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Preparing a Emergency  Medical Card

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Preparing a Emergency  Medical Card

 

 

 

On Thursday, August 27, 1998, a cancer support group that I facilitated for about ten years -- “One Day at a Time” -- had as its guest speaker Dr. James Trone.

 

Dr. Trone was, at the time, Sibley Memorial Hospital’s house physician and was specifically asked to address what information would be most medically useful for emergency room physicians to have available if one of our membership was to need those services.  I personally wish to thank Dr. Trone for his time generous and compassionate handling of all the subjects discussed. Those in attendance at this meeting agreed that this was one of the best and most useful meetings the group has ever had.

 

 

The following is my summary of this meeting’s discussion ...

 

 

·  Each individual should prepare a 3” by 5” card.

 

·  Make the card as distinctive as possible (color, labeling, etc) so that it can easily be located in your pocketbook, purse, wallet, pants pocket, etc.

 

·  Laminate the card if you wish; but that makes it harder to make changes. You will want to keep it up to date.

 

·  Keep the card very easy to read and to understand.

 

·  Use both sides of the card as needed.

 

·  Include at least the following information on the card (other information is optional).

 

  • Any special labeling & graphics
  • Your full Name
  • The substance of your living will - be as specific as possible - e.g. no “ventilator”.
  • Your medical Information - Diagnosis or Diagnoses - be as specific as possible. Have your own physician(s) help you here.
  • Allergies - particularly drug allergies.
  • Medication(s) - name(s) of drugs and dosages (including chemotherapy and over-the-counter preparations including alternatives)
  • Special Instructions
  • Your doctor(s) name(s) - include telephone number(s)
  • Next of kin - with telephone number(s)
  • Medical Insurance Policies (Note: I added this item) - include telephone number(s)

 

 

Sample Emergency Medical Card

 

(Front)

 

 

 

 

 

1.

Name:

Thomas Jamison Smith

2.

Address:

1619 Richvale Lane

 

 

Houston, TX 34567

3.

Substance of my “Living Will

DNR

Note: “My living will” and my durable power of attorney are located … Copies have been filed with …

3

Medical Information:

 I was diagnosed with prostate cancer in 1993.

4

Allergies:

Penicillin, Cipro

 

5.

Medications:

Prescriptions: _______________________

 

 

Chemotherapy: _____________________

 

 

Over-the counter: ____________________

6.

Pharmacy:

CVS - 301-423-5678

 

7.

Special Instructions:

I have been using the drug ____ for the past six years. I am informed that a supply of this medication should be on hand prior to any surgery.

 

 

 

 

 

 

 

 

 

 

(rear)

 

 

 

 

 

8.

Doctors:

Pulmonologist:

Dr. Pulma Lunges

402-567-8765

 

 

Internist:

Dr. Myrna Stomache

301-543-2198

 

 

Oncologist:

Dr.. Fred Infuse

202-678-1568

 

 

Surgeon:

Fearless Cutter

202-567-6789

9.

Next of Kin:

Spouse:

Migraine One

202-819-3746

 

 

Brother:

_________________

202-987-3245

10

Medical Insurance:

Primary:

The seven State Wonder HMO

 

 

 

Policy #: _____________

 

 

 

1-800-MAY-PAY9

 

 

Secondary:

Medicare

 

 

 

Tertiary:

Blue Scabbard of Colorado

 

 

 

Policy #: _____________

 

 

 

1-800-SOM-PAYU

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This page was last updated June 26 2005

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