{"id":17652,"date":"2018-08-22T13:47:23","date_gmt":"2018-08-22T18:47:23","guid":{"rendered":"http:\/\/thepapergown.zocdoc.com\/?p=17652"},"modified":"2023-03-03T15:13:27","modified_gmt":"2023-03-03T20:13:27","slug":"1-question-5-answers-what-personal-health-info-should-you-know-in-an-emergency","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/advice\/1-question-5-answers-what-personal-health-info-should-you-know-in-an-emergency\/","title":{"rendered":"1 Question, 5 Answers: What Personal Health Info Should You Know in an Emergency?"},"content":{"rendered":"

Whether the issue is a spiking fever, a fractured elbow or something far more traumatic, a trip to the emergency room can be a stressful experience for any patient. While you can\u2019t control when or where you\u2019ll need emergency care<\/a>, you can prepare yourself for the possibility by recording or committing to memory certain pieces of personal health information.<\/span> But which health stats will help the hospital staff provide you with more efficient, informed care, and what sort of information is unnecessary to provide? Five emergency medicine doctors sound off. <\/span><\/p>\n

\n

Dr. Torree McGowan, MD, FACEP<\/span><\/span><\/a><\/h3>\n

ER physician and professor, St. Charles Health System
\nBend, Oregon<\/span><\/i><\/p>\n

Knowing your medical history is essential for emergency physicians. There are many ways to store personal health information. A written list is great, but technology now has made it possible to have your medical history loaded on a thumb drive that looks just like a MedicAlert bracelet. Telling us that the information is \u201cin the computer\u201d isn\u2019t enough. Information regularly shows up in our computer system that isn\u2019t correct, so relying on our system can be dangerous without double-checking that info with you. <\/span><\/p>\n

Here are the most important pieces of information to include on that list or drive: <\/span><\/p>\n

Major medical problems<\/b><\/em>,<\/em> including any history of heart disease, lung problems, problems with your kidneys or liver, diabetes, any type of cancer, any reason your immune system doesn\u2019t work normally and major surgeries (including any surgery on your chest, abdomen or brain). It\u2019s nice to know about bone and joint surgeries, but those are less important. <\/span><\/p>\n

Allergies.\u00a0<\/b><\/em>This may be the most important piece of information, especially if you have a severe allergy called anaphylaxis. If you are allergic to something, knowing your reaction is helpful as well. There is a difference to us, medically, if amoxicillin gave you a rash as a child or it made your throat close up and nearly killed you. <\/span><\/p>\n

K<\/strong><\/em>now your medications<\/b>.<\/em> Have a complete list of your all of the medications and dosages that you regularly take, including prescription, over-the-counter and herbal medications. This allows us to make sure that your medications aren\u2019t causing your symptoms, and that any medications we give you won\u2019t interact dangerously with something you already take. If you are admitted to the hospital, knowing your dosages will also help us continue your normal care while in the hospital. If all else fails, throw all of your pill bottles in a grocery bag and bring them in. <\/span><\/p>\n

Also, here\u2019s a pro tip: <\/span>Post a copy of your medical history and advanced directives on your refrigerator. EMS crews will check there if they are ever called to your house and you can\u2019t answer for yourself. Furthermore, if you don\u2019t have an advanced directive, please fill one out, even if you think you\u2019re in good health and don\u2019t need it. This document helps us make important decisions about your healthcare in the event you can\u2019t answer for yourself.<\/span><\/p>\n

In terms of what information is unnecessary, I actually don\u2019t encourage people to memorize their blood type. If you are in a situation where you have to receive a blood transfusion very quickly, there are well-established ways to give blood safely. This blood comes from our O-negative type blood donors, and is safe for anyone to get in a transfusion. (By the way, if you are type O, please donate!) If I have to give you a blood transfusion in the emergency department, I will need to take a sample of your blood to send to the blood bank for them to screen very carefully and match with the donor blood to ensure no reactions occur. I also don\u2019t advocate for memorizing a huge number of data points. Knowing general trends (e.g., my heart rate tends to run low or my blood pressure is usually around this number) can be helpful but not necessary. <\/span><\/p>\n

