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Hello all, I've been around for a while, reading posts, but haven't really posted (too busy with Paramedic class, will be done in a couple months!!) This post caught my eye, I thought, I might actually know what that is! Have you considered alcohol as a cause, especially in the college-age population? I wouldn't be so sure about this cause in the 18 yo with the hx of recurrent afib, but it is very common to see paroxysmal supraventricular tachydysrhythmias in otherwise healthy patients a day or so following the consumption of a large amount of alcohol. This most commonly presents as atrial fibrillation with RVR, but sometimes can be seen as a traditional SVT such as AVNRT. This would be common in the college-age binge drinking population, and and a rash of these patients are often seen in the ED following major holidays - thus the condition is termed holiday heart syndrome. These patients usually spontaneously convert back to a sinus rhythm with no treatment, however in symptomatic patient I certainly wouldn't withhold treatment. Chris

WOMAN'S PERFECT BREAKFAST She's sitting at the table with her gourmet coffee. Her son is on the cover of the Wheaties box. Her daughter is on the cover of Business Week. Her boyfriend is on the cover of Playgirl. And her husband is on the back of the milk carton. -------------------------------------------------------------------------------- WOMEN'S REVENGE ! "Cash, check or charge?" I asked, after folding items the woman wished to purchase. As she fumbled for her wallet , I noticed a remote control for a television set in her purse. "So, do you always carry your TV remote?" I asked. "No," she replied, "but my husband refused to come shopping with me, and I figured this was the most evil thing I could do to him legally." -------------------------------------------------------------------------------- UNDERSTANDING WOMEN (A MAN'S PERSPECTIVE) I know I'm not going to understand women. I'll never understand how you can take boiling hot wax, pour it onto your upper thigh, rip the hair out by the root, and still be afraid of a spider. -------------------------------------------------------------------------------- MARRIAGE SEMINAR While attending a Marriage Seminar dealing with communication,Tom and his wife Grace listened to the instructor. "It is essential that husbands and wives know each other's likes and dislikes." He addressed the Tom, "Can you name your wife's favorite flower?" Tom leaned over, touched his wife's arm gently and whispered, "It's Pillsbury, isn't it? -------------------------------------------------------------------------------- CIGARETTES AND TAMPONS A man walks into a pharmacy and wanders up & down the aisles. The sales girl notices him and asks him if she can help him. He answers that he is looking for a box of tampons for his wife. She directs him down the correct aisle. ! A few minutes later, he deposits a huge bag of cotton balls and a ball of string on the counter. She says, confused, "Sir, I thought you were looking for some tampons for your wife? He answers, "You see, it's like this, yesterday, I sent my wife to the store to get me a carton of cigarettes, and she came! back with a tin of tobacco and some rolling papers; cause it's sooo-ooo--oo-ooo much cheaper. So, I figure if I have to roll my own .......... so does she. (I figure this guy is the one on the milk carton!) -------------------------------------------------------------------------------- WIFE VS. HUSBAND A couple drove down a country road for several miles, not saying a word. An earlier discussion had led to an argument and neither of them wanted to concede their position. As they passed a barnyard of mules, goats, and pigs, the husband asked sarcastically, "Relatives of yours?" "Yep," the wife replied, "in-laws." -------------------------------------------------------------------------------- WORDS A husband read an article to his wife about how many words women use a day... 30,000 to a man's 15,000. The wife replied, "The reason has to be because we have to repeat everything to men... ! The husband then turned to his wife and asked, "What?" -------------------------------------------------------------------------------- CREATION A man said to his wife one day, "I don't know how you can be so stupid and so beautiful all at the same time. "The wife responded, "Allow me to explain. God made me beautiful so you would be attracted to me; God made me stupid so I would be attracted to you ! -------------------------------------------------------------------------------- WHO DOES WHAT! A man and his wife were having an argument about who should brew the coffee each morning. The wife said, "You should do it because you get up first, and then we don't have to wait as long to get our coffee. The husband said, "You are in charge of cooking around here and you should do it, because that is your job, and I can just wait for my coffee." Wife replies, "No, you should do it, and besides, it is in the Bible that the man should do the coffee." Husband replies, "I can't believe that, show me." So she fetched the Bible, and opened the New Testament and showed him at the top of several pages, that it indeed says .......... "HEBREWS" -------------------------------------------------------------------------------- The Silent Treatment A man and his wife were having some problems at home and were giving each other the silent treatment. Suddenly, the man realized that the next day, he would need his wife to wake him at 5:00 AM for an early morning business flight. Not wanting to be the first to break the silence (and LOSE), he wrote on a piece of paper, "Please wake me at 5:00 AM." He left it where he knew she would find it. The next morning, the man woke up, only to discover it was 9:00 AM and he had missed his flight Furious, he was about to go and see why his wife hadn't wakened him, when he noticed a piece of paper by the bed. The paper said, "It is 5:00 AM. Wake up." Men are not equipped for these kinds of contests. -------------------------------------------------------------------------------- God may have created man before woman, but there is always a rough draft before the masterpiece . -------------------------------------------------------------------------------- SEND THIS TO SMART WOMEN WHO NEED A LAUGH AND TO MEN YOU THINK CAN HANDLE IT!

It only "works" to give you a false sense of security. Guns are illegal in the murder capitals of the US. How is that happening if laws banning them "work"? Most EMS personnel injured or killed in the line of duty are victims of motor vehicle collisions. Why don't you push for outlawing motor vehicles? You aren't going to "scare" criminals. And personally, I'd rather be struck by a pool cue than have them resort to stabbing me with their legal beer bottles, or kicking my face in with their legal boots.

