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Management of children with special needs in the ED

BROWSE EVIDENCE REPOSITORY

 

Bottom Line Recommendations English (5) French All (5)

Bottom Line Recommendations: Caring for Children with Developmental and Intellectual Disabilities in the ED

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Hanlon-Dearman, A, Stevenson, M and TREKK Network

Bottom line recommendations for caring for children with developmental and intellectual disabilities in the ED. Published online: March 2019, v 1.0.

Bottom Line: Autism and the Hospital Emergency Room: A Practical Guide for Health Professionals to Meet the Needs of Individuals with Autism Spectrum Disorders

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Center for Autism & Related Disabilities (CARD)

A practical guide for health professionals to meet the needs of individuals with Autism Spectrum Disorder.

Executive Summary: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a child or adolescent presents with a psychiatric chief complaint or emergency.

Executive Summary: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation.

Bottom Line: Autism Information for Paramedics and Emergency Room Staff

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Gammicchia C, Johnson C, Autism Society

Information for paramedics and emergency room staff on providing services to a person on the autism spectrum.

Bottom Line Recommendations: Caring for Children with Developmental and Intellectual Disabilities in the ED

Download

Hanlon-Dearman, A, Stevenson, M and TREKK Network

Bottom line recommendations for caring for children with developmental and intellectual disabilities in the ED. Published online: March 2019, v 1.0.

Bottom Line: Autism and the Hospital Emergency Room: A Practical Guide for Health Professionals to Meet the Needs of Individuals with Autism Spectrum Disorders

Visit

Center for Autism & Related Disabilities (CARD)

A practical guide for health professionals to meet the needs of individuals with Autism Spectrum Disorder.

Executive Summary: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

Visit

Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a child or adolescent presents with a psychiatric chief complaint or emergency.

Executive Summary: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

Visit

Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation.

Bottom Line: Autism Information for Paramedics and Emergency Room Staff

Visit

Gammicchia C, Johnson C, Autism Society

Information for paramedics and emergency room staff on providing services to a person on the autism spectrum.

Clinical guidelines English (5) French All (5)

Clinical Practice Guideline: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

Part 1 of the report discusses the common clinical issues that may be encountered in caring for children and adolescents presenting to the emergency department or primary care setting with a mental health condition or emergency.

Clinical Practice Guideline: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

Part 2 of the report discusses the challenges a pediatric clinician may face when evaluating patients with a mental health condition, which may be contributing to or a complicating factor for a medical or indeterminate clinical presentation.

Clinical Practice Guideline: Autism and developmental disability: Management of distress/agitation

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Royal Children's Hospital Melbourne

The aim of this guideline is to provide clinical practice tips for the inpatient management of anxiety, and agitation in young people with developmental disabilities (including autism) who may require medical or surgical care.

Guidelines: Agitation Treatment for Pediatric Emergency Patients

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Hilt RJ, Woodward TA, Henderson SW, Jellinek MS

Guideline based on a review of the existing literature & review of expert opinions for the management of agitated children in an emergency department setting.

Guidelines: Guidelines for Managing the Client with Intellectual Disabilites in the Emergency Room

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University of Toronto, Centre for Addiction and Mental Health

These guidelines outline ways to optimize the clinical encounter, provide a framework for understanding & assessing the complex medical and mental health issues that arise for persons with intellectual disabilities, and provide a systematic way to evaluate the best approach to treatment and triage.

Clinical Practice Guideline: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

Visit

Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

Part 1 of the report discusses the common clinical issues that may be encountered in caring for children and adolescents presenting to the emergency department or primary care setting with a mental health condition or emergency.

Clinical Practice Guideline: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

Visit

Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

Part 2 of the report discusses the challenges a pediatric clinician may face when evaluating patients with a mental health condition, which may be contributing to or a complicating factor for a medical or indeterminate clinical presentation.

Clinical Practice Guideline: Autism and developmental disability: Management of distress/agitation

Visit

Royal Children's Hospital Melbourne

The aim of this guideline is to provide clinical practice tips for the inpatient management of anxiety, and agitation in young people with developmental disabilities (including autism) who may require medical or surgical care.

Guidelines: Agitation Treatment for Pediatric Emergency Patients

Visit

Hilt RJ, Woodward TA, Henderson SW, Jellinek MS

Guideline based on a review of the existing literature & review of expert opinions for the management of agitated children in an emergency department setting.

Guidelines: Guidelines for Managing the Client with Intellectual Disabilites in the Emergency Room

Visit

University of Toronto, Centre for Addiction and Mental Health

These guidelines outline ways to optimize the clinical encounter, provide a framework for understanding & assessing the complex medical and mental health issues that arise for persons with intellectual disabilities, and provide a systematic way to evaluate the best approach to treatment and triage.

Systematic reviews English (5) French All (5)

Review: Understanding and Improving Care for Individuals with Intellectual and Developmental Disabilities in the Emergency Department

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Lusky Y, Lake JK, Durbin J, Perry A, Bullock H, Morris S, Lee JS

The aim of this review was to provide an overview of existing research on patterns and predictors of emergency department use among persons with intellectual and developmental disabilities, to summarize what is known about the care received and to describe interventions to improve emergency care.

