Seatbelt Success
By Alex Cohilas
At 2:15 a.m. on March 2, 2007, Clayton County (Ga.) Fire Department Medic Four, an ALS ambulance staffed by Paramedic/Sgt. Darcy Blow and Firefighter/EMT LaQuinn Walker, was dispatched to a routine sick call. After assessing the patient, the unit reported to dispatch that it was transporting one female patient to Crawford Long Hospital, some 20 miles away. The dispatcher acknowledged the transmission, entered the time and made a mental note that Medic Four would be reporting arrival in about 15 minutes. Then, this came over the radio:
“Medic Four to Dispatch! We have been involved in a head-on collision with a wrong-way driver on I-75 in the city of Atlanta near Turner Field. The ambulance has overturned and we’re injured. Send help!”
Shift Supervisor/Capt. Bill Lowe was startled from his sleep around 3 a.m., hearing screams over the department’s EMS channel. Since the location was inside Atlanta, Clayton County’s 911 dispatch center alerted Atlanta police and fire and Grady Memorial EMS that firefighters were in trouble. Three of Clayton County’s four on-duty fire shift supervisors and two Clayton County ALS ambulances also responded to the location seven miles inside Atlanta city limits.
As Lowe drove at high speed to the accident scene, Medic Four’s crew kept trying to broadcast updates, but the signal was too garbled to understand. Clayton County’s 911 Center announced, “Atlanta police is on the scene reporting one fatality.” As Lowe approached the accident scene, an Atlanta police officer was directing all northbound I-75 traffic to exit the interstate before the accident scene. Lowe’s marked fire department Crown Victoria with emergency lights activated was allowed to approach the scene.
All five traffic lanes were covered in debris, and a full-size SUV was destroyed and resting against the median wall. Medic Four was overturned and resting on its passenger side as a dozen police officers, firefighters and paramedics worked at the back door trying to remove the injured firefighters and their patient. As Lowe approached the back of the ambulance, he could hear Blow yell, “Captain, we’re ok! We’re trying to get our patient extricated from the wreckage.”
Medic Four’s two firefighters and their original patient were extricated from the overturned ambulance. Grady EMS took responsibility for treating and continuing the transport of Medic Four’s original patient who had suffered serious injuries from the collision. Firefighter Blow and Walker both sustained bruises and lacerations from the accident and were transported by Clayton County Medic One to the hospital. The wrong-way driver was dead on the scene and trapped in his SUV.
I serve the dual-roles as both county fire chief and county emergency management director. I was the on-call executive staff chief. In Clayton County, the executive staff chiefs rotate being available for consultation if the four on-duty shift supervisors (two battalion chiefs and two captains) encounter unusual or serious issues. Whenever the phone rings late at night or early in the morning, it’s rarely good news.
As I was given an initial briefing, I started mentally organizing my actions. I feared for the health and safety of the firefighters. I was standing on the emergency room ambulance ramp, with others firefighters, when the ambulance arrived. After the doctor had completed his initial exam and I was satisfied that their medical needs were being met, I left the hospital to assess the accident scene. The two injured firefighters would be treated and released after a few hours of observation.
My initial view of the accident scene left me aghast at the devastation. The police’s lead accident-reconstruction expert’s initial findings were that Medic Four’s firefighters were completely clear of any fault in the accident. The investigator their lives were probably saved because they both had their seat belts on. The firefighter riding in the patient compartment providing patient care was most fortunate. The only warning he got was hearing his partner scream and then the ambulance rolled onto its right side and slammed onto the pavement. The patient remained strapped to the ambulance stretcher with a five-point restraint harness and the stretcher remained bolted to the ambulance frame.
The Clayton County Fire Department has a mandatory seat belt usage policy. Officers are responsible to ensure that all personnel are seated and belted before the apparatus can move. Furthermore, as an element of the department’s continuous quality improvement committee, all ambulance stretcher straps were recently upgraded to a five-point restraint harness system to provide patients more protection. Clearly the emphasis on seat belt use and driver awareness saved the lives of both firefighters and their patient.
Medic Four’s close call was discussed in Clayton’s 13 fire stations over the next few weeks, and firefighters went to the county’s impound lot to view the damage to the ambulance first-hand. There was much discussion of just how lucky the department was not to lose fellow firefighters.
In the aftermath of the accident, every Clayton County Fire Department employee, sworn and civilian, signed the National Fire Service Seat Belt Pledge. The pledge was created by Dr. Burton A. Clark, EFO, CFO, a program specialist at the National Fire Academy, to honor the memory of Amarillo (Texas) Firefighter Brian Hunton, who died in 2005 when he fell from a responding fire apparatus. One of the long-term goals established by Clark is have all firefighters wear their seatbelts every time they occupy a vehicle — both on or off duty.
The National Fire Service Seat Belt Pledge is a simple statement that offers an opportunity to save firefighters’ lives: “I pledge to wear my seat belt whenever I am riding in a fire department vehicle. I further pledge to insure that all my brother and sister firefighters riding with me wear their seatbelts. I am making this pledge willingly; to honor Brian Hunton, my brother firefighter, because wearing seatbelts is the right thing to do.”
Download pledge forms here. The lives of two Clayton County firefighters were saved because they took a moment to buckle up on the morning of March 2, 2007.
Alex Cohilas is fire chief and emergency management director for Clayton County, Ga., where he has worked for 31 years. Prior to his appointment as fire chief, he served as the president of the department’s largest employee organization for 10 years. Additionally, he was an investigator with one of the southeast’s most prominent law firms specializing in public administration law. Cohilas is a National Fire Service Staff and Command graduate, and a frequent author of fire service management topics.
Capt. Bill Lowe and Deputy Chief Jeff Hood, both with Clayton County Fire Department, contributed to this blog.






By Dennis Compton

