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Community Emergency<br />

Preparedness Programme<br />

Course notes<br />

2012/01


About the Community Emergency Preparedness<br />

Programme (CEPP)<br />

The CEPP is a free training programme aimed at enhancing the community’s<br />

preparedness for emergencies ranging from medical emergencies and fires<br />

to terrorism.<br />

Comprising five modules, the CEPP is conducted at the four HQ <strong>Civil</strong><br />

<strong>Defence</strong> Divisions to equip participants with basic skills and knowledge in<br />

topics such as fire safety, first aid, CPR, peacetime emergencies and dealing<br />

with threats of terrorism. These skills will help you and your family deal with<br />

emergencies and put you in good stead when faced with a life and death<br />

situation.<br />

The CEPP is also a core component of the <strong>Civil</strong> <strong>Defence</strong> (CD) Ready Homes<br />

Programme, which is a joint initiative between SCDF, the National Fire and<br />

<strong>Civil</strong> Emergency Preparedness Council and People’s Association. The CD<br />

Ready Homes programme aims to encourage residents to take ownership<br />

and learn <strong>Civil</strong> <strong>Defence</strong> skills. Through a self-validation checklist, residents<br />

are encouraged to assess their household’s level of emergency preparedness.<br />

The checklist, printed in <strong>English</strong>, Mandarin, Bahasa Melayu and Tamil, is<br />

available for collection at all fire stations, fire posts, HQ CD Divisions and<br />

Emergency Preparedness Days.<br />

Visit www.scdf.gov.sg for enrolment details and more information on the<br />

CEPP and CD Ready Homes programme.<br />

Remember, READINESS IS OUR ONLY PROTECTION.<br />

Copyright ©2012 <strong>Singapore</strong> <strong>Civil</strong> <strong>Defence</strong> <strong>Force</strong>. All rights reserved.


CONTENTS<br />

Module 1 ................................................................................................ 3<br />

Basic First Aid<br />

Module 2 ................................................................................................ 17<br />

One-man CPR and AED<br />

Module 3 ................................................................................................ 35<br />

Fire Safety and Casualty Evacuation<br />

Module 4 ................................................................................................ 53<br />

Emergency Procedures<br />

Module 5 ................................................................................................ 81<br />

Terrorism<br />

Useful Telephone Numbers ................................................................. 107<br />

Module Divider page 1<br />

Basic First Aid<br />

3<br />

Module 1


Divider back page<br />

CoNTeNTs Page<br />

First aid ............................................................................................ 7<br />

Wounds ............................................................................................ 8<br />

Bleeding ........................................................................................... 10<br />

Fractures .......................................................................................... 10<br />

Immobilisation .................................................................................. 11<br />

Sprains ............................................................................................. 13<br />

Burns and scalds .............................................................................. 14<br />

Fits .................................................................................................... 15<br />

Stroke ............................................................................................... 16<br />

4 5


FIRST AID<br />

What is First aid?<br />

First Aid is the first treatment given to a casualty with the objective of preserving life<br />

and preventing his condition from becoming worse until proper medical treatment is<br />

given.<br />

Contents of a First aid Kit<br />

Every home should have a First Aid kit, which usually contains the following items.<br />

You may want to include other first aid items that serve your household's needs.<br />

• Equipment<br />

6 7<br />

Disposable gloves to protect the rescuer from infection transmitted via<br />

blood and other bodily fluids<br />

Tweezers to pull out stings and other small foreign objects embedded in<br />

the skin/wounds<br />

Scissors to cut dressing, bandages and clothes<br />

Resuscitation face shield to serve as a protective layer during CPR<br />

Thermometer to measure human body temperature<br />

• Dressings<br />

First aid dressing to cover wounds<br />

Sterile eye dressing to cover eye injuries<br />

Adhesive plasters to cover superficial wounds<br />

Sterile gauze pad to clean or cover wounds<br />

• Bandages<br />

Triangular bandages to use in immobilisation of fractures and as a<br />

secondary dressing<br />

Crepe bandages to use as a secondary dressing<br />

Adhesive tape to tape the ends of bandages


WOUNDS<br />

Wounds are injuries to the skin and the soft tissues beneath it.<br />

Types of wounds<br />

a. Contusion<br />

b. Abrasion<br />

c. Incision<br />

d. Punctured wound<br />

e. Laceration<br />

f. Amputation<br />

g. Avulsion<br />

Treatment for wounds<br />

a. Clean the wound.<br />

b. Cover the wound with sterile/clean dressing.<br />

c. Immobilise the injured part if necessary.<br />

d. Seek medical attention if necessary.<br />

Principles of dressing<br />

a. Always face the casualty to monitor his level of consciousness.<br />

b. Reassure the casualty.<br />

c. Expose the wound.<br />

d. Open the first aid dressing as close to the wound as possible.<br />

e. Do not touch the sterile pad.<br />

f. Do not let the bandage tail drop and touch the ground.<br />

g. The injured area must be completely covered.<br />

h. If possible, tie the knot on the pad for additional pressure.<br />

Dressing of wounds using triangular bandages<br />

The triangular bandage is usually used to:<br />

a. Retain dressing and splints in position and to immobilise fractures.<br />

b. Support an injured limb and reduce or prevent swelling.<br />

c. Control bleeding as a secondary bandage.<br />

The longest edge of the triangular bandage is referred to as the “base” and the two<br />

shorter edges as “sides”. The corner opposite the base is called the “apex” and the<br />

remaining two corners are called the “ends”.<br />

To use a triangular bandage as a broad bandage, bring the apex down to the centre<br />

of the base and fold the bandage again in the same direction. Fold once more in the<br />

same direction to get a narrow bandage.<br />

Broad Bandage<br />

Narrow Bandage<br />

To secure the ends of a bandage, a reef knot must be tied. The knot must be tied<br />

where it will not cause discomfort and chafe the skin.<br />

8 9<br />

Apex<br />

Side Side<br />

End End<br />

Base


BLEEDING<br />

Bleeding is the loss of blood as a result of damage to blood vessels.<br />

Pretreatment precautions<br />

• Wear protective gloves or place a barrier between you and the person’s blood<br />

• Wash hands with soap and water after providing care<br />

Treatment for bleeding wounds<br />

a. Check if there are any foreign objects (e.g. glass fragments) in the wound.<br />

b. If there are no foreign objects in the wound:<br />

i. Elevate the injured part if possible.<br />

ii. Cover the wound with sterile/clean dressing and apply direct pressure.<br />

iii. Tie a firm bandage.<br />

iv. Immobilise the injured part if necessary.<br />

v. Seek medical attention if necessary.<br />

If there are any foreign objects in the wound, do not press on the object. To avoid<br />

applying direct pressure on the object, build up padding around the wound before<br />

bandaging.<br />

FRACTURES<br />

Fractures are breaks or cracks in the bones.<br />

Main types of fractures<br />

• Closed – covering skin is intact<br />

• Open – covering skin is torn<br />

Causes of fractures<br />

Closed<br />

Open<br />

• Direct force (e.g. a kick, hit by a car bumper)<br />

• Indirect force (e.g. a twist of the leg, falling on an outstretched limb)<br />

signs of fractures<br />

• Pain and tenderness<br />

• Deformity in the area affected<br />

• Loss of function<br />

• Swelling and sometimes bruising<br />

• Open wound (for open fractures)<br />

Treatment for fractures<br />

a. Calm the casualty down.<br />

b. Treat bleeding wounds, if any. For open fractures, stop the bleeding and cover<br />

exposed bone ends.<br />

c. Rest, support and immobilise injured part in a position most comfortable for the<br />

casualty.<br />

d. If the casualty has a dislocated or fractured upper or lower limb, refer to the<br />

following IMMOBILISATION section.<br />

e. Seek medical attention or dial 995 for an ambulance.<br />

IMMOBILISATION<br />

Immobilisation of upper limb injury<br />

Applicable for dislocation or fracture involving the:<br />

• Shoulder<br />

• Upper arm<br />

• Forearm<br />

• Wrist<br />

Procedure<br />

a. Sit casualty down and support the injured arm<br />

horizontally.<br />

b. Apply open arm sling as shown.<br />

10 11


Immobilisation of lower limb injury<br />

Applicable for dislocation or fracture involving the hip, pelvis and lower limbs.<br />

Procedure<br />

a. Straighten the injured leg as much as possible.<br />

b. Bring the uninjured leg (which acts as a splint) to the injured leg.<br />

c. Slide bandages under both legs as shown.<br />

d. Insert padding between the knees and ankles.<br />

e. Bandage the legs together as shown and knot on the side of the uninjured leg.<br />

SPRAINS<br />

Sprains occur at joints and involve the ligaments, the most common being sprained<br />

ankles. A strain, however, is an injury to the muscles and tendons, especially when<br />

they are stretched.<br />

Treat sprains and strains using R.I.C.e.<br />

Rest the sprained joint Ice or apply a cold com- Compress the sprained<br />

press to the sprain joint using a bandage or<br />

soft padding<br />

elevate the sprained joint<br />

12 13


BURNS AND SCALDS<br />

Burns and scalds are damages to the body tissues caused by heat, chemicals,<br />

electricity or radiation. The damages may be extensive or superficial.<br />

Causes of burns and scalds<br />

• Presence of heat: naked flame, hot iron, boiling water, hot oil<br />

• Absence of heat: liquid nitrogen<br />

• Chemicals: Acids, alkalis<br />

• Electrical: electricity, lightning<br />

• Radiation: sun rays<br />

Depth of burn<br />

1st Degree<br />

Superficial<br />

extent of burn<br />

2nd Degree<br />

Partial Thickness<br />

3rd Degree<br />

Full Thickness<br />

Potentially serious or critical burns are highly dependent on the age group as well as<br />

the depth of burns. They include:<br />

• Partial-thickness (2 nd degree) burns greater than 20% of Body Surface Area<br />

(BSA)<br />

• Full-thickness (3 rd degree) burns greater than 10% of BSA<br />

• All burns involving the face, eyes, ears, hands, feet or genitalia<br />

• All burns involving children and elderly<br />

Treatment for burns and scalds<br />

a. Stop the burning process.<br />

b. For chemical burns, wash off the chemicals.<br />

c. Use the four Cs:<br />

Note<br />

14 15<br />

Cool the injured part under cold running water or immerse it in cold water for<br />

about 10 minutes.<br />

Gently remove any Constrictions such as a bracelet, ring, watch or constricting<br />

clothing from the injured area before it starts to swell.<br />

Cover the injured area to prevent infection. Use clean, preferably sterile, nonadherent<br />

material (e.g. handkerchief, dressing etc.).<br />

Consult the doctor or convey to hospital.<br />

• DO NOT apply toothpaste, lotion, ointment or fat to the injured area<br />

• DO NOT cover the injured area with cotton wool<br />

• DO NOT break any blisters or remove anything that is sticking to the affected<br />

areas<br />

FITS<br />

Fits are episodes of uncontrolled movements of the body.<br />

Common causes of fits<br />

• Epilepsy<br />

• Head injury<br />

• High fever in infants<br />

signs of fits<br />

• Clenching of teeth and rolling of eyes<br />

• Casualty falls to the ground<br />

• Uncontrolled movements occur (e.g. jerking of limbs)<br />

• Incontinence may occur<br />

• Muscular spasms or convulsive movements eventually stop and casualty<br />

becomes drowsy or even unconscious


When someone is experiencing an episode of fits<br />

• Keep sharp and dangerous objects away from casualty<br />

• Do not restrict his movements<br />

• Do not place anything into his mouth as it will cause injury<br />

• Treat any injuries once the fits are over<br />

• Send the casualty for medical attention<br />

STROKE<br />

A stroke occurs when blood supply to the brain is disrupted, and it may lead to longterm<br />

disability in the casualty. It is therefore important to seek medical help as soon<br />

as possible when someone collapses from stroke.<br />

signs of stroke<br />

• Sudden numbness/weakness of the face, arm or leg. It usually happens to one<br />

side of the body<br />

• Sudden confusion, having trouble speaking or understanding speech<br />

• Sudden blurring of vision<br />

• Sudden loss of balance and coordination, dizziness and having trouble walking<br />

