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.?

Two small liquid-propellant rocket motors are mounted at the tips of a helicopter rotor to augment power under emergency conditions. The diameter of the helicopter rotor is $7 \mathrm{~m}$, and it rotates at $1 \mathrm{rev} / \mathrm{s}$. The air enters at the tip speed of the rotor, and exhaust gases exit at $500 \mathrm{~m} / \mathrm{s}$ with respect to the rocket motor. The intake area of each motor is $20 \mathrm{~cm}^2$, and the air density is $1.2 \mathrm{~kg} / \mathrm{m}^3$. Estimate the power provided by the rocket motors. Ignore the mass rate of flow of fuel in this calculation.

An emergency braking parachute system on a military aircraft consists of a large parachute of diameter 6 m. If the airplane mass is 8500 kg, and it lands at 400 km/hr, find the time and distance at which the airplane is slowed to 100 km/hr by the parachute alone. Plot the aircraft speed versus distance and versus time. What is the maximum “g-force” experienced? An engineer proposes that less space would be taken up by replacing the large parachute with three noninterfering parachutes each of diameter 3.75 m. What effect would this have on the time and distance to slow to 100 km/hr?

Five-year-old Amy wakes her parents up at 3 AM crying and complaining of a sore neck, a severe headache, and feeling sick to her stomach. She has a temperature of $40^{\circ} \mathrm{C}$ $\left(104^{\circ} \mathrm{F}\right)$ and hides her eyes, saying that the lights are too bright. The emergency physician suspects meningitis and performs a lumbar tap. Using your knowledge of neuroanatomy, explain into which space and at what level of the vertebral column the needle will be inserted to perform this test. Which fluid is being obtained and why?

Heart failure is due to either natural occurrences (87%) or outside factors (13%). Outside factors are related to induced substances or foreign objects. Natural occurrences are caused by arterial blockage, disease, and infection. Suppose that 20 patients will visit an emergency room with heart failure. Assume that causes of heart failure between individuals are independent. (a) What is the probability that three individuals have conditions caused by outside factors? (b) What is the probability that three or more individuals have conditions caused by outside factors? (c) What are the mean and standard deviation of the number of individuals with conditions caused by outside factors?

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?

The frequency table summarizes the distribution of time that 140 patients at the emergency room of a small-city hospital waited to receive medical attention during the last month.

$$\begin{array}{lr} \hline \text { Waiting time } & \text { Frequency } \\ \hline \text { Less than } 10 \text { minutes } & 5 \\ \text { At least } 10 \text { but less than } 20 \text { minutes } & 24 \\ \text { At least } 20 \text { but less than } 30 \text { minutes } & 45 \\ \text { At least } 30 \text { but less than } 40 \text { minutes } & 38 \\ \text { At least } 40 \text { but less than } 50 \text { minutes } & 19 \\ \text { At least } 50 \text { but less than } 60 \text { minutes } & 7 \\ \text { At least } 60 \text { but less than } 70 \text { minutes } & 2 \\ \hline \end{array}$$

Which of the following represents possible values for the median and IQR of waiting times for the emergency room last month? (a) median = 27 minutes and IQR = 15 minutes (b) median = 28 minutes and IQR = 25 minutes (c) median = 31 minutes and IQR = 35 minutes (d) median = 35 minutes and IQR = 45 minutes (e) median = 45 minutes and IQR = 55 minutes

Desert Samaritan Hospital, in Mesa, Arizona, keeps records of emergency room traffic. Those records reveal that the times between arriving patients have a special type of reverse-J-shaped distribution called an exponential distribution. The records also show that the mean time between arriving patients is 8.7 minutes. a. Simulate four random samples of 75 interarrival times each. b. Perform a correlation test for normality on each sample in part (a). Use $\alpha=0.05$. c. Are the conclusions in part (b) what you expected? Explain your answer.

The frequency distribution shows the number of medical tests conducted on 30 randomly selected emergency room patients.

If a patient is selected at random, find these probabilities:

a. The patient had exactly 3 tests done. b. The patient had at most 2 tests done. c. The patient has 1 or 2 tests done. d. The patient had fewer than 3 tests done. e. The patient had at least 3 tests done.

In an emergency, it is sometimes the practice of medical professionals to immerse a patient who suffers from heat stroke in an ice bath, a mixture of ice and water in equilibrium at $0 ^ { \circ } \mathrm { C }$, in order to reduce body temperature is $40.8 ^ { \circ } \mathrm { C }$ must have her temperature reduced to the normal range, how much heat must be removed? (b) If she is placed in a bath containing 7.5 kg of ice, will there be ice remaining in the bath when her body temperature is $37.0 ^ { \circ } \mathrm { C } ?$ If so, how much? If not, what will the final water temperature be?

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 causes and ways in which B.L.'s ability to breathe may be hampered at any time.

Just an instant before reaching the very bottom of a semicircular section of a roller coaster ride, the automatic emergency brake inadvertently goes on. Assume the car has a total mass of 750 kg, the radius of that section of the track is 55.0 m, and the car entered the bottom after descending vertically (from rest) 25.0 m on a frictionless straight incline. If the braking force is a steady 1700 N, determine (a) the car's centripetal acceleration (including direction), (b) the normal force of the track on the car, (c) the tangential acceleration of the car (including direction), and (d) the total acceleration of the car.

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. Compute $P(\hat{p}<.05)$. Interpret this result.

A vehicle is stuck on the railroad tracks as a 430,000 lb locomotive is approaching with a speed of 75 mph. As soon as the problem is detected, the locomotive’s emergency brakes are activated, locking the wheels and causing the locomotive to slide. If the coefficient of kinetic friction between the locomotive and the track is 0.45, what is the minimum distance d at which the brakes must be applied to avoid a collision? What would that distance be if instead of a locomotive, there was a $30 \times 106 lb$ train? Treat the locomotive and the train as particles, assume that the railroad tracks are rectilinear and horizontal, and note that only the locomotive’s brakes are applied.