Karen is right about the Solu-Cortef, I can't tell you the number of times we have gone into an ER and they give you this clueless look when you start explaining things. I have begged them to give the Solu-Cortef to no avail in the past. Our routine is to give the Solu-Cortef before transporting. We have the following in our medic alert necklace: Adrenal Insufficiency, needs hydrocortisone in stress (see wallet card on parent/child).