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Ready for anything: The best strategies to survive a disaster

In a crisis, your fight or flight response can actually leave you frozen. Training your brain to act could be the difference between life and death
war zone
In a crisis like the Lebanon war of 2006, overcoming the urge to freeze can be critical to survival
Paolo Pellegrin/Magnum Photos

EVERY journalist in Gaza knew the rule: one strike usually means two, so stay well away until you hear the next hit. But the cameraman staying in my hotel forgot, and that night he didn’t return. It was 2002, the second intifada had been raging for 18 months, and hundreds had died on both sides. Intent on capturing the story, he rushed to the scene of an Israeli attack without waiting for the second missile. “He made a big mistake,” said his colleague.

It was an epic misjudgement – fortunately, not a fatal one. But you couldn’t put it down to stupidity. Many psychological studies have shown that under high stress, when your life is threatened or you have witnessed something terrible, it can be difficult to remember what to do. Or, if you do remember, to actually do it.

This helps explain why so many people caught in building fires and ferry disasters do nothing to save themselves; why people struggle to dial the emergency services in their moment of need; why 11 per cent of sky-diving deaths are due to .

“No one becomes smarter under stress,” says , a forensic psychiatrist at the University of New Haven, Connecticut. “The question really is who gets dumb faster.”

So what befuddles our brains when the unthinkable happens, and can we do anything about it? That question has long obsessed the emergency services, military and others who regularly put themselves in danger. But we can all benefit from understanding what happens in our heads during a fire, mugging or terrorist attack – and we can use that knowledge to give ourselves the best shot at surviving.

It has become standard procedure for companies and governments to put employees through hostile environment awareness training (HEAT) before sending them to high-risk areas. But is it really possible to prepare for something so unpredictable? “Training for emergencies certainly works, there’s no doubt about that,” says , a former military survival instructor who studies survival psychology at the University of Portsmouth, UK. “How people respond depends very much on what they know.”

“No one gets smarter under stress. The question really is who gets dumb faster”

Prior knowledge is crucial, because when disaster strikes, your brain is in no state for rational deliberation. It takes just seconds for adrenaline to flood into your bloodstream, pushing your heart rate up from about 70 beats per minute to over 200. Then the body’s central stress system releases the hormone cortisol, boosting blood sugar levels and suppressing non-essential functions such as digestion.

This evolved fight or flight mechanism prepares us for physical action, but inhibits areas of the brain that govern working memory and process new information. In other words, it primes us to act but not to think. With our cognitive faculties hobbled, if the threatening situation is one we have never been in before, there’s little chance of figuring out a solution.

One consequence is that most people neither fight nor flee: . Leach estimates that in mass disasters such as ferry sinkings and aircraft fires, about 75 per cent of people suffer cognitive paralysis, resulting in complete inaction. “Our brains build up a model of the world, and for the most part that model is accurate,” he says. “But in a threat situation, the model in our head no longer represents the truth on the ground.”

hostages
Hostile environment training mimics the hostage experience
Thomas Dworzak / Magnum Photos

Because it would be unethical to conduct experiments that risk traumatising the participants, most studies of survival behaviour involve elite military recruits who opt in to extreme scenarios as part of their training. Even in this self-selecting group, highly stressful situations can have a big effect on performance.

In 2006, Morgan looked at how an intense mock capture and interrogation affected the cognition of pilots and aircrew at a US military survival school. He used a test of visuo-spatial processing and working memory that involves copying out a complex line figure, and then reproducing it from memory. Compared with controls, the recruits who attempted this in captivity not only had from memory, they also copied it with a piecemeal approach generally used only by children under 10. It was akin to “seeing the trees rather than the forest”, says Morgan, and is likely to result in impaired decision-making, particularly if time is short. “It approximates what most of us would do under really high stress.” The only way to guard against such decision-making errors, he says, is to have a checklist of actions that you have practised and can follow when you can’t think straight.

