There аre fоur (4) pаrts tо this questiоn. Pleаse take your time as you will use your result from Part A as the input to Part B, etc. Please note the following: Your answers must be integers. You must provide the exact answer GB is equivalent to 230 and not "1 billion" (i.e. - 1,073,741,824 bytes) You may assume a 4KB block size You may assume 4-byte addresses All answers are whole numbers - no fractions or decimals Answer these questions: How many data blocks are utilized for a file with 142.10 GB of data? [part_a] How many blocks of direct pointers are necessary to reference the data blocks in part (A)? [part_b] How many blocks of indirect pointers are necessary to reference the direct pointer blocks in part (B)? [part_c] How many blocks of double indirect pointers are necessary to reference the indirect pointer blocks in part (C)? [part_d]
Enrоute phаseScenаriо: The pаramedic unit is dispatched tо an elementary school nurse's office for a 7-year-old female who developed difficulty breathing and a rash shortly after eating lunch. The call was received at 1147. Estimated response time is 6 minutes. The paramedic is partnered with an EMT, and a BLS engine crew is also en route. The temperature is 72°F (22°C) and skies are clear. According to the school nurse, the child has a known peanut allergy and her symptoms started within minutes of exposure. The school has an EpiPen available and is awaiting EMS arrival. What equipment and medications should be prioritized for preparation en route to this call?
Enrоute phаseScenаriо:The pаramedic unit is dispatched tо a residential care facility for an 82-year-old male who is experiencing difficulty breathing and is unable to lie flat. The call was received at 0915. Estimated response time is 6 minutes. The paramedic is partnered with an EMT, and a BLS fire engine crew is also responding. It is a cool fall morning, 48°F (9°C), with overcast skies and light traffic. According to staff on scene, the patient has a history of heart problems. They report the patient was doing well earlier in the day but became increasingly short of breath after breakfast and now appears pale and anxious.OnScene phaseScenario:The patient (approx. 75 kilograms) is found sitting upright in a recliner, visibly dyspneic and anxious. He is gasping for air, speaking in one- to two-word sentences, and using accessory muscles to breathe. Lung sounds are diminished with bilateral crackles. The patient has jugular vein distension and pitting edema in both lower extremities. He is pale and diaphoretic. Staff report that the patient missed his morning doses of furosemide and metoprolol. Initial vital signs: BP 178/96, HR 118 (irregular), RR 30, SpO₂ 86% on room air, Temp 97.6°F (36.4°C).PostScene phaseScenario:The patient is placed on CPAP with 100% oxygen, and his respiratory rate gradually decreases. He is transported in a high Fowler’s position. During transport, an IV line is established, and nitroglycerin is administered per protocol. The patient remains alert but fatigued and continues to complain of shortness of breath, although less severe. Lung sounds are still wet, and ECG shows atrial fibrillation at a rate of 112. Updated vitals: BP 152/84, HR 112 (irregular), RR 22, SpO₂ 94% on CPAP, Temp 97.9°F (36.6°C). What complication should the paramedic monitor for during transport with CPAP and nitroglycerin?
Enrоute phаseScenаriо: The pаramedic unit is dispatched tо a group home for a 26-year-old male who is reportedly experiencing a psychiatric crisis. The call was received at 1012. The estimated response time is 6 minutes. The paramedic is partnered with an EMT, and a BLS fire engine crew is also responding. It is overcast and 54°F (12°C) with light traffic. According to dispatch, the patient is locked in his room, yelling that people are trying to hurt him. Staff report he has a history of schizophrenia and is off his medications.OnScene phaseScenario: The patient (approx. 70 kilograms) is pacing rapidly in a small, cluttered bedroom. He is shouting that "they're watching through the walls" and refuses to sit or allow physical contact. He appears disheveled, sweaty, and paranoid. Staff report he has not taken his prescribed medications for three days. No weapons are visible, and the patient has not made threats of violence. He is not responding to attempts at de-escalation and continues to shout and mumble incoherently.Vital signs: BP 138/88, HR 116, RR 20, SpO₂ 98% RA, Temp 99.2°F (37.3°C). No signs of trauma are present. Postscene phaseScenario:With law enforcement assistance, the patient is safely escorted to the stretcher and secured with soft restraints. He continues to speak incoherently but does not resist transport. An IV is established for access, and cardiac monitoring is applied. The patient is drowsy during transport but occasionally becomes agitated and pulls at the restraints. He does not acknowledge EMS crew or answer questions. Vitals are stable: BP 130/84, HR 102, RR 18, SpO₂ 99% on room air, Temp 98.9°F (37.2°C).Which of the following documentation elements is most important for this type of case?
Enrоute phаseScenаriо:The pаramedic unit is dispatched tо a residential care facility for an 82-year-old male who is experiencing difficulty breathing and is unable to lie flat. The call was received at 0915. Estimated response time is 6 minutes. The paramedic is partnered with an EMT, and a BLS fire engine crew is also responding. It is a cool fall morning, 48°F (9°C), with overcast skies and light traffic. According to staff on scene, the patient has a history of heart problems. They report the patient was doing well earlier in the day but became increasingly short of breath after breakfast and now appears pale and anxious.OnScene phaseScenario:The patient (approx. 75 kilograms) is found sitting upright in a recliner, visibly dyspneic and anxious. He is gasping for air, speaking in one- to two-word sentences, and using accessory muscles to breathe. Lung sounds are diminished with bilateral crackles. The patient has jugular vein distension and pitting edema in both lower extremities. He is pale and diaphoretic. Staff report that the patient missed his morning doses of furosemide and metoprolol. Initial vital signs: BP 178/96, HR 118 (irregular), RR 30, SpO₂ 86% on room air, Temp 97.6°F (36.4°C).PostScene phaseScenario:The patient is placed on CPAP with 100% oxygen, and his respiratory rate gradually decreases. He is transported in a high Fowler’s position. During transport, an IV line is established, and nitroglycerin is administered per protocol. The patient remains alert but fatigued and continues to complain of shortness of breath, although less severe. Lung sounds are still wet, and ECG shows atrial fibrillation at a rate of 112. Updated vitals: BP 152/84, HR 112 (irregular), RR 22, SpO₂ 94% on CPAP, Temp 97.9°F (36.6°C). What documentation is most important to include in the hospital handoff report for this patient?