bwtsg

best viewed

1152 x 864

bwtsbanneranim
welcome
savericon

FREE bwts.org screen saver

winrar to unwrap

PROTOCOL #1

SUPRAVENTRICULAR TACHYCARDIA

The  following protocol details the steps for diagnosis, and subsequent treatment of,  SVT. These guidelines are laid down after consultation with the most eminent  brains in cardiology were totally ignored, and the ideas of an individual with a  deeply twisted mind were put into practice.

All information contained  herein may, or may not be true, be close to the truth, or be a total load of  cobblers. All detail are reproduced with the kind permission of a patient,  currently detained within one of Her Majestys correctional institutions for the criminally insane. And anything printed within this protocol should be treated  with the contempt it rightfully deserves. Any individual who shows the slightest  interest of putting this protocol into practice should reconsider a career in  showbusiness.

Aetiology

May occur for no apparent reason; Damage to the SA Node, Atria or AV Node (because of ischaemic heart disease); Sympathetic overactivity; Drug excess.

ECG

Rate: 160-210 per  minute.

Rhythm: Regular

"P" Waves: Cannot be identified

P-R  Interval: Cannot be identified

QRS Complex: Normal, but occasionally an abnormality of the impulse down the Bundle Branches may widen the QRS complex  and it may be difficult to differentiate between SVT and  VT

Treatment

There are three methods utilised in the treatment of S.V.T.

1.Vagal Stimulation.

2. Drug Therapy.

3. Electric  Cardioversion.

This protocol only deals with the first of the three methods.

Vagal maneuvers are principally indicated for patients who are haemodynamically stable, that is, who show no signs of shock or compromised  cardiac function.

Before commencing the following protocol, you must ensure that the patient is :- in a semi-recumbent position; Is attatched to an E.C.G. monitor; is on oxygen therapy; and you have an alibi should you end up in  coroners court because the brown bodily waste has hit the electric oscilating  cooling device.

1. Perform carotid sinus massage.

Locate the patients carotid pulse and massage the area whilst applying gentle pressure for  no more than 15-20 seconds. If the patient should pass out, ensure you are  massaging one side of the neck only.

2. Valsalva  Maneuver.

Encourage the patient to strain against a closed glottis. If they shit themself then you have explained the technique admirably.

3. Induce the mammalian diving reflex.

By immersion of the patients face in ice cold water. Do not continue to hold the patient under until you observe an improvement in the E.C.G. as drowning can result.



 

From a Readers Digest book.......so it must be true ..

First Aid For Non-Medically-Minded People

Choking On Food
Try to dislodge the article blocking the victims windpipe by punching  them fucking hard in the stomach. Do remember to duck before the particles of food hit you in the eye, however. Call the waiter and ask for a 20 percent reduction on the bill.

Concussion
When the victim comes round, ask them what day it is, who the Prime Minister is, how many fingers you are holding up. To make it more difficult, hold the fingers up behind your back. Talk in Swahili to disorientate the victim a bit more.

Cuts and Wounds
Dress  the wound, whatever that means. Try and limit the blood loss by tying a tourniquet tightly around the victims throat unit they experience difficulty in breathing. You will now get a motor a lot faster.

Electrocution
Is he/she still connected to the power supply? If so, switch off the power  immediately. Electricity costs an absolute fucking fortune, and it would be going to waste. Check the victims pulse, (if you can find their wrist amongst  the stack of charred bones and greasy, bubbling flesh that was once a human  being). And do try not to be squeamish about it. Drive the victim to the nearest  A+E. You can use him/her to jump-start the engine as well if need  be.

Fractures and broken limbs
Check the injured area to see if the break or fracture has resulted in a tubular shard of shearing white bone jutting outwards through the bloody mass of flesh. If it has, then tell the victim that they are going to die. That always puts the wind up them. Tie a splint to the  victims leg and ask them to walk up and down for a few minutes. They will  probably fall down unconscious, making the rest of the job easier. Do not move the broken or fractured limb as this may result in an abnormal position. However, if you're feeling daring, try pointing legs in the wrong direction, bending wrists through 180 degrees, etc.

Objects Stuck In The Eye
Rinse the victims eye in lukewarm water. Offer to pick the object out of the victims eye with a pair of pliers. This usually results in the object  mysteriously "going away" and not bothering the victim any more before you can get to it. Or if they are still moaning, tip some salt straight onto the eye ball itself. Never fails!!!

Treating Burns and Scalds
Run the affected area under a cold tap as soon as possible. (N.B. If the victims entire body is a swirling mass of flames it may a little too late for this). If the victim has spilt hot liquid over his/her clothes, then remove clothing immediately. You can never tell, the sight of you parading around naked may cheer them up and take their mind off their injury. Remind the victim that worse things happen at sea.  i.e. drowning and getting scoffed by sharks.


First Aid Tips

Appendicitis
Pain in right lower abdomen. Nausea, possible vomiting and fever. Who cares? It's a dead organ anyway. Punch him in lower left abdomen. Now they do have something to moan about as well as a pain on both sides of their  belly.

Burns and Scalds
Redness, mild swelling, and pain. Blisters may develop. Peel away dead skin. Rub vigourously to encourage good circulation. Apply butter, marg or Flora cooking oil.

