In Case of an Emergency I.C.E.

Three Steps

MedStats SAGA logo

See Below

Use MedStats I.C.E. Online Tool​

MedStats is a tool developed by SAGA in 2012 in response to a growing number of area seniors who reportedly were not well prepared for medical emergencies. MedStats consists of three elements outlined below.  

Click on the buttons below for free forms:

Plan Ahead for Medical Emergencies!

Use MedStats! A senior's personal medical information and emergency instructions help First Responders. MedStats is vital if a person cannot communicate. Using MedStats could SAVE stress, time, money, and perhaps a life in an emergency.

Family Members and Friends Help Seniors with Online Forms

Black and White photo of manual typewriter with paper in it that reads BE PREPARED
If you prefer this technology...
Color photo of table with a laptop, tablet, glasses with a notepad that reads PREPARATION IS THE KEY
...ask someone who prefers this technology to help you plan ahead using MedStats' online forms

MedStats

First responder, Derrick Johnson, talks about being a consultant in SAGA’s development of MedStats.  MedStats is a  format for Ahwatukee area seniors and their families to prepare for a medical emergency.  Area first responders look for MedStats when called to help a senior.  Using MedStats is critical to your care when every minute counts.  

Johnson’s audio helps you go through the 3 steps to MedStats below.

Video Podcast

Make Decisions Now Before a Rainy Day!

The two page MedStats I.C.E. form, one page MedStats Additional Information form, and the five Life Care Planning forms can guide individuals, families, and caregivers in planning ahead for medical emergencies.  Consider consulting an attorney for advice when using these forms. 

It is an exceedingly difficult and an emotionally taxing conversation when individuals have a medical illness or injury that leaves them unable to communicate their wishes during and immediately after an emergency. First Responders and hospital caregivers will provide all life saving measures possible or within the current standards of care.  Having this information legally decided and documented will reduce stress and clarify the necessary or unnecessary care that the individuals, their families, and loved ones may or may not wish to receive.

Audio Introduction to MedStats

SAGA leads the way with its MedStats tool.  Ahwatukee residents use MedSats to have their I.C.E. emergency information easily available for First Responders. 

How to Use MedStats

STEP 1. Complete the MedStats I.C.E. Form - Two Pages

In Case of an Emergency (I.C.E) is a standard term used to document personal information for First Responders and emergency healthcare providers when an individual is unresponsive during a medical emergency.

Keep a printed MedStats I.C.E. form in a typed format to ensure that it is legible. Keep it in a safe place in the proximity of medications. The First Responders will be looking for it during a medical emergency.  You should also share the location with trusted individuals who might need to provide this information for you.

I.C.E information can also be kept on a mobile phone.  To learn more regarding the use of I.C.E. on mobile devices, contact your cell phone provider or refer to the device’s operating manual.

Photo of older woman holding many pill bottles in both hands
After your MedStats I.C.E. form is filled out, put it near your medications so First Responders can find it.

UPDATE YOUR PERSONAL INFORMATION OFTEN

CHECK FOR UPDATES ON THE I.C.E. FORM YEARLY

Step 1

MedStats Step 1 Audio

SAGA’s MedStats tool includes an In Case of an Emergency, I.C.E., form to be filled out by the patient. Derrick Johnson explains what information goes on an I.C.E. form and where it should be kept after it is filled out.  MedStats can be kept by your medications or on your phone.

STEP 2. Complete the MedStats Additional Information Form - One Page

TO BE UPDATED ANNUALLY

Think about and provide additional information on this form relating to securing your home and pets during an emergency.  Keep this form with your MedStats I.C.E. form.

Make your instructions for the care of your pets known on the MedStats Additional Information form.

Step 2

MedStats Step 2 Audio

SAGA’s MedStats tool includes an Additional Information form to be filled out by the patient. Derrick Johnson explains what information goes on this form.  MedStats can be kept by your medications or on your phone.

STEP 3. Review, Choose, and Complete Life Care Planning Forms

Photo of legal documents for life care planning
Complete the legal authorizations for Health Care Directives by visiting the Arizona Attorney General's Office website.

A LIFE CARE PLANNING PACKET includes five documents:

  1. Health Care Power of Attorney This form allows you to select a person to make future medical decisions for you if you become too ill to communicate or cannot make those decisions for yourself.

2.  Living Will This form allows you to list out the type of medical treatments you do or do not want for your end of life care. It should go with your Health Care Power of Attorney form so your agent knows your wishes. 

3.  Mental Health Care Power of Attorney This form allows you to select a person to make future mental health care decisions for you in case you become incapable of making those decisions for yourself.

4.  Prehospital Medical Care Directives (Do Not Resuscitate) DNR This form needs to be on orange paper and should be signed by you and your doctor. It informs emergency medical technicians (EMTs) or first responders not to resuscitate you. Sometimes this is called a DNR – Do Not Resuscitate. Please note this is valid prior to going to a hospital. If admitted to a hospital, they may require you to fill out another form for their hospital. 

5.  Registration Agreement To register your documents with the Arizona Health Care Directives Registry, you MUST fill out this form and submit it with your documents. That way your wishes are available electronically to medical providers even if you don’t have physical copies with you. Mail in a copy to be registered. Then give a COPY TO your health care providers, your health care agents, keep a copy with the I.C.E. form and place the original in a safe place.

Step 3

MedStats Step 3 Audio

Consider using some of the free life care planning forms found on the Arizona Attorney General’s website as step 3 of SAGA’s MedStats tool.

Five Wishes

A popular approach to advance directives is called Five Wishes.  Some seniors prefer this alternative legal document format.  There is a fee for Five Wishes.

For more information:
Five Wishes website or Comfort Caregivers website 

Documenting and discussing your end of life preferences with family members is ideal.

Place a Premise Alert

Consider contacting the Local Fire Department website to find their non-emergency phone number.  By phoning or following the instructions on the website you will be able to give critical information that can later be provided by a dispatcher in the form of a Premise Alert if you have to call for Emergency Services. Your Emergency Alert Information will be relayed to the First Responders while en route.

A Premise Alert may include:  

  • Where additional sets of keys are located
  • Special considerations such as individuals who have limitations
  • Special health considerations
  • People to contact in an emergency, if needed