People who work in the rescue service as task-leading personnel/fire commanders participate in rescue operations that in one or more ways can be perceived as traumatic. Firefighters who service as task-leading personnel have an overall responsibility regarding their own personnel, the people who are affected and in need of rescue efforts as well as any media coverage and the like, all this combined with the time pressure that often exists in connection with a rescue operation are factors that contribute to increased levels of stress for people who work in the rescue service as task-leading personnel Of the 89 participants in this survey, 71% have experienced some form of stress-related symptoms in connection with a rescue operation, the most common symptoms discovered in this study are sleep problems, depression and flashbacks in various forms which are typical reactions that can occur in connection with a traumatic rescue operation. These symptoms, if not treated in the near future to the current rescue effort, lead to further deterioration of mental well-being and in the worst case scenario lead to a post-traumatic stress disorder, which often requires specialist treatment. The support offered by the respective organizations is considered by the respondents in nine cases out of ten to be wholly or partly enough. At the same time, there are clear signs that personnel in the rescue service both reflect and work actively with issues concerning mental illness, where a large number of ideas regarding possible areas for improvement were registered. This is positive and it´s extremely important for task-leading personnel to have good conditions to have the best presumptions to continue to contribute to increased security in our society. Possible areas for improvement that the participants suggest includes more extensive training on peer support activities, clearer routines on when and how these relieving conversations should be conducted and more time for rest and recovery. In order for the rescue service to have the opportunity to continue to contribute to increased security in society, it is of great importance that discussions and development work on the subject of mental illness and the management of this progress to give the people who work with operational management the right conditions to lead and coordinate efforts in an effective and successful manner.