cold is the main danger, more than hunger or thirst. Staying warm and dry matters most.
- National Park Service: Outdoor Emergency Plan (https://www.nps.gov/articles/gtgemergencyplan.htm)
- USDA Forest Service: If You Get Lost (https://www.fs.usda.gov/visit/know-before-you-go/if-you-get-lost)
- National Park Service: Junior Ranger, My Favorite Tree (https://www.nps.gov/articles/000/junior-ranger-my-favorite-tree.htm)
- Yosemite National Park: Wilderness Safety (https://www.nps.gov/yose/planyourvisit/wilderness_safety.htm)
- West Valley Search and Rescue: Hug-a-Tree (https://westvalleysar.org/wilderness-safety/hug-a-tree/)
- US Army FM 21-76 Survival (1992), Chapters 7, 18, 19 (https://archive.org/details/MCRP_3-02F_FM_21-76_Survival)
- Smokey Bear (USDA Forest Service): Campfire Safety (https://smokeybear.com/en/prevention-how-tos/campfire-safety)
Fill these in by hand
When the phone is dead or the network is down, this is the information you will wish you had on paper. Fill it in, keep one copy in your kit and one at home, and update it twice a year.
Family emergency plan
Where you will meet and who everyone checks in with.
Important contacts
Write numbers out in full. Do not rely on a phone's contact list.
| Name | Relationship or role | Phone | Other way to reach them |
|---|---|---|---|
Medical information
One row per person. Include doses, and keep a copy with your medications.
| Name | Medications and doses | Allergies | Conditions | Doctor and phone |
|---|---|---|---|---|
Kit log
What is in your kit, where it is, and when you last checked or replaced it.
| Item | Where it is | Expires or replace by | Last checked |
|---|---|---|---|
Sources were checked 24 October 2026. Advice changes; the source links in each chapter are the current word. Found an error? Write to sandon@hivejournal.com.