Binominal:
mean = n * p = 175 * 0.19
standard deviation = sqrt(n * p * (1-p)) = sqrt( 175 * 0.19 * 0.81)
x = number used an emergency room
P(x >= 30) = P(x > 29.5) applying continuity correction
compute z-score = (29.5 - mean)/standard deviation
from standard normal probability table compute P(z > z-score) = P(z < -z-score)