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Event First Aid: The Distraction Technique and Autism

32270_10150161038395184_1381207_nAs an auxiliary first responder who works first aid booths at community events like airshows, parades, road races, festivals and the like and an adult with Asperger’s, I have discovered some good techniques to aid me in my duties when I am providing first aid for a person and/or child with or without special needs such as Autism.

One technique I love to use is distraction. Distracting an individual helps to interrupt the neurological process that allows a person to feel and know what is happening to them at the current time. We all know when working in public safety we work in pairs for safety, camaraderie, and and other reasons. We are going to add another reason to work in pairs, especially when responding to an Autistic individual who needs medical attention. That reason is for one responder to provide treatment while the other distracts the injured individual with things such as conversation about the patient’s favorite subject, a toy such as a stuffed animal or metal slinky, or even blowing up a nitrile glove like a balloon and drawing on it. Remember that whatever items you use needs to be age appropriate and safe for the child.

Another situation I have encountered is lost individuals. When an individual such as a child or person with Autism, who sometimes cannot communicate or care for themselves, becomes separated from a family member they are usually brought to the first aid room which doubles as the lost and found room. This is so we as first responders can watch over and care for them until their caregiver is found and are reunited. This may take time so you need to have some ways to occupy an individual that may have Autism or similar issues. Some items you may want to keep are crayons and paper, Play-dough, coloring books, and a deck of cards. These items can be used as distraction until the individual is reunited with their family or caregiver. So to recap our new tools and items that we can use with the distraction technique are:

  • Conversation about patient’s favorite topic or obsession
  • Stuffed animal
  • Slinky
  • Crayons with paper
  • Coloring book
  • Play-dough
  • Deck of cards

I hope these tools and ideas will help you in your future response to an individual in need at an event or large gathering.

Austin is a certified and experienced Skywarn Storm Spotter, Ham radio operator, 11232116_10155647656030184_4068160658730913034_nCommunity Emergency Response Team Instructor.  He is currently pursuing a degree in Criminal Justice at Gwinnett Technical College and hopes to one day pursue an EMT certification and certification as a State of Georgia Emergency Manager. He brings a wealth of knowledge to Spirit of Autism with years of research and experience in emergency preparedness and as an adult with Autism.

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Weekly Autism Tips for Emergency Responders: Drawn to Water

2015-06-24 12.50.17In my Autism Training courses I teach parents and emergency responders to search water first if a person with Autism goes missing. This includes rivers, pools, lakes, ponds, and even fountains. 91% of deaths of children with Autism are due to drowning.

These are scary statistics. I have a wanderer. When he was three we went to visit family in Florida and he figured out how to unlock all the doors and gates that led to the pool in the back yard. In a flash he was gone and in the water.

My son used to spend hours in the tub and could often be found playing with the hose in the front yard. Toddler time at the neighborhood pool always consisted of him trying to break free of my arms and just GO. It didn’t matter where he was going, he just had to go. Slippery babies are hard to contain as it is!

So, yes, I know that children with Autism are often drawn to pools and other bodies of water. But why? Experts said they find them beautiful and are fascinated by the way light sparkles on the water.

The Autism Society of the Heartland’s Executive Director offers that, “Water is a fixation for them because when they get in the water, it’s like a big hug and it wraps around them. And it can relax them and help with some of those sensory issues that they might have.”

That is consistent with the feedback I hear from many families and children I have worked with, including my own child. It is a soothing escape from the whirlwind of sensory input that often overwhelms them. Unfortunately, an Autistic child’s fascination with water is typically coupled with no sense of fear or perception of danger and can end tragically in the blink of an eye.

As parents, we do our best to protect our children – being prepared for emergencies, knowing the lay of the land and all bodies of water surrounding home and school, installing additional locks and alarms at home on doors and windows, and of course, seeking swimming lessons.

As responders, you don’t know how involved and tenacious parents and caregivers are. You don’t know what precautions are in place and if they’ve been bested by a clever and curious child. All you know is there is a child (or adult) missing.