• Sudden severe headache with no known cause<br />

If you suspect someone to be suffering from stroke, dial 995 immediately for an<br />

ambulance.<br />

Module 2<br />

One-man CPR and AED<br />

16 17<br />

Module 2


CoNTeNTs Page<br />

Sudden Cardiac Arrest .................................................................... 21<br />

Cardio-Pulmonary Resuscitation (CPR) procedures ........................ 24<br />

Automated External Defibrillator (AED) procedures ......................... 31<br />

Choking ............................................................................................ 32<br />

18 19


SUDDEN CARDIAC ARREST<br />

It is a condition where the casualty’s heart stops beating owing to a heart attack.<br />

statistics<br />

In <strong>Singapore</strong>, heart disease is the second most common cause of death. About<br />

2,400 persons develop an acute heart attack every year. In addition, close to 1,400<br />

persons suffer from sudden cardiac arrest in the out-of-hospital environment. The<br />

total survival rate for pre-hospital collapses is about 2.6% 1 .<br />

Causes of Sudden Cardiac Arrest<br />

• Heart attack<br />

• Choking<br />

• Drowning<br />

• Stroke<br />

• Drug overdose<br />

• Suffocation<br />

• Smoke inhalation<br />

• Electrocution<br />

• Severe allergic reactions<br />

• Severe trauma<br />

1 Statistics obtained from various sources as on Dec 2010.<br />

20 21


The chain of survival<br />

The ‘Chain of Survival’ is an approach for treating casualties with cardiac arrest. A<br />

weak or missing link in the ‘Chain of Survival’ will lead to a poor chance of survival.<br />

Early Access Early CPR Early Defibrillation Early ACLS<br />

• The first link: early access<br />

Early access encompasses the events initiated after the casualty’s collapse until<br />

the arrival of the ambulance crew. Early recognition of signs of sudden cardiac<br />

arrest and the prompt activation of ambulance via 995 is vital. This also involves<br />

giving way to ambulances on the road and giving ambulance crew priority when<br />

they use elevators, stairs and corridors to reach casualties.<br />

• The second link: early CPR<br />

The time interval between the activation of the ambulance service and the arrival<br />

of the ambulance crew is typically longer than five minutes. Brain cells can live<br />

without oxygen for 4-6 minutes before they begin to die, and any damage to<br />

the brain after 10 minutes cannot be repaired. In situations of cardiac arrest,<br />

Cardio-Pulmonary Resuscitation (CPR) is the only way to ensure oxygen and<br />

blood are supplied to the brain and vital organs. If CPR is performed promptly<br />

and correctly, heart function may be restored and circulation maintained until<br />

institution of other life support measures such as the use of Automated External<br />

Defibrillators (AED).<br />

• The third link: early defibrillation<br />

Studies have shown that early defibrillation is most likely to improve the survival<br />

rates of out-of-hospital cardiac arrest patients. The most common initial rhythm<br />

in cardiac arrest is the Ventricular Fibrillation (VF). This can progress to death<br />

if not treated and the death rate increases by 10% for every minute without<br />

defibrillation. The following shows a VF rhythm:<br />

22 23<br />

As defibrillation works best in the first few minutes after the onset of cardiac<br />

arrest, many organisations have installed an AED within their premises. An AED<br />

is a device that interprets heart rhythms, advises the operator whether a shock<br />

is needed and delivers electrical shock to the heart upon activation.<br />

Although there are many advantages to using the AED, there are contraindications<br />

to its usage. The AED cannot be used if the casualty is:<br />

Responsive or has pulse and/or breathing<br />

An infant below one year old<br />

Obviously dead<br />

For children aged between one to eight years or weigh less than 25 kg,<br />

paediatric defibrillation pads (which have reduced energy output) should be<br />

used. However, if there are no such pads, adult defibrillation pads should be<br />

considered.<br />

Safety is the most important factor for the AED operator. It is vital that nobody<br />

comes into contact with a casualty during analysis and defibrillation, as that<br />

will interfere with the accuracy of the machine’s reading during analysis and<br />

may cause the electric current to be passed to the person in contact with the<br />

casualty.<br />

The AED should also not be used in the presence of:<br />

Water<br />

Metal<br />

Flammable gas<br />

Explosive environment<br />

• The fourth link: early advanced Care Life support (aCLs)<br />

Early ACLS is frequently carried out in hospitals and consist of advanced airway<br />

management, ventilation support, administration of medication and the control<br />

of arrhythmias.


CARDIO-PULMONARY RESUSCITATION (CPR) PROCEDURES<br />

Determine unresponsiveness<br />

Quickly assess and determine whether the person is responsive. The rescuer should<br />

tap the casualty on his shoulders and shout, “Hello? Hello? Are you ok?”<br />

“Hello! Hello!<br />

Are You ok?”<br />

Avoid violent shaking of the casualty as this might result in injury. Also avoid<br />

unnecessary movements of his neck to prevent injuries to the head and neck.<br />

If the casualty does not respond, he is likely to be unconscious. This may be due to:<br />

• An airway that is blocked by food, secretions or his tongue which has fallen<br />

backwards<br />

• Breathing that has stopped<br />

• A heart that has stopped beating, usually due to a heart attack<br />

activate emergency ambulance service (eas)<br />

If the casualty does not respond, promptly appoint someone to dial the emergency<br />

ambulance number 995. Most people with sudden cardiac arrest will require<br />

defibrillation. Therefore, send someone to get the AED.<br />

Provide the person calling for an ambulance with the following information:<br />

a. Location of the casualty<br />

b. Telephone number you are calling from<br />

c. What happened, e.g. someone is having a heart attack or is unconscious<br />

d. The number of persons who need help<br />

The caller should only hang up only after being instructed to do so by the ambulance<br />

dispatcher.<br />

Positioning of casualty<br />

For CPR to be effective, the casualty must be lying flat on his back on a firm flat<br />

surface. Roll the casualty over onto his back if he is lying face down or on his side.<br />

Take care that the head, neck and body are supported and turned simultaneously<br />

during repositioning.<br />

24 25


opening of airway<br />

Perform a head tilt-chin lift manoeuvre to open the airway if there is no evidence of<br />

head and neck injuries. In the unresponsive state, muscle tone is impaired resulting<br />

in the tongue falling backward and obstructing the airway. As the tongue is attached<br />

to the lower jaw, moving the lower jaw forward will lift the tongue away from the back<br />

of the throat and open the airway.<br />

To perform a head tilt-chin lift manoeuvre:<br />

a. Place one hand on the casualty’s forehead and apply firm backward pressure<br />

with your palm to tilt the head back.<br />

b. Place the fingers of your other hand under the bony part of the lower jaw to lift<br />

the jaw forward.<br />

Note<br />

Tongue<br />

• Do not press deeply into the soft tissues under the chin as this might obstruct<br />

the airway<br />

• Do not use your thumb to lift the chin<br />

• If head or neck injury is suspected, perform a jaw thrust or a gentle chin lift<br />

Breathing<br />

To assess for spontaneous breathing:<br />

Tongue<br />

Block Airway Open Airway<br />

a. Place your ear over the casualty’s mouth and nose while maintaining an open<br />

airway.<br />

b. Assess for breathing by:<br />

• Looking for the chest rise and fall<br />

• Listening for air escaping during exhalation<br />

• Feeling for the flow of air from the mouth and nose<br />

c. If any of the above is present, the casualty is still breathing.<br />

d. If all of the signs of breathing are absent, it can be presumed that the victim is<br />

not breathing and is in cardiac arrest.<br />

e. It should not take more than 10 seconds to complete the breathing assessment.<br />

If you are still not sure by this time, presume the casualty is in cardiac arrest.<br />

f. The casualty now requires CPR, starting with chest compressions.<br />

Chest compressions<br />

Chest compressions consist of serial, rhythmic applications of pressure over the<br />

lower half of the sternum (breastbone). Locating the correct hand position for chest<br />

compressions should be done quickly and not take more than 2 to 3 seconds.<br />

• Locate landmark<br />

26 27<br />

a. Maintain head tilt. Run your middle finger from the lower margin of the<br />

casualty’s rib cage on the near side till you reach the notch in the centre.<br />

Place your index finger next to your middle finger.<br />

Rib margin<br />

Find the point where the ribs<br />

meet with your finger


. Place the heel of the other hand next to the index finger.<br />

Place the heel of<br />

your hand on the<br />

breastbone to meet<br />

the fingers<br />

c. Release the two fingers and place the heel of that hand on top of the hand<br />

on the lower half of the breastbone. Interlace the fingers of both hands and<br />

maintain the position.<br />

d. Straighten both elbows and lock them into position.<br />

e. Position your shoulder directly over the casualty’s chest.<br />

f. Count loudly as you compress:<br />

1 and 2 and 3 and 4 and 5 and<br />

1 and 2 and 3 and 4 and 10 and<br />

1 and 2 and 3 and 4 and 15<br />

1 and 2 and 3 and 4 and 20<br />

1 and 2 and 3 and 4 and 25<br />

1 and 2 and 3 and 4 and 30<br />

Press straight down<br />

onto the heels of<br />

your hands<br />

Keep the finger clear of the<br />

chest so that pressure is not<br />

applied over ribs<br />

28 29<br />

g. After performing 30 compressions, you now need to provide oxygen to the<br />

casualty via mouth-to-mouth ventilation.<br />

Mouth-to-mouth ventilation<br />

a. Maintain a head tilt-chin lift position to open the airway.<br />

b. Pinch the casualty’s nose with your thumb and index finger to prevent air from<br />

escaping.<br />

c. Seal your lips around the casualty’s mouth.<br />

d. Give 2 short breaths quickly, one after the other. Observe the chest rise with<br />

each breath.<br />

e. Release the nostrils after each breath. The duration for each breath is 1 second<br />

and the ventilation volume should be between 400ml to 600ml.<br />

30 chest compressions with 2 mouth-to-mouth ventilations<br />

• The best form of CPR that a bystander can give is a combination of 30 chest<br />

compressions alternating with 2 mouth-to-mouth ventilations<br />

• This provides the best chance for survival. If for any reason a rescuer is unable<br />

to give mouth-to-mouth breathing, he should at least continue with good quality<br />

chest compressions. This would be better than no CPR at all<br />

• Continue CPR i.e. repeat the cycle of 30 compressions and 2 ventilations until<br />

the ambulance crew/AED arrives or casualty shows signs of life. Afterwhich,<br />

recheck casualty’s breathing, perform CPR and use AED when it arrives if<br />

necessary<br />

• If two rescuers are present, we recommend that one focuses on the chest<br />

compressions, counting loudly in the process. The other rescuer focuses on<br />

giving mouth-to-mouth breathing<br />

• If one of the rescuers is tired, both rescuers could quickly switch places and<br />

continue CPR


guidelines for proper compression techniques<br />

• To keep the main force of compression on the breastbone, the long axis of the<br />

heel of the rescuer’s hand should be placed on the long axis of the casualty’s<br />

breastbone. The fingers should also be kept off the chest<br />

• To achieve maximum pressure with the least effort, your weight should be<br />

supported by your arms and your body should be over the casualty’s body. The<br />

weight of your body will provide the required force to depress the breastbone.<br />

Each compression must involve a hard push<br />

• To allow blood to flow into the heart, the chest compression pressure must be<br />

released completely to allow the chest to return to its normal position after each<br />

compression<br />

• Compress vertically at least 5cm downwards<br />

• Do not lift the hands from the chest or change position as correct hand position<br />

may be lost<br />

• Bouncing compressions, jerky movements, improper hand position and leaning<br />

on the chest can decrease the effectiveness of resuscitation and are more likely<br />

to cause injuries<br />

• Recommended chest compression rate should be at least 100 per minute<br />

Note:<br />

The updated CPR procedures are in accordance with the guidelines issued by the<br />