\n

Dr. Marco Coppola<\/a>, MD, FACEP<\/span><\/span><\/span><\/h3>\n

ER physician, Colony ER Hospital
\nThe Colony, Texas<\/span><\/i><\/p>\n

It\u2019s common for patients to come into the ER with a list of their medications and conditions, but I wish it was more common, especially because if a patient is unconscious, they obviously can\u2019t tell us all that. (And I wouldn\u2019t recommend getting all your health information tattooed on your chest. It doesn\u2019t look good, especially on the beach.) I love it when patients come and can say, \u201cHere are the medications I\u2019m on, these are the surgeries I\u2019ve had in the past and here are the allergies I have.\u201d A lot of work can be saved especially by patients knowing their medications and dosages. It just wastes so much valuable time in the emergency room to try and figure it out. <\/span><\/p>\n

In regards to blood type, I\u2019m in the military, so on my dog tags, I\u2019ve got my blood type engraved. There\u2019s a reason for that: You\u2019re in combat, you get hurt, you\u2019re bleeding, you need blood, it\u2019s a quick way to find out what type of blood the patient needs. It\u2019s just something to think about on a personal level \u2014 I think it\u2019s good to know your blood type in general.<\/span><\/p>\n

Overall, it\u2019s important for patients to take their healthcare into their own hands. It\u2019s important for them to know if they have high blood pressure, high cholesterol, if they\u2019re pre-diabetic, what their sugars have been like during the past week if they are diabetic. In regards to blood pressure, sometimes when patients see a doctor, they get what\u2019s called <\/span>\u201cwhite coat syndrome.\u201d<\/span><\/a> They\u2019re nervous or afraid to see a doctor, perhaps due to bad experiences in the past, so their blood pressure goes up automatically. I want to know what patients\u2019 normal blood pressure is. The more I know, the faster I can help you.<\/span><\/p>\n

\n

Dr. Makini Chisolm-Straker, MD<\/a><\/span><\/h3>\n

Assistant professor of emergency medicine, Mount Sinai Hospital
\nNew York City<\/span><\/i><\/p>\n

It\u2019s useful to know what your medical problems are, what your medications are and ideally the doses of those medications. It\u2019s not as important for you to know what that medication is in regards to your diagnosis. I just need to know what the medicine is and how much you take. <\/span><\/p>\n

In regards to medical problems, if you have diabetes, for example, knowing how your sugars have been in the past week or so will help us treat your illness. If you know how your blood pressure has been recently, that\u2019s useful for us to think about as well.\u00a0<\/span><\/p>\n

What people are allergic to and what happens when they get that medication and\/or food is also vital to know. Food isn\u2019t as important because it\u2019s generally not a first priority to feed you in the emergency department. But it\u2019s useful, for instance, if someone comes in with a hypoglycemic episode. We\u2019re going to give them sugar intravenously, but we also want to feed them because that\u2019s what\u2019s going to stay longer in the body. So if I don\u2019t know that you\u2019re allergic to, say, tuna fish, and that\u2019s what our hospital has in the sandwiches, that would obviously be very bad! Yet for some people, their allergic reaction to a medication or food may be \u201cOh, I get nauseous.\u201d That\u2019s not nearly as concerning to us as \u201cOh, I have anaphylaxis.\u201d<\/span><\/p>\n

For people who are bringing in children, we have a weight scale, but if they already know the child\u2019s weight, that can move things a little bit faster if they need, for example, pain medication. Honestly, we\u2019re eventually going to weigh the kid again just to make sure, since they grow so fast, but it can help us be more efficient. <\/span><\/p>\n

Something that\u2019s not useful for patients to tell us is their blood type, because frankly, we\u2019re never going to take your word for it before we give you blood. Why? Because if you\u2019re wrong, you\u2019re really, really wrong. If it\u2019s an emergency and you\u2019re unconscious, you\u2019re getting type O-negative blood. We give patients O-negative because it\u2019s the universal donor of sorts. Then, once the lab has processed their blood sample, we give them blood specific to them. I also don\u2019t necessarily need their primary care doctor\u2019s name, because depending on the hospital, I usually don\u2019t need an accepting physician in order to admit the patient. It can be useful for trying to understand about medication changes, yes. It\u2019s also useful in the case that someone is going to follow up with their doctor in a week, but it\u2019s not essential to the critical management of an acutely ill person.<\/span><\/p>\n

