The dynamics of unidirectionally propagating pulses in a two-dimensional uniform excitable reaction-diffusion medium is investigated. It is shown that under weak diffusion coupling between medium points such a pulse can evolve into a pair of counter-rotating spirals (spiral pair). We analyze the drift of such a pair and examine the collisions between several drifting pairs. It is demonstrated that collisions can result in a special type of reflection or, alternatively, in new types of complex stationary spiral structures. A possible application of these findings for the diagnosis of cardiac arrhythmias is suggested.