The National Autism Association states the following information for first responders:

  • Nearly half of children with autism engage in wandering behavior
  • Increased risks are associated with autism severity
  • More than one third of children with autism who wander/elope are never or rarely able to communicate their name, address, or phone number
  • Accidental drowning accounts for approximately 91% of lethal outcomes
  • Other dangers include dehydration; heat stroke; hypothermia; traffic injuries; falls; physical restraint; encounters with strangers

Because many individuals with ASD go directly to water, it’s important to treat each case as CRITICAL. Remember that every person with Autism is different, so utilize input from the child or adult’s immediate caregiver and keep search efforts ongoing. Some children with autism have survived as many as six days without adequate food or water.

Tantrum vs meltdown

Weekly Autism Tips for Emergency Responders – Sensory Meltdown Vs. Tantrum

Tantrum vs meltdownHey, Spirit of Autism family! I appreciate your patience regarding the fact that I’ve not been able to keep the Blog up to date while finishing Advanced EMT school. It’s been quite a ride but I’m nearly there! I can see a light (or is it flashing lights?) at the end of the tunnel…

I’m going to be transitioning the Blog to focus more on Autism Training Tips for Emergency Responders, Autism Safety Tips (for families and responders alike) and Emergency Preparedness for Autism Households. Previously the focus was on parents and caregivers only, which made it very confusing for those landing on my website, seeing that I do training for emergency responders, but solely reading about my journey as a parent. I will still be sharing lots of stories and personal experiences and of course adding my experiences and perspective as a parent – how could I not? My main focus, however, is to get critical information into the hands of emergency responders that have not yet taken my training course. To do this, I need to start offering it here.

If you have friends and family members in public safety, healthcare security, disaster response, or similar fields, please point them to the website! I want to go beyond local training efforts and start making a global difference.

So, the first in the Weekly Autism Tips for Emergency Responders [W.A.T.E.R.] series is… (sound the horns)…

Sensory Meltdown Vs. Tantrum

When I introduce my course objectives to class recipients, I talk about the definition of Autism, starting with what Autism is NOT. It is not a mental illness and it is not a behavior issue. At this point, students typically turn their heads and look at each other questioningly, as if I’m speaking Swahili. If I had a nickel for every time my son’s inability to cope with an overwhelming sensory environment was labeled a temper tantrum or behavior disorder. And I’m not just talking bystanders, this has happened with Special Ed teachers and pediatric neurologists.

I am a single mom. I’m not going to sit here and tell you that my child has never had a tantrum or behavioral outburst. He’s a BOY. With lots of ENERGY. Going through PUBERTY. Of course there have been times he’s tested those in authority. That’s what teenagers do.

Even knowing all I do about Sensory Processing issues, it is still a fine line to walk when discerning a sensory meltdown and an actual tantrum. I want to help arm you with some real, tangible signs and symptoms to help you tell the difference. Recognizing the physiological differences may change your response and radically alter the outcome of a situation. I’m not ever going to tell you to go against your local protocol or training and put yourself in danger. I’m talking about some really good scene size-up tools to help you respond in the safest way possible for all parties.

Signs and Symptoms of both a Tantrum and Meltdown

If you are just looking at the surface, it is challenging to tell what’s going on – the signs of both tantrums and meltdowns may present as screaming, kicking, shouting, stomping, swearing, biting, throwing, or hitting (either others or self-injurious behavior). Let’s go a little deeper:

A Tantrum typically occurs when a person wants something

A Meltdown is a response to environmental sensory overload or feeling extremely overwhelmed

During a Tantrum the person frequently checks to make sure you are paying attention to their behavior

During a Meltdown the person does not care if anyone is paying attention, they cannot stop themselves

A person acts this way in front of an audience during a Tantrum (behavior will cease when no one is looking)

During a Meltdown the behavior will continue with or without an audience

A Tantrum will cease abruptly once the person gets what they want

In a Meltdown situation, there is no goal – the behavior will cease only when the person can self-calm or when someone helps them regain control

In a Tantrum, there are no residual autonomic nervous system signs following the behavior; the person returns to normal activity within 5 minutes

A Meltdown will yield residual symptoms such as red ears, sweating, and dialated pupils; it takes 45-60 minutes for a person to return to normal following a sensory meltdown

Remember that someone experiencing a sensory meltdown is in survival mode – they are battling their environment and it is pure physical and psychological torture. Their senses are on fire and they have little control over themselves. No one chooses to be in a meltdown, and when you understand what’s happening to the nervous system and help someone through it your are not “giving in to” or “reinforcing” negative behavior. You are throwing someone a LIFELINE.

