ASD in the ED

Preventing Escalating Behaviours in the ED

Escalation doesn’t start with shouting. It starts with subtle signs—an anxious look, a shift in body language, a moment of silence that most of us miss. In this episode, we explore how to recognise the early signs of distress in autistic patients before behaviours escalate. We break down what’s really going on beneath the surface, why the emergency department can be such a triggering environment, and what practical steps clinicians can take to reduce anxiety and create a sense of safety. From communication and sensory strategies to clinician self-regulation, we cover the small, intentional actions that can prevent big outcomes. This is about being proactive, not reactive—and learning how to hold the line when it matters most.