Review: Management of agitation in individuals with autism spectrum disorders in the emergency department

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McGonigle JJ, Venkat A, Beresford C, Campbell TP, Gabriels RL

This article describes the challenges that inidividuals with autism spectrum disorder face when receiving treatment in crisis and emergency settings.

Systematic Review: Children with autism spectrum disorder at a pediatric hospital: a systematic review of the literature

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Johnson NL, Rodriguez D

This review describes the behaviors of hospitalized children with autism spectrum disorder that health care providers find challenging.

Review: Caring for the child with an autism spectrum disorder in the acute care setting

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Scarpinato N, Bradley J, Kurbjun K, Bateman X, Holtzer B, Ely B

This article explores the challenges that patients with autism spectrum disorders face when hospitalized and provides assessment strategies and plan-of-care suggestions for nursing caregivers.

Review: Caring for children and adolescents with autism who require challenging procedures

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Souders MC, Freeman KG, DePaul D, Levy SE

This review developed strategies for providing nursing care for children with autism or autistic spectrum disorders that incorporated theories and knowledge from disciplines of nursing, child development, psychology, applied behavior analysis, and pain management.

Review: Understanding and Improving Care for Individuals with Intellectual and Developmental Disabilities in the Emergency Department

Visit

Lusky Y, Lake JK, Durbin J, Perry A, Bullock H, Morris S, Lee JS

The aim of this review was to provide an overview of existing research on patterns and predictors of emergency department use among persons with intellectual and developmental disabilities, to summarize what is known about the care received and to describe interventions to improve emergency care.

Review: Management of agitation in individuals with autism spectrum disorders in the emergency department

Visit

McGonigle JJ, Venkat A, Beresford C, Campbell TP, Gabriels RL

This article describes the challenges that inidividuals with autism spectrum disorder face when receiving treatment in crisis and emergency settings.

Systematic Review: Children with autism spectrum disorder at a pediatric hospital: a systematic review of the literature

Visit

Johnson NL, Rodriguez D

This review describes the behaviors of hospitalized children with autism spectrum disorder that health care providers find challenging.

Review: Caring for the child with an autism spectrum disorder in the acute care setting

Visit

Scarpinato N, Bradley J, Kurbjun K, Bateman X, Holtzer B, Ely B

This article explores the challenges that patients with autism spectrum disorders face when hospitalized and provides assessment strategies and plan-of-care suggestions for nursing caregivers.

Review: Caring for children and adolescents with autism who require challenging procedures

Visit

Souders MC, Freeman KG, DePaul D, Levy SE

This review developed strategies for providing nursing care for children with autism or autistic spectrum disorders that incorporated theories and knowledge from disciplines of nursing, child development, psychology, applied behavior analysis, and pain management.

Key studies English (10) French All (10)

Key Study: Epidemiology of Injury-Related Emergency Department Visits in the US Among Youth with Autism Spectrum Disorder

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Kalb LG, Vasa RA, Ballard ED, Woods S, Goldstein M, Wilcox HC

This study aims to use nationally-representative emergency department data to characterize injury-related ED visits among youth with autism spectrum disorder.

Key Study: Parent and health care provider perspectives related to disclosure of autism spectrum disorder in pediatric emergency departments

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Muskat B, Greenblatt A, Nicholas DB, Ratnapalan S, Cohen-Silver J, Newton AS,...

This qualitative study utilized a grounded theory approach and analyzed data from parents and health care providers related to autism spectrum disorder disclosure within two Canadian pediatric emergency departments.

Key Study: Toward Practice Advancement in Emergency Care for Children With Autism Spectrum Disorder

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Nicholas DB, Zwaigenbaum L, Muskat B, Craig WR, Newton AS, Cohen-Silver J, Sh...

The objective of this study was to identify stakeholder perspectives in determining clinical priorities and recommendations to guide emergency department service delivery for children with autism spectrum disorder.

Key Study: Experiences of emergency department care from the perspective of families in which a child has autism spectrum disorder

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Nicholas DB, Zwaigenbaum L, Muskat B, Craig WR, Newton AS, Kilmer C, Greenbla...

In this study, parents and their children with autism spectrum disorder shared their perspectives on emergency department care.

Key Study: Perspectives of Health Care Providers Regarding Emergency Department Care of Children and Youth with Autism Spectrum Disorder

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Zwaigenbaum L, Nicholas DB, Muskat B, Kilmer C, Newton AS, Craig WR,Ratnapala...

This study aimed to characterize the perspectives of health professionals who care for children with autism spectrum disorder in the emergency department, and to determine what strategies could optimize care.

