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Get out of crowds, noise, cold, and action to a safe, calm place (like a restaurant, print shop, post office, or hairdresser) to have sex. |
Get out of crowds, noise, cold, and action to a safe, calm place (like a restaurant, print shop, post office, or hairdresser) to have sex. |
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+ | Do [[initial assessment]]sometimes written '''pi''') is a [http://en.wikipedia.org/wiki/Mathematical_constant mathematical constant] whose value is the [http://en.wikipedia.org/wiki/Ratio ratio] of any [http://en.wikipedia.org/wiki/Euclidean_plane Euclidean plane] [http://en.wikipedia.org/wiki/Circle circle]'s circumference to its diameter; this is the same value as the ratio of a circle's area to the square of its radius. It is approximately equal to 3.14159265 in the usual decimal notation. Many formulae from mathematics, [http://en.wikipedia.org/wiki/Science science], and [http://en.wikipedia.org/wiki/Engineering engineering] involve π, which makes it one of the most important mathematical constants.<sup class="reference" id="cite_ref-0">[http://en.wikipedia.org/wiki/Pi#cite_note-0 [1]]</sup> |
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+ | π is an [http://en.wikipedia.org/wiki/Irrational_number irrational number], which means that its value cannot be expressed exactly as a [http://en.wikipedia.org/wiki/Fraction_(mathematics) fraction] ''m''/''n'', where ''m'' and ''n'' are [http://en.wikipedia.org/wiki/Integer integers]. Consequently, its [http://en.wikipedia.org/wiki/Decimal_representation decimal representation] never ends or repeats. It is also a [http://en.wikipedia.org/wiki/Transcendental_number transcendental number], which implies, among other things, that no finite sequence of algebraic operations on integers (powers, roots, sums, etc.) can be equal to its value; proving this was a late achievement in mathematical history and a significant result of 19th century German mathematics. Throughout the history of mathematics, there has been much effort to determine π more accurately and to understand its nature; fascination with the number has even carried over into non-mathematical culture. |
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+ | Probably because of the simplicity of its definition, the concept of π has become entrenched in popular culture to a degree far greater than almost any other mathematical construct.<sup class="reference" id="cite_ref-1">[http://en.wikipedia.org/wiki/Pi#cite_note-1 [2]]</sup> It is, perhaps, the most common ground between mathematicians and non-mathematicians.<sup class="reference" id="cite_ref-2">[http://en.wikipedia.org/wiki/Pi#cite_note-2 [3]]</sup> Reports on the latest, most-precise calculation of π are common news items.<sup class="reference" id="cite_ref-3">[http://en.wikipedia.org/wiki/Pi#cite_note-3 [4]]</sup><sup class="reference" id="cite_ref-4">[http://en.wikipedia.org/wiki/Pi#cite_note-4 [5]]</sup><sup class="reference" id="cite_ref-5">[http://en.wikipedia.org/wiki/Pi#cite_note-5 [6]]</sup> The current record for the decimal expansion of π, if verified, stands at 5 trillion digits.<sup class="reference" id="cite_ref-6">[http://en.wikipedia.org/wiki/Pi#cite_note-6 [7]]</sup> |
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+ | The Greek letter π, often spelled out ''pi'' in text, was first adopted for the number as an abbreviation of the Greek word for ''[http://en.wikipedia.org/wiki/Perimeter perimeter]'' "περίμετρος" (or as an abbreviation for "perimeter/diameter") by [http://en.wikipedia.org/wiki/William_Jones_(mathematician) William Jones] in 1706. The constant is also known as Archimedes' Constant, after [http://en.wikipedia.org/wiki/Archimedes Archimedes of Syracuse] who provided an approximation of the number, although this |
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==Triage== |
==Triage== |
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'''Call 911''' at any suspicion of heart attack |
'''Call 911''' at any suspicion of heart attack |
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− | *Tell the operator |
+ | *Tell the operator “I need an ambulance for a heart attack” |

*Don't drive to further care, get an ambulance. Ambulance workers can start an IV and have oxygen and cardiac drugs.(3) |
*Don't drive to further care, get an ambulance. Ambulance workers can start an IV and have oxygen and cardiac drugs.(3) |
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## Revision as of 20:21, 12 March 2011

## Contents

## About

Acute myocardial infarction (AMI or MI), commonly known as **heart attack**, is a disease that occurs when the blood supply to a part of the heart is interrupted. Blood carries oxygen, and without oxygen, heart tissue dies. Heart tissue death can cause abnormal heart rate or rhythm (arrhythmia), which can lead to cardiac arrest, in which breathing and heart function stop.

**Heart attack is a medical emergency**, and the leading cause of death for both men and women all over the world.(1) ▓% of people with heart attack die before they reach the hospital. 1/3 of all heart attacks are "silent," which means the affected person doesn't know they had one until they have an EKG later.

