The Fallacy of Speed and Emergency Response

One of the oft-cited complaints about any sort of traffic calming treatment (speed bumps, narrowing streets, etc. etc.) is ‘what about emergency response?’ This has become something of a knee-jerk response, and it’s said with such seeming authority that it seems impolite, at the very least, to question it, even if it means we allow our local streets to become a source of daily unpleasantness and danger to accommodate what are statistically very rare needs (and there has been some good work on so-called “emergency response friendly” traffic calming).

After all, what individual, when questioned, wouldn’t intuitively want to be whisked to the hospital as fast as possible, or have fire crews sent racing to their house with minimal delay? I began thinking differently on this topic after meeting Nadine Levick at a traffic conference last fall. Over lunch, Nadine, a tireless crusader on a subject outside of most people’s purview, noted to me, according to one survey, riding in an ambulance, per mile, was one of the most dangerous things a person can do. And not simply because of, as you might imagine, clueless drivers not noticing an ambulance blazing through an intersection — but often because of unsafe actions by drivers themselves, as well as alarmingly substandard ambulance design (ambulances are not regulated by NHTSA for the crash protection of the occupants in the back; she’s got loads of horrific slides of the “boxes” having flown off the vehicle in a crash, and I’d urge you to otherwise delve into the site). The underlying sense I got from her was that of a sort of macho heroic undertone to emergency response, albeit shot through with the best of intentions, to get to or from the emergency with greatest possible haste — damn the consequences.

In any case, I thought of this again today thanks to an excellent article at Slate, by two medical personnel, that points out something that Levick was getting it: Despite the notion we may have that lives are at stake and a delay of a few minutes will be the crucial difference (isn’t it better for the speeding up to happen at the hospital end, or to work on better preventative and monitoring measures?), it turns out, as the authors note, “not to be backed up by good science’; and, what’s more, as they note, the risks taken in fast transport (to those outside the vehicle as well) may exceed whatever medical benefits are gained.

This entry was posted on Wednesday, May 12th, 2010 at 2:09 pm and is filed under Traffic safety. You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.

Comments are closed.

Traffic Tom Vanderbilt

How We Drive is the companion blog to Tom Vanderbilt’s New York Times bestselling book, Traffic: Why We Drive the Way We Do (and What It Says About Us), published by Alfred A. Knopf in the U.S. and Canada, Penguin in the U.K, and in languages other than English by a number of other fine publishers worldwide.

Please send tips, news, research papers, links, photos (bad road signs, outrageous bumper stickers, spectacularly awful acts of driving or parking or anything traffic-related), or ideas for my Transport column to me at:

For publicity inquiries, please contact Kate Runde at Vintage:

For editorial inquiries, please contact Zoe Pagnamenta at The Zoe Pagnamenta Agency:

For speaking engagement inquiries, please contact
Kim Thornton at the Random House Speakers Bureau:

Order Traffic from:

Amazon | B&N | Borders
Random House | Powell’s

U.S. Paperback UK Paperback
Traffic UK
Drive-on-the-left types can order the book from

For UK publicity enquiries please contact Rosie Glaisher at Penguin.

Upcoming Talks

April 9, 2008.
California Office of Traffic Safety Summit
San Francisco, CA.

May 19, 2009
University of Minnesota Center for Transportation Studies
Bloomington, MN

June 23, 2009
Driving Assessment 2009
Big Sky, Montana

June 26, 2009
PRI World Congress
Rotterdam, The Netherlands

June 27, 2009
Day of Architecture
Utrecht, The Netherlands

July 13, 2009
Association of Transportation Safety Information Professionals (ATSIP)
Phoenix, AZ.

August 12-14
Texas Department of Transportation “Save a Life Summit”
San Antonio, Texas

September 2, 2009
Governors Highway Safety Association Annual Meeting
Savannah, Georgia

September 11, 2009
Oregon Transportation Summit
Portland, Oregon

October 8
Honda R&D Americas
Raymond, Ohio

October 10-11
INFORMS Roundtable
San Diego, CA

October 21, 2009
California State University-San Bernardino, Leonard Transportation Center
San Bernardino, CA

November 5
Southern New England Planning Association Planning Conference
Uncasville, Connecticut

January 6
Texas Transportation Forum
Austin, TX

January 19
Yale University
(with Donald Shoup; details to come)

Monday, February 22
Yale University School of Architecture
Eero Saarinen Lecture

Friday, March 19
University of Delaware
Delaware Center for Transportation

April 5-7
University of Utah
Salt Lake City
McMurrin Lectureship

April 19
International Bridge, Tunnel and Turnpike Association (Organization Management Workshop)
Austin, Texas

Monday, April 26
Edmonton Traffic Safety Conference
Edmonton, Canada

Monday, June 7
Canadian Association of Road Safety Professionals
Niagara Falls, Ontario

Wednesday, July 6
Fondo de Prevención Vial
Bogotá, Colombia

Tuesday, August 31
Royal Automobile Club
Perth, Australia

Wednesday, September 1
Australasian Road Safety Conference
Canberra, Australia

Wednesday, September 22

Wisconsin Department of Transportation’s
Traffic Incident Management Enhancement Program
Statewide Conference
Wisconsin Dells, WI

Wednesday, October 20
Rutgers University
Center for Advanced Infrastructure and Transportation
Piscataway, NJ

Tuesday, March 8, 2011
Ontario Injury Prevention Resource Centre
Injury Prevention Forum

Monday, May 2
Idaho Public Driver Education Conference
Boise, Idaho

Tuesday, June 2, 2011
California Association of Cities
Costa Mesa, California

Sunday, August 21, 2011
American Association of Motor Vehicle Administrators
Milwaukee, Wisconsin

Wednesday, October 26, 2011
Attitudes: Iniciativa Social de Audi
Madrid, Spain

April 16, 2012
Institute for Sensible Transport Seminar
Gardens Theatre, QUT
Brisbane, Australia

April 17, 2012
Institute for Sensible Transport Seminar
Centennial Plaza, Sydney
Sydney, Australia

April 19, 2012
Institute for Sensible Transport Seminar
Melbourne Town Hall
Melbourne, Australia

January 30, 2013
University of Minnesota City Engineers Association Meeting
Minneapolis, MN

January 31, 2013
Metropolis and Mobile Life
School of Architecture, University of Toronto

February 22, 2013
ISL Engineering
Edmonton, Canada

March 1, 2013
Australian Road Summit
Melbourne, Australia

May 8, 2013
New York State Association of
Transportation Engineers
Rochester, NY

August 18, 2013 “Ingenuity” Conference
San Francisco, CA

September 26, 2013
TransComm 2013
(Meeting of American Association
of State Highway and Transportation
Officials’ Subcommittee on Transportation
Grand Rapids MI



May 2010

No, you probably won be compensated one million dollars; however, with the right blend of negotiating skills and patience, your efforts will be substantially rewarded!I have seen up to forty thousand dollars added to starting compensation through diligent negotiations. It is a way to significantly raise your standard of living and sense of self, simply by