9 ms·
When 100 people lift a bus
- sgentle 11y agoSorry to point this out, but the uplifting character of this story only really applies if this action actually helped the trapped man. It might be nice to feel like these people helped, but if the takeaway is "untrained people should rush in and do whatever seems like a good idea in life-threatening medical situations", I think it's selling us an attractive and dangerous lie. There are many kinds of injuries (not just puncture or spinal injuries) that get much worse if treated by someone with no medical experience. The article said his leg was crushed but lifting the bus "looked like the most reasonable action to take". One of the possible consequences of a suddenly released crush injury is kidney failure caused by crush syndrome: https://en.wikipedia.org/wiki/Crush_syndrome https://en.wikipedia.org/wiki/Crush_syndrome Like all of the people involved in this story, I'm not a medical expert, so I don't know for sure whether these people helped or harmed the situation. However, I think it would be responsible journalism to ask a medical doctor whether the crowd did the right thing before hailing them as heroes and encouraging others to do the same.
- phireal 11y ago> However, I think it would be responsible journalism to ask a medical doctor whether the crowd did the right thing before hailing them as heroes and encouraging others to do the same. Perhaps they did and the medical doctor said it's was OK in this situation.
- bloat 11y agoI didn't read it that way. To me the article was not a feel good story about heroic passers-by. It was about the mechanisms of spontaneous coordination of a crowd of people in a shocking situation. Whether they did the right thing or not is not really the point of the article - it's more interested in why they did anything at all.
- m-i-l 11y agoThat's how I read it too. The article didn't say whether the person under the bus benefited from, or suffered extra as a result of, the actions of the crowd. But rather it was how an exception to the http://en.wikipedia.org/wiki/Bystander_effect http://en.wikipedia.org/wiki/Bystander_effect can arise.
- morpheous 11y agoOk. let me put it this way. If it was YOU under the bus, would you appreciate it if the bus was lifted off you? Funny how when I put it like that - suddenly the answer becomes "obvious" to you. It's cold blooded "logical" (to an extreme) people like you that are often a menace to society.
- learnstats2 11y agoTrying to help is better than the "I can't help; not my job" attitude you seem to be proposing. "Due to the risk of crush syndrome, current recommendation to lay first-aiders (in the UK) is to not release victims of crush injury who have been trapped for more than 15 minutes." So crush syndrome is not relevant here. There's a reason why it isn't well known - because the naturally obvious thing to do is the right thing to do here (after first stopping the bus and calling an ambulance)
- blowski 11y agoIs there any data about how many people suffer from "crush syndrome" versus the "bystander effect"? I'd guess the latter causes more suffering. I saw a man die, so did a first aid course. The tutor was unequivocal that trying to help is pretty much always better than not trying to help.
- Angostura 11y agoSounds like a short course.
- sgentle 11y agoBut that's exactly my point. In some situations, trying to help when you don't know what you're doing can make a situation worse. There are many examples where the obvious thing to do is not the right thing to do, from magnesium fires to drinking lots of water during marathons. I don't mean to advocate "I can't help" as an attitude, rather I think it's important to consider whether what you're doing is, in fact, helping. The classic examples of the bystander effect involve unambiguously helpful actions, like calling the police when you hear screaming. This is a little bit different. An ambulance had already been called, the situation was relatively stable, and I've always heard that unless you know what you're doing it's best to wait for the professionals. Regardless, my point isn't that the people there did the wrong thing. I don't have the medical experience to know (nor, I suspect, do you). Even if I did, they were there, I wasn't, they had a short time to make the decision, and perhaps there are other facts not available to us. My issue is that the retelling of the story as "kind-hearted people triumph over the bystander effect" is incomplete without knowing the actual consequences. With the benefit of hindsight, perhaps it'll be "mob of impatient amateurs exacerbates trapped man's injuries in rescue attempt". I know it feels good as written, and it is heartwarming that so many people wanted to help, but I think it's irresponsible to encourage behaviour in that kind of situation that might be medically harmful.
- Angostura 11y ago>Like all of the people involved in this story, I'm not a medical expert, so I don't know for sure whether these people helped or harmed the situation. Faced with this situation, what would you have done?
- Someone1234 11y agoThey've made it pretty clear they would have stood by, watched, and yelled criticisms at those trying to help. Maybe even filmed it on their smartphone.
- reagency 11y agoFilming is better than not filming. It provides useful documentation.