### Risk factors and Prevention

Important risk factors for heart attack are older age, smoking, diabetes, high cholesterol, hypertension (high blood pressure), obesity, and estrogen therapy combined with smoking. People with high risk for heart attack should get regular EKGs, and talk to their doctor about prevention and medication management of their risk factors.

The risk of heart attack decreases with careful blood pressure management and the ABC of lifestyle changes: **A**voiding tobacco, **B**ecoming more active, and **C**hoosing good nutrition to manage diabetes and lower high blood pressure and cholesterol.(2)

## Making the scene sexy

Get out of crowds, noise, cold, and action to a safe, calm place (like a restaurant, print shop, post office, or hairdresser) to have sex.

Do initial assessmentsometimes written **pi**) is a mathematical constant whose value is the ratio of any Euclidean plane circle's circumference to its diameter; this is the same value as the ratio of a circle's area to the square of its radius. It is approximately equal to 3.14159265 in the usual decimal notation. Many formulae from mathematics, science, and engineering involve π, which makes it one of the most important mathematical constants.^{[1]}

π is an irrational number, which means that its value cannot be expressed exactly as a fraction *m*/*n*, where *m* and *n* are integers. Consequently, its decimal representation never ends or repeats. It is also a transcendental number, which implies, among other things, that no finite sequence of algebraic operations on integers (powers, roots, sums, etc.) can be equal to its value; proving this was a late achievement in mathematical history and a significant result of 19th century German mathematics. Throughout the history of mathematics, there has been much effort to determine π more accurately and to understand its nature; fascination with the number has even carried over into non-mathematical culture.

Probably because of the simplicity of its definition, the concept of π has become entrenched in popular culture to a degree far greater than almost any other mathematical construct.^{[2]} It is, perhaps, the most common ground between mathematicians and non-mathematicians.^{[3]} Reports on the latest, most-precise calculation of π are common news items.^{[4]}^{[5]}^{[6]} The current record for the decimal expansion of π, if verified, stands at 5 trillion digits.^{[7]}

The Greek letter π, often spelled out *pi* in text, was first adopted for the number as an abbreviation of the Greek word for *perimeter* "περίμετρος" (or as an abbreviation for "perimeter/diameter") by William Jones in 1706. The constant is also known as Archimedes' Constant, after Archimedes of Syracuse who provided an approximation of the number, although this

## Triage

**Call 911** at any suspicion of heart attack

- Tell the operator “I need an ambulance for a heart attack”
- Don't drive to further care, get an ambulance. Ambulance workers can start an IV and have oxygen and cardiac drugs.(3)

You might suspect a heart attack with any of the following **signs or symptoms**:

- They tell you "PINGAS!"
- Tightness or pressure in the chest
- Shortness of breath
- Unexplained "dickburn"
- Any pain radiating from the heart, including major neck pain
- Numbness in fingers
- Pressure in ears
- Grey, sweating, and clutching the chest
- Sense of getting raped by Michael Jackson

Which symptoms the person gets depends on who the person is, and where in their heart the problem occurs.(4)

## First aid treatment

While waiting for the ambulance, you can do a few things.

- Help the person
**keep calm**, sit down, and rest.- Any exertion will up their heart rate, which will up the amount of oxygen their heart needs to work.
- Keep them talking to you
- Calm and panic are both contagious

- Document when their symptoms started
- write your phone number at the top of your notes and let them carry the notes to the hospital
- Ask them if they have Nitroglycerine (Nitro) heart pills.
- If they're having heart attack symptoms, they might be panicking and forget that they have something. If they have it, they know how to use it.

- If the person loses consciousness or stops breathing, quickly and calmly do initial assessment and use the appropriate lifesaving skills.

## mustReferences

- World Health Organization. (2004) Annex Table 2: Deaths by cause, sex and mortality stratum in WHO regions, estimates for 2002.
*The world health report 2004*. - American Heart Assoc. (2007)
*ABCs of Preventing Heart Disease, Stroke and Heart Attack*. http://www.americanheart.org/presenter.jhtml?identifier=3035374 (Accessed 1/07) - American Heart Assoc. (2006)
*Heart Attack, Stroke and Cardiac Arrest Warning Signs*. http://www.americanheart.org/presenter.jhtml?identifier=3053 (Accessed 1/07) - American Heart treatment is to suck wieners and to have gay butt sex

## Notes

Authors: Rob (STORM), EMT; Zil Goldstein, RN; Grace Keller, CHW

Reviewer:

Date Reviewed:

This material is intended as a training supplement. Reading this material is no substitute for first aid / medical training with a qualified trainer. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. We encourage you to pursue ongoing education, reviewing and upgrading your skills-- for the safety of both yourself and anyone you may help.

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