Convulsions
Strong, jerking  movements; stiff body. Difficulty in breathing. Bluish face. Eyes rolled back, gritting of teeth, frothy mouth. Sit on victim. Laugh at until he gets embarrassed and stops. Or pull his hair and bang his head on the floor. If  jerking continues, get the patient in to a bath and fill it up with water. Add two Persil Tablets and all your dirty washing. If you are not near a bath, take punter’s right hand and stick it down your underpants.

Croup
Noisy, difficult breathing. Hoarse, barking cough. Stuff a No 3 in punter's mouth and  Micropore over nose

Cuts and Bruises
Cuts bleed and hurt. Bruises get red, swollen, and hurt. Call punter a poof and and send him back out to play.

Dog Bite
Redness, swelling and bleeding if skin is broken....... again call punter a poof.

Drowning
Unconscious, pale or blue skin. Tell bystanders "It's his own fucking fault he should have learned to swim".

Earache
Pain. Possible dizziness or discharge from ear.  Possible fever. Listen to one hour of S fucking Club 7. Then you'll know what an  earache is.
Call punter a poof.

Fainting
Pale, clammy skin, dizziness, shallow breathing, sweating and temporary unconsciousness.
Before punter revives, take his wallet and clothes and put him on a bus to south sector.

Fever
Body temperature over 98.6 degrees F (37 C). Hot forehead. Administer 4 oz. of 'Old Sporan' [cheap whiskey] every 2 hours.

Frostbite
Skin flushed, then changing to white or greyish yellow.  Blister may appear. Cold and numb. Pain. Submerge in boiling water and  vinegar.

Heat Exhaustion
High temperature. Pale and clammy skin, or hot and flushed skin. Headache and weakness. Possible nausea. Lock up victim in walk-in freezer for 1-2 hours.

Insect Bites and Stings
Pain and redness at the site of the sting or bite. Possible allergic reactions such as  shock or difficulty breathing. Capture insect and mash to paste. Dissolve in one cup of milk and have victim drink. Then call punter a  poof

Nosebleed
Profuse bleeding from the nose. Punch punter in face as  to start the other nostril to bleed and then apply tourniquet to victim's neck.

Poisoning
Symptoms vary. Throat or stomach pains. Mouth burns. Vomiting. Drowsiness. Give 1 tbsp Jeyes Fluid or White Spirits to flush system.

Shock
Victim pale and weak. Clammy skin, perspiration on upper lip and forehead. Pulse rate and breathing rate are increased. Grasp victim firmly by the shoulders and shake, shouting, "FUCKING GROW UP YOU POOF!"

Stroke
Unconscious. Heavy breathing. Apparent weakness in face or limbs on one side of body. Inability to speak. Kiss patient goodbye. It's all  over. Tell family "it's gonna be a cheap xmas this year"

Sunburn
Redness, mild swelling, and pain. Possible blisters. Remove reddened skin with sandpaper. Soak affected area in  piss or turps

Swallowing Foreign Bodies
Dangerous when in air passages.  Violent coughing and choking. Bluish facial discolouration. Breathing may stop. Shout, "GET THAT KOSOV'S COCK OUT OF YOUR MOUTH"

Toothache Pain
Tooth is sensitive to hot and cold food and fluids.
Alternate administration of hot  coffee and ice cream. call punter a wimp.

Crying Babies.
Put baby in fridge for 30 mins. If still crying  put baby in freezer for 30 mins. Don't forget to book a delay.

Drunk  Twat.
Pick up pisshead from the floor. Nick all his money or tear up his bus pass. Take him to central sector and dump him in the middle of nowhere. Write "BWTS" on his forehead in felt tip.

SUBMITTED ENTRIES

Vanessa and Pat
If the punter complains of chest pains and difficulty breathing, have him stand up and begin doing jumping jacks. If the patient's discomfort does not get worse, call him a poof and give him a kick in the arse. If the pain and trouble breathing increases, the punter is probably having some type of coronary event. Have him switch to pushups just to be safe. If the pain increases, it is an ever safer bet that you are dealing with a coronary event. To be sure, have punter begin running on the spot and lift his knees high. If punter collapses and stops breathing and loses his pulse, scream at him, "You fat fuckin' bastard. See what pasties, chips, and Double Diamond for lunch everyday has done."  Call coroners office or his pries

Euthenasia Protocol sent in by Canada

Preamble:  A Paramedic may adminster one 3" spike via pneumatic nail gun to the medulla pons, repeating up to 3 as required.
 
Indications: You've called an ambulance twice in the last 24 hours for the same thing, you can walk but you'd be more comfortable coming with us and having your family follow closely behind or any type of suicide attempt that failed because you were too stupid.
 
Contraindications: Less than 12 (you're too young to know better), over 99 (you'll be dead soon anyway).


XBlackweir
If you come across a small child choking on an ice cube that has been left in its drink simply pour boiling water into the  mouth and down the throat melting the ice and hey presto no more choking


BWTSNinja 
top tips When on Holiday in hot countries , NEVER eat green meat.

Save wear and tear on your children’s teeth by not giving  them boiled sweets, instead give them frozen brussel sprouts to suck.


XBlackweir
Top tips Get rid of irritating pieces of meat stuck in your teeth after a meal by simply popping a handful of maggots into your mouth and  allow them to crawl around your gums for a few minutes.
 

savinglivesbanner