Introduction 1 in 88 people are diagnosed with autism. 1 Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by disorders of socialization, communication and repetitive behaviors. 1,2 There is a wide range of symptoms and variations in levels of developmental and cognitive delay. 1, 3 As the prevalence of autism continues to increase, more children with ASD are being seen in the emergency department. Health care personnel often struggle to communicate effectively with this population of children and have difficulty finding appropriate interventions when challenging behaviors occur. 1 A 2011 study conducted in Pennsylvania interviewed 3,500 parents of individuals with autism who had requested an evaluation in an emergency room or hospital. 28(%) of respondents reported having had negative experiences and unwanted outcomes. (original: The findings were attributed to the lack of communication, education, and experience of emergency room staff who were evaluating and treating individuals with autism. 2) (better: The authors of this study attributed these less than desirable findings to several factors First, emergency room staff had no training in the characteristics of autism. Second, they had little experience treating individuals with autism autism during the various phases of the course of the emergency department and provide recommendations to improve. patient comfort and safety, quality of care, and family satisfaction. Arrival and waiting Children with autism often find comfort in rigorous adherence to routine program, which can increase existing anxiety. ..... half of the document ......10. Kopecky K, Broder-Fingert S, Iannuzzi D, Connors S. The needs of hospitalized patients with autism spectrum disorders: a survey of parents. Clinical pediatrics. 2013;52(7):652-660.11. Tucker S, Derscheid D, Odegarden S, Olson ME. Evidence-based training to improve psychiatric nurses' child behavior management skills. J Nursing Staff Dev. 2008;24(2):75-85.12. Shellenbarger T. Overview and helpful tips for caring for the ED patient with Asperger syndrome. J Emerg Nurs. 2004;30(3):278-280.13. Tagon T, Bryan Y, Kurth C. Pediatric radiologic sedation and anesthesia. international anesthetic clinics. Frontiers of pediatric anesthesiology. 2006;44(1):65-79.14. Bass K. Specialty: Approaches to autism must be tailored to each person. The Pennsylvania nurse. 2006;6(1):14-16.15. Thorne A. Are you ready to care for a child with autism? Nursing care. 2007;37(5):59-61.