Survival Planning, Prepping and Bugging Out With a Handicapped Family Member

Urban Survival Skills received this request for advice concerning prepping and bug out with a disabled child. I edited the letter to provide some semblance of OPSEC for the writer but want to post this to reach a larger group for potential advice to this prepper with a special needs child.

I am a single parent of a severely disabled child. My child is wheelchair bound, tube fed, in diapers, and developmentally at a pre-schooler level. My child is on medication for seizures. I'm stockpiling Nutren, diapers, and feeding supplies at our family farm which is a fairly short drive away (approx. 28 miles) though a suburban area. I am very concerned about getting myself and my child to the famr as well as having meds for long term care in the case of disaster. Could you please give advice on:

1) How do I know when to bug out?
2) Bug out bags. My child is 80 lbs and I'm 115 lbs. I can put a bag on the wheelchair chair and carry a bug out bag myself, but what weight? What are top priority items?
3) I have a small 4 wheel drive vehicle if driving is an option. Any advice on choosing route, stopping for extra fuel, etc.?
4) I have safety concerns about walking alone with my child. Advice? I am still learning to shoot and getting a gun soon. I am in pretty good shape, but small.
5) What can I do to get seizure meds for long term?

We are working on getting the farm prepared with food, water systems, generators, etc. at the my relatives adjoining property. Getting there with my child safely is my biggest concern. Any advice you have is appreciated. Thank you!
Okay readers, lets help this person out. Here is my initial response:

When to Bug Out. This is an individual call and not a one size fits all protocol. It is based on how safe and prepared you are where you are currently at, and, how far you have to go and the associated risks involved with that movement. I can advise that it would be too late when there are riots in the streets over food, or lack of food; too late when mass of refugees flood the routes; too late when cell phone communications are down; and, too late when martial law and therefore freedom of movement is restricted.

  It may be time to Bug Out when utilities (water and electricity) are intermittent and there are long lines at gas stations and grocery stores with associated shortages. It may be time when your and instincts tell you things are not going to get better. I advise multiple means of communications between you and your family members or friends that are going to bug out and rally on the farm. Develop a brevity code as well so if and when you have comms (voice or text) you can minimize transmission times and therefore chances of misunderstandings or intermittent service cutting you off.

Bug Out Bags. I think the priority are all the meds and supplies necessary for your child. Food, water and all gear necessary to support a walk from your house to the Bug Out location (the farm). This may include food that does not have to be cooked. Depending upon where you live and the seasons, e.g..weather factors, you may need sleeping bags or cold weather gear and things like that. In your case a short walk to your Bug Out location (the farm) could be accomplished in one day, but if you are pushing a wheelchair this may turn into 2 maybe even 4 days depending again on factors outside your control such as weather, threat, etc.

If you have selected Bug Out routes you may elect to emplace a small cache or two to support the movement to your Bug Out location (the farm) as support in case you can't make the distance as planned or the threat is too much that it reduces your travel speed.         

Bug Out Vehicle. A 4x4 is ideal, especially one that's good on gas and has a short wheel base for mobility. If you never let your vehicle get below 1/2 tank of gas you'll have plenty to make the Bug Out movement, based on the travel distance you mentioned. But I would advise an extra 5 gallon fuel can or two. Keep these full and rotate fuel every month. Or you can just get them filed when you think the collapse is beginning and when fuel is till available. You should have several routes if possible. When you have to Bug Out, choose the route based on the current events and threats. You need to drive routes as a rehearsal. You should also look at several foot routes in case you have to move over land on foot. Look for routes that provide cover and concealment and will not be routes for the refugee traffic or obvious routes for anyone else.  This is going to be hard to move a wheel chair over.  Maybe you can look at an ATV with a small trailer to move your child with?    

Walking Alone/Security/Weapon Choice.   By all means learn how to shoot and buy a gun. Actually a handgun and a rifle would be good. Weight and bulk of ammunition is going to impact what you can carry overland on foot. Think about pre-positioning additional ammunition and firearms at the farm. But if you are planning on Bugging Out by yourself, driving or walking, you will need to protect yourself. A semi-auto, magazine fed rifle such as an M-1 carbine, Mini-14, M-4/AR-15 type clone - these are all lightweight (as they come) and would allow you the firepower to defend yourself against multiple bad guys. And here's a hint, almost everybody will be a bad guy.

I have recently been in contact with a lady who just could not afford a modern magazine fed rifle such as an M-4/AR-15 type.  She already had a .22 LR revolver, so she ended up buying a Ruger 10/22 semi-auto .22 LR rifle and a couple of large capacity magazines for it.   Certainly a person would not want to have their safety dependent upon a rimfire cartridge,....but the first rule of a gun fight is to have a, gun and ammo compatibility plus affordability was paramount to this lady.      

Lastly, Medications. I know this is a primary concern of yours. Medications have a shelf life, which is usually several years after the expiration date if you store it in a safe and controlled manner. Research what Vet (animal) meds could possibly be used to mitigate or treat your child's seizures.   Locate the nearest Vet. Many rural vets operate out of a truck with a refrigerator. Vets can also serve as make shift Doctors too in an emergency. You may be able to stock up some meds if you don't use them but continue to get scripts for them but be aware that this is likely illegal. 

You may need to have some silver in order to barter for some meds during a collapse.  Consider having a silver bullion in 1 ounce rounds of bars in case this is the case.  

You have tough conditions to work out, but I know you can do it as you have no other choice.  Get to know your neighbors around the farm (your Bug Out location).  If the houses are close enough you may be able to string a couple of TA-1 military phones and wire between to facilitate communications.  Make sure that stocking food, seeds and having a safe water source are taken care of at the farm as well. 

I hope readers will respond with some additional advice. Many, if not most, of the readers will have better ideas.  Good luck and be safe.