Medical Identification Tag
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A medical identification tag is a small
emblem An emblem is an abstract or representational pictorial image that represents a concept, like a moral truth, or an allegory, or a person, like a king or saint. Emblems vs. symbols Although the words ''emblem'' and '' symbol'' are often use ...
or tag worn on a
bracelet A bracelet is an article of jewellery that is worn around the wrist. Bracelets may serve different uses, such as being worn as an ornament. When worn as ornaments, bracelets may have a supportive function to hold other items of decoration, suc ...
, neck chain, or on the clothing bearing a message that the wearer has an important
medical condition A disease is a particular abnormal condition that negatively affects the structure or function of all or part of an organism, and that is not immediately due to any external injury. Diseases are often known to be medical conditions that a ...
that might require immediate attention. For emergency medical providers such as paramedics and emergency physicians, medical identification tags are particularly useful in situations where the wearer is unconscious, altered mental status, very young, or otherwise unable to provide critical medical information. The tag is often made out of
stainless steel Stainless steel is an alloy of iron that is resistant to rusting and corrosion. It contains at least 11% chromium and may contain elements such as carbon, other nonmetals and metals to obtain other desired properties. Stainless steel's r ...
or
sterling silver Sterling silver is an alloy of silver containing 92.5% by weight of silver and 7.5% by weight of other metals, usually copper. The sterling silver standard has a minimum millesimal fineness of 925. '' Fine silver'', which is 99.9% pure silver, i ...
. A wallet card with the same information may be used instead of or along with a tag, and a stick-on medical ID tag may be added or used alone. A type of medic identification alert is the USB medical alert tag, essentially a USB flash drive with capacity to store a great deal of emergency information, including contacts and medical conditions. This information is accessible by any computer with a USB port. However, the practical effectiveness of such a system is limited in many cases by medical computer systems that restrict the use of USB devices which may carry malware. It is also possible that a device carried by an unconscious person may not be their own, or not be up to date, with concomitant risks to health and legal liability of medical personnel. Another new type of medic identification alert is
QR code A QR code (an initialism for quick response code) is a type of matrix barcode (or two-dimensional barcode) invented in 1994 by the Japanese company Denso Wave. A barcode is a machine-readable optical label that can contain information about t ...
based medical alert stickers. The QR code on the sticker links to a web service that contains the individual's emergency information. The information is accessed by any first responder or emergency personnel by scanning the QR code by using a
smartphone A smartphone is a portable computer device that combines mobile telephone and computing functions into one unit. They are distinguished from feature phones by their stronger hardware capabilities and extensive mobile operating systems, whi ...
. In addition to QR codes there are now products that include an embedded RFID chip that allows a first-responder to simply tap their phone against the device. Since a web service is used to store the information there is normally no limitation of how much information that can be stored.


