Hint:
Probability of an Emergency = p = 0.646, Probability of not an emergency = q = 1-.646 = 0.354
Three visits: n = 3, Use Binomial expression of $${n\choose r}.p^{r}.q^{(n-r)}$$.
$$P(r = 2) = {3\choose2}.p^{2}.q^{(3-2)}$$
Find out P(r=0) in the similar fashion
$$P(r>=2) = P(r=2)+P(r=3)$$
$${n\choose r} = \frac{n!}{r!(n-r)!}$$