The results of EuReCa ONE highlight that OHCA is still a major public health problem accounting for a substantial number of deaths in Europe. EuReCa ONE very clearly demonstrates marked differences in the processes for data collection and reported outcomes following OHCA all over Europe. Using these data and analyses, different countries, regions, systems, and concepts can benchmark themselves and may learn from each other to further improve survival following one of our major health care events.

Surf zone injuries (SZIs) are common worldwide, yet limited data is available for many geographical regions, including Europe. This study provides the first preliminary overview of SZIs along approximately 230 km of hazardous surf beaches in SW France during the summer season. A total of 2523 SZIs over 186 sample days during the summers of 2007, 2009 and 2015 were analysed. Documented injury data included date and time; beach location; flag colour; outside/inside of the bathing zone; age, gender, country and home postal code of the victim; activity; cause of injury; injury type and severity. Injuries sustained ranged from mild contusion to fatal drowning, including severe spinal injuries, wounds and luxation. While the most severe injuries (drowning) were related to rip currents, a large number of SZIs occurred as a result of shore-break waves (44.6%; n = 1125) and surfing activity (31.0%; n = 783) primarily inside and outside of lifeguard patrolled bathing zones, respectively.Victims were primarily French living more than 40 km from the beach (75.9% of the reported addresses; n = 1729), although a substantial number of victims originated from Europe (14.7% of the addresses reported; n = 335), including The Netherlands (44.2%; n = 148), Germany (26.3%; n = 88) and Belgium (12.5%; n = 49). The predominant age group involved in the incidents was between 10-25 years (54.5%; n = 1376) followed by 35-50 years (22.6%; n = 570), with the majority of SZIs involving males (69.6%, n = 1617). Despite the large predominance (74.1%; n = 33) of males involved in the most severe drowning incidents, all of which occurred outside the bathing zone, a surprisingly large proportion of females (48.0%; n = 133) experienced milder drowning incidents involving only minor to moderate respiratory impairment, peaking at 58.2% (n = 85) within the age group 10-25. The spine/cervical injury population is very young, with 58.5% (n = 313) within the age group 10-20. Specific injuries tended to occur in clusters (e.g. rip current drowning or shore-break injury) with particular days prone to rip-current drowning or hazardous shore-break waves, suggesting the potential to predict level of risk to beachgoers based on basic weather and marine conditions. This study calls for increased social-based beach safety research in France and the development of more effective public awareness campaigns to highlight the surf zone hazards, even within a supervised bathing zone. These campaigns should be targeted towards young males and females, in order to reduce the number of injuries and drownings occurring on beaches in SW France.

Abstract. The two primary causes of surf zone injuries (SZIs) worldwide, including fatal drowning and severe spinal injuries, are rip currents (rips) and shore-break waves. SZIs also result from surfing and bodyboarding activity. In this paper we address the primary environmental controls on SZIs along the high-energy meso–macro-tidal surf beach coast of southwestern France. A total of 2523 SZIs recorded by lifeguards over 186 sample days during the summers of 2007, 2009 and 2015 were combined with measured and/or hindcast weather, wave, tide, and beach morphology data. All SZIs occurred disproportionately on warm sunny days with low wind, likely because of increased beachgoer numbers and hazard exposure. Relationships were strongest for shore-break- and rip-related SZIs and weakest for surfing-related SZIs, the latter being also unaffected by tidal stage or range. Therefore, the analysis focused on bathers. More shore-break-related SZIs occur during shore-normal incident waves with average to below-average wave height (significant wave height, Hs = 0.75–1.5 m) and around higher water levels and large tide ranges when waves break on the steepest section of the beach. In contrast, more rip-related drownings occur near neap low tide, coinciding with maximised channel rip flow activity, under shore-normal incident waves with Hs >1.25 m and mean wave periods longer than 5 s. Additional drowning incidents occurred at spring high tide, presumably due to small-scale swash rips. The composite wave and tide parameters proposed by Scott et al. (2014) are key controlling factors determining SZI occurrence, although the risk ranges are not necessarily transferable to all sites. Summer beach and surf zone morphology is interannually highly variable, which is critical to SZI patterns. The upper beach slope can vary from 0.06 to 0.18 between summers, resulting in low and high shore-break-related SZIs, respectively. Summers with coast-wide highly (weakly) developed rip channels also result in widespread (scarce) rip-related drowning incidents. With life risk defined in terms of the number of people exposed to life threatening hazards at a beach, the ability of morphodynamic models to simulate primary beach morphology characteristics a few weeks or months in advance is therefore of paramount importance for predicting the primary surf zone life risks along this coast.

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