National Resuscitation Council in March 2011.<br />

AUTOMATED EXTERNAL DEFIBRILLATOR (AED)<br />

PROCEDURES<br />

Preparing the casualty for aeD<br />

Before applying the defibrillation pads onto the casualty:<br />

a. Expose the casualty’s chest adequately.<br />

b. If the casualty is wearing jewellery or any accessories that is resting on his<br />

chest, remove it or push it aside to expose the site for the defibrillation pads.<br />

c. Look for and remove any patches (e.g. medicated patch) from the casualty’s<br />

chest if these patches interfere with the placement of the defibrillation pads.<br />

d. Shave excessive hair from the casualty’s chest where the defibrillation pads are<br />

going to be placed to improve adhesion.<br />

e. Clean and dry perspiration off the chest as the moisture can reduce the contact<br />

of the defibrillation pads to the chest.<br />

f. If there are any pacemakers, place the defibrillation pads a space of four fingers<br />

wide away from them. In the meantime, ensure that good quality CPR is in<br />

progress.<br />

applying the defibrillation pads<br />

After ensuring that there are no contraindications and that the casualty is prepared,<br />

the AED operator may proceed with the application of the defibrillation pads while<br />

CPR is in progress. Do not interrupt the chest compressions and mouth-to-mouth<br />

ventilations.<br />

Continue with CPR while the pads are being applied.<br />

To apply the defibrillation pads:<br />

a. Check the expiry date on the packet.<br />

b. Remove pads from the packet and peel off the protective<br />

backing.<br />

c. Place one pad vertically on the right breastbone just below<br />

the collarbone.<br />

d. Place the other pad horizontally, one palm below the left<br />

armpit, towards the middle of the chest region. Refer to the<br />

illustration for the placement of defibrillation pads.<br />

e. Make sure the pads are properly pasted with no air pockets.<br />

f. Turn on the AED device.<br />

g. Follow the AED’s voice prompted instructions and perform CPR as required<br />

until the casualty shows signs of life or the ambulance crew arrives.<br />

30 31


once the casualty shows signs of life<br />

a. Check for breathing.<br />

b. If the casualty is not breathing, continue CPR and AED.<br />

c. If the casualty is breathing, monitor his breathing constantly until the ambulance<br />

crew arrives.<br />

CHOKING<br />

Choking or complete airway obstruction is an emergency that can result in death<br />

within minutes if not treated immediately.<br />

signs of choking<br />

A choking person will display the Universal Sign of<br />

Distress and will be unable to speak, breathe and<br />

cough.<br />

Treatment for choking<br />

Perform the heimlich manoeuvre or chest thrusts to expel the foreign object that is<br />

obstructing the airway. If the casualty falls unconscious, support and lay the casualty<br />

down. Perform chest compressions for unconscious choking.<br />

• Heimlich manoeuvre (for conscious choking)<br />

Universal Sign<br />

of Distress<br />

a. Stand behind the casualty.<br />

b. Request casualty to stand with his feet shoulder-width apart.<br />

c. Place one leg in between the casualty’s legs.<br />

d. Locate the casualty’s navel using the ring finger.<br />

e. Place 2 fingers above the navel.<br />

f. With the other hand, tuck your thumb into your palm and curl your fingers<br />

into a fist.<br />

g. Position the fist against the abdomen above the fingers.<br />

h. Bend the casualty forward.<br />

i. Release the three fingers at the navel and cover the fist with this hand.<br />

j. Give 5 thrusts in a 45 degrees inwards-upwards motion.<br />

k. Look out for any foreign objects that fall out from the casualty’s mouth.<br />

l. If nothing emerges from the casualty’s mouth, continue to give abdominal<br />

thrusts in sets of 5 (check for foreign objects that fall out from the casualty’s<br />

mouth after each set) until the foreign object is expelled or the casualty falls<br />

unconscious, whichever is earlier.<br />

m. If the casualty falls unconscious, support and lay the casualty down.<br />

n. Proceed to perform chest compressions for unconscious choking.<br />

• Chest thrusts (for conscious choking)<br />

32 33<br />

Chest thrusts may be used on obese or pregnant casualties as an alternative to<br />

the Heimlich Manoeuvre.<br />

a. Stand behind the casualty.<br />

b. Request casualty to stand with his feet shoulder-width apart.<br />

c. Place one leg in between the casualty’s legs.<br />

d. Slide both arms under the casualty’s armpits to encircle the chest.<br />

e. With one hand, tuck your thumb into your palm and curl your fingers into a<br />

fist.<br />

f. Position your fist against the centre of the breastbone.<br />

g. Cover your fist with the other hand.<br />

h. Give 5 thrusts in an inward motion.<br />

i. Look out for any foreign objects that fall out from the casualty’s mouth.<br />

j. If nothing emerges from the casualty’s mouth, continue to give chest<br />

thrusts in sets of 5 (check for foreign objects that fall out from the casualty’s<br />

mouth after each set) until the foreign object is expelled or the casualty falls<br />

unconscious, whichever is earlier.<br />

k. If the casualty falls unconscious, support and lay the casualty down.<br />

l. Proceed to perform chest compressions for unconscious choking.<br />

• Chest compressions for unconscious choking (casualty falls<br />

unconscious from conscious choking)<br />

a. Support and position the victim on his back on a firm flat surface.<br />

b. Rescuer should shout for help, promptly appoint someone to dial 995 for<br />

an ambulance and another person to get the AED.<br />

c. Start 30 chest compressions (pg 27).<br />

d. Perform head tilt-chin lift manoeuvre to open the airway.<br />

e. Pull down the chin to check for any foreign objects in the mouth.<br />

f. Remove any visible objects with a hooked index finger of your other hand.<br />

g. Check for normal breathing.<br />

h. If breathing is present, monitor his breathing constantly until ambulance<br />

arrives.<br />

i. If breathing is absent, attempt one mouth-to-mouth ventilation (pg 29).<br />

j. If chest does not rise, re-position with the head tilt-chin lift procedure.<br />

k. Attempt second mouth-to-mouth ventilation. If chest still does not rise, the<br />

casualty’s airway is still choked.


l. Repeat from step c onwards until you are able to give 2 successful mouthto-mouth<br />

ventilations with chest rise, ambulance crew arrives or casualty<br />

shows signs of life.<br />

m. Once you can give 2 successful mouth-to-mouth ventilations with chest<br />

rise or casualty shows signs of life, check his breathing. If he is breathing,<br />

monitor his breathing constantly until the ambulance arrives. If casualty is<br />

not breathing, perform CPR and use the AED when it arrives.<br />

Module 3<br />

Fire Safety and Casualty Evacuation<br />

34 35<br />

Module 3


CoNTeNTs Page<br />

Triangle of combustion ..................................................................... 39<br />

Methods of extinguishing fires ......................................................... 39<br />

Classification of fires ........................................................................ 41<br />

Types of fire extinguishers ................................................................ 41<br />

Procedure for operating an extinguisher .......................................... 43<br />

Major causes of fire .......................................................................... 43<br />

Household fire safety checklist ........................................................ 44<br />

Smoke detector ................................................................................ 45<br />

If you discover a fire ......................................................................... 46<br />

If you are trapped in a fire ................................................................ 48<br />

If your clothes catch fire ................................................................... 48<br />

Casualty evacuation ......................................................................... 48<br />

Insurance .......................................................................................... 52<br />

36 37


TRIANGLE OF COMBUSTION<br />

Fire is a chemical reaction between a substance and oxygen, through which heat is<br />

evolved. The three core ingredients for a fire to start are fuel, oxygen and heat/ignition<br />

sources.<br />

Most big fires originate from small outbreaks. It is important that fires are extinguished<br />

in their incipient stages so that serious damages can be minimised.<br />

Fire prevention is extremely important as your home has everything a fire needs! For<br />

example:<br />

• Fuel – Combustible materials such as newspapers, clothing, furniture and<br />

flammable liquids such as cooking oil and wine<br />

• Oxygen – Oxygen in the air<br />

• Heat/ignition sources – Flame, spark, hot metal or hot electrical appliances<br />

METHODS OF EXTINGUISHING FIRES<br />

• Cooling – To lower temperature or limit heat, the following items can be used:<br />

Water hose<br />

Water bucket<br />

Water extinguisher<br />

38 39<br />

HeaT<br />

FIRe<br />

oXYgeN<br />

FUeL


• smothering – To limit or remove oxygen near the fire, the following items can<br />

be used:<br />

Sand<br />

Wet blanket<br />

Beater<br />

Dry powder or carbon dioxide extinguisher<br />

• starvation – To limit fuel for the fire, the fuel that is supporting the fire must be<br />

removed<br />

CLASSIFICATION OF FIRES<br />

Class Material Extinguishing Means<br />

40 41<br />

A<br />

B<br />

C<br />

D<br />

Fire involving the burning of ordinary<br />

combustible materials e.g. wood,<br />

paper, cloth, plastics and rubber.<br />

Fire involving flammable liquids e.g.<br />

petrol, solvents, oils, paints, thinner<br />

and flammable gases e.g. LPG<br />

Fire involving live electrical equipment<br />

e.g. electrical mains, transformers and<br />

electrical appliances.<br />

Fire involving combustible metals<br />

e.g. potassium, magnesium, titanium,<br />

sodium, lithium and zirconium<br />

TYPES OF FIRE EXTINGUISHERS<br />

• Water extinguisher<br />

safety pin<br />

pressure<br />

gauge<br />

flexible<br />

tube<br />

nozzle<br />

Carbon dioxide, water and dry<br />

powder<br />

Carbon dioxide, dry powder<br />

and foam<br />

Carbon dioxide, dry powder<br />

Dry powder<br />

discharge<br />

lever<br />

carrying<br />

handle<br />

cylinder<br />

base


• Carbon dioxide extinguisher<br />

safety pin<br />

discharge<br />

tube<br />

discharge<br />

horn<br />

• Dry powder extinguisher<br />

safety pin<br />

pressure<br />

gauge<br />

flexible<br />

tube<br />

nozzle<br />

base<br />

discharge<br />

lever<br />

carrying<br />

handle<br />

cylinder<br />

base<br />

discharge<br />

lever<br />

carrying<br />

handle<br />

cylinder<br />

PROCEDURE FOR OPERATING AN EXTINGUISHER<br />

42 43<br />

Note<br />

• Do not use water extinguisher for flammable liquid fires and electrical fires<br />

• For electrical fires, switch off the electrical supply before extinguishing the fire<br />

• If the cookware is on fire, shut off the gas supply without endangering yourself<br />

and smother the fire by using a thick wet cloth to cover the cookware. Do not<br />

pour water into it as the fire will spread<br />

MAJOR CAUSES OF FIRE<br />

• Careless disposal of matches or cigarette butts<br />

• Overloading of electrical outlets<br />

• Children playing with matches or lighters<br />

• Unattended cooking<br />

• Discarded items along corridor, lift lobby, staircase or void deck


HOUSEHOLD FIRE SAFETY CHECKLIST Yes No<br />

Preparing<br />

yourself and<br />

your family<br />

against fire<br />

Electrical<br />

wiring and<br />

components<br />

Flammable<br />

materials and<br />

heat sources<br />

Is the common corridor outside the house unobstructed by<br />

discarded items (e.g. mattresses and furniture)?<br />

Does your house have an approved dry powder fire extinguisher?<br />

Does everyone in your house know what number to dial in case of<br />

fire or other emergencies?<br />

Have you or any of your family members attended the Community<br />

Emergency Preparedness Programme organised by the SCDF?<br />

Have you or your family members attended any of the Emergency<br />

Preparedness Days at the heartlands?<br />

Do all electrical plugs have SAFETY Mark?<br />

Are all electrical adapters safely loaded with desirable number of<br />

plugs and within allowable electrical ratings?<br />

Are all equipment and appliances switched off when not in use?<br />

Are all wires in the house in good condition? (i.e. without broken<br />

insulation and exposed wiring)<br />

Are all wires laid in the open with none running under rugs, over<br />

heat sources and under doors?<br />

Are the television sets placed more than 50cm away from<br />

combustible materials?<br />

Are candles and oil lamps placed on a stable surface with measures<br />

taken to prevent them from being knocked over easily?<br />

Are matches, lighters and sparklers kept away from heat sources<br />

and children?<br />

Are flammable liquids (e.g. cooking oil and wine) and combustible<br />

materials kept far away from heat sources such as the stove, heat<br />

appliances, lit joss sticks and candles?<br />

Are cooking appliances (e.g. cooker hood) and the stove clean, free<br />

from grease and in good working condition?<br />

Are flammable liquids kept in approved containers which are clearly<br />

labelled and stored in ways such that they cannot be knocked over<br />

easily?<br />

Are your windows kept open for ventilation when using LPG<br />

(Liquefied Petroleum Gas) cylinder to cook?<br />

Did you ensure your LPG dealer conduct a 5-point check on your<br />

LPG system at least once a year?<br />

SMOKE DETECTOR<br />

Definition<br />

It is a device to detect smoke and sound an alarm automatically. It consists of 2 parts:<br />

