For instance, even if you're wearing a blood type tag the paramedics are required to double check first before giving transfusion. At least that seems to be SOP around here.
Would they use it as a starting point and check that one first?
edit to add: Would they consider Red Cross / Medic donor card official?
There's really no such thing as your "official" medical record, except perhaps your vaccine record card. The closest thing to "official" would by your military, hospital, or physician's medical records. Any medical alert jewelry, wallet card or patient's copy of their medical record is likely to viewed as just a little bit suspect.
Civilian paramedics in the US don't usually carry blood or blood products aboard their ambulances, not that I know about. Other IV fluids and blood substitutes don't have to be matched to the donor and don't cause the same adverse reactions that blood products may cause. My understanding is that in hospital ER's they re-check and confirm your blood compatibility, even if your blood type info is already in their own records.
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