RESEARCH PAPER
SERVICE-RELATED HEALTH RISKS AMONG MARITIME SEARCH AND RESCUE (SAR) PERSONNEL: A QUESTIONNAIRE SURVEY
 
More details
Hide details
1
Department of Medical Rescue, Medical University of Warsaw, Warsaw, Poland
 
2
Department of Health Sciences, Poznan Medical Academy of Applied Sciences Mieszko I, Poznań, Poland
 
3
Search and Rescue General Headquarters, Gdynia, Poland
 
4
Department of Geriatric Nursing, Medical University of Warsaw, Warsaw, Poland
 
 
Submission date: 2025-12-02
 
 
Acceptance date: 2026-01-07
 
 
Publication date: 2026-01-12
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Maritime Search and Rescue (SAR) personnel are exposed to combined physical, environmental, and psychosocial burdens, yet data on their health risks and lifestyle patterns in the Baltic Sea region remain limited.

Material and methods:
A cross-sectional diagnostic survey was conducted among 126 male SAR crew members from central SAR units (n=47) and coastal rescue stations (n=79). An author-designed 35 item online questionnaire assessed sociodemographic profile, intervention characteristics, physical and environmental load, psychosocial support, and health related behaviors. Qualitative variables were analyzed using descriptive statistics and Chi squared tests (p<0.05).

Results:
Two distinct risk profiles were identified. Coastal rescue station personnel reported high regular exposure to environmental hazards: the moderate but systematic category was indicated by 70.9% for noise without hearing protection, 73.4% for fuels and chemicals, 74.7% (biological material), 69.6% for intense sunlight/UV. In central units, 36.2% declared no contact with fuels/chemicals and 31.9% no contact with biological material. Health and lifestyle indicators were less favorable in central units. Normal body mass index (18.5-24.9) was observed in 53.2% vs 86.1% in coastal stations (p<0.001).

Conclusions:
SAR personnel require differentiated, unit specific and service-length sensitive prevention, including structured debriefing and targeted health promotion.
REFERENCES (37)
1.
Maritime Safety Committee. Meeting Summaries and schedule [Internet]. London: Maritime Safety Committee [access 2025 Nov]. Available from: www.imo.org/en/mediacentre/meetingsummaries/pages/msc-default.aspx.
 
2.
Mielniczek K, Rutkowski G, Ratajczak J, Wieczorek M. The role of rescue services in the structures of the maritime transport safety systems in Poland. International Journal on Marine Navigation and Safety of Sea Transportation. 2024; 18(2): https://doi.org/10.12716/1001.....
 
3.
[International Convention on Maritime Search and Rescue. Hamburg, April 27, 1979 (Journal of Laws of 1988, No. 27, item 184)] (in Polish).
 
4.
[Helsinki Convention on the Protection of the Marine Environment of the Baltic Sea Area of April 9, 1992. (Journal of Laws L 73, 16.3.1994)] (in Polish).
 
5.
[Act of August 18, 2011 on Maritime Safety. (Journal of Laws of 2011, No. 228, item 1368)] (in Polish).
 
6.
[Act of September 8, 2006 on State Medical Emergency Services. (Journal of Laws of 2006, No. 191, item 1410)] (in Polish).
 
7.
Krajewska P. Modern equipment of the Polish SAR Service during a real rescue operation in the Baltic Sea taking into account the recommendations of the 3-volume IAMSAR Manual. International Journal on Marine Navigation and Safety of Sea Transportation. 2021; 15(1): 197-202. https://doi.org/10.12716/1001.....
 
8.
www.sar.gov.pl [Internet]. Gdynia: Maritime Search and Rescue Service [access 2025 Nov 6]. Available from: www.sar.gov.pl.
 
9.
Kubiak T, Dudziński Ł. Rescue carried out in water areas by firefighting units in Poland in the years 2020-2022. Health Prob Civil. 2024; 18(2): 245-254. https://doi.org/10.5114/hpc.20....
 
10.
Śmiałek K. [New challenges and threats to maritime security in the context of the tasks of the Marine Search and Rescue Service]. Rocznik Bezpieczeństwa Morskiego. 2022; 16: 1-27 (in Polish). https://doi.org/10.5604/01.300....
 
11.
[Supreme Audit Office. Report. Functioning of the Maritime Rescue System. KIN.430.008 of 2021] (in Polish).
 
12.
[Labor Code (Journal of Laws of 2020, item 1320, as amended)] (in Polish).
 
13.
[Act of August 5, 2015, on maritime labor (Journal of Laws 2020, item 1353)] (in Polish).
 
14.
Ras J, Smith DL, Soteriades ES, Kengne AP, Leach L. Association between physical fitness and cardiovascular health in firefighters. Int J Environ Res Public Health. 2023; 20(11): 5930. https://doi.org/10.3390/ijerph....
 
15.
Sánchez-Zaballos M, Pilar Mosteiro-Díaz M. Resilience among professional health workers in emergency services. Journal of Emergency Nursing. 2021; 47(6): 925-932.e2. https://doi.org/10.1016/j.jen.....
 
16.
Kocer D, Farriols N, Cifre I, Nomen M, Lalande M, Calvelo A. PTSD among refugee rescue workers: effects of compassion satisfaction and fatigue on burnout. Journal of Loss and Trauma. 2023; 29(4): 421-437. https://doi.org/10.1080/153250....
 
