Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

EMS Providers Who Drive Like Maniacs – Part II

Continued from Part I.

In JEMS, Guy H. Haskell writes about a way to determine if we are bad drivers –

The Test
It’s simple … honestly. I don’t care how you drive when you’re alone in your car or how you treat your personal passengers. But when you’re chauffeuring me to the hospital, I expect you to do everything in your power to minimize the g-forces acting upon my body—period. I don’t care who the patient is or in what condition—I want you to drive me like Ms. Daisy. Don’t know what I mean? Here’s a simple test:
1. Take one cup, any size;
2. Fill it ¾ full of your favorite beverage;
3. Place it in the cup holder in the front of your truck;
4. Drive your truck; and
5. Don’t spill any of your favorite beverage.

Now, if it’s not you I’ve been ranting about, without changing your driving style, you will not have spilled any of the fluid.[1]

How many of us do provide a smooth ride?

If we want to improve the smoothness of the ride, one thing to do is to avoid ever coming to a full stop before the destination..

If we are driving in a way that would pass this test, then we are not driving faster than our ability to stop for surprises.

If we are able to stop, then the competent driver using critical judgment should decide when, if ever, a full stop is indicated.

If we have competent drivers, capable of critical judgment, how does it improve their driving to have their decisions made by a traffic light or a stop sign.

A competent driver, capable of critical judgment, can decide what is the appropriate speed to travel through a stop sign/red light, based on the traffic conditions.

Or are we just too incompetent to be allowed to use critical judgment?

Full stop requirements are just another excuse for administrators to put another dangerous driver behind the wheel of an emergency vehicle.

Footnotes:

[1] EMS Providers Who Drive Like Maniacs
by Guy H. Haskell, PhD, JD, NREMT-P
Wednesday, May 11, 2011
JEMS
Article

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Comments

  1. One of my favorite unglamorous topics! (I wrote — too much — about it here http://emsbasics.com/2011/02/28/the-art-of-driving-well/ ). One of the most basic and valuable skills in the field, IMO. But I tend to find that nobody wants to hear about it.

  2. I agree with most of what you’re saying, but don’t like the line “a competent driver can decide what is the appropriate speed to travel through a stop sign based on the traffic conditions”. At least in the UK, the (very rare) stop signs still need to be obeyed even when travelling under emergency conditions. It’s purely a matter of safety – they’re there because it’s impossible to see when to go through even when driving normally, let alone under blue lights.

    This may be just an issue with terminology however – I don’t know if the US use stop signs in the same way as we do. And coming to a stop at red lights as a matter of course (as opposed to treat as give way, which is used here) sounds almost dangerous, let alone a way of instilling lazy driving habits.

  3. I work with this guy!! And when I scream about his driving, he tells me “I’ve been doing this 28 years”. He, as you mentioned has no idea he is a bad driver, even tho ever person he throws around the back has something to say about it. My comment back to him is always, “Who said you were doing it good for 28 years?”

  4. Well said… one of the more important topics in EMS that often gets brushed to the side due to the medical training. I noticed you are pretty generous with how full you fill the cup, when I did my driver training they filled it full and saw how much the driver spilt. I think driver training needs to be included in EMT-Basic. One tour of practicum should almost be spent in the driver seat so that the student can be taught proper techniques. Driving is almost as important as the treatment that is going on in the back.
    My 2 cents!

    Good post and good blog!