A New York Times investigation titled "In the Surf" examines the prevalence and impact of brain injuries within the United States Coast Guard. The reporting highlights how service members face unique neurological risks during maritime operations, search and rescue missions, and training exercises.

The examination reveals that Coast Guard personnel experience traumatic brain injuries at rates comparable to other military branches, yet receive less attention and specialized care. Factors include repeated exposure to blast waves, high-speed boat impacts, and helicopter operations in harsh conditions.

Current protocols for diagnosis and treatment remain inconsistent across units, with many cases going unreported or misdiagnosed. The investigation calls for improved screening, dedicated neurological resources, and policy changes to protect service members' long-term cognitive health.