id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-13366	Al Sharif, Shafiqa M.	Challenges in managing children with autism spectrum disorder in emergency and hospital settings: strategies for effective care	2025	5	.pdf	application/pdf	4651	250	46	Dann et al. observed that the ED environment can be particularly overwhelming for ASD children, who may exhibit hypersensitivity to stimuli, resulting in challenging beha- viors and increased distress.14 Communication difficulties are a core aspect of ASD, posing barriers to effective healthcare delive- ry. Studies show mixed results regarding ER admissions in children under 6, with some indicating more visits, while others suggest that ASD children in this age group are less likely to visit the ER overall.21 Approximately 15% of adults with ASD have psychiatric ER visits compared to only 4% of adults without ASD, and psychiatric visits are more frequent than non-psychiatric visits among adults with ASD.22 This trend reflects the prevalence of challenging behaviors in this population, such as aggression, self-harm, and disruptive behaviors.22 While adults with ASD generally have lower rates of drug and alcohol use, those on the higher-functioning end of the spectrum may use alcohol to manage social challenges.23 Vohra et al. found that epilepsy, schizophrenia, and depression are the most common reasons for ER visits among adults with ASD.18 Injury- related visits are lower in adults with ASD compared to those without ASD, but a larger proportion of adults with ASD visit the ER for injury related to poisoning.18 Around 7% of patients with suicidal emergencies have ASD, and those with ASD exhibit higher rates of adjustment disorders and longer Intensive Care Unit (ICU) stays than their non-ASD counterparts.24 Additionally, older adults with ASD are more likely to have non-psychiatric comorbidities such as diabetes, cardiovascular disease, and high cholesterol.25 Challenges faced by autistic patients in ED Parent satisfaction with ED care for children with ASD is clo- sely linked to staff communication and interpersonal skills, parti- cularly regarding communication between staff members and the child with ASD.	cache/ecj-13366.pdf	txt/ecj-13366.txt