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The Antidote To Road Rage

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Being a reader of FHZ requires you to maintain an open mind.  Even if you don't agree with both sides of the issues here, understanding the contrary view permits perspective and in some cases, deeper understanding of the root causes of things we consider trouble.  For an example, consider the recent road rage incident that seems to have piqued a considerable amount of interest.  While I in no way sanction what was done, nor think it was a mature or acceptable way to handle the situation, realize that in many cases, feelings of frustration manifest themselves in angry, retaliatory behavior.

Who among us has not experienced anger at the inconsiderate moron who fails to pull to the right when we are well behind them, permitting us a free lane on the way to some emergency?  Even in your personal automobile, how about the idiot who not only signals they are going to take a right turn, but then shoots across to two lanes of traffic to make a left?  Like he couldn't just make the wrong turn, make a u-turn, and make things right?

Individuals have given themselves the freedom to make poor decisions, then be let off the hook because we shouldn't "judge" them, or because their mommy didn't hug them as a child, or whatever victim story they happen to choose this week.  The reality is that while reacting negatively to those who act in error is not acceptable, neither is the act that sparked the reaction in the first place.  Perhaps if our nation's law enforcement would start hauling off people who run red lights; who make erratic and unanticipated turns without use of a signal; those who drive too slowly in the passing lane, who fly down the shoulder to cut to the head of a merging line, or those who fail to pull to the right when an emergency vehicle is asking for the right of way, perhaps you might see a considerable decrease in road rage.

The base cause of indignity is usually the result of inconsiderate behavior.  Someone flaunts the rules and disregards the normal values of society, and the enraged individual is angry at the injustice of the situation.  I would be willing to bet that if anyone could write a ticket (not that I am an advocate of that), you'd see a lot less road rage.

Why?  Because if there were a non-violent method of resolving the conflict, I would be willing to bet that people would take that option.  The problem is that there is no resolution.  The enraged individual feels as if there is no way the situation will be resolved, they feel the injustice of the situation, and they act out in frustration, sometimes regardless of the consequences.

Now let's take this a step further.  Think of a non-driving situation in which you were pushed to the edge…Was this reaction a result of powerlessness, of frustration evolved from conflict in which you were victimized and felt no method to resolve your issue?  Perhaps it was an automatron manning the phone at your credit card company, or the cashier at Wally World, or the cable guy who doesn't show up when he says he will.  You percieve a lack of power to change the situation and that lack of control becomes overwhelming.  Over time, you may even be willing to act on it, in such a possibility, even inappropriately.

So what is the solution for our version of road rage?  Education?  Humorous attempts to enlighten the inconsiderate sometimes work, as in this fine example from the Tuscaloosa Fire Department. Other attempts like this one from Eugene, Oregon and this one from an agency I can't read on their final slide aren't as memorable (IMHO) but still get the message across.

But the more in-depth solution would be for individuals to maintain less distrations in their vehicles (phones, texting, and radios come to mind), and more overall awareness (simply paying attention to the fact that you SHARE the road with others).  And likewise, the way for you to avoid conflict that cascades into an intractable situation would be to step back for a second and understand the other person's perspective, and recognize that your escalation of the incident, although it may very well be warranted, is pushing you and the other party toward a battle that someone is going to lose. 

Conflict in life is inevitable.  Conflict escalation and intractability is not.  Be one of the first on your block to be the voice of sanity and work to understand, not to react.

Risk vs. Reward and Patient Advocacy

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An OLD shot of Savannah's LifeStar landing for a Hilton Head Island F/R medevac.

The SC-TF1 Director copied an article to our command staff that I found interesting.  It ran in Popular Mechanics titled Unacceptable Risk (I couldn’t find a direct URL for it, so here’s the pdf: HelicopterCrash).

Our organization allows paramedics on scene to request a medical helicopter evacuation with a minimum amount of oversight by the medical control physician.  Being a paramedic myself, I know when to call for a flight and when not to.  I am not about to call for a chopper to take a patient to a hospital for a broken foot, and likewise, I am intelligent enough to be able to assess a patient and opt to fly them to a hospital that has the resources to help my critically injured victim.  I am appalled at some of the case histories where someone was flown out for a routine (very routine) injury and consequently, I know of agencies who simply won’t call for a flight, regardless of the need for it.

How bad of a medic must you be that you can’t tell the difference between a potentially life-threatening injury and one that can be transported by ground to a hospital?  If I’ve got an altered patient with a potential head injury, I know they need to go to a trauma center.  So what if I have to go on an out-of-jurisdiction transport to the trauma center- it’s what we do.

Regardless of whether or not the aeromedical evacuation of a patient is risky and may or may not have tangible benefit, the decision must come to this: What do I need to do for the best interest of the patient? I don’t care if you don’t like the way they look, or they stink, or you are tired.  When you became a medical response professional, you probably took an oath that involved a statement like “Above All, Do No Harm”.  Our jobs involve making sure our patients not only get care, but that it is the right care, it is not care that is provided at a huge cost because we were too lazy to do our jobs, and that the patient’s rights are maintained in their treatment and transport to a medical facility (or not).

Just as I wouldn’t make you take a treatment that could possibly kill you in order to cover my ass, ordering a helovac for a finger amputation isn’t in my first line of thought.  And I know I curse and fuss when I DO call for a chopper and a spot of rain on the pilot’s windshield causes them to scrub the mission, but you know what? I’m a big boy- I’d MUCH rather you err on the side of keeping your crew and my patient safe and I’ll deal with the fallout otherwise.  But to just say, “All patients go by air” or much worse, “No patients go by air” is ridiculous.