Stay tuned for future tips to learn more about Sensory Meltdowns and how you can most safely intervene.

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Help Me Illuminate the Future for Those with Autism

logo_waad-227x300As you know, I am extremely involved in the Autism community, both to support my son and in the Emergency Preparedness/Emergency Responder arena. I am blessed and honored to be training some of Georgia’s finest men and women in uniform – Law Enforcement, EMS, Fire Rescue and Disaster Responders – on how to recognize and safely interact with Autistic persons on the scene of a crime, fire, medical call or disaster. My goal is to have all of Georgia’s responders trained within the next 18 months. The Autism Society of Georgia is helping me do that by fully endorsing my training programs!

April 2 is World Autism Awareness Day. 

Please join the Autism Society of Georgia and me by helping us illuminate the future and create awareness for Autism.

For as little as $5.00 you can help us light a luminary for 1 child or adult.

There are over 150,000 children and adults in Georgia identified with Autism and we are making a difference. And, because my training programs are critical to the safety of the Autism community, the Autism Society of Georgia is giving 20% back to Spirit of Autism when you donate through my unique link so that I can continue to provide this training.

If you feel inspired to, you can click here to go to mydonation page or head over to Autism Society of Georgia’s The Future is Bright website to learn more about the campaign. From there you can choose Spirit of Autism on the right hand side by clicking my logo.

Thank you for being a part of MY community. I know you haven’t heard from me regularly in a while… I apologize! I’m almost done with Advanced EMT school and can come up for air soon : ) Now back to my IV drip conversions and drug calculations!

xoxo

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7 Vital Tips for Autism Wandering Prevention

My son was 18 months old. He was standing next to my bed, humming, as I was folding laundry and separating the piles. Then he walked out. In the time it took me to fold a pair of jeans, the child had walked to the other end of the house, found my keys, figured out which one was the car key (!), went outside, opened the trunk, and climbed in.

When he was in First Grade, I dropped him off at school, walked halfway to his class with him, then went on my merry way after kisses and high fives like usual. It just so happened that I forgot something from the house that day. Coincidentally, I also needed gas and went left instead of right, passing the school once again. About four blocks from the school, in a direction I normally never would have traveled, was my son, walking with his backpack and singing, without a care in the world. He apparently walked right out of the building after we parted in the hallway, and the teacher assumed he was absent that day. No one knew! Imagine what could have happened if I had turned right like I always did!

Here are 7 tips if your child is prone to wandering

  1. Safety-proof your home. Home should be a safe haven. In addition to traditional childproofing for small children, you will have to take some extra measures for your child with Autism.
  2. Install door alarms. Many children with Autism are prone to wandering. Alarms offer great back up protection.
  3. Arm your child with a form of communication. Whether your child is verbal or non-verbal, communication is a challenge. Create a visual safety book for your child with key questions and answers he or she may be asked in an emergency situation. Practice, practice, practice!
  4. Get to know your neighbors. It’s a good idea to introduce yourself and your child to your neighbors. You can explain what Autism is, along with some of your child’s behaviors that would strike other people as odd. This way they will call you instead of the police, or help direct your child home if found wandering.
  5. Register your child with public safety. Contact your local police precinct, fire department, and hospital and register your child with their database of special needs families.
  6. Use social stories. Teach your child how to handle emergency situations like fire, burglary, strangers at the door, when someone is hurt, and calling 911.
  7. Get QR Code iD apparel for your child and subscribe to their website.

What is QR Code iD?

People who have Autism, cognitive disabilities or other special needs or health issues may be unable to state personal information such as name, phone number, address, medications taken, where Mom and Dad work, issues peculiar to that day, the hotel where the family is staying on vacation, etc.

If your child is lost or wanders, rescuers need to know who to call, and how to help.

QR Code iD creates a way to put this information in one place. This information is accessed from any computer browser, either by entering the URL manually with the computer keyboard, or by scanning a QR code printed directly on the child’s clothing, both of which will take you to the client’s non-secure homepage. This page displays all the information that a loved one wants someone to know when finding the child. This information can be updated REAL TIME!

QR Code iD commissioned Special Needs Artists to create beautiful artwork to put on shirts, buttons, key chains and other products that have QR codes on them. These talented Special Needs Artists will be discovered and contracted to contribute original artwork for our products.

