27th Jun 2022

On board with SOS Méditerranée

Migrant rescues: 'You can't save everyone'

  • In a training drill, Jeremie and his crew rush a casualty back to Ocean Viking (Photo: Nikolaj Nielsen)

The whirl of the twin 115 horsepower engines picks up as the propellers of the three-tonne rescue speed boat churns the choppy blue waters somewhere east of Sardinia.

"You ready? Let's do this!" says Jeremie [EUobserver is only using the first names of crew members] to his three-man crew on the speed boat, coined the Easy 1.

Read and decide

Join EUobserver today

Become an expert on Europe

Get instant access to all articles — and 20 years of archives. 14-day free trial.

... or subscribe as a group

  • Charlie and his crew heading out for a drill to rescue casualties at sea (Photo: Nikolaj Nielsen)

Within moments the Norwegian-flagged Ocean Viking begins to recede on the horizon, as Easy 1 hits over 40 knots per hour.

"Okay," says Jeremie, signalling to the driver Rocco to slow down.

He motions to Fulvia to prepare the rubber dummy for a CPR exercise, as the swells gently rock the boat.

Everyone is wearing FFP2 masks, a safety protocol to prevent any possible transmission of Covid from those rescued.

Despite the masks, radio communication remains audible and relatively clear - when voiced loudly and slowly.

The trick is to keep composed and not let the adrenaline affect you.

But the training still kicks in fast.

"Man overboard, man overboard!" yells Hassan.

"Port side!!" he says.

Rocco steers the boat in the direction of the casualty, a floating dummy with around the same weight as an adult male. He then pulls back the throttle for a slow, careful approach.

The team rolls it over the large orange sponson and into the deck of the raft for a rapid assessment.

"Hassan, I want to know if he is breathing or responsive," says Jeremie.

Hassan places his hands on the causality, asking if he is okay.

"He's unconscious and not breathing!" responds Hassan, as he carefully lifts up the chin to better expose the airways.

Fulvia places an adult manual resuscitator 'Ambu' bag on it, two pumps, followed by 30 chest compressions.

"Five, four, three, two, one!" says Hassan, counting down the last five chest compressions so that Fulvia can pump the Ambu bag at the right moment.

Meanwhile, Jeremie calls it in on the radio to inform the medical crew on board. The CPR continues as the swell and waves pound Easy 1 but the team appears to be in control.

Within moments they arrive at the Ocean Viking's boat landing and the casualty is lifted out with a soft stretcher, where the medical team quickly takes over.

Easy 1 roils back from Ocean Viking, the water frothing white around the outboard motors, and then speeds out to open sea to repeat the training.

When it comes to resuscitation of children and babies, the number and type of chest compressions and Ambu pumps differ.

A baby takes three compressions, using two thumbs on the breast, and one breath to resuscitate. That this is a plausible reality speaks volumes.

It also poses fundamental questions, drawing a grey line between those you can save and those you cannot.

"You can only save as many people as possible. Sometimes you have to choose," says Charlie, team leader for Easy 2.

Every rescue has a scope of influence, a coping mechanism that lays bare some harsh realities.

In some rescues, not everyone can be saved.

Rescuers need to internalise that most everything is out of their control, while a smaller bit is within their influence - and even a smaller bit within their grasp.

Balancing those concepts allows them to focus their energy. There is no point in trying to save someone who cannot be rescued, while others are more likely to survive.

Clear lines of communication are therefore crucial to fully understand the scope of influence.

Part of that involves having a shared mental model of the crisis, a unified goal to ensure accurate assessments on an approach.

But it also means avoiding a strict hierarchy command on board because assessments of what is happening can be made from different angles.

The crew therefore needs to feel confident to point out critical issues. At the same time, the search-and-rescue leader cannot be overwhelmed with information.

It means an issue can only be voiced aloud twice.

If there is no response from the leader, then it might mean he sees something else more demanding.

"For us the priority is to be able to face the most dramatic thing ever altogether. If you are alone, you won't get much done," Jeremie had told the crew, during a briefing.

The Ocean Viking is set to leave east Sardinia on Wednesday (30 June) afternoon, and then steer a course towards international waters off Libya.

Author bio

Nikolaj Nielsen, an EUobserver journalist, is embedded on the Ocean Viking for the coming weeks, reporting exclusively from the boat on the Mediterranean migration route.

On board with SOS Méditerranée

The migration 'pull-factor' claim - debunked

Empirical evidence shows rescue operations at sea are not a pull-factor. But that suspicion has underpinned a campaign to criminalise NGO actions. Eight legal cases were launched this year alone, bringing the total caseload to 58.

On board with SOS Méditerranée

EU talks migration over dinner, as NGO rescue-ship sets sail

Some 30 crew members boarded the Ocean Viking rescue ship in the port of Marseille on Wednesday, a full day ahead of an EU summit in Brussels where migration will be discussed over the afternoon and dinner.

Libyan detention centres must end, EU says

The EU has trained and equipped the Libyan Coast Guard. Those intercepted are then returned. Now Turkey has taken the lead, raising the stakes of possible leverage over the European Union as Ankara takes control of the route.

On board with SOS Méditerranée

Adrift at sea: an empty wooden boat

After leaving the French port of Marseille on Sunday, the Ocean Viking on Thursday morning spots an empty wooden boat at sea, an eerie prospect of what lies ahead as it plots a course south towards international waters off Libya.

On board with SOS Méditerranée

Malta refuses to help rescue involving disabled children

The Libyan Coast Guard intercepted a wooden boat of 30 people some 10 nautical miles inside Malta's search and rescue zone. But then suddenly let them go, allowing the Ocean Viking to perform its first rescue since leaving Marseille.


Denmark shattering lives of Syrian refugees

Denmark is throwing out Syrian refugees, who risk violence and who made Denmark their home for years, in a test of the EU country's respect for human rights.

News in Brief

  1. Possible terror attack halts gay pride in Norway
  2. Belgian PM: Gas shortage requires joint response
  3. Bulgarian MPs set conditions for lifting enlargement veto
  4. Latvia: We need a brigade-size Nato force to 'feel safe'
  5. Deal reached on controversial energy treaty reform
  6. EU carbon emissions from energy up 6% in 2021
  7. Germany step closer to gas rationing
  8. Albania: EU 'disgrace' at lack of enlargement progress

Stakeholders' Highlights

  1. Nordic Council of MinistersEmerging journalists from the Nordics and Canada report the facts of the climate crisis
  2. Council of the EUEU: new rules on corporate sustainability reporting
  3. Nordic Council of MinistersNordic ministers for culture: Protect Ukraine’s cultural heritage!
  4. Reuters InstituteDigital News Report 2022
  5. EFBWW – EFBH – FETBBHow price increases affect construction workers
  6. Nordic Council of MinistersNew Nordic think tank examines influence of tech giants

Latest News

  1. EU summit's uncertainty in the face of economic war
  2. Next winter's gas looms large at EU summer summit
  3. Ukraine becomes EU candidate after 120 days of war
  4. How to enhance EU cybersecurity
  5. Competing options for EU enlargement
  6. MEPs demand to exit 'ecocide treaty' after reforms 'fail'
  7. Finland optimistic in Turkey talks over Nato
  8. Hungary's global-tax veto seen as 'blackmail'

Join EUobserver

Support quality EU news

Join us