This paper presents an analysis of interventions implemented by the National Firefighting and Rescue System (NFRS) units during Medical Rescue Operations (MRO) with particular emphasis on the use of mental support procedure. Observations of quantitative data pertained to interventions of NRFS units based on data from the Decision Support System (DSS) from the period of 2014–2023. The databases include: total number of interventions, breakdown into fires and local threats, daily and monthly summaries, implementation of qualified first aid (QFA) procedures, reasons for interventions, operational times, participation of forces (firefighters and cooperating personnel) and resources (equipment, transport, materials, extinguishing agents). In the years under observation, the number of interventions of NFRS entities totalled 5.14 million. Results shows a statistically significant upward trend in mental health support for injured and vulnerable people (P<0.001). Implementation of the procedure for psychological support of injured and at-risk persons depended on the location of the incident, i.e. it was most often performed in transport means (P<0.001). The State Fire Service (SFS) is the main service cooperating with medical units. Psychological support is one of the more commonly used procedures in Medical Rescue Operations (MRO).
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