Membership is only $29.00 a year for this invaluable service. I highly recommend it!

Use “spirit 15″ when you check out for 15% discount through July 4!

Do you have any stories of your child wandering that really frightened you? What did you do? Share your comments below or post them to the SOA Facebook page!

When Your Child Wanders…

When Justin was in first grade the principal had a strict policy of no parents walking their children into the classroom. (More about that inane rule and how I combated it in another post…) But for that portion of the year I was entering the school with him and saying goodbye just before he turned the corner to head to class.

One morning I dropped him off, business as usual. At that time, I would typically turn right out of the parking lot and head to work; however that day I realized I forgot my lunch AND needed to get gas in the car. I drove back home and then past the school once again toward the gas station. The bell had rung and school was in session. About six blocks past the school I saw a small child with a backpack casually walking down the street. My heart sank as I realized it was MY child.

When I pulled over and brought him back to school they had no concern whatsoever that he hadn’t made it to class – they simply thought he was out sick that day. I went over and over in my head the scenarios that COULD HAVE played out if I hadn’t forgotten my lunch and needed gas that day. The thought of the myriad possible outcomes were magnified by the realization that I would not have even found out he was missing until I went to pick him up at the end of the work day.

Another time, he was playing with the garden hose outside in the front yard. This was a normal activity for him, and I always peeked out the window frequently to check on him. On this particular day, I blinked and he disappeared. Gone. No shirt, wet pants, and no shoes… vanished.

I immediately grabbed his sister and her best friend and started screaming his name while walking up and down our dead end block. Some neighbors heard my panicked shouts and offered to drive the vicinity and look for him. A thousand thoughts were racing through my head as I searched every nook and cranny of the woods, front and back yard, inside the house several times (maybe he’s just hiding, oh please God let him be hiding), and down several neighboring blocks.

I called the police. Being in the Fire Department I heard my own call go over the scanner and it really hit me. My baby is lost. What have I done? How could this have happened? It was just a few minutes…

I will never forget the feelings that washed over me as I saw my neighbor driving up with Justin in the front seat. Tears welled up as I experienced every possible human emotion simultaneously, hugging him tighter than I ever have. I was able to cancel the police call and take my little angel home to dry off.

He had no explanation for why he left the yard or where he was going. These two experiences absolutely changed my perspective about Autism and wandering.

How do you minimize the risk?

I know how lucky I am that my son is still with me today. That is part of what drives me to train Emergency Responders. However, you must assume that police and fire currently have no knowledge or Autism training and take preventative measures. Here are some practical steps you can take so you don’t have to go through what I did:

1. Safety-proof your home. Home should be a safe haven. In addition to traditional childproofing for small children, you will have to take some extra measures for your child with Autism.

2. Install door alarms. Many children with Autism are prone to wandering. Alarms offer great back up protection. You also may want to consider a personal GPS device for your child.

3. Carry an Autism Emergency ID Card. Emergency ID cards will help people on the scene of an emergency know how to approach and communicate with your child. Include contact information and important behavioral traits of your child.

4. Have your child wear an Emergency ID Tag. In addition to ID cards, tags are another great way to get the attention of emergency responders. If your child cannot tolerate wearing tags around their neck or wrists (if sensory and tactile issues are present), try attaching them to your child’s shoelace. (This of course would not have helped when my child was shirtless and shoeless… but there are so many different kinds of ID tags to choose from now, thank goodness)

5. Arm your child with a form of communication. Whether your child is verbal or non-verbal, communication is a challenge. Create a visual safety book for your child with key questions and answers he or she may be asked in an emergency situation. Practice, practice, practice! I also highly recommend Signing Families for additional communication resources and tools.

6. Get to know your neighbors. It’s a good idea to introduce yourself and your child to your neighbors. You can explain what Autism is, along with some of your child’s behaviors that would strike other people as odd. This way they will call you instead of the police, or help direct your child home if found wandering.

7. Extend the introduction to places you frequent. Introducing your child to a local store owner, diner staff, or other places you regularly visit can go a long way. Instead of a knee-jerk reaction to an odd or inappropriate behavior, a clerk will know your child and be able to intervene safely or inform you of what they may observe. This is also a good idea in vacation spots!

8. Register your child with public safety. Contact your local police precinct, fire department, and hospital and register your child with their database of special needs families.