• A sensor to detect smoke<br />

• An electric horn to alert people of a fire nearby<br />

The most common type of smoke detector is the photoelectric detector.<br />

Reasons for using smoke detector<br />

• Smoke is the main cause of death in many fatal fires. More people died from<br />

smoke inhalation than from fire burns<br />

• Smoke contains many toxic gases and particles. It affects visibility, impairs<br />

judgement and causes disorientation, asphyxiation and eventually death<br />

• A small quantity of carbon monoxide, one of the by-products of combustion, is<br />

sufficient to kill a person in his sleep<br />

• Installing smoke detectors will give occupants early warning of a fire before the<br />

smoke becomes thick, rendering escape difficult<br />

Installation of smoke detector<br />

• It is recommended that you consult a professional installer before installing the<br />

smoke detectors<br />

Maintenance of smoke detector<br />

• Test your detector regularly. Check the instruction manual for the recommended<br />

frequency<br />

• Use a soft brush and vacuum all slots in the detector every month. Vacuum<br />

more often if dust, dirt and grease accumulate easily<br />

• Change the batteries every year or when the detector beeps every few minutes,<br />

whichever occurs first<br />

44 45


IF YOU DISCOVER A FIRE<br />

a. Raise the alarm<br />

i. Alert others by shouting.<br />

ii. Activate the fire alarm by breaking the glass of the nearest manual call<br />

point.<br />

iii. Call 995 for SCDF at the earliest opportunity.<br />

b. Tackle the fire<br />

i. If it is an incipient fire or small fire, you can extinguish it by using the fire<br />

extinguisher or the fire hose reel. Only do so without endangering yourself<br />

or others.<br />

ii. Operating the hose reel<br />

1. Turn on the hose reel valve (refer to image below) before running out<br />

the hose.<br />

2. Run the hose.<br />

3. Turn on the nozzle.<br />

4. Direct the water stream at the base of the fire.<br />

iii. If the fire is beyond control, close the door of the room on fire and evacuate<br />

immediately.<br />

c. evacuation<br />

46 47<br />

i. Leave the building immediately.<br />

ii. Do not use the lift.<br />

iii. Use a wet cloth, if possible, to cover your mouth and nose to avoid inhaling<br />

the smoke.<br />

iv. Take shallow breaths, keep close to the floor and crawl to escape.<br />

v. Use the back of your hand to feel the lower, middle and upper parts of<br />

any closed doors while evacuating. If the door is hot, look for other exits.<br />

Otherwise, open it slowly.<br />

vi. Do not return to the building unless instructed by authorities.


IF YOU ARE TRAPPED IN A FIRE<br />

• Do not panic<br />

• Enter a safe room<br />

• Shut the door behind you and cover the gap beneath the door using wet towels<br />

• Shout for help to alert passers-by<br />

• Do not jump out of the building<br />

IF YOUR CLOTHES CATCH FIRE<br />

Follow the steps below:<br />

a. Stop running and remain calm.<br />

b. Drop to the floor immediately.<br />

c. Roll over from side to side while covering your face with your hands to smother<br />

the flames.<br />

If you notice someone else’s clothes are on fire, quickly make the casualty lie down<br />

on the floor, cover him with a blanket and gently pat him until the fire is extinguished.<br />

CASUALTY EVACUATION<br />

The evacuation of casualties depends on the following factors:<br />

• Location of the casualty<br />

• Condition of the casualty<br />

• Type of injury<br />

• Size and weight of the casualty<br />

• Number of rescuers<br />

• Availability of rescue equipment<br />

stretcher Bearers Team (4-man team)<br />

• Step-by-step procedure<br />

a. 3 2<br />

No. 4 man takes up position opposite the other 3<br />

1 4<br />

bearers.<br />

b. 3 4 At a given command, all bearers will lift the<br />

casualty.<br />

c. 2 1<br />

Then, they will support him on their knees.<br />

d. Leaving the 3 bearers to support the casualty,<br />

4<br />

the no. 4 man will bring the stretcher and place<br />

it below the casualty. At a given command, the<br />

casualty is slowly lowered onto the stretcher.<br />

e. 3 4 2 1<br />

At a given command, the bearers will move their<br />

left leg first.<br />

The stretcher bearers should bear in the mind the following points:<br />

• Keep the stretcher level with the ground<br />

• Carry the casualty with his feet facing the direction of move<br />

• Bring the stretcher to the casualty and not the other way round<br />

• When moving up slope/stairs, the direction of move should be changed such<br />

that the casualty’s head is above his legs<br />

48 49<br />

3<br />

2 1<br />

3 2 1<br />

4


Improvised stretchers<br />

If there are no stretchers available, you can use available materials to make improvised<br />

stretchers.<br />

• Rolled blanket<br />

• Blanket with 2 poles<br />

• shirts and 2 poles<br />

• gunnysacks with 2 poles<br />

• Chair method<br />

50 51


INSURANCE<br />

Accidents or disasters can never be totally prevented or predicted. If your property<br />

is destroyed or damaged, you have to dig deep into your savings to repair or replace<br />

your property and its contents. A cheaper option for you is to buy insurance which<br />

will cover you for the loss of your property and its contents.<br />

There are many types of insurances but the most appropriate insurance for your<br />

building and contents is the Fire Insurance. This insurance does not only cover<br />

damage due to fire but also damage caused by:<br />

• Lightning<br />

• Explosion of your water heater<br />

• Bursting or overflowing of your water tanks<br />

• Motor vehicles and aircraft<br />

• Earthquake, windstorm and flood<br />

If you are unable to stay in your home after it is damaged by fire, the insurance will<br />

also pay for your hotel or accommodation expenses. Alternatively, if you are renting<br />

out your home, you can buy a cover for loss of your rental income. You have to pay<br />

a little more for such covers.<br />

You should check with your insurance company to find out which insurance is<br />

suitable for you.<br />

This message is brought to you by:<br />

about general Insurance association<br />

Established in 1965, the General Insurance Association of <strong>Singapore</strong> (GIA) is working<br />

to make all aspects of insurance easier and more effective for consumers, agents and<br />

insurance companies in <strong>Singapore</strong>. GIA helps identify emerging trends and responds<br />

to issues affecting the General Insurance industry. It seeks to promote the overall<br />

growth and development of the General Insurance sector in <strong>Singapore</strong>.<br />

For more information on General Insurance, please visit GIA’s website at www.gia.<br />

org.sg or write to feedback@gia.org.sg<br />

Module 4<br />

Emergency Procedures<br />

52 53<br />

Module 4


CoNTeNTs Page<br />

Peacetime emergencies ................................................................... 57<br />

- Lightning ............................................................................ 57<br />

- Floods ............................................................................... 58<br />

- Tremors ............................................................................. 59<br />

- Tsunami ............................................................................. 61<br />

- Power Outage ................................................................... 62<br />

- Landslides ......................................................................... 63<br />

- Earthquakes ...................................................................... 65<br />

- Typhoons and tropical storms ........................................... 67<br />

Emergency procedures during wartime ........................................... 69<br />

Ready bag ........................................................................................ 71<br />

Stockpiling ....................................................................................... 73<br />

Shelter protection ............................................................................. 74<br />

Public warning system ..................................................................... 78<br />

Defensive precautions ...................................................................... 79<br />

54 55


PEACETIME EMERGENCIES<br />

Peacetime emergencies are natural or man-made crises that affect lives and<br />

properties, for example, power outage, tremors and floods. If we know what to do<br />

during such emergencies, we can greatly increase our chances of survival.<br />

LIGHTNING<br />

When there is a thunderstorm in your area, seek shelter in any building or vehicle and<br />

stay away from metal objects and fixtures for your safety.<br />

If you are indoors<br />

• Avoid showering; plumbing and bathroom fixtures can conduct electricity<br />

• Avoid using a corded telephone unless it is an emergency; cordless and mobile<br />

phones are safe to use<br />

• Unplug electrical and electronic equipment such as computers and air<br />

conditioners; power surges caused by lightning can damage these items<br />

If you are outdoors<br />

• Do not stay on high ground<br />

• Do not stay in the open. Seek shelter in a building or vehicle; if this is not<br />

possible, seek shelter under a thick growth of small trees and crouch into a ball<br />

on the ground<br />

• Do not stand under isolated or tall objects<br />

• Head for shore if you are in open water<br />

• If you are travelling on a bicycle, motorcycle or golf cart, please get off as soon<br />

as possible<br />

• Spread out if you are in a group<br />

avoid doing these when lightning occurs<br />

• Using electrical and electronic equipment<br />

• Holding metal objects<br />

• Standing near metal fences, pipes or rails<br />

56 57


FLOODS<br />

Heavy rainfall and storms can lead to flash flood in <strong>Singapore</strong>. This would normally<br />

occur during the northeast monsoon season as well as the inter-monsoon periods.<br />

During the northeast monsoon season, the rain spell may last for a few days.<br />

If you are indoors<br />

• Do not touch electrical and electronic equipment if you are wet<br />

or standing in water<br />

• Once water gets into the unit, turn off the main power supply in<br />

case of electrocution<br />

• If you are situated in a low-rise building, lock your unit and<br />

move essential items to an upper floor. You can also protect<br />

your items by placing them on elevated level<br />

• You can place sandbags at entrances to block flood water<br />

• If you need to evacuate, bring your Ready Bag along and turn<br />

off the main water, electricity and gas supplies<br />

If you are outdoors<br />

• Pedestrians<br />

Be alert and move immediately to higher ground. Do not<br />

wait for instructions to move. Stay put until the flood<br />

subsides<br />

Be aware of drains especially open drains and areas<br />

known to flood suddenly<br />

Do not walk through moving water as a mere 15cm high<br />

of moving water can make you fall; if you must, use a<br />

stick to check the firmness of the ground in front of you<br />

and try to walk where the water is not moving<br />

Call the SCDF at 995 or the Police at 999 if help is needed<br />

• Motorists<br />

Do not drive around barricades as they are put up for your safety<br />

Do not drive into flooded areas. If floodwater rises around your car,<br />

abandon the car and move to higher ground if you can do so safely. 30cm<br />

of water can stall your car. 60cm of water can carry away most vehicles<br />

including SUVs<br />

Call the SCDF at 995 or the Police at 999 if help is needed<br />

TREMORS<br />

To date, tremors felt in <strong>Singapore</strong> have all been due to earthquakes in the region and<br />

there are no records of a tidal surge affecting the island. The Meteorological Services,<br />

National Environment Agency (NEA), the SCDF and the Police will take immediate<br />

action should there be indications of such ground movements posing a threat to<br />

<strong>Singapore</strong>.<br />

Can earthquakes hit singapore?<br />

<strong>Singapore</strong> is not located within an earthquake zone. The nearest earthquake belts<br />

are about 400-600 km away in Sumatra. Strong earthquakes in Indonesia can cause<br />

some vibrations or tremors to buildings in <strong>Singapore</strong>. Because of the distance, the<br />

tremors are likely to be weak.<br />

Will buildings collapse because of tremors?<br />

Buildings in <strong>Singapore</strong> are designed with in-built strength and are unlikely to collapse<br />

because of tremors caused by distant earthquakes. As an added precaution,<br />

engineers from the Building and Construction Authority (BCA) and the Housing and<br />