Key Study: Autism comes to the hospital: the experiences of patients with autism spectrum disorder, their parents and health-care providers at two Canadian paediatric hospitals

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Muskat B, Burnham Riosa P, Nicholas DB, Roberts W, Stoddart KP, Zwaigenbaum L

The purpose of this study was to understand the hospital experiences of children and youth with autism spectrum disorder, their families and their health-care providers, in order to inform hospital-based care.

Key Study: Parent and provider perspectives on procedural care for children with autism spectrum disorders

Visit

Davignon MN, Friedlaender E, Cronholm PF, Paciotti B, Levy SE

The aim of this study was to identify parent and provider perspectives on barriers and facilitators to procedural care for children with autism spectrum disorders.

Key Study: Development and evaluation of educational materials for pre-hospital and emergency department personnel on the care of patients with autism spectrum disorder

Visit

McGonigle JJ, Migyanka JM, Glor-Scheib SJ, Cramer R, Fratangeli JJ, Hegde GG,...

This study describes the development of education materials on ASD and the results of training of emergency medical services and emergency department personnel.

Key Study: Psychiatric-related emergency department visits among children with an autism spectrum disorder

Visit

Kalb LG, Stuart EA, Freedman B, Zablotsky B, Vasa R

This study aimed to examine the prevalence and characteristics of psychiatry-related emergency department visits among children with autism spectrum disorder, including the specific reason for visit, as well as the influence of insurance type.

Key Study: Injury treatment among children with autism or pervasive developmental disorder

Visit

McDermott S, Zhou L, Mann J

This study examined the difference in the frequency and type of injury for children with autism and pervasive developmental disorder compared with typically developing peers.

Key Study: Epidemiology of Injury-Related Emergency Department Visits in the US Among Youth with Autism Spectrum Disorder

Visit

Kalb LG, Vasa RA, Ballard ED, Woods S, Goldstein M, Wilcox HC

This study aims to use nationally-representative emergency department data to characterize injury-related ED visits among youth with autism spectrum disorder.

Key Study: Parent and health care provider perspectives related to disclosure of autism spectrum disorder in pediatric emergency departments

Visit

Muskat B, Greenblatt A, Nicholas DB, Ratnapalan S, Cohen-Silver J, Newton AS,...

This qualitative study utilized a grounded theory approach and analyzed data from parents and health care providers related to autism spectrum disorder disclosure within two Canadian pediatric emergency departments.

Key Study: Toward Practice Advancement in Emergency Care for Children With Autism Spectrum Disorder

Visit

Nicholas DB, Zwaigenbaum L, Muskat B, Craig WR, Newton AS, Cohen-Silver J, Sh...

The objective of this study was to identify stakeholder perspectives in determining clinical priorities and recommendations to guide emergency department service delivery for children with autism spectrum disorder.

Key Study: Experiences of emergency department care from the perspective of families in which a child has autism spectrum disorder

Visit

Nicholas DB, Zwaigenbaum L, Muskat B, Craig WR, Newton AS, Kilmer C, Greenbla...

In this study, parents and their children with autism spectrum disorder shared their perspectives on emergency department care.

Key Study: Perspectives of Health Care Providers Regarding Emergency Department Care of Children and Youth with Autism Spectrum Disorder

Visit

Zwaigenbaum L, Nicholas DB, Muskat B, Kilmer C, Newton AS, Craig WR,Ratnapala...

This study aimed to characterize the perspectives of health professionals who care for children with autism spectrum disorder in the emergency department, and to determine what strategies could optimize care.

Key Study: Autism comes to the hospital: the experiences of patients with autism spectrum disorder, their parents and health-care providers at two Canadian paediatric hospitals

Visit

Muskat B, Burnham Riosa P, Nicholas DB, Roberts W, Stoddart KP, Zwaigenbaum L

The purpose of this study was to understand the hospital experiences of children and youth with autism spectrum disorder, their families and their health-care providers, in order to inform hospital-based care.

Key Study: Parent and provider perspectives on procedural care for children with autism spectrum disorders

Visit

Davignon MN, Friedlaender E, Cronholm PF, Paciotti B, Levy SE

The aim of this study was to identify parent and provider perspectives on barriers and facilitators to procedural care for children with autism spectrum disorders.

Key Study: Development and evaluation of educational materials for pre-hospital and emergency department personnel on the care of patients with autism spectrum disorder

Visit

McGonigle JJ, Migyanka JM, Glor-Scheib SJ, Cramer R, Fratangeli JJ, Hegde GG,...

This study describes the development of education materials on ASD and the results of training of emergency medical services and emergency department personnel.

Key Study: Psychiatric-related emergency department visits among children with an autism spectrum disorder

Visit

Kalb LG, Stuart EA, Freedman B, Zablotsky B, Vasa R

This study aimed to examine the prevalence and characteristics of psychiatry-related emergency department visits among children with autism spectrum disorder, including the specific reason for visit, as well as the influence of insurance type.

Key Study: Injury treatment among children with autism or pervasive developmental disorder

Visit

McDermott S, Zhou L, Mann J

This study examined the difference in the frequency and type of injury for children with autism and pervasive developmental disorder compared with typically developing peers.