9. Teach safety procedures to your child. Even with Autism ID cards and tags, your child may still cross the street without looking or enter a dangerous situation. Use real-life situations (like being lost in a store) and repeat drills with your child as often as possible.

10. Use social stories. Teach your child how to handle emergency situations like fire, burglary, blackouts, strangers at the door, when someone is hurt, and calling 911.

Have you had any close calls with your child? What preventative measures do you employ in your home or neighborhood? Let me know by commenting below or posting on my Facebook page – I always welcome your stories and feedback!

Why Emergency Responder Education Part II – Behaviors

Yesterday I participated in a beautiful 9/11 memorial service and emergency preparedness festival. I am still brought to tears when the events of that horrific day are described by anyone, especially those who serve in public safety. I am honored to be a part of a huge calling to encourage citizens to get involved and help their families, neighbors, and community be prepared for disasters of all kinds. To learn more about how you can be involved in your community, go to the Citizen Corps website.

Common behaviors of children with Autism and how to handle them

As promised, here is part two of why I am passionate about training and educating Emergency Responders about Autism. Here is a snapshot of behaviors that are highly likely to be misinterpreted by police officers, EMTs, or firefighters responding to an emergency call:

Self-stimulatory (stimming)

  • Hand flapping
  • Finger play
  • Head tapping
  • Spinning
  • Transfixing on spinning or moving objects

Unless the child is injuring himself or others, self-stimulatory behaviors should not be stopped. This is a comfort for the child.

Self-injurious

  • Head banging
  • Biting self
  • Scratching
  • Eye gouging

This behavior should be stopped immediately.

Aggressive behavior is not intentional - handle with care

  • Head butting
  • Biting
  • Punching
  • Crashing into or pushing others

Aggressive behavior is usually caused by over-stimulation, sensory-seeking, fear, pain, surprise, or lack of communication.  Remember this child does not mean to hurt you. Restrain if needed, as calmly and controlled as possible.

Insensitivity to pain

  • May be unaware of pain
  • May under-react: major physical trauma may go unnoticed
  • May over-react: minor scrapes and cuts could be perceived as major

Check thoroughly for injuries; do not rely on communication or reaction from the child.

Aversion to touch

  • Light touches (hand on shoulder, back rubbing) may be painful

Although they may crave deep compression and tight squeezes, light touch is often over-magnified and can cause pain and discomfort. Do not approach the child from behind if possible; children with Autism do not like surprises.

Avoiding eye contact

  • May look at you through peripheral glance
  • May look at you through an object or spread fingers

Do not mistake lack of eye contact for suspicion of guilt, avoidance, lack of respect, or belligerence.  Try to get eye contact if you can, but do not force it.

Lack of response

  • May only respond to visual cues

Emergency responders should consider carrying sets of visual communication cards, or familiarizing themselves with basic sign language.

Repetitive motion

  • May repeatedly fidget with an item
  • May fixate on spinning or lighted objects
  • May appear to be in a trance

Do not mistake for drug use, mental illness, or lack of respect for authority.

Extreme hyperactivity or inactivity

  • Prone to running or bolting away suddenly

    Children with Autism are prone to running away - especially if frightened or confused

  • May rapidly pace back and forth
  • May appear out of control (like the Tasmanian Devil!)
  • May go limp at touch or fold into self

Redirection is the best way to diffuse hyperactivity or passivity. Try asking what the child’s favorite show, game, or movie is.  Asking mathematical questions or giving the child a “job” to will reel in their focus.

Inappropriate emotional response

  • May laugh or cry for no reason
  • May laugh at a very serious situation, or in response to feeling or causing pain
  • May show extreme distress over minor incidents

This is very hard for us to understand. Laughter in response to a serious question or accusation does not imply guilt or disrespect. It is simply a defense mechanism for the child.

Echoing speech or movement

  • May repeat everything you say
  • May mimic your tone and gestures
  • May speak in robotic tone

Do not mistake this for “being a wise guy”, or lack of respect.

Non-verbal and non-responsive to verbal cues

  • Limited or no speech
  • May appear deaf
  • May communicate with sign language, by pointing, or using picture cards

Do not mistake for lack of interest or ignorance. Try to use common gestures to get through to the child. Be patient!

