After a heavy meal rich with fried foods, Debby Collins, an overweight 45-year-old woman, was rushed to the emergency room with severe spasmodic pains in her epigastric region that radiated to the right side of her rib cage. She indicated that the attack came on suddenly, and her abdomen was found to be tender to the touch and somewhat rigid. What do you think is this patient's problem and why is her pain discontinuous (colicky)? What are the treatment options and what might happen if the problem is not resolved?

For many years Colonel John P. Stapp, USAF, held the world’s land speed record. He participated in studying whether a jet pilot could survive emergency ejection. On March $19$, $1954$, he rode a rocket-propelled sled that moved down a track at $632$ mi/h. He and the sled were safely brought to rest in $1.40$ s. Determine (a) the negative acceleration he experienced and (b) the distance he traveled during this negative acceleration, assumed to be constant.

The temperature T (in degrees Fahrenheit) of a patient t hours after arriving at the emergency room of a hospital at 10:00 P.M. is given by $T(t)=98.6+4 \cos \frac{\pi t}{36}, \quad 0 \leq t \leq 18$. Find the patient’s temperature at (a) 10:00 P.M., (b) 4:00 A.M., and (c) 10:00 A.M. (d) At what time do you expect the patient’s temperature to return to normal? Explain your reasoning.

The probability that a call to an emergency help line is answered in less than 15 seconds is 0.85. Assume that all calls are independent. (a) What is the probability that exactly 7 of 10 calls are answered within 15 seconds? (b) What is the probability that at least 16 of 20 calls are answered in less than 15 seconds? (c) For 50 calls, what is the mean number of calls that are answered in less than 15 seconds? (d) Repeat parts (a)–(c) using the normal approximation.

A social agency provides emergency food and shelter to two groups of clients. The first group has x clients who need an average of $300 for emergencies, and the second group has y clients who need an average of$200 for emergencies. The agency has $100,000 to spend for these two groups.

a. Write an equation that describes the maximum number of clients who can be served with the$100,000.

b. If the first group has twice as many clients as the second group, how many clients are in each group if all the money is spent?

You are working in the emergency department (ED) of a community hospital when the ambulance arrives with A.N., an $18$-year-old woman who was caught in a house fire. She was sleeping when the fire started and managed to make her way out of the house through thick smoke. The emergency medical system crew initiated humidified oxygen at $15 \mathrm{~L} / \mathrm{min}$ per nonrebreather mask and started a $16$-gauge IV with lactated Ringer's solution. On arrival to the ED, her vital signs are $100/66, 125, 34$, $\mathrm{SaO}_2 93 \%$. An additional $16$-gauge IV is inserted. She appears anxious and in pain.

Eighteen hours after the injury, the NAP reports these vital signs for A.N. and states that the urine output for the past hour was $20$ mL.

$$\begin{aligned} &\text { Vital Signs }\\ &\begin{array}{ll} \text { Blood pressure } & 90 / 50 \mathrm{~mm} \mathrm{Hg} \\ \text { Heart rate } & 110 \text { beats } / \mathrm{min} \\ \text { Respiratory rate } & 24 \text { breaths } / \mathrm{min} \end{array} \end{aligned}$$

What treatment do you anticipate?

Doctors treated a patient at an emergency room from 2:00 P.M. to 7:00 P.M. The patient’s blood oxygen level L (in percent) during this time period can be modeled by $L=-0.270 t^{2}+3.59 t+83.1, \quad 2 \leq t \leq 7$ where t represents the time of day, with t=2 corresponding to 2:00 P.M. Use the model to estimate the time (rounded to the nearest hour) when the patient’s blood oxygen level was 93%.

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

Define Type I and Type II error for each scenario, and identify the cost(s) of each type of error.

Approaching O'Hare for landing, a British Air flight from London has been in a holding pattern for $45$ minutes due to bad weather. Landing is expected within $15$ minutes. The flight crew could declare an emergency and land immediately, but an FAA investigation would be launched and other flights might be endangered. The null hypothesis is that there is enough fuel to stay aloft for $15$ more minutes.

A patient is admitted to the emergency department with suspected carbon monoxide poisoning. Even though the patient's color is ruddy and not cyanotic, the nurse understands the patient is at a risk for decreased oxygen-carrying capacity of blood because carbon monoxide does which of the following:

1. Stimulates hyperventilation, causing respiratory alkalosis
2. Forms a strong bond with hemoglobin, thus preventing oxygen binding in the lungs
3. Stimulates hypoventilation, causing respiratory acidosis
4. Causes alveoli to overinflate, leading to atelectasis

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

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?

A plane leaves Seattle, flies $85 \mathrm{mi}$ at $22^{\circ}$ north of east, and then changes direction to $48^{\circ}$ south of east. After flying at $115 \mathrm{mi}$ in this new direction, the pilot must make an emergency landing on a field. The Seattle airport facility dispatches a rescue crew.
($a$) In what direction and how far should the crew fly to go directly to the field? Use components to solve this problem.
($b$) Check the reasonableness of your answer with a careful graphical sum.

Determine whether the two random variables, given in the following way, are dependent or independent. Let X denote the number of times a certain numerical control machine will malfunction: 1, 2, or 3 times on any given day. Let Y denote the number of times a technician is called on an emergency call. Their joint probability distribution is given as

$$\begin{matrix} & & & x & \\ \hline & & 1 & 2 & 3 \\ & 1 & 0.05 & 0.05 & 0.10 \\ y & 3 & 0.05 & 0.10 & 0.35 \\ & 5 & 0.00 & 0.20 & 0.10 \end{matrix}$$