To get an idea of how preparing for unexpected threats might increase our survival chances, I enrolled on a three-day HEAT course with in Andover, UK. On the course with me are representatives of two UK government agencies and an international aid charity. Most of our instructors are former special forces soldiers, although they seem to have their fingers in a lot of hot pies: Andy, our lead instructor, is also a hostage negotiator. His aim this week, he says, is to make us absorb his lessons so that we don’t have to think about them, because “the thinking part of your brain is the part that is likely to get you killed”.

Given our instructors’ badass backgrounds, I half expect to spend the first day learning how to dodge a bullet or take cover from an exploding grenade – that comes later. But they are primarily concerned with reducing the risk of us ever having to face that kind of situation. We learn things like the safest seat on an aircraft and the importance of learning a fire escape route and rehearsing it in your head, so you won’t have to do that under stress (see “Tips to keep your wits“).

Day two is kidnap day. We know it’s coming but it’s still a shock. We’re in an abandoned farmyard learning how to crawl through a minefield when we hear gunshots and shouting. Six men in balaclavas come running at us from the bushes. One of them “shoots” Andy in the face (with blanks, but even so), meaning he’s out. Then they turn on the rest of us. They bind our wrists, blindfold us, make us lie in the mud, kneel, stand and lie again. We’re marched around in a pitiful column then forced onto the floor of a revving van. Instructions are shouted at me a few centimetres in front of my face. Eventually they hustle us into a barn, pull hoods over our heads and subject us to a surprisingly abusive interrogation. They make it personal: one of our group sounds upset and they abuse her for that; another they perceive to be overweight and abuse him for that; I’m abused for being a journalist, given a new name – something unprintable.

Somewhere in our rational minds we know that these men aren’t going to shoot us or beat us, but when the hoods are removed and we are finally released we all feel pretty shaken. Later, during the debriefing, it’s clear the stress has affected our memories. We disagree on just about everything: the sequence of events, what was said, how long it lasted. To me it felt like 15 minutes, someone else says an hour – Andy says 45 minutes. None of us can recall what our kidnappers were wearing even though we saw them clearly enough. Apparently this is normal. The crucial thing, says Andy, is that we have learned what it feels like to be a hostage, which makes it more likely that some of the advice he has given us – don’t stand out, drink and eat anything they offer – will stick in mind should it happen for real.

Later, I ask the director of Hostile Environment Training if he has any evidence that the training works. He shows me a letter from a former client who endured a violent kidnapping and robbery at his home in Kenya during which one of his friends was killed. He wrote: “Immediately, I saw the situation for what it was and remembering the training I had received, I dropped my gaze, put my hands up, and felt an inexplicable sense of calm – there was no way I could fight, so what was the point in resisting?” He describes being forced to beg for his life with a gun to his head and a machete to his neck. Clearly not everything can be replicated in training.

“The thinking part of your brain is the part that is likely to get you killed”

The main purpose of such training, apart from increasing confidence, is to create a “procedural memory” to guide your actions when your thinking powers are crippled. It doesn’t happen quickly, says at the University of Central Lancashire, UK. She has been studying people , which is mandatory for oil rig workers, search and rescue pilots and others who regularly fly over the sea. It involves being strapped into a mock-up of a helicopter that is then plunged at speed into a pool.

On their first trial, says Robinson, most people behave in one of three ways. Either they freeze and don’t attempt to escape; or they make a sequential error, like trying to get out of a window before undoing their harness; or, most commonly, they revert to a familiar yet inappropriate action, such as trying to release their four-point harness as if it’s a car seatbelt. “In that very high pressure environment, they can’t inhibit that behaviour or they can’t think about a new one.” But by the time they’ have been dropped into the pool five or six times, the behaviours they have been taught kick in automatically. “They just activate the script and do the action. No need for working memory.”