Attachment

  • May hold unusual items
  • May be extremely agitated or distressed if item cannot be located

While seeming unimportant or silly to us, comfort items are critically important to children with Autism. It may be a rock, a paper clip, fabric, shoelace, or anything. Do not take away the item from the child. Try to find the item if the child loses it.

Need for routine and order

  • Obsessed about routines
  • Literal about things like time and location (“It’s not 8:30, it’s 8:28!”)
  • May repeatedly seek places or activities from the child’s normal routine

Children with Autism look to bring order to a world that’s out of order to them. Noise, lights, smells, and other sensory challenges are coming at them all the time. This is their norm.

Oblivious to others’ emotions

  • Typically do not understand facial expressions
  • Will not understand sarcasm, idioms, exaggerations, or jokes
  • May not understand they are a victim of a crime
  • May be hard to diffuse situation with normal socialization techniques (e.g., “How would YOU feel if…”)

Don’t assume that these children “should know better”, or that a simple unapproving look will get through to them. They rarely know what they did wrong and need it explained in a way they understand.

Children may respond to loud or confusing noises by screaming to drown it out

Inappropriate response to noise

  • Hyper sensitive: May cover ears with hands or try to break object that is causing discomfort
  • Hypo sensitive: May appear deaf or not respond to verbal commands

Each child on the Spectrum presents different variations of sensory issues – no two are alike! They can even be hyper and hypo sensitive to the same thing!

No fear of danger

  • May run into traffic
  • May bolt suddenly into the street or a hazardous environment
  • May willingly go with strangers
  • Will not recognize dangerous situations
  • May not understand fire, heat, sharp objects, or other hazardous items

While often possessing extraordinary academic abilities, many children with Autism do not recognize danger, exhibit no fear, are prone to wandering, and miss basic cause and effect concepts (“If I touch this, I will get burned”). Never leave unsupervised at the scene of an accident, fire, disaster, or crime.

Why Emergency Responder Education – Part I

My son was 18 months old. He was standing next to my bed, humming, as I was folding laundry and separating the piles. Then he walked out. In the time it took me to fold a pair of jeans, this child had walked to the other end of the house, found my keys, figured out which one was the car key (!), went outside, opened the trunk, and climbed in. NO EXAGGERATION.

Around that same time period, I remember driving to an errand, both kids in the back seat, and glanced in my rear view mirror with horror to see my son “surfing” on the arms of his car seat, yet the restraints were still fastened. Holy Houdini! (I went through about three of four different models of car seats that year trying to find a straitjacket-level security device!)

In First Grade, I dropped him off at school, walked halfway with him to his class (the IEP requested we start to assert some independence in the mornings… ha!) and went on my merry way after kisses and high fives like usual. It just so happened that I forgot something from the house. Coincidentally, I also needed gas that morning and went left instead of right, passing the school again. About four blocks from the school, in a direction I normally never would have traveled, was my son, walking with his backpack and singing, without a care in the world. He apparently walked right out of the building after we parted in the hallway, and the teacher assumed he was absent that day… AHHHHHH!!!! No one knew! Imagine what could have happened if I turned right that day!!!!

So these are some crises that sprouted unexpectedly within the structure of a normal day. What if there was a fire in your home, or you were in an auto accident? What if you were hit with severe weather or a natural disaster? What if your child with Autism creates a public disturbance? How would a police officer deal with him or her?

Would an emergency responder recognize the signs of Autism in your child, or would they treat them as if they were mentally ill, on drugs, or non-compliant?

Why Emergency Responder Training is Needed

Many children on the Spectrum have no visible signs of a disorder. An average child in appearance with socially unacceptable behavior that no one understands can lead to a nightmare if public safety is involved. Your child may get pushed around, put in jail, injured, or worse.

It’s vital for emergency responders to identify the signs and behaviors of Autism and learn how to make your child feel as safe and non-threatened as possible to avoid a perilous outcome. Police Officers, Firefighters, and EMTs learn about alcoholics, diabetics, cerebral palsy, and mental retardation. With as many as 1 in 70 children being diagnosed on the Autism Spectrum today, the time has come for everyone to understand! This should be part of standard training. That’s why I am called to begin such training in my own county and work my way out.

Do you think a Firefighter, EMT, or Police Officer would know how to communicate with or understand your child in an emergency? Feel free to comment below!

Stay tuned for Part II of this post… behaviors, tips, and what you can do in YOUR community to help emergency responders learn more!