A nuclear reactor is equipped with two independent automatic shutdown systems to shut down the reactor when the core temperature reaches the danger level. Neither system is perfect. System A shuts down the reactor 90% of the time when the danger level is reached. System B does so 80% of the time. The reactor is shut down if either system works.

Now simulate 100 trials of the reactor's response to an emergency of this kind. Estimate the probability that it will shut down. This probability is higher than the probability that either system working alone will shut down the reactor.

Walking to her car after her 65th birthday party, Mrs. Schultz tripped on ice and fell forward on her outstretched palms. When she arrived at the emergency room, her right wrist and hand were bent like a fork. Dr. Jefferson felt that the styloid process of her radius was outside of the anatomical snuff box and slightly proximal to the styloid process of the ulna. When he checked her elbow, he found that the olecranon lay 2 cm proximal to the two epicondyles of the right humerus. Explain all these observations, and describe what had happened to Mrs.Schultz’s limb.

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?

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

Study of why EMS workers leave the job. A study of fulltime emergency medical service (EMS) workers published in the Journal of Allied Health (Fall 2011) found that only about $3 \%$ leave their job in order to retire. (See Exercise $3.45$, p. 158.) Assume that the true proportion of all fulltime EMS workers who leave their job in order to retire is $p=.03$. In a random sample of 1,000 full-time EMS workers, let $\hat{p}$ represent the proportion who leave their job in order to retire. Describe the properties of the sampling distribution of $\hat{p}$.

The waiting time until service at a hospital emergency department is modeled with the pdf $f (x) = \frac{1}{9} x \quad 0<x<3$ hours and $f (x) = \frac{2}{3}-\frac{1}{9} x \quad 3<x<6.$ Determine the following: (a) Probability the wait is less than 4 hours (b) Probability the wait is more than 5 hours (c) Probability the wait is less than or equal to 30 minutes (d) Waiting time that is exceeded by only 10% of patients (e) Mean waiting time

The following table, reproduced from earlier exercise, gives the probability distribution of the number of patients who enter Millard Fellmore Memorial Hospital's emergency room in a given hour.

$$\begin{array}{l|ccccccc} \hline \text { Patients per hour } & 0 & 1 & 2 & 3 & 4 & 5 & 6 \\ \hline \text { Probability } & .2725 & .3543 & .2303 & .0998 & .0324 & .0084 & .0023 \\ \hline \end{array}$$

Calculate this probability distribution's mean and standard deviation.

A nuclear reactor is equipped with two independent automatic shutdown systems to shut down the reactor when the core temperature reaches the danger level. Neither system is perfect. System A shuts down the reactor 90% of the time when the danger level is reached. System B does so 80% of the time. The reactor is shut down if either system works.

Now simulate 100 trials of the reactor's response to an emergency of this kind. Estimate the probability that it will shut down. This probability is higher than the probability that either system working alone will shut down the reactor.

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 the necessity for caution while handling a person who may have had a spinal cord injury.

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?

J.R. is a 28-year-old man who was doing home repairs. He fell from the top of a 6-foot stepladder, striking his head on a large rock. He experienced a momentary loss of consciousness. By the time his neighbour got to him, he was conscious but bleeding profusely from a laceration over the right temporal area. The neighbour drove him to the emergency department of your hospital. As the nurse, you immediately apply a cervical collar, lay him on a stretcher, and take J.R. to a treatment room.
Identify at least six findings that would indicate this complication is occurring

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?

A plane traveling horizontally at 80 m/s} over flat ground at an elevation of 3000 m releases an emergency packet. The trajectory of the packet is given by

$$x=80 t, \quad y=-4.9 t^2+3000, \quad \text { for } t \geq 0,$$

where the origin is the point on the ground directly beneath the plane at the moment of the release. Graph the trajectory of the packet and find the coordinates of the point where the packet lands.

$$\left. \begin{array} { l } { \text { . The interval between patient arrivals in an emergency room } } \\ { \text { is a random variable with exponential density function } p ( t ) = } \\ { 0.125 e ^ { - 0.125 t } ( t \text { in minutes). What is the average time between pa- } } \\ { \text { tient arrivals? What is the probability of two patients arriving within } 3 } \\ { \text { min of each other? } } \end{array} \right.$$