Today is autism awareness day. If you work in EMS check out the link for some good info on autistic patients. I work and volunteer as an EMT, and have family members on the spectrum. I have yet to encounter someone on the spectrum as my patient, but the experience can be a terrifying one for anyone, strange sounds, pain, fear, add to that being unable to tune out those sounds, difficulty communicating under "normal" circumstances, sensory overload.....it's overwhelming, and we as providers have a responsibility to do our best for our patients, that includes understanding conditions such as autism that will greatly impact care.
In addition to the above list, as with any pediatric case, try to involve the parent or caregiver in treatment as much as possible. Failing that, if possible, someone they know and are familiar and comfortable with.
Routine is a big BIG deal. An emergency situation is far from routine, but anything that can be done to try to maintain the familiar will go a long way. Imagine, you are in pain you can't explain, people you don't know are holding you down and asking you questions. Seeing mommy, daddy, your teacher, etc, it won't make things better, but it may be the difference between a terrified meltdown and safe transport to definitive care.
Speak slowly, calmly, and clearly. It's important to remain calm as the provider on any scene, but more so with an autistic patient. Yelling will not make you heard. You stay calm, mommy stays calm, your patient stays calm.
Finally, always remember, "When you've met one person on the spectrum, you've met one person on the spectrum" they are just like everyone else, each unique. Some may communicate well, some completely nonverbal, some won't be bothered by lights, but that loud siren comes on and it's over, meltdown time. And if they are rocking, or moving their arm, whatever, if it isn't going to exacerbate an injury or put them in danger, let it be, it is a coping thing, and it's a good thing.
Whether you work in EMS, fire, police, or you are a caregiver or parent, read the above link, its a helpful list.
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