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Hospital ER rooms not meant for treating flu - Really??

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  • Hospital ER rooms not meant for treating flu - Really??

    This is upsetting we all know access to care is limited and doctor's offices are overwhelmed.


    Hospital ER rooms not meant for treating flu

    By Jim Fortenberry

    7:54 p.m. Wednesday, September 16, 2009

    The first thing on many parents? minds right now is how to protect their children from the flu. And, time after time, parents are bringing children with flu symptoms to the emergency room when it?s not an emergency.

    While H1N1 (swine) flu is a new strain, at present it is acting just like a mild-to-moderate case of the flu with the same type of outcomes as seasonal influenza. The symptoms of H1N1 flu in people are similar to the symptoms of seasonal flu and include fever, lethargy, lack of appetite and coughing. Some people with H1N1 flu also have reported runny nose, sore throat, nausea, vomiting and diarrhea.

    Parents should take away that H1N1 label and name, and think of this as the flu. Think of it this way, ?If this was the regular flu, would you be going to the emergency department?? The exception would be for children with the flu who also have underlying chronic diseases such as asthma, diabetes, or chronic lung disease. You should consult with your family doctor in those situations.

    The great majority of children don?t have a level of illness that needs medication or requires hospitalization and can be managed with over-the-counter symptom treatments. Routine cases of the flu are best handled by a child?s pediatrician. It may not even be necessary to make a health care visit.

    To help decide, parents can visit the Children?s Healthcare of Atlanta online flu assessment guide at www.choa.org/ecall. This is an interactive Web guide to help parents determine best next steps. Or, parents can call 404-785-0000 for guidance through a phone tree flu assessment.

    The best way to protect children is through vaccines. New vaccines are made each year for the types of flu that world experts think will be around that year. Children need a new vaccine each year. Seasonal flu vaccines are given in September or October and are advised for all children from 6 months to 19 years of age.

    This year, there will be an additional vaccine available for the H1N1 strain of flu as well. In late August, physician/researchers at Children?s Healthcare of Atlanta and Emory University began vaccinating children in a clinical trial testing an investigational H1N1 vaccine along with the seasonal flu vaccine. The H1N1 vaccine is expected to be available mid-October.

    In addition to receiving the appropriate vaccines, the best way to prevent spread is by staying away from others when sick, performing frequent hand hygiene and covering your coughs and sneezes.

    Dr. Jim Fortenberry is pediatrician-in-chief at Children?s Healthcare of Atlanta.
    Find this article at:


  • #2
    Re: Hospital ER rooms not meant for treating flu - Really??

    For week 33 (ending August 22, 2009), 4.85% of patient visits to ILINet providers were for influenza-like illness (ILI: fever = > 100° F and cough and/or sore throat in the absence of a known cause other than influenza

    ++ I know this has increased but can not find a more current report.



    Regional baselines for the 2008-09 influenza season are
    South Atlantic — 2.2%
    Delaware, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, Washington, D.C., West Virginia


    For Region 5: week 35 7.4% ILI

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    • #3
      Re: Hospital ER rooms not meant for treating flu - Really??

      #1: "Hospital ER rooms not meant for treating flu"


      Carefully pondering the word "flu" - they realy aren't.

      But obviously, if the patient don't know it is flu illnessed:
      no temperature,
      and have additional serious life treating problems -
      than it call the ambulance emergency team, which asses preliminary the illness at home, and than continue to an infective ward, or if they thinks it is not infectious - to an ER hospital ward.

      The problem augmented also because of many cases without temperature.

      Obviously a person with life treating symptoms and lung/heart/diabetes/... chronic illnesses must be triaged by emergency ambulance or ER hospital teams, to save lifes.
      Pediatric patients have their problems.

      But if potentialy transmissible infectious disease patients are evaluated at the ER hospital rooms, the hospital money drawing folks and the organizers, must than create new dedicated or new builted spaces at hospital ER's specialy for transmissible infections; and the entering and waiting rooms must be empted from other non-potentialy-infectious patients - which is not a case -
      so the trasmissible infection patients must be diverted to infectious reparts/wards.

      But they didn't augmented the infectious wards nor the inf. staff (mainly),
      so this fact will re-create the mess of light/mild patients redirected to phone calls / or GP, with additional spreading/treating problems ...

      And the above depends of the money quantity spended for the necessary needs ...

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      • #4
        Re: Hospital ER rooms not meant for treating flu - Really??

        It takes 21 days on average to get an appointment with a family doctor in Atlanta according to a Merritt Hawkins 2009 survey. Their report does not factor in a pandemic situation of course.

        Are you searching for current physician surveys? You've found the latest physician surveys from the medical staffing experts at AMN Healthcare.

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        • #5
          Re: Hospital ER rooms not meant for treating flu - Really??

          I can understand the frustration of ER workers, but it seems that the number of HCW everywhere is less than needed.

          Most hospitals have been cutting staff instead of ramping up.
          How does that figure into pandemic planning?
          "There's a chance peace will come in your life - please buy one" - Melanie Safka
          "The greatest way to live with honor in this world is to be what we pretend to be" - Socrates

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