—— 501(c)(3) Nonprofit Organization ——

Connecticut Epilepsy Advocate Foundation
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Sample I.C.E. (In Case of Emergency) sheet

Emergency Preparedness

911 & I.C.E.

911 is essential in getting emergency care to you as soon as possible. It is not intended for complaining about your take out delivery being incorrect nor is it intended to call to get general information.

Call 911 only to report a life-threatening situation requiring police, medical or fire emergency assistance. Do not call 911 unnecessarily. 911 lines must be kept open for people with true emergencies. Teach your children the correct use of 911

Parents, I have told people for years to have a short paragraph posted at your phone so when you call 911 you will have all of the necessary information. Regardless of how well your composure is we are human beings. Knowing the right thing to do can save lives. Below is an example for you to review and then just make the changes that apply to you.

My name is Robert Fiore, I am calling from 77 Cassandra Avenue, just off of Joy Lane. The closest major intersecting street is West Main Street.

Helping to educate people on living with Epilepsy

I.C.E. numbers were briefly mentioned on our FAQ page however we would like to expound upon that.

As you know I.C.E. stands for In Case of Emergency. We recommend that a person’s cell phone have I.C.E. numbers in it along with a sheet of I.C.E. numbers in the home that will be visible if 911 has to be called.

Please look at our samples then compose your own. In your cell phone:

I.C.E. No. 1 — Samantha Jones

(203) 555-7777

(203) 555-6666 — cell

I.C.E. No. 2 — Irene Smith

(203) 555-5555

(203) 555-4444 — cell

I.C.E. No. 3 — Alvin Kibitz

(203) 555-2222

(203) 555-3333 — cell

I.C.E. Sample Sheet

I use a MEDIC*ALERT bracelet and I.C.E. numbers are in my cell phone. I also have sheet of I.C.E. numbers placed on the first table in the hallway and another is mounted on our refrigerator door. So many of us are extremely organized and are usually as cool as a cucumber but you never know how you will react in a true emergency.

I have reposted below the Q & A regarding what do you do when a person has a seizure. I.C.E. numbers were briefly mentioned on our FAQ page however we would like to expound upon that.

As you know I.C.E. stands for In Case of Emergency. We recommend that a person’s cell phone have I.C.E. numbers in it along with a sheet of I.C.E. numbers n the home that will be visible if 911 has to be called.

I.C.E. Information Sheet for Peter Jones

Peter Jones

2254 Street Name

Any town, CT 0000-000

(203) 555-7777 ~ (203) 777-5555 — cell

Date of Birth: November 1, 1963

Medic Alert: (800) 625-3780 — Epilepsy — XYZ1234567

Neurologist

Katherine Webber, MD

Neurology Group of Western Connecticut

777 Specialist Avenue

Any town, CT 0000-000

(203) 777-1111

(203) 777-1100 — fax

Medication

Dilantin-100 MG capsules (phenytoin sodium)

2-100-MG 8:00 AM

3-100-MG 8:00 PM

I.C.E. Contact Numbers

1 — Samantha Jones, Wife

(203) 555-7777

(203) 555-6666 — cell

2 — Irene Smith, Mother-in-law

(203) 555-5555

(203) 555-4444 — cell

3 — Alvin Kibitz, Brother-in-law

(203) 555-2222

(203) 555-3333 — cell

Regular MD

William Fireside, MD

666 Bedford Street

Any town, CT 0000-000

(203) 777-2222

(203) 777-2200 — fax

My Insurance Carriers — Primary

Medicare/Social Security Disability

Member Name: Peter Jones

Date of Birth: November 1, 1963

Gender: Male

Medicare Claim Number: 077-88-9999-A

Customer Information Number: (800) 555-4444

Hospital: (Part A) — Effective Date: July 1, 1994

Medical: (Part B) — Effective Date: March 1, 1997

Secondary

Purple-Cross/Purple Shield

Member Name: Peter Jones

Member ID Number: ABCD09876

Group Number: 212203915-A

Relationship Code: 01

Health Plan: PPO

PS Plan: 807

PC Plan: 309

Member Services: (800) 555-3333

This is a sample only — every name, number, and address below is fictional. Print it, then replace each line with your own information.

Download / print this sample sheet (PDF)

Q: What do you do when a person has a seizure? Before we give you our point of view regarding “What do you do when a person has a seizure”, please understand this. The calling of 911 immediately “sometimes” is not necessary and “sometimes” is paramount. If you know the person well enough and how their seizures are that is one thing but if you truly want to play it safe call 911 immediately but by following the basic layout first that will help everyone.

A: Clear the area and try to lay the person down. If you have a pillow put their head on it. Look for a MEDIC*ALERT Bracelet or anything similar to it as well as I.C.E. Numbers. Keep track of the time from when the seizure started and when you get to the three minute mark be ready to call 911. If you have to call 911 when the EMT ’s arrive please inform them of everything that happened. Never put anything in a persons mouth that is the biggest myth.