Robinson, Leach and others are convinced that training increases your chance of surviving an emergency, and that if you have coped well once you are likely to do so the next time. However, because procedural memories are chains of context-specific actions, memorising your office fire drill won’t help you escape a burning cinema. And a helicopter ditching course won’t keep you calm during a kidnapping.

burning building
Emergency responders are trained to stay calm and efficient in stressful situations
Marie Babey/picturetank

This applies as much to trained professionals as the rest of us. On the final day of my HEAT course, Andy puts on a video from the headcam of a US soldier in Afghanistan. It shows two soldiers just after a mine has exploded. One is lying on the ground, the lower part of his left leg blown off. The other is struggling to fix a tourniquet. Usually this is one simple movement, but this time he first has to thread the end of the strap through the tourniquet’s buckle – something he has never practised under pressure because tourniquets are usually threaded before they go out. Stressed, his fine motor skills shot, it takes him 2 minutes and several attempts to do it.

People without training differ in how they respond to disasters. This is partly due to and how well we can direct our attention. Anxious people do worse, says Robinson, because “their working memory is basically being eaten up with the thought, ‘I’m going to die, I’m going to die.'” Although as at Birkbeck, University of London, points out, anxious people do have one advantage: “They are more vigilant towards threats, so they’ll be faster to notice danger and faster to want to act on it.”

Running into danger

Even highly trained soldiers differ considerably in their response to threats, and Morgan has found a strong biological component to this. Soldiers who perform best in military survival school, and suffer fewer working-memory deficits, express higher levels of certain stress-regulating chemicals in their central nervous system. For example, compared with regular recruits, special forces soldiers – selected for their “stress hardiness” – were found to have significantly higher levels of the neurotransmitter neuropeptide Y during a stressful . “They can tolerate more stress without becoming impaired,” Morgan says.

There are efforts to develop drugs that mimic these effects – and some researchers have even – but for the rest of us, nothing beats learning from those who know the drill. Anthropologist , whose research into terrorists and religious fundamentalists has landed him “in a few very bad situations”, recalls occasions when “the ordered reactions of trained people around me clearly helped me pretty calmly control my own reactions”.

The value of training for the unexpected became clear in the aftermath of the terrorist attack in London on 22 March. Five people were killed, and more than 50 were injured, when a man drove a car at high speed onto the pavement of Westminster Bridge and then fatally stabbed a policeman. Most of us would have found such carnage overwhelming, but the medics and other emergency responders have won praise for the calm and efficient way they assessed the scene and treated the injured, despite having little idea what they were heading into. London’s Air Ambulance crew thought they had been called to a road traffic collision. Paramedics from St Thomas’ Hospital didn’t know if the attack was still in progress when they ran towards the bridge to help. Yet when they got there, they knew exactly what to do: they had done it hundreds of times before.

Tips to keep your wits

Prepare

• When you enter an unfamiliar building, note the nearest fire exit and how you would reach it. In an emergency, you’ll be able to fall back on this mental shortcut despite being highly stressed.

• Always listen to the safety briefings on aircraft, boats and trains and go through the motions of escape in your head. If you don’t, you are likely to just freeze up if you have to evacuate fast.

• In a taxi, the safest seat is directly behind the driver. In a crash, the driver will instinctively try to protect their part of the car; if they have ill-intentions towards you, you will be harder to reach if you’re behind them.

• The safest seat on an aircraft is by the wing one row behind the exit. You will be close to an escape route and find it easier to remain anonymous in the event of a hijacking.

• The safest room in a hotel is at the back, between the first and fourth floors, furthest from harm during terrorist attack and within reach of a quick exit during a fire.

Act

• In an emergency, do not wait for others to act; most people’s first reaction will be to do nothing.

• If the fire alarm goes off unannounced in your office, leave immediately. If you’re worried about looking foolish, say you’re going to grab the opportunity to take a walk.

• If someone attacks or tries to kidnap you in the street, shout “bomb” or “gun” and run towards other people. Your attacker won’t expect this and won’t like the risk of attention.

• If you are taken hostage, try to humanise yourself but don’t be their friend; drink and eat anything they offer. Try to blend in: hostage-takers may treat troublemakers more harshly.

• If you’re caught up in a riot or terrorist attack, the basic default advice is: “Head down, run fast.”

This article appeared in print under the headline “In the face of danger”

Topics: Biology / Brains / Disasters / Stress