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?

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 rush 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; she has a palpable pulse. What assessment finding would lead you to suspect that Z.H. had an opioid overdose? Explain your answer.

a. Hypertension b. Fever and tachycardia c. Constricted pupils and bradypnea d. Diaphoresis and cool, clammy skin

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
What intervention has the greatest priority? a. Obtaining a STAT toxicology screen b. Connecting her to the portable ECG monitor
c. Establishing an IV line with 0.9% normal saline
d. Supporting respirations by manually ventilating her.

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
What immediate assessment ofZ.H. do you need to perform?

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?

Evaluate the expression to complete the table. "

$$\begin{matrix} & \text{Mammals with the Longest Tails}\\ \text{Mammal} & \text{Expression} & \text{Tail Length}\\ \text{African buffalo} & \mathrm{51 + 6 ^ { 2 } \div 9 - 12} & \text{\_\_\_\_\_}\\ \end{matrix}$$

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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 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.”

A defibrillator is used by emergency medical staff to shock the heart of an accident victim by applying a 10,000- $\mathrm{V}$ potential difference across the victim's chest.

(a) If the defibrillator has an internal resistance of $10 \Omega$ and the victim's heart has a resistance of $300 \Omega$, what is the current that passes through the victim's heart the moment the defibrillator is discharged?

(b) If the defibrillator delivers this current over a $10-\mathrm{ms}$ time interval, how many electrons pass through the heart during this process?

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?

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).

An 8-year-old child is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. Which of the following will most help her adjust to the hospital?

1. Explain hospital routines such as mealtimes to her.
2. Use terms such as “honey” and “dear” to show a caring attitude.
3. Explain when her parents can visit and why siblings cannot come to see her.
4. Since she is young, orient her parents to her room and hospital facility.

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 $P(\hat{p}>.025)$. Interpret this result.

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.