Quotulatiousness

October 9, 2020

Speaking in code and public health

Filed under: Government, Health, Technology, USA — Tags: , , , , , , , — Nicholas @ 03:00

In The Line, Joshua Hind relates the tragedy that forced US emergency services to wean themselves off their many confusing (and sometimes conflicting) spoken codes and use plain language to help reduce tragic misunderstandings among different emergency response organizations:

“First responders on site of the Lac-Megantic train derailment” by TSBCanada is licensed under CC BY-NC-ND 2.0

In the beginning, it was standardized, and the best-known codes, like “10-4,” were consistent from town to town or state to state. But it didn’t take long for newer codes to emerge, which often meant different things depending on where you were. Efforts to reorganize the codes every 20 years or so only compounded the problem. On a local level, in any one town, it wasn’t a problem. But when cops or firefighters from different towns had to work together it could lead to disaster.

In 1970, a particularly severe wildfire season in California killed 16 people in a 13-day period and laid bare the cost of bad interagency communication. The rat’s nest of codes, abbreviations, and jargon prevented firefighters from different towns from communicating with the speed and clarity a major disaster demands. To address the problem, the U.S. Forest Service created FIRESCOPE, the first complete system for organizing and managing major incidents. One of the primary principles of this new system was to “develop standard terminology.”

Despite this effort, which later went national and then international (the province of Ontario has its own version, the “Incident Management System”) coded language continued to proliferate. Nearly 30 years after FIRESCOPE was launched, on September 11th, incompatible technology, lack of protocols, and a refusal to harmonize terminology likely contributed to the deaths of 121 firefighters who were caught in the collapse of the North Tower because they either didn’t hear or couldn’t understand the warnings that the building was about to fail.

Which brings us back to 2006, and FEMA’s notice to first responders. After decades of asking agencies to stop using coded language, the federal government made funding contingent on compliance. “The use of plain language in emergency response is a matter of public safety,” the memo’s introduction read. “There simply is little or no room for misunderstanding in an emergency situation.” From that point forward, all interdepartmental communication would have to be un-coded. A fire would be called “fire.” A shooting would be “a shooting.” And if you needed help, you’d say “HELP!”

Police, fire departments and paramedics slowly but surely got on board and started using some form of the incident management system which included plain language. As use of the system spread, other sectors, like large music festivals and other live events, began adopting the concepts to better synchronize public safety programs with the first responders who support them. Today it’s not unusual for producers, technicians and event security staff to attend training at the police college right next to fire captains and police officers.

Then COVID-19 happened, and we realized that no one had told Public Health.

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