Conditions for use

Typical conditions or prescriptions warranting the wearing of such a tag include but are not limited to: *
Adrenal insufficiency Adrenal insufficiency is a condition in which the adrenal glands do not produce adequate amounts of steroid hormones. The adrenal gland normally secretes glucocorticoids (primarily cortisol), mineralocorticoids (primarily aldosterone), and andro ...
* Advance Medical Directives (
Do Not Resuscitate A do-not-resuscitate order (DNR), also known as Do Not Attempt Resuscitation (DNAR), Do Not Attempt Cardiopulmonary Resuscitation (DNACPR), no code or allow natural death, is a medical order, written or oral depending on country, indicating tha ...
,
POLST POLST (Physician Orders for Life-Sustaining Treatment) is an approach to improving end-of-life care in the United States, encouraging providers to speak with the severely ill and create specific medical orders to be honored by health care workers ...
, Lasting Power of Attorney,
Living Will ''Living Will'' is an American comedy film starring Ryan Dunn, Gerard Haitz and April Scott. Cast *Ryan Dunn - Belcher *Gerard Haitz - Will *April Scott - Krista Production In 2011, the domestic distribution rights to the film were purchased ...
) *
Anaphylaxis Anaphylaxis is a serious, potentially fatal allergic reaction and medical emergency that is rapid in onset and requires immediate medical attention regardless of use of emergency medication on site. It typically causes more than one of the follo ...
allergies Allergies, also known as allergic diseases, refer a number of conditions caused by the hypersensitivity of the immune system to typically harmless substances in the environment. These diseases include hay fever, food allergies, atopic dermat ...
(food, drug, insect) *
Alzheimer's disease Alzheimer's disease (AD) is a neurodegenerative disease that usually starts slowly and progressively worsens. It is the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in remembering recent events. As ...
*
Angioedema Angioedema is an area of swelling (edema) of the lower layer of skin and tissue just under the skin or mucous membranes. The swelling may occur in the face, tongue, larynx, abdomen, or arms and legs. Often it is associated with hives, which are ...
(hereditary) *
Anemia Anemia or anaemia (British English) is a blood disorder in which the blood has a reduced ability to carry oxygen due to a lower than normal number of red blood cells, or a reduction in the amount of hemoglobin. When anemia comes on slowly, t ...
*
Asthma Asthma is a long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wheezing, co ...
*
Asplenia Asplenia refers to the absence of normal spleen function and is associated with some serious infection risks. Hyposplenism is used to describe reduced ('hypo-') splenic functioning, but not as severely affected as with asplenism. ''Functional'' ...
*
Autism The autism spectrum, often referred to as just autism or in the context of a professional diagnosis autism spectrum disorder (ASD) or autism spectrum condition (ASC), is a neurodevelopmental condition (or conditions) characterized by difficulti ...
*
Cerebrovascular Cerebrovascular disease includes a variety of Medicine, medical conditions that affect the blood vessels of the brain and the cerebral circulation. Arteries supplying oxygen and nutrients to the brain are often Angiopathy, damaged or deformed in ...
incident *
Chemotherapy Chemotherapy (often abbreviated to chemo and sometimes CTX or CTx) is a type of cancer treatment that uses one or more anti-cancer drugs (chemotherapeutic agents or alkylating agents) as part of a standardized chemotherapy regimen. Chemother ...
* Blood type (rare) *
Dementia Dementia is a disorder which manifests as a set of related symptoms, which usually surfaces when the brain is damaged by injury or disease. The symptoms involve progressive impairments in memory, thinking, and behavior, which negatively affe ...
*
Diabetic Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level (hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...
( Type 1 and 2) *
Epilepsy Epilepsy is a group of non-communicable neurological disorders characterized by recurrent epileptic seizures. Epileptic seizures can vary from brief and nearly undetectable periods to long periods of vigorous shaking due to abnormal electrica ...
*
Hemodialysis Hemodialysis, also spelled haemodialysis, or simply dialysis, is a process of purifying the blood of a person whose kidneys are not working normally. This type of dialysis achieves the extracorporeal removal of waste products such as creatinin ...
*
Hemophilia Haemophilia, or hemophilia (), is a mostly inherited genetic disorder that impairs the body's ability to make blood clots, a process needed to stop bleeding. This results in people bleeding for a longer time after an injury, easy bruising ...
*
Hypoglycemia Hypoglycemia, also called low blood sugar, is a fall in blood sugar to levels below normal, typically below 70 mg/dL (3.9 mmol/L). Whipple's triad is used to properly identify hypoglycemic episodes. It is defined as blood glucose bel ...
*
Hypopituitarism Hypopituitarism is the decreased (''hypo'') secretion of one or more of the eight hormones normally produced by the pituitary gland at the base of the brain. If there is decreased secretion of one specific pituitary hormone, the condition is know ...
*
Lamotrigine Lamotrigine, sold under the brand name Lamictal among others, is a medication used to treat epilepsy and stabilize mood in bipolar disorder. For epilepsy, this includes focal seizures, tonic-clonic seizures, and seizures in Lennox-Gastaut sy ...
* Drug-induced
Long-QT syndrome Long QT syndrome (LQTS) is a condition affecting repolarization (relaxing) of the heart after a heartbeat, giving rise to an abnormally lengthy QT interval. It results in an increased risk of an irregular heartbeat which can result in fainting, ...
* Lymphedema risk * Use of a
monoamine oxidase inhibitor Monoamine oxidase inhibitors (MAOIs) are a class of drugs that inhibit the activity of one or both monoamine oxidase enzymes: monoamine oxidase A (MAO-A) and monoamine oxidase B (MAO-B). They are best known as effective antidepressants, esp ...
(MAOI) drug, which can interact fatally with
epinephrine Adrenaline, also known as epinephrine, is a hormone and medication which is involved in regulating visceral functions (e.g., respiration). It appears as a white microcrystalline granule. Adrenaline is normally produced by the adrenal glands and ...
*
Memory disorder Memory disorders are the result of damage to neuroanatomical structures that hinders the storage, retention and recollection of memories. Memory disorders can be progressive, including Alzheimer's disease, or they can be immediate including disord ...
s *
Pacemaker An artificial cardiac pacemaker (or artificial pacemaker, so as not to be confused with the natural cardiac pacemaker) or pacemaker is a medical device that generates electrical impulses delivered by electrodes to the chambers of the heart ei ...
or other implantable medical devices *
Porphyria Porphyria is a group of liver disorders in which substances called porphyrins build up in the body, negatively affecting the skin or nervous system. The types that affect the nervous system are also known as acute porphyria, as symptoms are ...
(acute) *
Seizure An epileptic seizure, informally known as a seizure, is a period of symptoms due to abnormally excessive or synchronous neuronal activity in the brain. Outward effects vary from uncontrolled shaking movements involving much of the body with lo ...
disorders * Situs inversus *
Von Willebrand Disease Von Willebrand disease (VWD) is the most common hereditary blood-clotting disorder in humans. An acquired form can sometimes result from other medical conditions. It arises from a deficiency in the quality or quantity of von Willebrand factor ...