Maybe like everything else, we need to stop applying a broad brush to a situation and do our jobs, by appropriately assessing our patient, determining their logical needs based on mechanism of injury, observable findings, and our experience, and make a good call as to what to do with them.  If we ca’t do this much, it’s no wonder we continue to have to convince people we aren’t just “ambulance drivers” but real, live, medical professionals.

Safety Message With A Parental Advisory

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Repeat after me: "It will all be okay." Breathe deeply.

That got your attention, didn’t it?  However, I strive to maintain a “G” rating on FHZ, and the language is not that bad.  I’m not interested in pushing any of your buttons; I just want to get this safety message across.

So let’s just jump right into it.  Depending on where my shift falls, I drive my youngest daughter to school three or four times a week.  Without fail, there is one dumbass who every morning, manages to tie up the carpool line for an extra five minutes while she yaks incessantly to one or another of the other parents waiting in line.

When she finally decides to pull up her tricked-out Escalade and discharge her whiny little brats, she ties up those exiting by stopping and talking to someone else.  Thus far, I have not succumbed to the (strong) urge to walk up and pull her out through the partially open window of her status machine.  But even as I originally contemplated this post, she ran a stop sign, swerved across three lanes of traffic at carpool pick-up, cell phone in one hand and double decaf frappe crappacino in the other, cutting cars off, just so she could pull up next to one of the other moms (there for the afternoon social, of course) and gab some more. (Breathe deeply).

“Where is he going with this?” you ask (cautiously).  Well, while watching this daily comedy of the bizarre, I was thinking that perhaps our apparatus operators are also too distracted while driving very large, inertially-challenged, parade beasts, and maybe this is part of the cause of so many minor and major vehicle collisions each year.

Take for example, the discussion that I encountered this past week.  I am the Chair of our department’s standard operating guideline committee and people sometimes pull me aside to discuss recent changes to our manual.  With recent changes to the way we back our apparatus, our logic is to make everyone get off the apparatus (except the drivers, obviously) and act as spotters to provide some more eyes on the blind sides of the apparatus.  As you can expect, there are those who think more than one spotter is a bad idea.  I think that given the number of accidents we have had, we should be doing anything in our power to change things, since the current modus operandi doesn’t seem to be working all that well.  If one spotter isn’t working, two or more might be better, but one certainly doesn’t seem to be doing the job now.

In our organization, the command staff (unreasonably, I guess) believes that any number greater than one is an unacceptable statistic for collisions.  We LIKE being proactive.  Consequently, we have people who think a few collisions is okay.  ”It’s the price of doing business”, I heard someone say.

Of course, when assigned to spot the apparatus, if we happen to be doing so with a spotter who can actually manage to do more than fog a mirror, that’s all well and good.  I say this because we have drivers who still manage to back into something even with an individual out there to plausibly prevent such an occurrence.  Of course, that’s if THE SPOTTER isn’t themselves distracted by their own cellphone, the hottie crossing the street, shiny objects, or the flashing lights.

Between the radio going, the siren blaring, the other distracted drivers, the officer ordering, and the three swans-a-swimming, our modern fire apparatus operator has a serious challenge when it comes to paying attention to the road and the myriad hazards encountered between Point A and Point B.  In today’s emergency services, and having read some interesting posts by members of some of the forums, while many of us believe the foremost concern of the apparatus operator should be the safe operation of their vehicle, there are people who are more concerned with what music they should be blasting on their way to “the big one”.  Then we wonder why we have accidents.

Years ago, I heard someone say that if every vehicle on the road was equipped with a nine-inch stainless-steel spike in the center of the steering column, we would probably decrease the number of traffic accidents ten-fold.  While I agree that a sharp object pointed at my chest would probably cause me to think twice before exceeding the speed limit, I think a less lethal solution, like a machine that would punch you in the balls for exceeding the physical limitations of the rig, might just be the answer.  Trust me, if I were smacked in the cajones every time I unlawfully exceeded the speed limit, it would get my undivided attention.  I certainly wouldn’t make that mistake twice.  So, if you’re sincere about avoiding this terrible contraption: FOCUS ON DRIVING THE (Pick one: engine/truck/medic/rescue) SAFELY, because I’m off to get the patent.

It is painfully obvious each time we roll a vehicle, smash one into a car at an intersection, park one on the train tracks, or run over our back-up man that there are serious issues of attention at play here.  Instead of focusing on getting to the fire first, we need to focus on getting to the fire in one piece.  And so long as officers on these rigs sit silently and pray that the ride ends up well instead of speaking up and ordering the driver to slow down and drive reasonably, we will continue to lose our brothers and sisters for what- so some hopped up adrenaline junkie can pretend he’s Mario Andretti racing in a 25-ton killing machine?

Just as my story about the clueless soccer mom riled some of you up, so should the image of a fire apparatus driver ramming into the side of a carload of kids be equally, if not so much more, reprehensible.  After all, our subject mom is just another dumbass civilian with a cell phone.  But you, my friends, are caretakers of the public trust.  The taxpayers chose to allow you to drive the biggest, shiniest example of the American Fire Service down its public thoroughfares because they had a semblance of trust that you wouldn’t mow them down like a dog when you were running to that alarm activation.

Let’s be serious about safe driving of our trucks.  If you really want to kill yourself, do it at the scene where at least you can pretend you were saving someone’s life.  Driving down the highway like a maniac isn’t helping anyone, may likely kill someone, and is really just an excuse for showing off.  Don’t be a dumbass.

Do your job and be proud you are a firefighter, and keep your community safe by easing back a little on the throttle.  Focus on what is important; delivering your highly trained crew with the necessary equipment to the scene of the emergency, and insuring that not only they arrive safely, but everyone and everything encountering you in your travels survives the experience as well.