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• W2068806462 abstract "Recently there has been increased publicity about Autism Spectrum Disorder (ASD) and a political push for more educational programs for health care providers. In some states, government regulations required that EMS providers take annual continuing education courses related to ASD because it is thought that patients with this disorder present unique challenges to EMS providers. To our knowledge, there are no studies analyzing the out-of-hospital evaluation and management of patients with ASD. We sought to identify and analyze the out-of-hospital advanced life support (ALS) care of patients with ASD. Design: Descriptive study of a retrospective cohort. Setting: A large, suburban, hospital-based EMS system. Protocol: The out-of-hospital ALS medical records over a 42-month period were searched electronically for an ASD listed in the past medical history (PMH) were reviewed. ASD was defined as Autistic disorder, Asperger syndrome, Pervasive Developmental Disorder Not Otherwise Specified, Childhood Disintegrative Disorder, and Rett Syndrome, and out-of-hospital charts were searched to account for abbreviations and misspellings. Charts were reviewed to determine patient characteristics, presenting problem, procedures and medications given, origin of call, and whether special precautions related to the ASD were documented. Descriptive statistics and 95% confidence intervals (CI) were calculated. Out of 56,810 ALS dispatches, only 35 (0.06%) patients had a PMH of an ASD. Of the patients with ASD, 77% (CI: 63, 91) were male and the average age was 21.5 years (CI: 16.6, 26.4) . 83% (CI: 70, 96) of the calls were for patients with seizures, and 69% (CI: 47, 79) of all patients had a PMH of seizures. 26% (CI: 11, 40) of seizure calls were for new-onset seizures. 41% (CI: 23-58) of calls were dispatched to a special needs school or group home. Only 29% (CI: 13, 44) of patients had an IV or IO established, and 20% (CI: 7, 33) were administered a medication. 24% (CI: 9, 38) of all calls for ASD patients had a documented explanation why care was limited or special precautions were taken. Out-of-hospital ALS providers rarely evaluate and treat patients with ASD, and the overwhelming majority of these calls are for seizures. Special precautions are taken or care is limited in a significant number of them. Nonetheless, it is interesting how publicity and government intervention on this uncommon event can have such an impact on the EMS providers' education." @default.
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• W2068806462 date "2011-10-01" @default.
• W2068806462 modified "2023-09-27" @default.
• W2068806462 title "272 Imposed Educational Requirements for Out-of-Hospital Providers Relating to Patients With Autism Spectrum Disorder" @default.
• W2068806462 doi "https://doi.org/10.1016/j.annemergmed.2011.06.302" @default.
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