I hear that man, and get it. I wasn't thinking along political lines when I read the post. No offense intended. Roj. I guess this concept is mostly foreign to me. I can't imagine being mauled in a bar in most circumstances. The patrons just simply wouldn't allow it. If someone hit me with a pool cue while in the community where I work they would be begging for the police to come and save them, and I don't have the most pleasant of personalities, so this is really saying something! Again, this is the rule, and as always there would be exceptions. If attacking EMS personnel is not uncommon, and the patrons of the bar would allow such a thing, then perhaps it is prudent to take away the more likely weapons. It's just....without pool, I'd have had little reason to go to bars as a kid, and without bars, very little opportunity to be around seriously drunk chicks, and without seriously drunk chicks, I might still be a virgin!! See? This story attacked me at my most basic level. I panicked. :-) Nothing funny about people being in fear of going to work. I shouldn't have made light of it. My apologies. Dwayne

Phil, we're not against rules. Every polite society has them. But what we support are rules against criminal behaviour, not against inanimate objects that pose no threat to anyone, unless used by a criminal. If the "rule" against drunkenness and assault were strictly enforced, you could have guns and knives on every table and people would still not use them because of the known consequences. Making rules against ashtrays and pool cues is treating a symptom without treating the disease. As medical professionals, I am ashamed that the Australians apparently do not know better than to espouse such a foolish approach.

CM, I was pointing out that your personal opinion was poorly stated as it was filled with gross generalizations that I took offense to. As a public forum, as it is your right to post your opinion, it is also my right to post mine, and argue against yours. Thank you for your comment that I sound like a corporate attorney – I will take that as a compliment of my educational background. You have stated in your most recent post in this thread that you are merely commenting that American citizens have paid a higher price – I am suggesting that should have been what you said in the first post, not “these cousins of ours safe across the border have so little idea of what it all costs." Oh we have a very good idea of what it costs… and when you get your Bachelors degree in Economics (which, by the way, I have) you will take courses that show that the American economy is built on war – the American government brought this on their own citizens. The USA has been in a major conflict every decade since WWII. The American citizen has paid a higher price because that is what their government has chosen, and their citizens through their voting – please do some research on the peace-keeping missions Canadian troops have been on in the last 6 decades. Your comments showed that you think Canadians “have so little idea of what it all costs.” My point was that this is a gross generalization that is incorrect and inaccurate, and offensive to many of the Canadians on this site. I suspect that this is the comment that other Canadians are reacting to with their posts as well. I suspect that if I said “Americans are ignorant of the sacrifices Canadians have made, and make, and think that Canada does nothing in the international arena,” many Americans would argue vehemently that this is not true. This comment is not an opinion, it is a generalization, and there is a big difference. Now, if I had said “I think that most Americans are ignorant of the sacrifices…” this is an opinion, not a generalization. You may say that this is semantics, but it does make a huge difference to interpretation. I realize that you are supportive of Canadian healthcare. My argument was that unlike the one survey that Dust posted, many of us do not fit into that “We like Obama” category. You can be offended and angry at my response, and I am ok with that - even angry dialogue is still dialogue and we can all learn from it. I learn from your posts (and I really enjoy most of your posts), and I hope you learn from mine.

Well, he did say that it was a "workable" rhythm, not necessarily a statistically salvageable rhythm. I have to agree with that. Look up asystole in any textbook and you'll find a strategy for working it. Therefore, it really adds little to nothing to your assessment of a DOS. Conversely, you will find no textbook protocols for resuscitating decapitation or rigor mortis, so those are useful assessment tools.

I've been in Canada for the last 2 weeks and I remember a lot of stuff about Canadians that I had forgotten. They are really really nice. Toronto is the most multicultural city in the world. Every language and culture you can imagine is represented. They are extremely educated and literate. The quality of the magazines, documentaries and literature available to (and ** gasp ** actually being read) by the general public is superb. That being said, Canadians are for a large part, homogeneous in their standards of living. A good school is a good school regardless if it is Nova Scotia or Alberta. They personally will argue that they have regional/ethnic issues and many resent the dominance of Toronto over the national dialogue but the huge fiefdoms (that Americans call states) are not a part of the political structure. The federal government has a lot of power setting standards and controlling the purse strings in spheres that would have Americans marching on Washington to burn the bastards out. They admire intelligence and the majority of people are what we in the states would consider left of center. I always thought I was a small c conservative (as opposed to the political right in Canada, the captial C Conservative) until I came to the US when I discovered I was a flaming pinko These people are not afraid. They don't have the crime or the personal connection to war that Americans have and thus see the world as essentially a safe place. (This view was greatly shaken by 9-11 btw.) Most firmly believe that if we all sit down and talk about things, the whole world will play nice. The general Canadian impression of the red-neck American with a bible under one arm, a bottle of whiskey under the other and a 45 frightens them. They consider themselves more sophisticated and intelligent. It's a tribute to the American fighting man/woman and his/her willingness to sacrifice for freedom that these cousins of ours safe across the border have so little idea of what it all costs. PS.. Their health care system and access to it is superb. It takes a lot of fear out of people when they don't have to worry about medical care. **edited to add the PS **

I had Babs make me a tshirt and send it to me in Afg. It said, "Be kind, spay and neuter your hose monkeys." I only wore it one day before enough people got mad that I had to take it off... :-) Dwayne

If a Fish eats Fish bate (bait) & a Shark eats Shark bate (bait) What does an I Master eat . . .you what?? Found on a fisherman's shirt, lmao

If you want my attention, try bleeding. That is my absolute favorite, and it will be my first shirt once I am certified.

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