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Autism Tip Sheet
Paramedic Interaction

Purpose

To provide clear, concise communication and interaction strategies for patients on the autism spectrum.

Source Material

All information provided by the Canucks Autism Network

Scope

Applicable to all BCEHS staff during any phase of patient contact or scene management. Remember: Characteristics may present differently across people on the autism spectrum

Clinical Presentation

What does autism look like?

  • Sensory sensitivities (e.g., covering ears)

  • Unusual eye contact

  • Repetitive motor movements

  • Atypical speech or lack of speech

  • Delayed responses

  • Challenges with social interaction

Tip 1: Before You Arrive

  • Environment: Turn off sirens and flashing lights whenever possible.

  • Intelligence Gathering: If possible, contact the caregiver for specific interaction tips and the individual's personal interests

Tip 2: When You Arrive

  • Create space

  • Get down to their level

  • One person talking at a time

  • Explicitly say, “I am here to help”

  • Avoid touch when possible

  • Find a common interest and build rapport

Tip 3: Clear Instructions

  • Say exactly what you want the person to do

  • Be concise; use short phrases or single words

  • Demonstrate what you will do

Tip 4: Give Information

  • Explain what will happen step-by-step

  • Provide checklist or draw pictures if needed

Tip 5: Create Incentive and Structure

  • Use “First-then” to create incentive:

  • Example: “First, calm body for two minutes, Then play a game on my phone.”

  • Use a timer for waiting

  • Epilsepy, anxiety

  • Hypo-sensitivity to pain and temperature

Reference

Original CAN poster

Review Schedule

Adopted Next Review Scheduled Owner Reviewer
Jan 2024 Mar 2027 CAN CAN