Free printable emergency information sheet
Use this neck breather emergency sheet to make laryngectomy status, stoma notes, communication method, supplies, ENT or SLP contacts, and caregiver contacts easy to find.
This may be called a neck breather emergency sheet, laryngectomy handoff sheet, airway emergency sheet, or face sheet in some healthcare settings.
No signup is required to download the printable PDF.
Optional add-on
Add a separate medication list sheet if the main emergency information sheet does not have enough room.
The main emergency information sheet download stays separate.
This sheet can help people living after total laryngectomy, people who identify as neck breathers, families, caregivers, home health workers, school or facility staff, and anyone helping organize emergency information related to a stoma, lary tube, voice method, supplies, or airway care plan.
For less airway-specific planning, see the general emergency information sheet. Parents organizing broader medical needs may also want the medically complex child sheet.
A laryngectomy and a tracheostomy are not always the same. A person with a total laryngectomy may have a permanent neck stoma and may not breathe through the nose or mouth. A person with a tracheostomy may still have an upper airway. Because this difference matters in an emergency, this sheet helps make the person's neck breather status and airway details clear.
Need a different airway-related sheet? See the trach and airway emergency information sheet.
Helpful details may include neck breather status, laryngectomy status, stoma notes, lary tube or laryngectomy tube details if used, HME or stoma cover details, communication method, voice prosthesis or TEP information if applicable, suction or humidification context, supplies usually carried, ENT contact, speech-language pathologist contact, DME or supply company, medication-list location, allergies, emergency contacts, and caregiver notes.
Keep a copy somewhere easy to find, such as with the emergency airway supplies, near suction equipment, in a caregiver binder, in a travel bag, with home care instructions, near medications, or with a trusted family member. A copy may also be useful for appointments, respite care, facility handoffs, or emergency planning.
Review the sheet whenever stoma details, lary tube details, HME or stoma cover use, suction needs, humidification needs, communication method, voice prosthesis information, supply company, ENT contact, speech-language pathologist contact, medications, allergies, emergency contacts, or caregiver instructions change.
Families and caregivers may hear words like laryngectomy, total laryngectomy, neck breather, stoma, lary tube, laryngectomy tube, stoma cover, heat moisture exchanger, HME, baseplate, adhesive, tube holder, trach ties if used, voice prosthesis, tracheoesophageal puncture, TEP, electrolarynx, esophageal speech, suction, humidification, saline, secretions, ENT, speech-language pathologist, DME, and emergency airway bag. The printable can point trusted helpers toward the terms, contacts, supply locations, and care-plan locations that apply to the person's actual care.
A printable sheet is a useful backup, especially for airway and communication information that needs to be found quickly. YourEMR can also help keep this information organized digitally, update it when details change, print a fresh copy, and choose what can be shared through an emergency QR link.
To keep an updateable version, Create Free Account or try the demo to see how digital emergency information can work alongside a printed copy.
These outside resources are for general education only. Always follow the care plan and emergency instructions from the person's medical team.
Patient education about how breathing, speaking, stoma care, and daily life change after total laryngectomy.
Plain-language information about stomas, tracheostomy, and laryngectomy differences.
Educational guide about laryngectomy, stoma breathing, communication, supplies, and home care planning.
Patient handbook covering laryngectomy basics, stoma care, HME, Lary tube, supplies, and safety reminders.
Patient education about breathing through a stoma, supplies, suction equipment, safety, and communication planning.
Clinician-focused emergency laryngectomy resources. This does not replace training or the person's care plan.
Professional overview explaining differences between post-laryngectomy stomas and tracheostomies.
Ready for an updateable profile?
YourEMR helps keep emergency information organized and ready when it matters.
These free sheets are informational organization tools only. They are not medical records, diagnosis tools, treatment plans, medical advice, or legal advice, and they do not replace 911, EMS, clinicians, medical records, medication labels, device manuals, care plans, patient portals, or professional guidance.