Information provided

In addition to mention of the relevant medical condition(s), the tag may have a telephone number that medical personnel can call for more information, for example that of physician, care-giver or
next of kin A person's next of kin (NOK) are that person's closest living blood relatives. Some countries, such as the United States, have a legal definition of "next of kin". In other countries, such as the United Kingdom, "next of kin" may have no legal d ...
. Where applicable and provided, the wearer's national health service user number can enable access to a more detailed case history. Basically, the medical information tag, engraved with the wearer's personal medical problem or history, speak for the wearer when the wearer can't. Incidentally and where the symptoms can mislead, such a tag may also be useful as evidence of such a condition to law enforcement personnel.


Types

There are various types of medical ID available. The most common form of medical ID is jewelry which provides a logo or inscription indicating a particular medical condition. These medical identification tags can be made out of stainless steel (usually classified as 316L and known as
surgical stainless steel Surgical stainless steel is a grade of stainless steel used in biomedical applications. The most common "surgical steels" are austenitic SAE 316 stainless and martensitic SAE 440, SAE 420, and 17-4 stainless steels. There is no formal definitio ...
), sterling silver or gold. If found by emergency personnel the inscription provides an indication of the wearer's special medical needs. Tags are available with pre-engraved conditions or can be custom engraved with your specific medical histories and have the benefit that all information is self-contained and does not require any form of technology to view in case of an emergency. Another type of medical ID jewelry indicates membership in a medical information organization such as the
MedicAlert The MedicAlert Foundation is a non-profit company founded in 1956 and headquartered in Turlock, California. It maintains a database of members' medical information that is made available to medical authorities in the event of a medical emergency ...
Foundation, American Medical ID, and StickyJ Medical ID. Such medical ID jewelry includes a member identification number and a toll-free number or URL for medical emergency personnel to obtain full information about the wearer's medical conditions, treatment, and history. These organizations maintain a database of medical information on their members and can provide it to medical personnel when requested. The newest technology allows the user to carry stickers with an NFC Tag. A similar technology allows the user to carry stickers with a
QR code A QR code (an initialism for quick response code) is a type of matrix barcode (or two-dimensional barcode) invented in 1994 by the Japanese company Denso Wave. A barcode is a machine-readable optical label that can contain information about t ...
. By scanning the NFC Tag or the QR code with a smartphone, you will reach the stored medical alert information. Modern mobile phones typically have a facility to gain access to the owner's medical emergency information (only) from the
lock screen A lock screen is a computer user interface element used by various operating systems. They regulate immediate access to a device by requiring the user to perform a certain action in order to receive access, such as entering a password, using a cert ...
. Silicone bracelets, preprinted with a general medical condition or allergy, are also popular. The lack of personalization may be a deterrent. Recently patients have begun to "tattoo" their medical condition on their wrist or arm, but if the individual's medical condition changes the tattoo would have to change as well. A temporary tattoo might work just as well as a permanent tattoo. Other items include stick on tags that stick onto a driver's license, wallet, or cell phone which are practical for the person who does not want to carry something extra advertising their medical condition. But, in general, emergency medical personnel are trained to look on the patient's wrists for a medical id, and may not look elsewhere. Another type of medical jewelry is a pendant or wrist strap containing a wireless alert button, also known as a panic button, worn in the home as part of a wireless medical alert system. This type of medical jewelry sends a signal to a dialing console which contacts a monitoring service or directly dials first responders when an emergency occurs.


See also

*
Patient safety Patient safety is a discipline that emphasizes safety in health care through the prevention, reduction, reporting and analysis of error and other types of unnecessary harm that often lead to adverse patient events. The frequency and magnitude of ...
*
Medical alarm A medical alarm is an alarm system designed to signal the presence of a hazard requiring urgent attention and to summon emergency medical personnel. Other terms for a medical alarm are Personal Emergency Response System (PERS) or medical alert. ...
*
Dog tag Dog tag is an informal but common term for a specific type of identification tag worn by military personnel. The tags' primary use is for the identification of casualties; they have information about the individual written on them, including ...
— a military identification tag *
Medical tattoo A medical tattoo is a tattoo used to treat a condition, communicate information, or mark a body location. Historical uses A crude practice of corneal tattooing was performed by Galen in 150 CE. He tried to cover leucomatous opacities of the ...
*
SS blood group tattoo SS blood group tattoos (german: Blutgruppentätowierung) were worn by members of the ''Waffen-SS'' in Nazi Germany during World War II to identify the individual's blood type. After the war, the tattoo was taken to be ''prima facie'' evidence of ...
*
Vial of Life The Vial of Life (french: Fiole de vie) (aka Vial of L.I.F.E (Lifesaving Information for Emergencies)) is a program that allows individuals to have their complete medical information ready in their home for emergency personnel to reference duri ...


References


Further reading

*{{cite journal, last1=García-Betances, first1=Rebeca I., last2=Huerta, first2=Mónica K., title=A Review of Automatic Patient Identification Options for Public Health Care Centers with Restricted Budgets, journal=Online Journal of Public Health Informatics, date=17 May 2012, volume=4, issue=1, doi=10.5210/ojphi.v4i1.4011, issn=1947-2579, pmc=3615806, pmid=23569629 Safety equipment Identity documents Types of jewellery Year of establishment missing Medical equipment Health informatics Bracelets Necklaces