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Autism in the Emergency Department

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Summary

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When a child with autism needs to go to the emergency room, it can be a scary and overwhelming experience. The bright lights, loud noises, and unfamiliar people can make it extra challenging for kids on the autism spectrum. Hospitals are starting to provide special accommodations to help make ER visits easier for children with autism and their families.

 

Frequently Asked Question

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Why do individuals with autism visit the emergency department?

Children and adults with autism may visit the emergency department when they face health emergencies, such as seizures, or during severe behavioral crises that require specialized attention and support.

How can emergency departments accommodate individuals with autism?

Emergency departments can create autism-friendly environments by providing sensory accommodations, clear communication strategies, and training for staff to ensure a more supportive experience for individuals with ASD.

Are there strategies to prevent emergency department visits for individuals with autism?

Yes, proactive strategies such as visual schedules, sensory regulation techniques, and behavioral intervention plans can help caregivers manage crises at home, potentially reducing the need for emergency care.

How can caregivers prepare for potential emergency department visits for their child with autism?

Caregivers can prepare by creating an emergency plan, which includes important medical and contact information, as well as a list of sensory comfort items and strategies that work for their child.

Scientific Definition

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Autism in the emergency department refers to the unique challenges and considerations involved in providing emergency medical care to individuals with autism spectrum disorder (ASD). Patients with ASD may have sensory sensitivities, communication difficulties, and behavioral challenges that can make the emergency room environment particularly stressful and challenging to navigate. It’s estimated that individuals with ASD visit the emergency department at rates 2-3 times higher than the general population.

 

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Treatment for Autism in the Emergency Department

When a child with autism visits the ER, the medical team can implement strategies to make the experience less overwhelming, such as:

  • Reducing sensory stimuli: Dimming lights, minimizing noise, and providing a quiet, low-traffic area for the child to wait.
  • Allowing comfort items: Permitting the child to keep a favorite toy, weighted blanket, or headphones to help them feel secure.
  • Using visual supports: Incorporating picture schedules, social stories, or communication boards to explain procedures and expectations.
  • Involving caregivers: Collaborating closely with parents or caregivers who can provide insights into the child’s needs and help soothe them.

With appropriate accommodations and understanding from the medical team, children with autism can have more positive experiences in the emergency department. Over time, repeated exposure and preparation can help kids become more comfortable with ER visits.

Symptoms of Autism in the Emergency Department

Children with autism may exhibit various behaviors in the emergency department that can make assessment and treatment more challenging. Some common signs include:

Sensory Overload: Covering ears, squinting eyes, or becoming agitated due to bright lights, loud noises, and strong smells.
Communication Difficulties: Limited speech, nonverbal, or struggles with expressing pain or describing symptoms.
Repetitive Behaviors: Rocking, flapping, or repeating phrases, especially when stressed or anxious.
Resistance to Touch: Pulling away from physical exams or medical equipment due to sensory sensitivities.

Recognizing and adapting to these autism-related symptoms allows ER staff to provide more effective, patient-centered care to kids on the spectrum.

 

This post was originally published on October 25, 2023. It was updated on April 12, 2024.