Development Board (HDB) will inspect affected buildings.<br />

If you are indoors when tremors occur<br />

a. Stay calm. Do not panic.<br />

b. Stay away from windows, display shelves, lightings and<br />

other fixtures that could fall and cause injury.<br />

c. Take cover under a sturdy table until the tremors stop<br />

d. Do not be alarmed if the electricity is cut off or fire<br />

sprinklers and alarms are activated.<br />

e. Do not light any naked flames in case of a gas leak.<br />

f. Call the SCDF at 995 or the Police at 999 if there is a medical emergency.<br />

If you are outdoors when tremors occur<br />

• Stay away from buildings, overhead electrical cables, trees, signboards and<br />

other structures that may fall and cause injury<br />

• Remain in the open until the tremors stop<br />

• If you are driving, stop as quickly as safety permits. Avoid stopping near or under<br />

trees, buildings, bridges or overhead electrical cables. Stay in your vehicle<br />

58 59


When tremors stop<br />

a. Get out from under the table and switch off all gas and electrical appliances.<br />

b. Stay away from any hanging objects and damaged electrical wiring.<br />

c. Check your building for new cracks on the walls, floors, columns and beams.<br />

d. Contact Building and Construction Authority at 63257191/63257393 (24hr<br />

hotline for non-HDB buildings) or the Essential Maintenance Service Unit<br />

(EMSU) (24-hr hotline for HDB buildings; the telephone number can be found<br />

outside the lift at HDB buildings) if new cracks are found.<br />

e. Evacuation is only necessary if there are visible signs of structural defects (e.g.<br />

new cracks).<br />

f. If you need to evacuate, ensure that all lights, electrical and gas appliances<br />

are switched off and turn off all taps. Bring along your Ready bag and use the<br />

staircases instead of the lifts.<br />

g. Get latest updates on radio or TV.<br />

h. Call the SCDF at 995 or the Police at 999 if there is a medical emergency.<br />

TSUNAMI<br />

A tsunami is a series of ocean waves that sends surges<br />

of water, sometimes reaching heights of over 100 feet<br />

(30.5 meters), onto land. These waves are mostly caused<br />

by large, undersea earthquakes, underwater landslides or<br />

volcanic eruptions. All tsunamis are potentially dangerous<br />

and can be extremely violent and damaging when they hit<br />

the shore.<br />

Can singapore be affected by tsunami?<br />

The risk of <strong>Singapore</strong> being affected directly by a<br />

tsunami is very low due to the protection provided<br />

by surrounding land masses such as Peninsular<br />

Malaysia in the north and Borneo in the east.<br />

Nonetheless, the NEA has implemented an early<br />

warning system to closely monitor the occurrence<br />

of tsunamis.<br />

Warning signs of an incoming tsunami<br />

• Tremors and ground movements at the beach or near the ocean<br />

• Sudden receding of the shoreline and sea level, sometimes by a kilometre or<br />

more<br />

If you encounter a tsunami<br />

• Once you experience either or both warning signs of an incoming tsunami, run<br />

to higher ground immediately; do not approach the beach to investigate or wait<br />

for the tsunami warning to be given<br />

• If you are advised to evacuate, do so immediately<br />

• Do not stay in low-rise buildings in the coastal area<br />

• Move inland quickly to higher ground; if there is no time for that, seek refuge in<br />

the upper floors of high-rise, reinforced concrete buildings<br />

• If you are on a boat or similar vessel that is far from shore, move it out to deeper<br />

waters; if you are near the pier, it may be safer to leave the vessel there and<br />

move to higher ground<br />

• Do not assume it will be safe to go out into the open after the first wave as there<br />

may be subsequent waves<br />

60 61


POWER OUTAGE<br />

It is recommended that you pack a torchlight, radio and spare batteries in your Ready<br />

Bag in case of power outages. Matches and candles are not advisable as they may<br />

be difficult to handle without adequate lighting. The Ready Bag will therefore need to<br />

be stored somewhere easy to reach even in the dark.<br />

When a power outage occurs<br />

• Retrieve your Ready Bag, turn on the torchlight and tune in to the radio for<br />

updates on the situation<br />

• If people are trapped in the lift during a power outage:<br />

Do not dial 995 or 999 unless there is a lifethreatening<br />

situation or a need for emergency<br />

ambulance services<br />

Call the Essential Maintenance Service Unit<br />

for help (24-hr hotline for HDB buildings; the<br />

telephone number can be found outside the lift<br />

at HDB buildings)<br />

Call the management or security office for non-HDB buildings<br />

Do not attempt to rescue the people yourself<br />

• If you are trapped in the lift, stay calm, press the alarm button and wait for help<br />

to arrive; do not attempt to force open the lift doors<br />

• If you are on the road and the street lights go off,<br />

keep your headlights turned on at all times and drive<br />

slowly<br />

LANDSLIDES<br />

Landslides are typically preceded by irregularities in slope profile. Should you<br />

notice any signs of slope failure listed below, it is recommended that you engage<br />

a professional engineer to inspect, assess and recommend solutions to rectify the<br />

problem.<br />

signs of slope failure<br />

• New cracks in and bulging or misalignment of the<br />

earth<br />

• Tilted trees, fences and utility poles along slopes<br />

• Accumulation of water behind retaining walls or<br />

new locations of water breaking through the ground<br />

surface<br />

• Erosion or washing away of vegetation and top soil<br />

on the slope<br />

• Upheaval of ground at or near the bottom of the slope<br />

When a landslide occurs and debris flows<br />

• If it is safe to do so, turn off all gas, electricity and water supplies as they may<br />

cause additional damage<br />

• Inform your neighbours<br />

• Grab your Ready Bag and evacuate immediately if safety permits; move out of<br />

the path of the landslide<br />

• If escape is not possible, curl into a ball and protect your head<br />

• If you are driving, be especially alert and look out<br />

for collapsed pavement, mud, fallen rocks and other<br />

signs of a possible debris flow<br />

• If you or others are trapped, dial 995 for the SCDF<br />

if possible and tune in to the radio or television for<br />

updates on the landslide situation. Wait for rescue<br />

and stay calm and alert<br />

62 63


after a landslide<br />

• Stay away from the affected area, building<br />

structures and electrical cables as there may be<br />

more landslides<br />

• Direct rescuers to the locations of injured and<br />

trapped persons near the affected area; do not<br />

enter the hazard area<br />

• Dial 995 for the SCDF or 999 for the Police to<br />

report any emergencies<br />

• Seek clearance and follow instructions from relevant authorities before returning<br />

to affected houses<br />

• Report structural defects to the:<br />

Building and Construction Authority at 63257191/63257393 (24-hr hotline<br />

for non-HDB buildings)<br />

Essential Maintenance Service Unit (24-hr hotline for HDB buildings; the<br />

telephone number can be found outside the lift at HDB buildings)<br />

• Tune in to the radio or television for updates on the situation<br />

• Replant damaged ground as soon as possible to reduce the risk of flash floods<br />

and recurring landslides<br />

EARTHQUAKES<br />

During earthquakes, most injuries occur when people attempt to leave or move<br />

around buildings while the earth is still shaking. In fact, collapsing walls, flying glass<br />

and falling objects are the greatest causes of injury and death during earthquakes.<br />

While <strong>Singapore</strong> does not experience earthquakes, it is important that you follow<br />

the guidelines below to increase your chances of survival should you encounter an<br />

earthquake overseas.<br />

If you are indoors<br />

a. When the shaking starts, drop to the<br />

ground and take cover under a sturdy table<br />

or furniture immediately; hold on until the<br />

shaking is over.<br />

b. If no furniture is available to serve as shelter,<br />

move to a safe place nearby (e.g. an inside<br />

corner of a building or an interior wall away<br />

from windows, mounted shelves or anything<br />

that can fall and hurt you) and crouch down<br />

while covering your face and head with your<br />

arms.<br />

c. Stay indoors until the shaking stops and<br />

you are sure that it is safe to exit; if you must<br />

leave the building after the shaking stops,<br />

do not use the lifts in case of aftershocks,<br />

power outage or other damages.<br />

If you are outdoors<br />

• Minimise your movement and stay away from buildings, street lights and utility<br />

wires<br />

• Stay put in the open until the shaking stops<br />

• If you are driving:<br />

Stop as soon as safety permits and away from buildings, trees, overhead<br />

bridges and electrical cables<br />

Stay in the vehicle and tune in to the radio for situation updates<br />

64 65


When the earthquake has stopped<br />

• Expect aftershocks any time from the next few hours to even months after the<br />

initial shockwave; each time you feel one, crouch down beside a safe interior<br />

wall or at an inside corner and cover your face and head with your arms<br />

• Do a quick check in your area for damage and get everyone to evacuate if there<br />

are visible structural defects<br />

• Help injured and trapped people, if any, and dial the local emergency services<br />

number to render assistance and direct rescuers to them<br />

• If possible, turn off the gas and electrical mains and be alert to smells of gas<br />

leakage, spilled chemicals and flammable liquids<br />

• Look out for signs of fire; put out small fires if possible<br />

• Beware of fallen power lines or broken gas pipes and stay out of damaged areas<br />

and buildings<br />

• Tune in to the radio for updates<br />

• If you are trapped under debris or rubble, refer to pg 97 to enhance your rate of<br />

survival<br />

TYPHOONS AND TROPICAL STORMS<br />

Avoid travelling overseas during the typhoon season of your destination country, if it<br />

has one. It is recommended that you keep yourself updated on the country’s weather<br />

watch to avoid being caught in a typhoon or tropical storm while outdoors. You might<br />

also wish to stock up on food and water in the event that you are trapped indoors<br />

due to a storm.<br />

When a typhoon or tropical storm strikes in your area<br />

• Evacuate if directed by local authorities; otherwise, seek shelter indoors<br />

immediately<br />

• Secure or move outdoor items such as toys, bicycles, potted plants and heavy<br />

objects into the apartment and away from the windows<br />

• Close all doors and windows; draw the curtains across windows to minimise<br />

glass fragments from flying in should the windows shatter<br />

• If a window breaks, place a mattress against the broken pane and push a piece<br />

of heavy furniture against it<br />

• Get hold of a torchlight and a first aid kit to prepare for any possible power<br />

outage and injuries caused by the storm<br />

66 67


• Set your freezer to its lowest temperature to minimise food spoilage in the event<br />

the power supply is cut off<br />

• Tune in to a portable radio for updates on the situation<br />

• If possible, check for fire, electrical and gas hazards within the apartment during<br />

the storm<br />

• If the storm gets severe, move to the area in the apartment which is least<br />

exposed to external glass windows and lie down or hide under a table<br />

• Do not step outdoors when the storm appears to have stopped; the winds may<br />

pick up again after a short period of calm<br />

• When the storm is declared to be over, check for broken glass, fallen trees,<br />

broken power cables and other hazards in your area<br />

• Dial for the area’s emergency ambulance if there are cases of severe injury<br />

EMERGENCY PROCEDURES DURING WARTIME<br />

When disasters strike, daily life routine will be disrupted and essential goods and<br />

services may not be easily available. When that happens, emergency procedures will<br />

be put in place to help you obtain basic supplies so that life can carry on as normally<br />

as possible. Your chances of survival, however, may be greatly affected if you are<br />

unfamiliar with the procedures. Take the opportunity to learn these procedures<br />

hands-on when the SCDF and other government agencies conduct an Emergency<br />

Exercise in your constituency.<br />

Water rationing<br />

When water supply is disrupted,<br />

distribution points will be set up near your<br />

home. You will need to bring your own<br />

containers (e.g. pails and bottles) to the<br />

nearest distribution point and collect the<br />

water in an orderly manner.<br />

Food rationing<br />

a. You will receive a Notification Letter, detailing on food ration collection details<br />

including where, when and how to collect the rations.<br />

b. Bring along your identity document (e.g. NRIC) for registration and collection.<br />

Fuel rationing<br />

a. You will receive a Notification Card.<br />

b. Bring the card along with your identity document (e.g. NRIC) to the designated<br />

