How: Tips on Completing Emergency Health Information When completing your emergency health infor-mation (forms included at back of this guide) be sure and include: Disability/Conditions affecting emergency care (if you are not sure, list it): Examples: Epilepsy, heart condition, high blood pressure, diabetes, respiratory problem, HIV • positive. My disability, due to a head injury, sometimes makes me appear confused or drunk. I • have a psychiatric disability. In an emergency, I may become confused or overwhelmed. Help me find a quiet corner and I should be fine in about 10 minutes. If this does not happen, give me one pill (name of medi-cation) located in my (purse, wallet, pocket, etc.). I have diabetes. If I lose consciousness or my behavior appears odd, I may be having • a reaction due to my diabetes. If I can swallow, give me sugar in some form such as candy, syrup, cola or a beverage that contains sugar like orange juice. If my breath smells fruity, don't give me anything to eat and make sure I get medical help. Chemical sensitivities: I react to......., my reaction is......., do this......... (these • sensitivity conditions may not be commonly understood by emergency personnel and therefore explanations should be detailed and specific). Medications: If you take medication that cannot be stopped without serious side effects, make sure this is clearly stated in your emergency health information and includes: Medication(s) names, • Dosage, • Times of day taken, • When started taking and how long you have been taking the medication. • Allergies (sensitivities) such as: Penicillin, Sulfa drugs, or other antibiotics, • Morphine, Codeine, Vicodin or other narcotics, • Novocain or anesthetic, • Aspirin, Tylenol, Ibuprofen, or other pain medications, • Tetanus or other vaccine reactions, • Insect bites, bee stings, • Latex, adhesive tape, iodine, or betadine, • Detergents, fabric softeners, • Pesticides, • Eggs, milk, wheat, or other foods, • Environmental sensitivities or sun exposure, •
How: Tips on Completing Emergency Health Information When completing your emergency health infor-mation (forms included at back of this guide) be sure and include: Disability/Conditions affecting emergency care (if you are not sure, list it): Examples: • Epilepsy, heart condition, high blood pressure, diabetes, respiratory problem, HIV positive. • My disability, due to a head injury, sometimes makes me appear confused or drunk. I have a psychiatric disability. In an emergency, I may become confused or overwhelmed. Help me find a quiet corner and I should be fine in about 10 minutes. If this does not happen, give me one pill (name of medi-cation) located in my (purse, wallet, pocket, etc.). • I have diabetes. If I lose consciousness or my behavior appears odd, I may be having a reaction due to my diabetes. If I can swallow, give me sugar in some form such as candy, syrup, cola or a beverage that contains sugar like orange juice. If my breath smells fruity, don't give me anything to eat and make sure I get medical help. • Chemical sensitivities: I react to......., my reaction is......., do this......... (these sensitivity conditions may not be commonly understood by emergency personnel and therefore explanations should be detailed and specific). Medications: If you take medication that cannot be stopped without serious side effects, make sure this is clearly stated in your emergency health information and includes: • Medication(s) names, • Dosage, • Times of day taken, • When started taking and how long you have been taking the medication. Allergies (sensitivities) such as: • Penicillin, Sulfa drugs, or other antibiotics, • Morphine, Codeine, Vicodin or other narcotics, • Novocain or anesthetic, • Aspirin, Tylenol, Ibuprofen, or other pain medications, • Tetanus or other vaccine reactions, • Insect bites, bee stings, • Latex, adhesive tape, iodine, or betadine, • Detergents, fabric softeners, • Pesticides, • Eggs, milk, wheat, or other foods, • Environmental sensitivities or sun exposure,