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Updated: Thursday, November 14 - 3 PM
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Harry Carter Commentary
Why We Are Dying: Lessons Learned

HARRY R. CARTER, Ph.D., MIFireE

carter

I want you to know right up front that this week’s commentary has proven to be one of the toughest pieces of writing that I have ever chosen to undertake. I am positive that there are those of you who will be reaching for rope, plucking chickens and boiling tar. But I feel that it is time for someone to stand up to the majority of the fire service and tell it like it is, or at least as my research indicates that it is.

I am going to take you on a journey to an area of the fire service rarely seen. I am going to shine the harsh light of public commentary on the death of a brother firefighter. I am going to adopt the approach of my dear personal friend, Alan Brunacini, and share the facts as God has given me the light to see them.

There will be no issues in this article about what might have been. A brave man has died in the line of duty. We cannot know what was in Alberto Tirado’s mind as he began his final moments of service to the citizens of Passaic. But it was surely not his own safety that lay uppermost in his mind.

It is my deep and abiding hope that you understand why I have chosen to take this perilous journalistic journey. It is tough to talk about the death of a brother firefighter, but since it was just last week that I spoke about educating the public, I can do no less for the fire service itself. This week I seek to educate my fellow travelers in the world of fire suppression. As I have often stated on these pages, those who cannot remember the past are condemned to repeat it. We will continue to lose firefighters unless we share the lessons learned from every tragic interaction.

I believe that I have earned the right to speak on the topic of death in the fire service. I served as the Voice of Command for the Newark, New Jersey Fire Department at every line of duty funeral (and many non-duty related) funerals during the period from 1984 until I retired in 1999. Believe me when I say that there are few things more difficult than saying goodbye to a friend who has given his life for his community. But I willingly performed this sad duty on four separate occasions. I am well aware of the finality of death, because every time we returned from the cemetery, there was one more open seat at the firehouse table. So I have seen death, and I want to spare others from this sad duty. That is the reason for this week’s commentary.

Many times over the past several months, I have written regarding the topic of line of duty deaths in the fire service. The most frequent question I seemed to ask is quite simple. Why are we dying? In many cases, we, as a fire service, can only wonder why a particular tragic event occurred. We bemoan the loss of life, and work to support the families left behind. In general we plow ourselves into our work, and go on with our lives.

However in a growing number of recent fatal incidents, we have been able to identify the reasons for the loss of life. Unfortunately, there are also a great many instances where the fear of legal action welds the mouth of the fire chief and local politicians firmly into the locked and unreachable mode.

In this week’s visit with you, it is my sad duty to share with you the reasons that have emerged surrounding the tragic death of a Passaic, New Jersey firefighter on the evening of Wednesday May 9, 2001. Let me state right up front that in drafting this missive to you, I do not want you to think for one moment that I am casting myself in the role of a Monday-Morning Quarterback in this case. I was not at that fire. I make no claims of brilliant insight into what occurred. And please do not think that my words minimize the sorrow in my heart for the loss that occurred. The loss of any one firefighter diminishes the entire service.

There will be no personal supposition on my part as to the why of this particular tragedy. All of what I state in the paragraphs to come will be based upon the facts presented to the New York news media by the Passaic Fire Department, in the person of Chief Louis Imparato. Many of the things I will mention come directly from an article in The Star-Ledger (New Jersey) newspaper and are attributed to Fire Director Anthony J. Mingo.

The Fire Chief in Passaic gave one of the most honest, emotional and caring, television press conferences that it has ever been my privilege to observe. He sugarcoated nothing. He stood up in front of God, the world, and all of us to share what he knew. The same is true of the facts that Director Mingo shared with The Star-Ledger. It is obvious that these men knew how desperately critical it was that the fire service be made aware of the facts that they were bravely sharing with the world.

It is my goal to create a tribute to the gallant departed, by sharing a lesson with those who remain to pick up where he left off. If we hide the truth, we risk repeating the agony that struck Passaic, New Jersey.

A number of the facts, as presented by Chief Imparato, and Director Mingo give me a solid starting point to use in my critical educational mission with you. This is not a complex equation. There were a small number of simple mistakes that were made by veteran firefighters. One paid for them with his life. If we can fix the impact of the mistakes in your mind, it is possible that lives can be saved. And that is perhaps the greatest goal that lies within my effort to share knowledge within the fire service.

According to a very well-crafted article in the May 11, 2001 edition of The Star-Ledger newspaper, written by Elizabeth Moore and Mark Mueller, Firefighter Tirado entered the blazing inferno with his buddy and sidekick, Don Silva. Upon reaching the second floor, his partner decided to descend to the street to get a couple of hand lights for them to use in the boiling cauldron of the smoke-filled inferno. The article states that Firefighter Silva told Tirado to " … Stay with the line … I’ll be right back."

At some point after Silva went out to get the lights, Firefighter Tirado apparently decided that " … time was the enemy…" in this situation. He took it upon himself to ascend to the third floor and battle the rolling flames, in order to search for the mother and two children who were reported to be up in that Hell on earth.

