A car passenger buckles himself in with a seat belt and holds his $18-\mathrm{kg}$ toddler on his lap. Use the work-energy principle to answer the following questions. (a) While traveling $25\mathrm{~m}/\mathrm{s}$, the driver has to make an emergency stop over a distance of $45\mathrm{~m}$. Assuming constant deceleration, how much force will the arms of the parent need to exert on the child during this deceleration period? Is this force achievable by an average parent?

T.W. is a 22-year-old man who fell SO feet from a chairlift while skiing and landed on hard-packed snow. He is now at the emergency department (ED) with a suspected TS-T6 fracture with paraplegia.
Insert Foley catheter
ECG monitoring
Immobilize the cervical spine
Oxygen at 4 L per nasal cannula
Initiate two large bore IVs
Neurologic assessment every hour
Apply warming blankets as needed
What other interventions would likely be done by the ED nurse?

As a young design engineer you are asked to design an emergency braking parachute system for use with a military aircraft of mass 9500 kg. The plane lands at 350 km/hr, and the parachute system alone must slow the airplane to 100 km/hr in less than 1200 m. Find the minimum diameter required for a single parachute, and for three noninterfering parachutes. Plot the airplane speed versus distance and versus time. What is the maximum “g-force” experienced?

Large stadiums rely on backup generators to provide electricity in the event of a power failure. Assume that emergency backup generators fail 22% of the times when they are needed (based on data from Arshad Mansoor, senior vice president with the Electric Power Research Institute). A stadium has three backup generators so that power is available if at least one of them works in a power failure. Find the probability of having at least one of the backup generators working given that a power failure has occurred. Does the result appear to be adequate for the stadium's needs?

T.W. is a 22-year-old man who fell SO feet from a chairlift while skiing and landed on hard-packed snow. He is now at the emergency department (ED) with a suspected TS-T6 fracture with paraplegia.
Insert Foley catheter
ECG monitoring
Immobilize the cervical spine
Oxygen at 4 L per nasal cannula
Initiate two large bore IVs
Neurologic assessment every hour
Apply warming blankets as needed
Describe a plan for implementing these physician's orders

A patient is evaluated in the emergency department after causing an automobile accident while being under the influence of alcohol. While assessing the patient, which statement would be the most therapeutic?

1. “Why did you drive after you had been drinking?”
2. “We have multiple patients to see tonight as a result of this accident.”
3. “Tell me what happened before, during, and after the automobile accident tonight.”
4. “It will be okay. No one was seriously hurt in the accident.”

You are driving a car when a deer suddenly darts across the road in front of you. Your brain registers the emergency and sends a signal to your foot to hit the brake. The car travels a reaction distance D, in feet, during this time, where D is a function of the speed r, in miles per hour, that the car is traveling when you see the deer, given by $D(r)=\frac{11 r+5}{10}.$ Find the inverse and explain what it represents. Is the inverse a function?

Three-year-old C.E. is admitted to the Emergency Department (ED) fast track clinic. Her mother tells the nurse that C.E. has had a low-grade fever for $2$ days and is complaining of ear pain and a sore throat. Mrs. E. states that C.E.'s appetite has been “off,” but she has been drinking and using the bathroom as usual.

As you get C.E. settled in the exam room, what routine information regarding risk factors for otitis media (OM) would you want to obtain from Mrs. E.?

B.L., 17, had a compression fracture at the C5-C6 after jumping into a river from a bridge and slamming into a submerged rock. Fortunately, she was saved by a companion who had first-aid expertise and worked to limit any collateral damage. B.L. was unable to move her limbs, feel touch, or have reflexes in her limbs when she arrived at the emergency room. Describe why it is impossible to determine the entire amount of lasting damage during this initial time frame.

Myrna White is a mobile housekeeper. The price for a standard house cleaning is $150 and takes 5 hours. Each worker is paid$25/hour, uses $15 of materials and$0.50 per mile to use their own vehicle to travel from job to job. The average job is 5 miles. Arniz Meyroyan has a family reunion at her house and needs her house freshened up. She offers $75 for this emergency tidy-up service. This service includes vacuuming and cleaning floors, dusting, and cleaning the bathrooms. Only$5 of materials would be used.

Myrna White is a mobile housekeeper. The price for a standard house cleaning is $150 and takes 5 hours. Each worker is paid$25/hour, uses $15 of materials and$0.50 per mile to use their own vehicle to travel from job to job. The average job is 5 miles. Arniz Meyroyan has a family reunion at her house and needs her house freshened up. She offers $75 for this emergency tidy-up service. This service includes vacuuming and cleaning floors, dusting, and cleaning the bathrooms. Only$5 of materials would be used.

B. If a $25 surcharge was included to make the price of$100 how would the differential income change?

Suppose an emergency van has a single-tone siren with the pitch of the musical note $\mathrm{G}$. If the van is traveling at $80 \mathrm{mph}$ approaching a standing observer, name the pitch the observer hears (rounded to the nearest tenth) and the musical note closest to that pitch.

Pitch of an Octave of Musical Notes in Hertz $(\mathrm{Hz})$

$$\begin{aligned} &\begin{array}{c|c} \hline Note & Pitch \\ \hline Middle\ C & 261.63 \\ \hline D & 293.66 \\ \hline E & 329.63 \\ \hline F & 349.23 \\ \hline G & 392.00 \\ \hline A & 440.00 \\ \hline B & 493.88 \\ \hline \end{array} \end{aligned}$$

You are on duty in the emergency department (ED) when a "code blue" is called. As the code nurse, you grab the crash cart and run to the code, which is in the employee lounge of the operating room. On the couch, you find a nurse, Z.H., unconscious, dusky, and barely breathing
Z.H.'s respiratory rate is 8 and shallow. The respiratory therapist intubates her and continues to ventilate her manually. You attach ECG leads to her chest and find the results shown in the figure. What is your interpretation of Z.H.'s rhythm?

While playing on her swing set, 10-year-old Yasmin falls and breaks her right leg. At the emergency room, the physician tells Yasmin's parents that the proximal end of the tibia, where the epiphysis meets the diaphysis, is fractured. The fracture is properly set and eventually heals. During a routine physical when she is 18 , Yasmin learns that her right leg is $2 cm$ shorter than her left, probably because of her accident. What might account for this difference?

An accident victim who had not been wearing a seat belt received trauma to his forehead when he was thrown against the windshield. The physicians in the emergency room worried that his brain stem may have been driven inferiorly through the foramen magnum. To help assess this, they quickly took a standard X-ray film of his head and searched for the position of the pineal gland. How could anyone expect to find this tiny, boneless gland in a radiograph?