Blame

In the Globe today, there is an article by Ingrid Peritz questioning whether a faster response to Natasha Richardson’s head injury would have saved her life. A second article by Jessica Leeder talks about “talk and die syndrome” where patients are lucid and coherent right after the injury, but by the time they display worrying symptoms, it is too late. I hope this is not an attempt to lay blame in order to make sense of a random and tragic accident.

After severe headaches and signs of “instability,” Richardson was taken to a hospital nearby Mont Tremblant, where the accident occurred, and was then driven to Sacre-Coeur Hospital in Montreal for specialized treatment. The hours in between the accident and her arrival at Sacre-Coeur could have made all the difference to Richardson’s recovery, according to Peritz. But I’m not sure this situation would have gone any differently.

Richardson refused medical treatment immediately after the fall – as I’m sure do thousands of people who take a tumble during ski season. Though I’ve never hit my head, I’ve certainly had several falls on the ski slopes, off my bike and on ice. As long as you feel okay, as Richardson did at first, you brush yourself off and are on your way. Like many people, I err on the side of cavalier as opposed to hypochondria when experiencing a wide variety of symptoms and accidents. According to Doug Firby, a spokesman for Sunshine Village Ski and Snowboard Resort in Banff and quoted in Leeder’s piece: “Some of [the skiers] bang their heads. I can’t imagine a scenario in which you could actually force all those people to go to hospital.” The one thing I guess you could force them to do is wear a ski helmet, legislation that is sure to come down the pipeline soon.

But there are some accidents just happen and no amount of safety procedures and equipment can change that. It is unfortunate and utterly devastating to the loved ones of the victim who must spend an awful lot of time running through alternate “what if” scenarios in their heads. And sometimes people make glaring mistakes or are willfully negligent to safety and of course I believe these people should not be let off the hook. But sometimes accidents are just that: accidents. They are a confluence of unpreventable events.

I am reminded of Atom Egoyan’s film The Sweet Hereafter, based on a book by Russell Banks. In it, lawyer Mitchell Stephens comes to the town of Sam Dent after a school bus crash that has killed several of the town’s children. Stephens is intent on somehow laying blame for the accident – on the driver, the bus company – someone must pay for the deaths of these children.

But the conclusion of the book does not see anyone held accountable for the accident: it shows a community coming together only to mourn the deaths of the children. They see no need to find fault in order to assuage their pain – the people involved are already hurting enough.

Perhaps Richardson’s death will see calls for mandatory helmets on ski hills or better air ambulance service in the area. But it certainly should not be used to find fault where there isn’t any.