\n

Dr. Katie Byrd, MD<\/a><\/span><\/h3>\n

ER physician, Washington Adventist Hospital
\nWashington, D.C.
\n<\/span><\/i><\/p>\n

The most important thing that patients can do is to have a list of their medical problems, what they\u2019ve been diagnosed with in the past and medications that they\u2019re taking. One of the most common things that we come across in the ER is that patients have no idea why they take certain medications or what the medications are. Even if they don\u2019t know their medical problems, just having a list of medications in their wallet is extremely helpful, because usually we can just look at the list and figure out it out. Other information that would be helpful for us is the name of their primary care doctor, if they have one. If they have a problem that they\u2019re seeing a specialist for, the name of that person is helpful because in order to coordinate care, we\u2019ll want to contact their doctor. Also, knowing what surgeries you\u2019ve had and why is helpful. You\u2019d be surprised by the number of patient who don\u2019t know why they had a particular operation or where that scar on their abdomen came from. <\/span><\/p>\n

Most patients don\u2019t know their blood type unless they\u2019ve donated blood. If we need to know a patient\u2019s blood type, we send off a type screen, which is a test that looks for what the blood type is. Certainly if someone is in a really dire situation where they\u2019re bleeding out and unstable, then we do a transfusion with what\u2019s called a cross-match blood, which is type O-negative blood that you can give to patients of all blood types. <\/span><\/p>\n

Lastly, we\u2019re going to check your vital signs when you check in, so that\u2019s not super important to note. The one caveat to this is, if you arrive complaining that you have a fever and you\u2019ve taken Tylenol or ibuprofen before coming in, that\u2019s important to tell us. We\u2019re going to check your temperature, and it\u2019s going to be normal. Thus we\u2019ll think you don\u2019t have a fever.<\/span><\/p>\n

\n

Dr. Henry Zeng, MD<\/a><\/span><\/h3>\n

Department of emergency services, Jackson Memorial Hospital
\nMiami<\/span><\/i><\/p>\n

Tell us if you have diabetes, high blood pressure, HIV, heart failure or any other issue. If you\u2019ve had surgeries in the past, share that information too. In regards to medical history, another issue is this: Even if some people do know their medical problems, they may neglect to mention a condition like HIV because they live with it every day, take medications for it and don\u2019t experience any side effects from it. Thus they forget about it, but that could be relevant to why they\u2019re in the emergency department. <\/span><\/p>\n

Unfortunately, as people get older, they tend to accrue more and more medical problems. As a result, they have a long medication list. You don\u2019t need to know every medication by heart \u2014 that\u2019s very unreasonable. But carrying a list of medications in your purse or wallet is one option. In this day and age, a lot of patients can look up their health account on their pharmacy\u2019s website using their phone too.\u00a0<\/span><\/p>\n

Beyond medical problems, surgeries and medications, there are a few things that parents should know when they bring their children in. First off, be really specific about how your children react to things. A lot of pediatric patients are very young, so they can\u2019t clearly express or verbalize what\u2019s going on with them. Parents, or whoever accompanies the child to the ER, should be really be well-versed in how they\u2019re acting, like how the child is eating, how the child looks, the child\u2019s energy level, their skin, their bowel movements, their urination \u2014 things that some pediatric patients might not really comprehend. <\/span><\/p>\n

For younger children and infants, it\u2019s also important to know their vaccine status. If a child is unvaccinated or is behind the schedule for vaccinations, that opens them up to other diseases that the physician will have to consider. It\u2019s also important to go over how they were born. If they were born premature and\/or they had a prolonged stay in the neonatal intensive care unit, these things can factor into why a child is feeling a certain way in an emergency department.<\/span><\/p>\n

\n

Responses have been condensed and lightly edited.<\/span><\/i><\/p>\n

\n

Ready to book a doctor’s appointment? Visit Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"

5 emergency medicine pros sound off. <\/p>\n","protected":false},"author":10,"featured_media":17657,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[228],"tags":[6,25,90],"class_list":["post-17652","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice","tag-1q5as","tag-emergency-care","tag-feature","reviewer-dr-nassim-assefi"],"yoast_head":"\nWhat Personal Health Info Should You Know in an Emergency?<\/title>\n<meta name=\"description\" content=\"5 emergency medicine pros sound off.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/advice\/1-question-5-answers-what-personal-health-info-should-you-know-in-an-emergency\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" 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