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?

You are working in the emergency department (ED) of a community hospital when the ambulance arrives with A.N., a 28-year-old woman who was involved 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 L/min per non-rebreather mask and started a 16-gauge IV with lactated Ringer's solution. On arrival in the ED, her vital signs are 100/66, 125, 34, Spo2 93%. She appears anxious and in pain.
Describe the interventions needed to care for A.N. on her arrival in the ED.

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.

A.N. has one area of circumferential burns on her right lower leg. What complication is she in danger of developing, and how will you monitor for it?

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 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?

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?

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.

Review the events listed under "Migration and Settlement" on the thematic timeline on page 237, and then discuss how southern expansion, the end of the Atlantic slave trade in 1808, and the subsequent rise of the internal slave trade affected the experiences and identities of the African American population.

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.

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?

Forty patients were asked how many minutes they had to wait in an emergency department before they were seen by a doctor. The results are below. Construct a frequency distribution table using five classes.
32 40 66 51 28 35 30 45 49 33
37 41 56 43 59 60 32 48 56 55
50 29 44 54 64 65 49 34 39 30
36 34 47 52 43 47 58 31 61 29

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 why it is impossible to determine the entire amount of lasting damage during this initial time frame.

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?

Potassium superoxide, $KO_2$, is employed in a self-contained breathing apparatus used by emergency personnel as a source of oxygen. The reaction is\

$4KO_2(s) + 2H_2O(l) \longrightarrow 4KOH(s) + 3O_2(g)$\

Say a self-contained breathing apparatus is charged with 750 g $KO_2$ and then is used to produce 195 g of oxygen. Was all of the $KO_2$ consumed in this reaction? If the $KO_2$ wasn’t all consumed, how much is left over and what mass of additional $O_2$ could be produced?