Collection Centre.<br />

c. Collect your fuel ration coupon.<br />

d. Use the fuel ration coupon to buy your fuel.<br />

68 69


Blood donation<br />

Blood is vital in treating various illnesses and injuries, and its demand is expected<br />

to rise sharply during wartime. As such, we encourage you to go forth and donate<br />

blood if you are able to. When you hear the appeal to give blood during wartime,<br />

bring along your identity document (e.g. NRIC) to the nearest blood donation centre<br />

for registration and a medical professional will attend to you.<br />

READY BAG<br />

The Ready Bag contains important items that will help you in an emergency. You will<br />

need to bring it along should you be required to evacuate your home or it can be<br />

taken to your household shelter when required. Every member of your family should<br />

know where the Ready Bag is kept, and it is recommended that the storage location<br />

be easily accessible even in the dark (i.e. during power outages).<br />

The Ready Bag should contain the following items:<br />

Essential items Usage<br />

Torchlight without batteries In case of power outage and when evacuating in<br />

dark conditions.<br />

Batteries For powering the torchlight and radio; pack extra<br />

batteries and do not fit batteries into the devices<br />

until needed, as leaving them there may result in<br />

leakage.<br />

Essential personal medication For any existing medical condition of yours and<br />

your family, e.g. asthma, heart problems etc.<br />

Waterproof folder containing<br />

photocopies of important documents<br />

e.g. NRIC, passport, insurance policies<br />

70 71<br />

For administrative purposes should the original<br />

documents be destroyed in the fire.<br />

<strong>Civil</strong> <strong>Defence</strong> Emergency Handbook For reference on basic first aid and civil defence<br />

procedures.<br />

Transistor radio without batteries For tuning in to emergency broadcasts.<br />

Whistle Used to call for help or alert others; shouting may<br />

be tiring, ineffective and may cause you to inhale<br />

dangerous amounts of smoke and dust in some<br />

cases.<br />

First aid kit To treat any injuries along the way; a small kit<br />

containing first aid dressing, plasters, bandages<br />

etc.<br />

Childcare supplies and other special<br />

care items<br />

EMERGENCY<br />

HANDBOOK<br />

To meet the needs of any special groups in the<br />

family, e.g. infants.


optional items for the Ready Bag<br />

• A list of personal contacts, including telephone numbers of family members, the<br />

workplace, school etc.<br />

• Cash, preferably in small denominations<br />

• Bottled water and dry foodstuff<br />

• A set of spare clothing, e.g. T-shirt and track pants<br />

• Writing materials<br />

• A list of emergency numbers, e.g. 995, 999, telephone numbers of the utility<br />

companies, insurance companies etc.<br />

Note<br />

• You may have more than one Ready Bag, e.g. one for each family member;<br />

decide what is most practical for your family<br />

• Do not pack bulky items into the Ready Bag as it may hamper movement during<br />

an emergency<br />

• Check expiry dates of perishable items in the bag and replace them when<br />

needed<br />

• Periodically replace batteries with fresh ones as some may leak even when<br />

unused and not placed inside devices<br />

The Ready Bag should be<br />

portable and not too heavy<br />

or bulky.<br />

STOCKPILING<br />

Stocking up on food supply can help you and your loved ones survive an emergency.<br />

During an emergency, you may need to stay home for longer periods or there may be<br />

shortage of food supplies. Routinely stock up on items according to your needs and<br />

preferences; consume and replenish items whose expiry dates are drawing near. The<br />

quantities should last for two weeks’ consumption and they will vary depending on<br />

the size of your family.<br />

estimated consumption of foodstuff per person for 2 weeks<br />

Rice and oil • 4 kg of rice<br />

• 1 bottle of cooking oil<br />

Canned food • 14 assorted cans of vegetables, meat, fish and beans<br />

(about 400g per can)<br />

Dry rations • 2 packets of assorted biscuits (about 210g each)<br />

• 15 packets of instant noodles<br />

Beverages • 1-2 tins of milk powder (dependent on age of child)<br />

• 1 packet of sugar (500g)<br />

• 1 tin of malted beverage (about 400g)<br />

72 73<br />

SUGAR SUGAR<br />

SUGAR SUGAR


SHELTER PROTECTION<br />

There are three basic types of <strong>Civil</strong> <strong>Defence</strong> shelters.<br />

Household and storey shelters<br />

Household shelters refer to those inside individual dwelling unit, e.g. HDB flats,<br />

while storey shelters are larger versions of household shelters and they are located<br />

in a common area on every storey. Fire escape staircase can also be adapted and<br />

configured to serve as shelters and are known as staircase storey shelters.<br />

• Preparing the shelter<br />

During a wartime emergency, the SCDF will inform residents to prepare their<br />

household shelters for occupation by:<br />

a. Turning off all gas and water supplies<br />

before heading to the shelter.<br />

b. Removing all temporary fixtures and<br />

shelves inside the shelter.<br />

c. Bringing in your Ready Bag(s) and items<br />

such as water and food for your stay in<br />

the shelter.<br />

d. Equipping the shelter with a telephone,<br />

television and radio.<br />

e. Closing and sealing the two ventilation<br />

openings.<br />

• Once the shelter is prepared<br />

a. Move quickly and calmly<br />

into the shelter and close<br />

the door.<br />

b. Sit away from the door and<br />

walls of the shelter and do<br />

not lean on them.<br />

c. Tune in to the radio for<br />

important messages<br />

issued by the SCDF; you<br />

can leave the shelter once<br />

the PWS “All Clear” signal<br />

is sounded.<br />

EMERGENCY<br />

HANDBOOK<br />

WATER<br />

WATER<br />

• Ventilation openings<br />

Aside from the lighting, power, telephone and television/radio points provided in the<br />

household and storey shelters, there are two ventilation openings in the shelter walls.<br />

During peacetime<br />

74 75<br />

Note<br />

o Leave at least 25% of the ventilation opening uncovered in case<br />

anyone gets trapped inside the shelter<br />

During a wartime emergency<br />

o Using ordinary household tools, close both ventilation openings tightly<br />

with the steel plates provided to ensure that the shelter is airtight; this<br />

will protect you and your family from inhaling contaminants from the<br />

outside<br />

o With both ventilation<br />

openings closed tightly,<br />

you can stay inside the<br />

shelter for several hours;<br />

the actual duration of stay<br />

will depend on factors such<br />

as the number of people in<br />

the shelter as well as their<br />

age, gender and physical<br />

condition<br />

o Should there be a need for<br />

you to lengthen your stay or<br />

accommodate more people<br />

in the shelter, the SCDF will<br />

inform you to affix specified equipment to the opening to improve<br />

ventilation<br />

For dwelling units without the household and storey shelters, follow SCDF’s<br />

instructions which will be given at that time to prepare improvised covers inside your<br />

home using available household items and furniture. Such an improvised cover would<br />

provide a considerable degree of shielding against flying debris and glass splinters.


Public shelters<br />

Public shelters are built in places such as underground<br />

Mass Rapid Transit (MRT) stations, HDB void decks,<br />

schools, community centres and government buildings.<br />

To identify a public shelter, look out for the <strong>Civil</strong> <strong>Defence</strong><br />

shelter sign. The list of Public Shelters and their<br />

locations is available on www.scdf.gov.sg under Building<br />

Professionals, CD Shelter.<br />

• When you are not at home and you hear the “Alarm” signal<br />

Shelter<br />

a. Move fast towards your nearest public shelter but do not push; if you are<br />

in a vehicle, park it at the side of the road, lock up and head for the nearest<br />

shelter.<br />

b. If you are unable to find a public shelter within a few minutes after the PWS<br />

“Alarm” signal has sounded, you may seek shelter in a tunnel, underpass,<br />

underground basement, ditch, drain culvert or even an open drain.<br />

c. Follow directions given by SCDF personnel.<br />

d. If you are with your family, move as a unit to avoid anxiety and help the<br />

handicapped, children and the aged.<br />

e. Do not bring bulky items and flammable substances into the shelter.<br />

• Once inside the public shelter<br />

76 77<br />

Move in towards the centre of the shelter and do not block the entrances<br />

and passageways<br />

Stay together as a group and do not wander around<br />

Do not start a fire to cook meals<br />

Keep quiet and listen to the radio and television announcements made by<br />

the SCDF<br />

Inform SCDF personnel if you encounter any problems<br />

• Leaving the Public Shelter<br />

Leave the shelter only when directed by the authorities<br />

Move as a family unit<br />

Be patient; do not push and rush


PUBLIC WARNING SYSTEM<br />

The Public Warning System (PWS) is a network of sirens placed by the SCDF at<br />

strategic points across <strong>Singapore</strong> to warn the public of imminent threats that may<br />

endanger lives and property. The PWS will be used to warn the public of military<br />

attacks and disasters, both natural and man-made. The table below shows the<br />

different signals and what you should do when you hear them.<br />

Signal How it sounds Situation What you need to do<br />

Alarm Wailing blasts An air raid or danger is<br />

approaching<br />

All Clear Continuous<br />

blasts<br />

Important<br />

Message<br />

Note<br />

Move to a shelter<br />

immediately<br />

The threat is over Leave the shelter in an<br />

orderly manner<br />

Pulsating blasts An important broadcast<br />

will be aired via the<br />

radio<br />

Tune in to any local<br />

FM radio station<br />

immediately<br />

• To listen to an audio recording of the various PWS signals, dial 1800 367 7233<br />

• The “Important Message” signal is sounded at 1205hrs on the 15th of February<br />

and 15th of September each year in observation of Total <strong>Defence</strong> Day and <strong>Civil</strong><br />

<strong>Defence</strong> Day respectively; when you hear the signal, please tune in to the local<br />

FM radio stations for an important broadcast from the SCDF<br />

DEFENSIVE PRECAUTIONS<br />

Preventing damage<br />

Although we cannot control the use of weapons (e.g. bombs and other projectiles)<br />

that cause damage during wartime, there are measures we can take to minimise<br />

damage to property, such as:<br />

• Reinforcing all glass surfaces with tape to reduce shattering<br />

• Removing all objects hanging on walls and sitting on balconies and windowsills<br />

78 79


Blackout measures<br />

While a total blackout cannot prevent enemy air raids or shelling, it can reduce the<br />

enemy’s ability to identify and pinpoint targets. Blackout measures include:<br />

• Switching off all exterior lights<br />

• Covering all outlets of interior light such as windows and doors with curtains<br />

• Covering vehicle headlights with black tape and leaving only a small area<br />

exposed<br />

Module 5<br />

Terrorism<br />

80 81<br />

Module 5


CoNTeNTs Page<br />

Chemical threats .............................................................................. 85<br />

Biological threats .............................................................................. 88<br />

Anthrax ............................................................................................. 91<br />

Bomb threats .................................................................................... 92<br />

Dirty bomb threats ............................................................................ 98<br />

In-Place Protection ........................................................................... 101<br />

Decontamination procedures ........................................................... 104<br />

Public transport security .................................................................. 106<br />

82 83


Following the September 11 attacks, the possibility of CBRE (Chemical, Biological,<br />

Radiological and Explosive) devices being used in terrorist attacks against innocent<br />

civilians is a growing concern. Understanding the threat and knowing what actions to<br />

take are therefore essential in our fight against terrorism.<br />

CHEMICAL THREATS<br />

A chemical agent attack is the deliberate release of hazardous chemical substances<br />

to kill, seriously injure or incapacitate people. Numerous chemical agents can be<br />

dispersed in an attack via improvised explosive devices, spray devices, military<br />

weapons and other means. Such agents include nerve, blister, blood and choking<br />

agents.<br />

signs of a possible chemical agent attack<br />

• Many people in the same area displaying symptoms such as:<br />

Watery eyes or dim vision<br />

Headaches or giddiness<br />

Shortness of breath<br />

Dryness of throat, coughing<br />

or extreme irritation to the<br />

respiratory tract<br />

Nausea or vomiting<br />

Salivation<br />

Chest tightness<br />

Redness of skin with severe<br />

pain and formation of blisters<br />

upon contact<br />

Muscle twitching, seizures or convulsions<br />

Incontinence<br />

Unconsciousness<br />

• Three or more people collapsing for no apparent reason<br />

• Many sick or dead birds and small animals in the affected area<br />

84 85


In the event of a chemical agent attack<br />

• If possible, quickly determine the areas affected or where the chemical release<br />

is coming from<br />

• If the attack occurs indoors, cover your mouth and nose with a damp cloth<br />