- laurencei 11y agoIntensive Care Paramedic here. Crush injury is a risk, but usually after more prologned entrapped, without blood supply to the affected area. Usually >45mins - but sometimes less. We carry drugs to counter the effect of the sudden release of toxins that damage the heart. What is more risky here is not the release of the vicitim - but the potential for a failed release. What if 100 people tried to lift the bus, but it turns out they wernt strong enough, resulting in the bus just pivoting on the spot. That pivoting might have crushed the injury further - leading to significant more damage. When we extricate patients - we always aim to do it in a controlled environment. Even when they are sick, slow and steady is often best. One of the worse worse worse things bystanders often do is pull objects out of patients. i.e. if you are stabbed, and the knife is still in you - do not pull it out. I think bystanders think they need to do "something" - but sometimes doing nothing (i.e. dont pull the knife out) is best.
- AlphaGeekZulu 11y ago"One of the worse worse worse things bystanders often do is pull objects out of patients. i.e. if you are stabbed, and the knife is still in you - do not pull it out." When I had my last first-aid-course, the instructor told us exactly this - do not pull out the knife. And then he added: but if you did and you realize your mistake, do not put it back in! ;-)
- userbinator 11y agoI would be more worried about them overdoing it and flipping the bus over...
- corobo 11y agoI was thinking that myself but then realised most of the 12 tonnes mentioned is going to be towards the base (engine, etc). A double decker isn't going to be a top heavy object else it'd tip over any time it hit a corner a bit too fast They'd have had to do some serious tipping to make it fall over https://i.imgy.org/NO2zZn26.jpg https://i.imgy.org/NO2zZn26.jpg
- userbinator 11y agoI know they can stand some extreme tilt angle, but those tests are done with a slow and gradual rotation instead of a quick burst of force; being heavy also means that once it starts moving, it's harder to stop... so it's a good thing that those involved in lifting it were not too strong.
- kitd 11y agoThe CoG is actually pretty low. Here's an example of a tilt test: http://therighttrack.millbrook.co.uk/wp-content/uploads/2010/06/tilt-table2-300x236.jpg http://therighttrack.millbrook.co.uk/wp-content/uploads/2010...
- monk_e_boy 11y ago(See other replies) the low centre of gravity of double deckers is common knowledge here in the UK.
- ksk 11y agoSorry to point this out, but what you just said is 100% ridiculous. >There are many kinds of injuries (not just puncture or spinal injuries) that get much worse if treated by someone with no medical experience. So? Just leave the guy to die under the bus? >The article said his leg was crushed but lifting the bus "looked like the most reasonable action to take". The article is reporting second hand information from eyewitnesses. Basing your analysis on that is to put it bluntly - stupid. >One of the possible consequences of a suddenly released crush injury is kidney failure caused by crush syndrome: https://en.wikipedia.org/wiki/Crush_syndrome https://en.wikipedia.org/wiki/Crush_syndrome So what? You keep stating these as-if they are revelations. People already have a good understanding that injuries can have unanticipated complications. >Like all of the people involved in this story, I'm not a medical expert, How do you know that nobody there was a medical expert? They did not interview 100 people. Nor did they do a survey of all the people around the accident. >However, I think it would be responsible journalism to ask a medical doctor whether the crowd did the right thing before hailing them as heroes and encouraging others to do the same. The word hero was not in the article. In any case, they ARE heroes because they risked their own safety to help another human being.
- antihero 11y ago> So? Just leave the guy to die under the bus? I'm not sure of the specifics but the one thing that bugged me is that they dragged him out. If they could move the bus off of him (for all I know they just lifted it "up" enough to move him) then dragging is a terrible idea.
- serge2k 11y agothat and not much blood becomes a whole lot if you remove pressure on the wrong place. wait for the ambulance and help then, if they need it.
- yconst 11y agoSo that's all great and trying to help and all, but.. a crowd that yells at the top of their lungs to a driver till he goes in tears (in place of actually guiding him to properly move the vehicle), and thereafter tries to lift the bus using nothing but brute force.. isn't this like creating a problem and then trying to solve it?
- anc84 11y agoThe whole article tried to elaborate on the problem of crowds, did you read it thoroughly enough?
- yconst 11y agoIt does not elaborate on the "problem of crowds", at all. On the contrary, it offers a rather positive view to the whole spontaneous reaction thing. Which is great, don't get me wrong. However, in this case, I believe the solution could have been much much simpler to begin with. But that's just me :)
- morpheous 11y agoWow, is that your take from the article? It just goes to show you can't please everyone. I wonder if you would feel different if you were the one UNDER that bus?
- joshstrange 11y ago> A few others inevitably reached for their phones - although most were then subjected to a form of group self-policing. "A couple of people were saying 'Don't film it! Don't film it!'" Kyra says. "Nowadays you really think 'Oh, shall I video it?'," but thankfully most people felt it wasn't appropriate, she adds. "Anybody who did video got shouted at anyway." I'm sorry, I fail to see what is so taboo about filming? At the very least it documents what happened... Is the concern filming someone in pain/suffering? We appear to have no problem with that when it's photographers in third-world countries. Not everyone can help directly so what is the harm in some people videoing what happened?