According to the article in The Star-Ledger, Mingo stated "… that firefighters made a valiant effort to save Tirado, who had radioed for help, saying his oxygen was running low. But the flames were just too much, …"

None of us knows what we would have done under those circumstances. I can only suggest what accepted firefighting practices tell us should have happened. But that is scant comfort at a time like this.

One of the earliest axioms I learned in the U.S. Air Force Fire Service more than three decades ago taught me to stay with my buddy. It made a deep and lasting impression on me. Did I ever violate that rule? I would not be so stupid as to say that I have always obeyed every rule and operated according to the dictates of common sense.

But there came a time when the realities of life led me to the deep and abiding belief that firefighting was a calling where the words uttered by the writer John Donne in 1624 hold great sway. "No man is an island, entire of itself, every man is a piece of the continent." While Donne was referring, in his belief of the universal, and interactive nature of mankind, I took his words in a different direction.

I thought of an obvious analogy. A fire department is a team. Every member of that team is expected to play their part in the work of the team. How long would the top running backs in football last without the gallant gentlemen in the offensive line who lay down those critical blocks and open the holes for them?

By sharing the arduous and dangerous nature of our work, each of us gains the symbiotic enhancement of everyone else working together for the team. Each of us becomes more than we really are. Each of us, as a team member, becomes capable of doing more than any one of us could ever be expected to do as an individual. And our destiny is intimately woven into the tapestry of our fire department. You and your buddy are the basic team. And the fire department builds from there.

Unfortunately we tend to forget this lesson from time to time. And the results can be deadly. I want each of you to get a firm grip on your soul and your computer table right now. There is a way to prevent this type of death from happening again.

We must work to reinforce the use of the firefighting team. We must create teams that are literally joined at the hip. We must create an environment where our buddy is the center of our working life. We must come to a point where we learn to eat, sleep, and dream about teamwork. We must create a deep and abiding love of teamwork. The best fire units I ever worked with were those who lived for each other.

Odd as it may seem, there is a line from the movie BACKDRAFT that sums up my thoughts and feelings at this time. Think back to the scene in the movie where the factory exploded in a ball of fire and the floor suddenly drops away, hurling one of the team members downward through the growing chasm. His buddies grab him and hold him on the brink of disaster. Think about what he said, when he implored his buddies to let him go and save themselves. Their reply says it all. "YOU GO … WE GO." That is the deep and abiding essence of this message.

Think back over the years that I have been writing about the critical issues in the fire service. There have been a number of cases where I reamed out a fire chief on the pages of my website for not providing a sufficient number of radios. That was not the case in Passaic. There have been a number of occasions where we know that people raced into a burning building without self-contained breathing apparatus. That was not the case in this instance. And how many times have we been told that a great many lives can be saved with the use of a charged hose line? The line was in Firefighter Tirado’s hands as he waited for his buddy to return. He was ready to rock and roll. But he did not wait. And therein lies the root of this sad tale. We will never know what might have been.

Would he have died had his buddy and he been together on the top floor? In a million years, I could never say one way or another. And I am quite sure that his partner will relive that fire on Market Street forever. Early in my career, I can remember doing the same thing. Were Firefighter Tirado able to do so, he might put his arm around his aching buddy’s shoulder and say that it wasn’t his fault, that it was God’s Will. And that would be the case.

But the standard for firefighter training has long been, stay with your buddy. I will stop at this point, for teamwork is the lesson I want to brand into your mind. We will never have the opportunity to know how it might have been under any other circumstance.

We have to push on into the future. We must all work to make it a safer world for our firefighters. By sharing the lessons learned in this tragedy, Director Mingo and Chief Imparato took a step not often seen in our business. They have cast themselves in the shadow of Alan Brunacini. In the wake of the recent death of Firefighter Brent Tarver, the Phoenix Fire Department has issued a series of preliminary findings, with an eye to improving their operations. By telling us what happened in Passaic, these two gentlemen have equipped us with enough facts to begin the work of creating a living memorial to Firefighter Alberto Tirado.

From now on when anyone of you out there throughout North America has the least thought that you might want to break away from your buddy for any reason, stop and utter the name Alberto Tirado and then utter the word TEAMWORK. And Alberto will smile down from Heaven and remind you to stay put.

I pray often for the souls of the dear departed who have died in the line of duty through the years. There is now one more Saint at the right hand of the Lord. May he, and the souls of all the fire service departed, rest in peace. May the Lord bring mercy and understanding to those left behind in the wake of this untimely death. Let us honor his memory by renewing our devotion to teamwork and training.

The commentary in this column does not necessarily reflect those of Firehouse.Com, Firehouse Magazine, their employees or parent company Cygnus Business Media.

Harry R. Carter, Ph.D., MIFireE, is an internationally known municipal fire protection consultant and contributing editor to Firehouse Magazine. He recently retired as a Battalion Commander with the Newark, New Jersey Fire Department. His commentary appears regularly on Firehouse.Com. For more commentary and information, visit Carter's web site at www.harrycarter.com

Harry has published several books available for online ordering, including Firefighting Strategy and Tactics and Management in the Fire Service

Content © Copyright 2000 - 2002 Harry R. Carter, Ph.D., L.L.C.

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