(e.g. wet towel) and quickly evacuate the building without passing through the<br />

contaminated area(s)<br />

• If the attack occurs outdoors and you are in the open, cover your mouth and<br />

nose with a cloth and move away from the affected area(s)<br />

• Seek shelter as soon as possible and perform In-Place Protection; do not walk<br />

into the wind as it may carry along the hazardous chemicals<br />

• If you are in your vehicle when the attack occurs, head to your home, office<br />

or public building immediately if they are very nearby and perform In-Place<br />

Protection indoors; otherwise, perform In-Place Protection in your vehicle<br />

• Do not leave the safety of the shelter to help others until the authorities say that<br />

it is safe to do so<br />

If you have been exposed to a chemical agent<br />

If you experience any abnormal symptoms such as those listed on pg 85, you<br />

may have been exposed to a chemical agent. You should then head to the nearest<br />

decontamination facility. If that is not possible:<br />

a. Look for the nearest water source<br />

b. Strip immediately and cut off contaminated clothing which is normally removed<br />

over the head to avoid contact with your eyes, nose and mouth. Tie up the<br />

contaminated clothes in a bag, if available, for proper disposal later on as<br />

instructed by the authorities.<br />

c. Rinse yourself thoroughly; use soap if it is available.<br />

d. Seek immediate medical assistance if possible.<br />

e. Dial 995 for the SCDF, informing them that you may have been exposed to a<br />

chemical agent and your location.<br />

f. Stay calm and await assistance from the SCDF.<br />

If you suspect that someone has been exposed to a chemical agent<br />

• Do not attempt to administer first aid on the affected person; you may be<br />

affected by the chemical and become a casualty too<br />

• Stay away from the affected area and dial 995 for the SCDF<br />

86 87


BIOLOGICAL THREATS<br />

A biological agent attack is the deliberate release of biological agents in the form<br />

of living micro-organisms and biological toxins to kill or incapacitate people. Such<br />

agents can be released into the environment by aerosol sprays, food and water<br />

contamination and infected organisms like mosquitoes and rats. Some biological<br />

agents are contagious (e.g. smallpox).<br />

signs of a possible biological agent attack<br />

A biological agent attack may not be immediately obvious as there is an incubation<br />

period during which the effects of the agent(s) are not observable. You will thus need<br />

to look out for:<br />

• Unusual powdery or gel-like substances and suspicious articles<br />

• Reports on trends of unusual illnesses in the community<br />

• Waves of ill people seeking emergency medical attention<br />

In the event of a biological agent attack<br />

Due to the latent effects of biological agents, it takes time to identify and confirm a<br />

biological agent attack. As a result, public health officials may not be able to provide<br />

information on immediate actions to take against a biological agent attack. It is<br />

recommended that you take the following precautions:<br />

Hand<br />

Sanitizer<br />

• Practise good hygiene and cleanliness to avoid the spreading of germs<br />

• Monitor the news closely for further information on the symptoms of the<br />

biological agent(s) and where to seek emergency medical care if you are affected<br />

• Do not assume that any illness or symptom is due to the declared biological<br />

emergency as many common illnesses have similar symptoms; you are advised<br />

to seek medical advice if you are unsure<br />

88 89<br />

Anti-bacterial<br />

Handsoap


If you have been exposed to a biological agent<br />

• You may not suffer from any obvious symptoms, but you should quickly<br />

identify where the suspected biological release is, if possible, and move away<br />

immediately<br />

• Cover your nose and mouth with a damp cloth while moving away from the<br />

source area<br />

• If you are indoors, inform the building management, and dial 999 to report to<br />

the Police that you have been exposed to a biological agent; leave your contact<br />

information should there be an urgent need to reach you<br />

• At the earliest opportunity, shower thoroughly with water and soap and change<br />

into a clean set of clothing; tie up the contaminated clothes in a bag for proper<br />

disposal as instructed by the authorities<br />

• If you or a family member becomes ill, seek medical advice at the hospital(s)<br />

indicated by the authorities<br />

If you think someone has been exposed to a biological agent<br />

• You may help the casualty if you have adequate respiratory protection (e.g.<br />

an N-95 mask); otherwise, keep a distance from the person and avoid direct<br />

contact<br />

• Dial 995 for help from the SCDF or 999 for the Police<br />

ANTHRAX<br />

Anthrax is a disease caused by bacteria and its powdery form, though not contagious,<br />

is a threat to public safety. In <strong>Singapore</strong>, the SCDF, Police, Ministry of Health and<br />

<strong>Singapore</strong> Post have taken precautionary measures to deal with this threat.<br />

If you suspect that an article contains anthrax<br />

a. Dial 995 or 999 for help from the SCDF or the Police respectively; inform the<br />

security personnel and/or management if you are in a building.<br />

b. Do not handle the article directly,<br />

sniff the article or its exposed<br />

contents, or attempt to clean up the<br />

spilled contents, if any.<br />

c. If the article is already opened,<br />

cover the exposed and spilled<br />

contents immediately with a plastic<br />

cover, cloth, paper or even a trash<br />

can; do not remove the cover until<br />

the authorities arrive.<br />

d. Turn off all local fans or ventilation<br />

units in the affected area.<br />

e. Leave the room and close the door<br />

or block off the area to prevent<br />

others from entering.<br />

f. Head to the nearest toilet or washing point and wash your hands and any<br />

exposed skin with soap and water.<br />

g. At the earliest opportunity, remove all clothing (see pg 87, Step b), shower<br />

thoroughly with soap and water and change into a new set of clothing; do not<br />

use bleach or other strong disinfectants on your skin.<br />

h. Clothing that may have been exposed to anthrax should be sealed in a plastic<br />

bag and disposed of properly according to guidelines given by the authorities.<br />

i. Prepare a list of names and contact numbers of all persons who were in the<br />

vicinity of the suspicious article and hand the list over to the Police for follow-up<br />

investigations.<br />

90 91


BOMB THREATS<br />

Bomb threats are usually verbal or written threats to detonate explosive or incendiary<br />

devices and cause damage to lives and property. The devices may or may not exist.<br />

If you see a suspicious article or an unexploded bomb<br />

a. Dial 999 immediately and report it to the Police; provide details such as the<br />

shape, size, colour and location of the suspected bomb.<br />

b. Do not touch or move the suspected bomb.<br />

c. Move away from it and warn people in the area to stay away from the suspected<br />

bomb.<br />

d. For evacuation procedures, refer to pg 96.<br />

If you receive a bomb threat over the telephone<br />

a. Stay calm and if possible, signal for someone nearby to dial 999 to make a<br />

Police report and another person to inform the building management staff<br />

immediately.<br />

b. Keep the caller talking for as long as possible to buy time and try to jot down the<br />

exact words used by the caller in the threat.<br />

c. Try finding out from the caller:<br />

When the bomb will explode<br />

Where the bomb is placed<br />

What type of bomb it is and how it looks like<br />

What will trigger the bomb to explode<br />

If he planted the bomb himself and why<br />

What message the caller is trying to convey and to whom<br />

His name and current location<br />

d. Take note of how the caller sounds, e.g.:<br />

Caller’s vocal characteristics, e.g. voice of a man, woman or child, possible<br />

age etc.<br />

Language used and accent<br />

Articulation, e.g. caller speaks fluently or stutters<br />

Tone of voice, e.g. emotional, angry or calm<br />

Background noises, e.g. sounds of traffic, music, announcements etc.<br />

e. Do not antagonise or taunt the caller in any way<br />

f. Do not spread rumours.<br />

92 93


If you receive a suspicious letter or parcel<br />

a. It may be a bomb if it has:<br />

• Excessive postage despite its weight<br />

• Been overly secured with string or adhesive tape<br />

• An odd shape, size or rigid feel<br />

• Oily stains or discolouration on the wrapping material<br />

• An unusual odour that smells like almonds<br />

• Metal contents whereby gently shaking the article gently produces metallic<br />

sounds<br />

• Wires or aluminium foil sticking out from the article<br />

• Unfamiliar handwriting<br />

• Only the recipient’s name on it or restrictive markings such as “Personal”,<br />

“Confidential” and “To be opened by addressee only”<br />

b. Do not try to open the letter or parcel if you suspect it to contain explosives;<br />

most bombs are designed to detonate when the outer wrapping is torn or cut<br />

open.<br />

c. If you are unsure of its origin and you have reason to suspect it to be a bomb,<br />

report it to the Police immediately by dialling 999.<br />

d. Place the suspected letter or parcel bomb in a corner of a room away from the<br />

windows.<br />

e. Evacuate the room, and the building if necessary, while leaving all doors and<br />

windows open to mitigate the effects of shattering glass should the bomb<br />

explode.<br />

f. Inform the building management and security personnel, providing clear details<br />

on the location of the letter or parcel bomb.<br />

g. Await further instructions from the authorities.<br />

In the event of an explosion<br />

• If you are hurt:<br />

Do not use your mobile phone to call for help<br />

as it may trigger secondary explosions; use a<br />

whistle or shout to get the rescuers’ attention<br />

If you are able to evacuate, move away from<br />

the affected area. If you are trapped, refer to<br />

pg 97<br />

Do not move unnecessarily as you may<br />

worsen your injuries<br />

• If you are not in the affected area, stay away<br />

from the explosion site and do not dial 995 or 999 unless you encounter an<br />

emergency; tune in to the radio or television for updates<br />

• After an explosion, beware of post-blast hazards such as:<br />

94 95<br />

Damaged structures, walls, beams, columns and overhanging slabs<br />

Craters in the ground<br />

Sharp debris and broken glass<br />

Smoke, fires and toxic fumes<br />

Water and gas leakages due to damaged utility pipes and exposed live<br />

electrical cables<br />

Potential secondary bomb devices<br />

• Ensure your own safety before helping others<br />

Do not use your mobile<br />

phone near a bomb<br />

threat or explosion site.<br />

• If safety permits and you are a trained first-aider, treat casualties where they are<br />

until the arrival of emergency responders<br />

• If you are not trained in first aid, move away from the hazard area; note the<br />

locations of severely injured casualties and inform rescuers to attend to them


evacuating from an explosion site<br />

• Stay calm and do not panic<br />

• Bring along only what is necessary and evacuate in an orderly manner<br />

• Do not use the elevators as they may malfunction; use the stairs but do not keep<br />

the doors propped open as that will allow more smoke to enter the stairway<br />

• Do not run; walk briskly and help the disabled, children and the elderly along the<br />

way<br />

• Keep roads and walkways clear for emergency vehicles and rescuers while<br />

looking out for them<br />

Do not obstruct roads and walkways while evacuating.<br />

Make way for emergency vehicles and rescuers.<br />

• Do not use mobile phones, radios or any electronic equipment at a bomb site as<br />

they may trigger secondary explosions<br />

• At the earliest opportunity, let your loved ones know that you are safe<br />

• Do not spread rumours about the situation<br />

Do not enter a building that has been damaged<br />

by an explosion.<br />

• Do not enter a building whose structure has been damaged by the explosion<br />

