Ambulance response time. Ambulance response time is measured as the time (in minutes) between the initial call to emergency medical services (EMS) and when thepatient is reached by ambulance. Geographical Analysis (Vol. 41, 2009) investigated the characteristics of ambulance response time for EMS calls in Edmonton, Alberta. For a particular EMS station (call it Station A), ambulance response time is known to be normally distributed with $\mu=7.5$ minutes and $\sigma=2.5$ minutes. A randomly selected EMS call in Edmonton has an ambulance response time of 2 minutes. Is it likely that this call was serviced by Station A? Explain.

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.
What steps will you take to assess J.R.?

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 do you suspect is occurring, and why does this concern you?

The Fugitive Slave Act made it a federal crime to A. assist runaway slaves. B. give jobs to freedmen . C. sell slaves in the North. D. allow African Americans to vote.

Malcolm injured himself after trying to break his fall with outstretched arms. The emergency room physician took one look at his shoulder and saw that Malcolm had a broken clavicle (and no other injury). Describe the position of Malcolm’s shoulder. What part of the clavicle was most likely broken? Malcolm was worried about injury to the main blood vessels to his arm (the subclavian vessels), but he was told such injury was unlikely. Why could the doctor predict this?

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.

$$\begin{aligned} &\text { Laboratory Test Values }\\ &\begin{array}{ll} \text { Hgb } & 20 \mathrm{~g} / \mathrm{dL} \\ \text { Hct } & 51 \% \\ \mathrm{~K} & 4.9 \mathrm{mEq} / \mathrm{dL} \\ \mathrm{Na} & 133 \mathrm{mEq} / \mathrm{dL} \\ \mathrm{Cl} & 100 \mathrm{mEq} / \mathrm{dL} \\ \text { Glu } & 159 \mathrm{mg} / \mathrm{dL} \\ \text { BUN } & 28 \mathrm{mg} / \mathrm{dL} \\ \text { Cre } & 1.0 \mathrm{mg} / \mathrm{dL} \end{array} \end{aligned}$$

Interpret A.N.'s laboratory results.

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?

In a study of patients arriving at a hospital emergency room, the gender of the patients is considered, together with whether the patients are younger or older than 30 years of age, and whether or not the patients are admitted to the hospital. It is found that $45\%$ of the patients are male, $30\%$ of the patients are younger than 30 years of age, $15\%$ of the patients are females older than 30 years of age who are admitted to the hospital, and $21\%$ of the patients are females younger than 30 years of age. What proportion of the patients are females older than 30 years of age who are not admitted to the hospital?

The issues brought up in the passage were primarily a result of which of the following? a. The southern economy's dependence on imports b. Improvements in Union leadership and strategy c. African Americans fleeing southern plantations d. Differing forms of government between the North and the South

You have an emergency, and you ask your employer for a loan. She gives you $\$ 100$. You sign a form indicating that you received the loan and will start repaying it next month. However, you quit the job the following week. Your former manager calls and asks whether you are going to pay back the loan. You indicate that since you are a minor, the contract is voidable, meaning that you do not have to abide by it. Is it a good idea to avoid the contract?

A group of hikers is lost in a national park. Two ranger stations have received an emergency SOS signal from the hikers. Station B is 75 miles due east of station A. The bearing from station A to the signal is S 60° E and the bearing from station B to the signal is S 75° W. A rescue party is in the park 20 miles from station A at a bearing of S 80° E. Find the distance and the bearing the rescue party must travel to reach the lost hikers.

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.

A traffic engineer determines that the number of cars passing through a certain intersection each week can be modeled by $C(x)=0.02x^3+0.4x^2+0.2x+35$, where x Is the number of weeks since the survey began. A new road has just opened that affects the traffic at that intersection. Let $N(x)=C(x)+200$.
Emergency roadwork temporarily closes off most of the traffic to this intersection. Write a function R(x) that could model the effect on C(x) Explain how the graph of C(x) might be transformed into R{x).

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

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

(a) Evaluate the marginal distribution of X. (b) Evaluate the marginal distribution of Y. (c) Find P(Y=3|X=2).