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PostPosted: Sun Sep 13, 2009 12:31 pm 
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http://www.sundaypaper.com/More/Archive ... lanta.aspx

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Children hit hardest. Emergency rooms innovate to meet demands

Children’s Healthcare of Atlanta’s emergency patient load has more than doubled in recent weeks thanks to youngsters’ special vulnerability to swine flu or, as researchers refer to it, H1N1.

David Banks, an emergency physician at CHOA, says the emergency department normally sees about 180 patients in a 24-hour period this time of year.

“On the Sunday of the Labor Day holiday weekend, we saw 455 patients,” he says, explaining that the increase is driven by H1N1. “The problem is that the flu is hitting at this time of year, when we are not as prepared to do this.”

Banks’ colleague, Medical Director James D. Fortenberry, says CHOA doesn’t routinely test for H1N1 because the rapid test is inaccurate, but CHOA doctors know what they’re seeing.
Almost everyone who has the flu right now has the H1N1 strain,” says Fortenberry. “Ninety-eight percent have H1N1.”

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PostPosted: Sun Sep 13, 2009 10:21 pm 
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"On the Sunday of the Labor Day holiday weekend, we saw 455 patients,” he says, explaining that the increase is driven by H1N1. “The problem is that the flu is hitting at this time of year, when we are not as prepared to do this."

Wow what a statement. I am just your average citizen and I know they were supposed to be prepared for this according to "even" the CDC. Scary stuff!


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PostPosted: Mon Sep 14, 2009 11:08 am 
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Children’s Healthcare of Atlanta’s emergency patient load has more than doubled in recent weeks thanks to youngsters’ special vulnerability to swine flu

Interesting euphemism for being in school.

Quote:
"On the Sunday of the Labor Day holiday weekend, we saw 455 patients,” he says, explaining that the increase is driven by H1N1. “The problem is that the flu is hitting at this time of year, when we are not as prepared to do this."

Wow what a statement. I am just your average citizen and I know they were supposed to be prepared for this

The expectation is for most hospitals to be able to increase capacity by 25%-50% above normal in response to surge demands. Here, their census more than doubled, an increase of 250% above normal. Not too many hospitals can increase capacity by two and a half times their normal volume. They don't have the beds, personnel, or supplies for that kind of thing. Even in Emergency Departments, it's pushing it. The only thing that probably made this doable at all for them was that most other hospital departments probably weren't also getting slammed simultaneously (so they could borrow personnel) and that most of these patients were ambulatory and non-critical, needing nothing more than exam, a few lab tests, a chest xray, a prescription, and after-care instructions.


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