• Leave the area and disperse as quickly as possible in case of secondary attacks;<br />

if the attack occurred at your workplace, you may explore alternative means of<br />

accounting for your staff, colleagues, tenants and clients<br />

If you are trapped under debris or rubble<br />

• Crawl under a sturdy piece of furniture (e.g. a desk or bed) which will provide<br />

you with breathing space and protection against falling objects; if that is not<br />

possible, brace yourself against an interior wall devoid of glass windows or<br />

mounted shelves and try to use blankets, boxes and other similar materials for<br />

protection against glass fragments and light debris<br />

• If possible, move away from unstable areas and objects, and put on a pair of<br />

sturdy shoes to protect your feet from broken glass<br />

• Stay put if you are in a safe area; do not attempt to use the stairs or elevators<br />

as you will be exposing yourself to dangers such as falling debris, damaged<br />

stairways and power outages in elevators<br />

• Do not turn on light switches or light matches, fires and gas stoves unless you<br />

are sure that there are no gas leaks<br />

• Be calm, alert and responsive to calls from the rescuers<br />

• Do not shout unnecessarily as you may inhale dangerous amounts of dust while<br />

weakening yourself<br />

• If possible, use a whistle, torchlight or tap on a pipe or wall to attract the<br />

rescuers’ attention<br />

• If you are pinned down by debris, periodically move your fingers and toes to<br />

promote blood circulation and prevent blood clots<br />

• Keep your spirits high by thinking of your loved ones<br />

• Consume food and water from the refrigerator if it is near you; look out for<br />

shattered glass and other debris if you need to eat and drink from an open<br />

source among the debris<br />

96 97


DIRTY BOMB THREATS<br />

Dirty bombs use conventional explosives spiked with radioactive materials. Once<br />

detonated, harmful radioactive materials are dispersed into the air, resulting in<br />

radiological contamination over a wide area.<br />

Types of radiation<br />

Depending on the type(s) of radioactive material used, there are 3 main types of<br />

ionizing radiation which may be emitted from a dirty bomb explosion:<br />

• Alpha radiation<br />

Does not penetrate the human skin<br />

Can seriously harm us if alpha emitting materials are inhaled, swallowed or<br />

absorbed through open wounds<br />

• Beta radiation<br />

Can penetrate the human skin<br />

May cause skin injury if high levels of beta contaminants are allowed to<br />

remain on the skin for a prolonged period of time<br />

• Gamma radiation<br />

It is a long range and penetrating electromagnetic radiation that harms<br />

human cells<br />

It is able to travel for many feet in the air and many inches into human<br />

tissues<br />

Most materials and clothing cannot provide any protection for the skin.<br />

Lead is effective in blocking off gamma radiation<br />

effects of radiation<br />

Depending on the extent of exposure to radiation, effects can range from none to<br />

radiation sickness such as nausea, vomiting, inflammation of exposed areas and<br />

skin burns. In some cases, persons exposed to radiation may develop cancerous cell<br />

growth that may not be apparent until many years later.<br />

Limiting radiation exposure<br />

You can limit the amount of radiation you are exposed to by using the methods below:<br />

• Shielding – Seek shelter in buildings or other structures that will shield you from<br />

the radiation<br />

• Distance – The further away you are from the blast and the radioactive<br />

contamination, the lower your radiation exposure will be<br />

• Time – Minimise time spent in radioactive-contaminated areas so as to lower<br />

total radiation exposure<br />

Possible signs of a dirty bomb attack<br />

• A dirty bomb explosion sounds and looks like a conventional explosion, and<br />

casualties of such explosions are likely to suffer from blast injuries which include<br />

burns and shrapnel wounds<br />

• Specialised equipment are required to detect the presence of radioactive<br />

material in a dirty bomb attack; otherwise, it is almost impossible to differentiate<br />

it from conventional bomb blasts<br />

98 99


In the event of a dirty bomb attack<br />

• If you are outdoors and the explosion/radiation occurs nearby:<br />

Cover your nose and mouth with a damp cloth and move away from the<br />

hazard area<br />

Do not walk into the wind as it may carry radioactive particles<br />

• If you are indoors and the explosion/radiation occurs near the building:<br />

Check if any walls and building elements have been damaged<br />

If your area is stable, stay put, close all windows and doors and turn off<br />

air-conditioners and other ventilation systems<br />

If it is not stable, evacuate from the damaged building in the same manner<br />

as you would outdoors<br />

• If there is an explosion/radiation in your building:<br />

After an explosion<br />

nearby, check for any<br />

damage to the walls<br />

and building elements.<br />

Cover your nose and mouth with a damp cloth and leave the building<br />

immediately<br />

If you have been exposed, wait to be decontaminated by SCDF personnel;<br />

otherwise, move away from the hazard area and avoid walking into the<br />

wind as it may carry radioactive particles<br />

• Tune in to the local radio or television channels for advisories from the authorities<br />

on where to report for radiation monitoring and other tests to determine if you<br />

have been exposed to radiation; you will also be given advice on steps to<br />

protect your health<br />

IN-PLACE PROTECTION<br />

You may be required to observe In-Place Protection (IPP) when hazardous substances<br />

are released into the environment intentionally or otherwise. IPP serves to minimise<br />

the infiltration of hazardous materials into your home, school or workplace. If you<br />

are outdoors when a hazardous substance is released, seek shelter and perform IPP<br />

immediately.<br />

IPP room<br />

Prior to an emergency, it is important to designate a room in your home for IPP. The<br />

room should preferably be:<br />

• An inner room that offers some protection against ordinary explosions<br />

• Large enough for the expected number of occupants so that the air in it will last<br />

for as long as required; IPP is expected to be observed for only a few hours<br />

• One with few openings and windows that will require sealing<br />

• One without wall-mounted air-conditioners as they are difficult to reach and seal<br />

properly<br />

• Equipped with an attached bathroom and water supply<br />

IPP kit<br />

You should also prepare an IPP Kit which includes:<br />

• Rolls of wide adhesive sealing tape<br />

(e.g. masking tape)<br />

• Large trash bags or plastic sheets,<br />

trimmed to fit windows and vents in<br />

the pre-selected room for IPP<br />

• A portable battery-operated radio and<br />

extra batteries<br />

• Several pairs of scissors<br />

• Special care items to meet the needs<br />

of special groups (e.g. infants and family members under long-term medication)<br />

• Optional items such as a torchlight, bottled water (if there is no water supply in<br />

the IPP room) and dry rations (sufficient for at least one meal)<br />

100 101<br />

IPP<br />

TRASH<br />

BAG<br />

(10 Packs)


IPP procedure at home<br />

There are three simple steps in carrying out the IPP procedure:<br />

a. Move in<br />

i. When instructions are given by<br />

the authorities to carry out IPP,<br />

stay calm, gather your family<br />

members and pets indoors.<br />

ii. Close and lock all doors, windows<br />

and openings.<br />

iii. Switch off all ventilation and airconditioning<br />

units that draw in air<br />

from the outside; room fans can<br />

be left to run on low speed.<br />

b. Stay in<br />

i. Grab your IPP Kit and head to the<br />

pre-determined room for IPP.<br />

ii. Use the adhesive tape and trash<br />

bags to seal any obvious gaps<br />

around the windows, doors, vents<br />

and other openings; use wet<br />

towels to cover door gaps.<br />

iii. If anyone is affected by the<br />

hazardous substance(s), dial 995<br />

for the SCDF.<br />

c. Tune in<br />

Apply a primary layer of tape to close up any<br />

obvious gaps. If there is time, seal a trash bag<br />

over the window, vent or opening to serve as a<br />

secondary barrier.<br />

i. Tune in to the radio or television for updates on the situation and<br />

instructions from the authorities.<br />

ii. You may leave the room and remove all seals only when instructed by the<br />

authorities.<br />

IPP procedure at school and in the workplace<br />

While the IPP procedure for work and school is similar to that for homes, pre-planning<br />

by the building management is essential in ensuring good coordination and quick<br />

response among the large number of occupants. A sample guideline to preparing<br />

non-residential buildings for IPP is available on www.scdf.gov.sg under Building<br />

Professionals, Publications and Circulars.<br />

IPP procedure in your vehicle<br />

If you are driving when the hazardous substance release occurs, drive to your home,<br />

school or workplace if they are very near and carry out the IPP procedure there. If<br />

that is not possible:<br />

a. Close the windows and vents; if possible, seal the air-conditioning vents with<br />

tape.<br />

b. Drive away from the affected area.<br />

c. Stop at a safe area and cover your nose and mouth with a piece of cloth.<br />

d. Tune in to the radio for updates on the situation and further instructions.<br />

Seal the air-conditioning vents with tape, if possible.<br />

102 103


DECONTAMINATION PROCEDURES<br />

In the event of a hazardous material incident involving a chemical, biological or<br />

radiological substance, the SCDF will set up personnel decontamination facilities<br />

on-site to decontaminate the affected persons. This critical process saves lives and<br />

prevents cross contamination. A full decontamination process entails the following<br />

steps:<br />

a. Registration<br />

i. Collect a personal belongings bag and write your NRIC number on it with<br />

a non-soluble ink marker.<br />

ii. Place your valuables in the bag, zip it up and hand the bag over to the<br />

SCDF personnel.<br />

iii. Collect a trash bag and cable tie and proceed to the shower unit.<br />

b. Undressing<br />

i. Remove all clothing and shoes, and cut off<br />

contaminated clothing which is normally<br />

removed over the head to avoid contact with<br />

your eyes, nose and mouth; doing so will remove<br />

up to 80% of the contaminant(s).<br />

ii. Dispose of them into a trash bag and seal the<br />

bag with the cable tie provided; discard the bag<br />

into the trash bin.<br />

c. Showering<br />

i. Collect a sponge, bend forward and wash your<br />

hair first.<br />

ii. Wet your entire body and apply the non-ionic<br />

liquid detergent provided; scrub your body<br />

thoroughly, especially the armpit and groin areas.<br />

iii. Dispose of the used sponge into the trash bin<br />

and shower thoroughly for 2 minutes to rinse off<br />

the detergent.<br />

d. Drying off<br />

104 105<br />

i. Collect a towel and dry your entire body; discard the used towel into the<br />

trash bin.<br />

e. Monitoring<br />

i. Raise your arms to the sides to form a T-shape with your body; this will<br />

allow SCDF personnel to scan your body for any remaining traces of the<br />

contaminant(s).<br />

ii. If residual contaminants are detected, you will need to repeat steps c to e.<br />

f. Getting dressed<br />

i. Once you have been decontaminated, put on the bathrobe and footwear<br />

provided, rest at the temporary holding area and await further instructions<br />

from the SCDF.


PUBLIC TRANSPORT SECURITY<br />

Public transport systems are easy targets for terrorists and vigilance is the key to<br />

safety in this area. If you see anything or anyone suspicious, inform the bus captain,<br />

train operator or transit security personnel immediately. Should there be a threat to<br />

life or cases of injury, dial 999 for the Police or 995 for the SCDF.<br />

When evacuating the train or bus<br />

• If a problem occurs while the train or bus is on the move, do not panic<br />

• Listen carefully to the announcements made by the transport staff and follow<br />

the instructions closely<br />

• Take care of the disabled, children and the elderly<br />

• For trains:<br />

Do not force open the doors and attempt to jump off the train<br />

Head towards either end of the train and evacuate in an orderly manner via<br />

the emergency exits<br />

During evacuation, no electrical power will be running through the train<br />

tracks so you may safely walk on them; emergency lighting and ventilation<br />

will be provided in the trains and tunnels<br />

Useful<br />

Telephone<br />

Numbers<br />

106 107<br />

Useful Telephone<br />

Numbers


Useful Telephone Numbers<br />

Fire and Emergency Ambulance Services 995<br />

Non-Emergency Ambulance Service 1777<br />

Fire Hazard Reporting Line 1800 280 0000<br />

SCDF General Enquiries 1800 286 5555<br />

SCDF Emergency Information<br />

(for information on emergency procedures, PWS,<br />

shelters and personal safety tips)<br />

Police 999<br />

108 109<br />

1800 367 7233<br />

Police Hotline (for general enquiries) 1800 255 0000<br />

PUB, the National Water Agency (for water<br />

supply matters)<br />

SP PowerGrid (to report on electricity supply<br />

interruption)<br />

City Gas<br />

(to report on gas supply interruption/suspected gas<br />

leak)<br />

Building and Construction Authority<br />

(to report structural defects in non-HDB buildings)<br />

HDB’s Essential Maintenance Service Unit<br />

(EMSU)<br />

(to report power failure and structural defects in<br />

HDB buildings; the service number for your building<br />

can be found outside the lift)<br />

1800 284 6600<br />

1800 778 8888<br />

1800 752 1800<br />

6325 7191<br />

6325 7393<br />

1800 275 5555<br />

1800 325 8888<br />

1800 354 3333


110

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