Seeing a lot of Flu symptoms, or is it just media hype..??

Specialties Emergency

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I think there's a lot of hype out there, generated by the media - the schools (I do sub school nursing also) have jumped on the band wagon, which I understand, because I don't want to take any chances with the health of my, or any other, children. I do think that these flu-like symptoms have been mild in the ER - most people feel like they have bad colds/coughs. Few have the need for nebs. Instead of implementing someone to put out the fires from the outset, like at the entrance to the ER, they let people spool out of control (where I work.) It's really silly and unnecessary. I don't know if it's just my perception, but it seems that the general public doesn't even want to take a moment and be logical about this illness and stay home while you're still drinking fluids. Keep yourself confined, control your fever, etc. IF it gets worse, call your doctor (assuming you have one), but don't come into the ER because you have a fever and body aches (and no respiratory issues). Please. I saw a news article of people lining up for the H1N1 vaccine - it's like a rock concert and trying to nab the best seats. It just seems more mild, to me, than the media is portraying all of this. Of course the stories of people that have died do not provide us with all of the details for the person that was ill. Many times these people have underlying conditions, which is then appropriate for those to seek care first for flu-like illness. It just seems like I spend so much time on basic care teaching for prevention of spreading germs/infection - to adults!!! :cool:

Specializes in Emergency & Trauma/Adult ICU.

Loralai, your point about media hype is a good one, and I think that was part of OP's post as well. The media noise needs to stop, but I'm not holding my breath for that to happen.

Apparently, when I wasn't looking, I suddenly got old enough to be nostalgic for the days when treatment of the mostly mild to moderate s/s we've discussed here was considered to be within the realm of common sense. ;)

Slightly OT, but I saw a TV ad for a retail pharmacy urgent care clinic yesterday -- the story line of the ad was a mom with a kid shown with various mild s/s - sore throat, cough, boo boo, etc. The repeating tag line was "Be Reassured." I just shook my head at the continued dumbing down and advertising saturation of our culture. Whatever you do -- don't trust your instincts with your kid's minor boo boo -- go to the clinic, either pay out of pocket or run up a bill for your insurance company (or both). Don't even think about just washing off the boo boo, giving your kid a hug and a popsicle and going on with the day! :smackingf

Specializes in ER.
Loralai, your point about media hype is a good one, and I think that was part of OP's post as well. The media noise needs to stop, but I'm not holding my breath for that to happen.

Apparently, when I wasn't looking, I suddenly got old enough to be nostalgic for the days when treatment of the mostly mild to moderate s/s we've discussed here was considered to be within the realm of common sense. ;)

Slightly OT, but I saw a TV ad for a retail pharmacy urgent care clinic yesterday -- the story line of the ad was a mom with a kid shown with various mild s/s - sore throat, cough, boo boo, etc. The repeating tag line was "Be Reassured." I just shook my head at the continued dumbing down and advertising saturation of our culture. Whatever you do -- don't trust your instincts with your kid's minor boo boo -- go to the clinic, either pay out of pocket or run up a bill for your insurance company (or both). Don't even think about just washing off the boo boo, giving your kid a hug and a popsicle and going on with the day! :smackingf

awesome. Thanks.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Don't even think about just washing off the boo boo, giving your kid a hug and a popsicle and going on with the day!

And whatever you do, don't treat your kids' fevers, we in the ED don't trust your thermometer skills and want to SEE that 104 degrees! /sarcasm ;)

Specializes in emergency nursing-ENPC, CATN, CEN.

we're seeing 10-15 flu-like sxs/day--again mostly the peds, young adult crowd

if they meet the symptomology criteria, we're not even testing anymore--just 'assuming' it's flu

the high risk group get the nasal washings but in all honesty, i've heard that this test has a high false neg result, so, if the patient is high risk, they get tamiflu scripts

have you guys gotten the h1n1 flu shot yet? it hasn't been available here yet.

i have to add that i get frustrated at times at the amount of people who come in to get tested--they're not that sick, they have low grade fever, sl uri sxs. i know i shouldn't get frustrated because they're worried about flu, but the amount is just killing our ed.

any of your eds developed an off-site flu triage area to funnel the flu group out of your waiting room?

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Have you guys gotten the h1n1 flu shot yet? It hasn't been available here yet.

Our hospital system can't seem to get its act together to provide H1N1 vaccination -- and we are the "Tier 1" employees that they want to vaccinate first! They received only 200 doses of injectible vaccine, and 8000 of the LAIV nasal. The problem is that we can't work for a couple of days after having the LAIV, so they were holding off on giving it. Makes no sense -- there are a lot of people like me who work three days on, four days off. But I have yet to be vaccinated! My coworkers and I are wondering if it's worth it at this point, given our rates of exposure already. I did get my seasonal flu shot already, but not the H1N1.

Any of your EDs developed an off-site flu triage area to funnel the flu group out of your waiting room?

There has been talk of setting up a "flu tent" over at the peds ED, where they are being hit the hardest. I'm in a freestanding ED that is a distance away but part of the hospital system, and so far we're managing without doing a separate area for flu.

Specializes in Hospital Education Coordinator.

50-60 cases in ER daily in a 140 bed hospital seems like a lot of flu to me, regardless of media. Yet I still talk to people who think of it as "just the flu".

Specializes in NICU, Post-partum.

I think the CDC has failed miserably in educating the public in the differences between regular flu and H1N1.

Normally, I don't freak out when my child is sick...she recently fell ill on a Friday and as a precaution, I went ahead and took her to the Ped.

She knew I was a nurse and we talked about the H1N1 and I said, "How in the world can you diagnose it by symptoms if it's supposed to be the same?"

That is when she said, "Oh, the symptoms ARE NOT the same. H1N1 has a very, very high fever that goes on for days."

I said, "How high of a fever?"

She said, "104, 105 high".

I'm a nurse and I have NEVER heard this...but sure enough, she was right.

So why are they not telling this to the general public??????

Specializes in Cardiac Telemetry, ED.

The influx seems to have ebbed for the time being. I only had a few ILIs over the weekend. I'm sure it will pick up again when the seasonal flu starts to hit.

I think our local media has done a pretty good job of informing the public about the need to stay home unless symptoms are severe, but there will always be that certain population that brings their kid to the ED instead of Urgent Care for the slightest little owies.

Specializes in School Nursing.

It seems no one has your basic "head cold" or seasonal allergies this year. Panic has certainly hit my area to the point that every booger (I work in a school so yes, booger is a medical term here!) is H1N1. We do have a few "confirmed" cases, but I'm not sure who is confirming them. Please don't confuse my skepticism for not realizing how serious this can be, but I am weary of every student who isn't feeling 100% needing to go home.

Specializes in ER.

how is this different from season flu fevers? 104 is not uncommon - so again, how do they differentiate?

My kid's school has been hit with something...at least 20% of the kids are out. Both my son and then my daughter had some viral type thing. Luckily they are both improving.

Specializes in NICU, Post-partum.
how is this different from season flu fevers? 104 is not uncommon - so again, how do they differentiate?

Not just a 104 fever, a 104 to 105 fever that lasts for 4 to 5 days that Tylenol barely puts a dent in.

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