\[\sqrt{100 - 18\sqrt{19}} =\]
\[= \sqrt{81 - 18\sqrt{19} + 19} =\]
\[= \sqrt{\left( 9 - \sqrt{19} \right)^{2}} =\]
\[= \left| 9 - \sqrt{19} \right| = 9 - \sqrt{19}\]