17.
Brooks SK, Greenberg N. Mental health and psychological wellbeing of maritime personnel: a systematic review. BMC Psychol. 2022; 10: 139. https://doi.org/10.1186/s40359....
 
18.
Işın A, Turgut A, Peden AE. Descriptive epidemiology of rescue-related fatal drowning in Turkey. Int J Environ Res Public Health. 2021; 18(12): 6613. https://doi.org/10.3390/ijerph....
 
19.
Zhu Y, Jiang X, Li H, Li F, Chen J. Mortality among drowning rescuers in China, 2013: a review of 225 rescue incidents from the press. BMC Public Health. 2015; 15: 631. https://doi.org/10.1186/s12889....
 
20.
Dunne CL, Clemens T, Rotondi M, Tamim H, Macpherson AK. Lay rescuer intervention in fatal drownings in Canada, 2010-2019: a population-based cross-sectional analysis. Inj Prev. 2025; 31(4): 321-326. https://doi.org/10.1136/ip-202....
 
21.
Koon W, Peden AE, Brander RW. Impact of a surfer rescue training program in Australia and New Zealand: a mixed methods evaluation. BMC Public Health. 2023; 23(1): 2193. https://doi.org/10.1186/s12889....
 
22.
De Oliveira J, Lorenzo-Martínez M, Barcala-Furelos R, Queiroga AC, Alonso-Calvete A. Surfers as aquatics rescuers in Portugal and Spain: characteristics of rescues and resuscitation knowledge. Heliyon. 2023; 9(5): e16032. https://doi.org/10.1016/j.heli....
 
23.
Barton CA, Morgan P, Tipton MJ. Development of a novel 'In-Water Mass Casualty Triage Tool'. BMJ Mil Health. 2025. Forthcoming. https://doi.org/10.1136/milita....
 
24.
Stickley A, Baburin A, Jasilionis D, Krumins J, Martikainen P, Kondo N, et al. Sociodemographic inequalities in mortality from drowning in the Baltic countries and Finland in 2000-2015: a register-based study. BMC Public Health. 2023; 23: 1103. https://doi.org/10.1186/s12889....
 
25.
Dabulevičienė T, Nesteckytė T, Kelpšaitė-Rimkienė L. Assessing the effect of coastal upwelling on the air temperature at the south-eastern coast of the Baltic Sea. Oceanologia. 2024; 66(2): 394-404. https://doi.org/10.1016/j.ocea....
 
26.
Casper A, Nuss ES, Baker CM, Moulton M, Dusek G. Assessing NOAA rip-current hazard likelihood predictions: comparison with lifeguard observations and parameterizations of bathymetric and transient rip-current types. Wea. Forecasting, 2024; 39: 1045-1063. https://doi.org/10.1175/WAF-D-....
 
27.
Mann I, Mourão Permoser J. Floating sanctuaries: the ethics of search and rescue at sea. Migration Studies. 2022; 10(3): 442-463. https://doi.org/10.1093/migrat....
 
28.
Kosmas V, Acciaro M, Besiou M. Saving migrants’ lives at sea: improving search and rescue operations. Production and Operations Management. 2022; 31(4): 1872-1889. https://doi.org/10.1111/poms.1....
 
29.
Wetterich C. Search and rescue ships as exceptional spaces in the Mediterranean: navigating emergencies, threats and governmental actions. Journal of Intercultural Studies. 2022; 44(1): 77-92. https://doi.org/10.1080/072568....
 
30.
Doremidov D. Surviving equipment and surviving at sea. [Degree Thesis]. Turku: Novia University of Applied Sciences; 2024.
 
31.
Beardslee LA, Casper ET, Lawson BD. Submarine medicine: an overview of the unique challenges, medical concerns, and gaps. Undersea & Hyperbaric Medicine. 2021; 48(3): 263. http://doi.org//10.22462/05.06....
 
32.
Statistics Poland. [Statistical Yearbook of Maritime Economy 2024. Length of the sea coastline in Poland] [Internet]. Warsaw: Statistics Poland; 2024 [access 2025 Nov 14]. Available from: https://stat.gov.pl/obszary-te... (in Polish).
 
33.
Kurylczyk A, Giedrojć M, Zakrzewska M. Impact of the COVID-19 pandemic on water safety services in selected municipalities in the southern Baltic Sea. European Research Studies Journal, 2021; XXIV(4B): 943-951. https://doi.org/10.35808/ersj/....
 
34.
Castelle B, Dehez J, Savy JP, Marieu V, Lyser S, Bujan S, et al. Environmental controls on lifeguard-estimated surf-zone hazards, beach crowds, and resulting life risk at a high-energy sandy beach in southwest France. Nat Hazards. 2024; 120: 1557-1576. https://doi.org/10.1007/s11069....
 
35.
Rasmussen JV, Breindahl N, Bitzer K, Sorensen O, Wildenschild A, Møller TP, et al. Assessment of Danish surf lifeguards’ skills using in situ simulation: a retrospective cohort study. Injury Prevention. 2025; 9. https://doi.org/10.1136/ip-202....
 
36.
Dillard JS, Maynard W, Kashyap R. The epidemiology of maritime patients requiring medical evacuation: a literature review. Cureus. 2023; 15(11): e49606. https://doi.org/10.7759/cureus....
 
37.
Kruke BI, Auestad AC. Emergency preparedness and rescue in Arctic waters safety science. 2021; 136: 105163. https://doi.org//10.1016/j.ssc....
 
eISSN:2354-0265
ISSN:2353-6942
Journals System - logo
Scroll to top