Never Say the Night Is Quiet

Photo: Daniel Blanco

It’s 7:00 on a Friday night. Despite being on call for the past 12 hours, paramedics from the Road Restoration and Emergency Assistance Brigade aren’t tired. They’re used to go without sleep during their 24-hour shifts and they catnap so light that they’re right back up before they get a knock on the door announcing an accident. 

This brigade, better known as the Highway Angels, was created to offer first aid and pre-hospital care in 220 kms of highway in Gran Caracas. They’re actually capable of handling all kinds of emergencies in the Metropolitan area: traffic accidents, births, suicide attempts, violence, rescues in rivers, injured dogs, natural disasters and support to hospitals. 

Despite the collapse of the public healthcare system, the brigade has improved its response time compared to international standards. Photo by Daniel Blanco.

“We’ve broadened our range of motion because of the difficulties other organizations endure,” says Wilbani León, the brigade’s traffic monitoring and emergency assistance director. Wilbani, an EMT, delivered his baby daughter himself in an ambulance. He holds the brigade’s record of most deliveries: 33 babies brought into this world during complicated rides. 

Today, and despite a healthcare system collapse that hits them directly, they’ve managed to increase their time of response compared to international standards: “The average time of response in the world in ten minutes, ours is between three and five. This is because of an effective deployment of attention units and a great training for EMTs in motorbikes,” says Wilbani.

In the face of scarcity, the brigade has created numerous workarounds to save the life of its patients. Photo by Daniel Blanco.

The Highway Angels team is composed of 110 people. Groups of 25 EMTs cover each 24-hour shift. Most of them have families and two jobs, making minimum wage and dealing with scarcity, crime and poorly lit roads. María Gabriela González, who’s been an EMT for five years, explains that creativity has been key: “We can turn a syringe into an aspirator; without laryngoscopes, we can use a larynx mask. There’s a thousand other hacks.” 

Nobody Left Alone

The second half of the shift starts with dinner donated by a restaurant: burgers, soda, coffee and cookies. They laugh, talk about the beach and partying in their youth. They don’t have rituals, but they do have one superstitionnever say the night is quiet. At 2:26 a.m., the PNB lets them know of a motorbike accident with one injured, in Teherán Ave., Montalbán. They’re there by 2:42 a.m.; the biker has a facial fracture and is moved to the Domingo Luciani Hospital, admitted without hiccups. The issue now is a man already waiting there with a head injury and a lost gaze, covered in blood from head to toe. He approaches the EMTs saying that the PNB drove him here after he was run over, but nobody’s checking on him. The EMTs check his motor and ocular response and clean up the wound. 

The EMTs dine with donations from a local restaurant and have mastered the art of the catnap. Photo by Daniel Blanco.

“Our job is to accompany the victims until they’re admitted. We can’t leave a patient alone,” says doctor Yasenka Maita. “Sometimes we have a patient on the ambulance and we have to take them to three or six hospitals before they’re admitted. This makes us neglect the highway and we have an ambulance out of service for more time than necessary. We should have priority status but we don’t, we’re like everyone else.” 

At 5:36 a.m., they’re notified of an accident, with three injured. On the site, a group of women accompanies the owner of one of the vehicles: “We saw militias come and take batteries and tires from cars. We’re here so they don’t rob no more.” They refused to leave until everyone else was gone. “We’ve seen every bad thing happen in this area, but it’s hard to see how nobody helps in an accident,” says one of them, after promising coffee for the EMTs, if she had any. The PNB didn’t have a road safety triangle for the, so they improvised one with a column of old tires from the tire stores in Misión Vivienda. Of course, a third car crashed it. 

Three times a week, the paramedics stand on duty for 24 hours, helping out everyone on accident sites -and even in hospitals. Photo by Daniel Blanco.

“Pre-hospital care is a high-risk service, for victims and EMTs alike,” says Dr. Maita. “We try to not go into several areas because we can get shot if we’re mistaken for the police, with our uniforms and our unmarked ambulances.” Since the brigade was founded, two officers have died in crashes on the way to accidents: Robert Miquilena in 2014 and Juan Carlos Gómez in 2015. 

Addicted to Helping

Some of them have been trained in military rescue, others in defensive driving, conflict and disaster emergency. Some have been firemen, civil protection officers or bodyguards. Ángel Pinto, an 18-year-old intern who started training at 15, comes from a family with a military tradition: “I wasn’t convinced about working for a decaying institution, but I was sure about wanting to help people. So I became an EMT.” 

The brigade has responded to 6,399 calls for help so far this year. “I run into people on the streets who greet me as if we were family. They tell me I helped them one day. I don’t remember most faces, but I remember the stories,” says María Gabriela. 

The critical hour is the one immediately after an accident, 60 minutes where you have the best chance of saving someone’s life. Photo by Daniel Blanco.

The brigade has only one working ambulance (out of five,) seven motorbikes and a tow truck. The Transport Ministry pays their salaries, tires, oil and gas, the rest of the funds are collected by them and volunteers in the donors network established since 2016. 

“We could reach around 19 accidents a day,” says Wilbani, “now, on a busy night, we see ten, tops. A lot of people have left, and you can see it on the street.” 

“The calling remains,” says Carlos González, 30-year-old single dad, with experience as an aviation rescuer. “We like the adrenaline, but we’re basically addicted to helping.”

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Never Say the Night Is Quiet