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The terms sex and gender were used interchangeably by many for a very long time due to cisnormativity, because for most people their sex and gender matched. It's only due to the recent rise of awareness in trans issues that people have begun to use them to refer to separate specific concepts in general use.
Having your sex on your photo ID doesn't make any sense. The way that this information is used most of the time is to communicate to others what kind of a person they should be looking for. If I told you to look for a "female" person with specific attributes, you wouldn't go and pick a trans man out of the crowd.
Cis people don't have to think about any of this, of course, because they've never been confronted by the challenges that arise from having documentation that outs them in public. When a trans person shows ID that doesn't match their gender identity to someone in a position of power, it puts them at risk for mistreatment. Changing gender markers — or "sex" markers as you insist upon — on documents is a safety issue for trans people, and has the bonus effect of being affirming.
The only people who need to know your sex and see your ID are healthcare professionals, and even then, knowing what configuration someone's genitals had at birth does very little to help them know your current medical status and history. That's why they have long forms that you have to fill out when you start seeing a new healthcare provider, and why healthcare institutions share medical history records.
I'd also add the consideration that a photo ID also serves the purpose of some base level medical information (or else our listing organ donor status on them is super weird) so having sex on there if you're unconscious and the EMTs pick you up and need to check makes some sense. No reason both couldn't work.
I'm sure the EMTs at the scene of the accident are more worried about my head trauma than my genitals. If that becomes relevant later, I'm sure they can look with their own eyes.
I mean you can be unconscious for more than head trauma. My thought was in line with heart issues and if the differences in sex played any part there, due to the differences in the appearance of problems with them between men and women, but maybe that's not really relevant until they hit the hospital.(Since EMTs are stabilizing focused) Just having it on the card - avoiding the time needed to check especially if they've had surgery - seems helpful, if that was relevant. If its not of course it doesn't need to be there but if there's EMTs around chime in because obviously I don't know.