- monk_e_boy 11y agoBeing from the UK: It's a bit unseemly. Mind your own fucking business. Get permission. Don't be a twat... etc
- nitrogen 11y agoIt's interesting that this attitude persists in the face of (what we in the US are led to believe is) omnipresent Big Brother CCTV.
- monk_e_boy 11y agoThere is a lot of CCTV, but we also talk a lot about privacy. The argument "If you've got nothing to hide why do you shit with the door closed?" is pretty common here. We generally don't point CCTV at someone's house, and those CCTV that DO point at private property are usually dealt with quickly. After a complaint the police will just tell you to point it somewhere else. They are for protection, not for spying.
- switch007 11y agoWe didn't ask for or agree to that CCTV. Mega corporations installing CCTV all over London does not mean the British people are OK with being filmed 24/7.
- hammock 11y ago
- aaron695 11y agoSimple stuff. Don't do this. Why risk a life so you can feel good in a BBC article. The reason people don't know what to do and freeze, is because they don't know what to do, get experts, this situation seemed stabilised. It's luck the person in the train incident didn't loose a leg from the rocking. Want to actually save a life, very boring, give money to a 3rd world charity. And the Kitty Genovese story is generally these days considered not that simple as the common 'Just so story' There's stories here that are important, just skip the BBC tabloid version.
- ryandrake 11y agoI'd love to know why the driver couldn't just back up?
- nodata 11y agoApparently he was not in a state to understand what was going on.
- skorgu 11y agoYeah, people do weird things in unexpected high-stress situations. Not everyone is an action hero it turns out.
- zhte415 11y ago>I'd love to know why the driver couldn't just back up? Manual gear start on a slope in a large, heavy vehicle is probably not going to go well, forward or backwards, when half and inch or 1cm is at stake.
- antihero 11y agoI really, really can't understand the bystander effect unless there's an immediate threat to one's personal safety (ie, breaking up a fight). Isn't the logic behind it that someone else is going to help so why bother? But I don't see that logic - if there's ever a problem I always run to help first, and back off if things are under control. Back in Reading a guy got knocked off of a bike pretty badly, my immediate, unthinking adrenaline reaction was to run directly at the scene, stop people moving him off of the road/moving him at all, gesture at cars to stop, call an ambulance, talk to him to stop him trying to move, etc. Adrenaline gives you focus and the ability to deal with the situation. It's almost like autopilot. I just don't understand the logic of people who just walk on by. I can't think of a single appointment that's more important than helping someone in trouble - late for an interview or a date? Tell them that you value human fucking life more than hitting a time.
- cko 11y agoI think it's similar to how people freeze up when an emergency happens. There's no logic behind it - more like too many thoughts and feelings flooding the mind at once, resulting in paralysis. You are probably the fortunate few who can maintain some semblance of clarity in stressful situations. Over the years I've watched people react to stress (myself included) and it's not always as straightforward as you see it. Maybe the bystander effect is a form of paralysis. Doubt, lack of knowledge, fear for one's own safety, it's just easier to do nothing - all those thoughts are flooding the system.
- afarrell 11y agoRemember: in an emergency, point at a specific person to get help.
- JonnieCache 11y agoThis is a very important, oft-repeated piece of advice. Pointing straight at people and barking orders at them snaps people out of their shock/deadlock in these situations
- stevewilhelm 11y ago
- paganel 11y agoCan confirm, I was involved in push-starting my (European) city's trolleybuses at least 3 or 4 times while I was a passenger. It's a nice feeling when you see the driver/conductor getting off and announcing that he needs help, followed by all the men in said trolleybus also getting off and pushing it, all this happening in the middle of the intersection. Fun :)
- csomar 11y agoI don't help strangers in distress. I've never been in such a situation, but if I ever was I won't. The best I'll do is to call emergency for them, or try to make other people aware of it. I'm concerned primarily (by order of importance): - My personal safety. (if it's an armed theft or fight) - Being accused of wrongdoing after an unfair or incomplete investigation. - Not having the right medical skills to help them, and instead worsen their situation. Unfortunately, I can't think of another way (other than calling emergency) to help them. I'd appreciate if someone would help me in such a situation, though. Which feels quite greedy (and I think it is).
- city41 11y agoI've been unicycling for over 20 years and I still never unicycle in traffic. Unicycling requires constant attention to maintain balance. Even after 20 years it doesn't quite become auto pilot like it does on a bike. On top of that, I don't like to cause worry in drivers when they see me riding next to them.