Ejection Decision (2016)
verticalmag.com
verticalmag.com
This is also good advice for making ethical decisions, especially when situations or people in power suggest otherwise.
If you want to do the right thing under severe temptation to do otherwise (at least consistently) you you need to have made that decision in advance, otherwise the situation will overwhelm your ability to process it and make good decisions. If you don't you're effectively leaving the outcome to chance, or perhaps whether you ate a good breakfast that morning.
Also helps when dealing with difficult/angry/argumentative people, or when you're arriving at work into what you know is a difficult situation.
It’s a tool. Like any tool, you can use it for good or for evil.
If you mix in the obligation to make an important moral decision, especially one that sacrifices evolutionary benefit for abstract social benefit like "I will not engage in a violent reaction when I feel offended" or "I will not copulate with this apparently willing and attractive potential sexual partner", well, we could say that it's likely that /usr/bin/moral_override will time out and your body will default to the path of least resistance for itself in that moment.
Thus, rehearsing for good outcomes in high-pressure situations is like tuning a configuration file to ensure reasonable behavior in known potential failure modes. You can hope that you won't hit the failure modes described (or you can plan ahead, knowing you eventually will, which is the better option), but you want to make sure that your system will behave appropriately when those modes are encountered. Leaving the behavior undefined or trusting the defaults is too risky for anything important.
It seems to me that by explicitly writing down the decision tree and reflecting on it, you could attempt to identify whether or not there were prejudices baked into it.
As a contrived example based on the article and comments: should the fact that the patient is a 6-year-old girl vs. an overdosing opiate addict make any difference on whether or not the conditions you're flying in are safe? Or should it be based on visibility thresholds etc.
A large majority of the fatal incidents are "scene" calls (as opposed to inter-facility transfers), and stem from pushing past the edge of the envelope like this article describes. There is also some sad irony in the fact that the patients that are most likely to induce this level of pressure (those closest to death) are also ones that are least likely to benefit from the additional risk taken (i.e. they're gonna die anyway).
Around here the majority of scene medevacs are flown by the county sheriff's office. All of their pilots are former military aviators, and are very, very good at flying. I've watched them put helicopters places I wouldn't fly my quadcopter for fear of losing it... Their skills have definitely made the difference between life and death for patients I've handed over to their flight crews. I have a lot of respect for what they do, but I also worry for my friends that fly...
Into Thin Air got be fascinated with mountaineering, but the next few books I got were all accident reports.