Skip to main content

6MFS

6MFS Committee

All 6MFS Topics

6MFS Calendar

Aviation

Airtankers

Felling Safety

Fire Communication

Firefighter Health & First Aid

Leadership

Misc Fireline Hazards

Operational Engagement

This Day in History

Vehicles - Roads

Weather - Fire Behavior

Week of Remembrance

Compartment Syndrome

Compartment syndrome

Most of our muscles are divided into compartments surrounded by fascia which is not very giving (the silver skin for those who hunt). Compartment syndrome is a painful condition that occurs when pressure within the muscle compartment builds to dangerous levels.
This pressure can decrease blood flow, which prevents nourishment and oxygen from reaching nerve and muscle cells.
Small nerve and muscle cells can die leading to permanent disability, weakness, and numbness.

Image
Leg on left shows section of calf that would be swollen, and a cross section of the calf shows where the anterior compartment area of muscle is located.

Classic signs and symptoms

  1. Muscle pain and cramping
  2. Swelling of the affected limb
  3. Weakness and decreased range of motion in the affected limb
  4. Tingling, burning or numbness

Two types to consider:

Non-Traumatic/Exertional

  • The pain and swelling are caused by physical exertion. People who participate in activities with repetitive motions, such as running or marching, are more likely to develop non traumatic compartment syndrome.
  • This may be relieved by discontinuing the physical activity and rest. It is commonly mistaken as shin splints in the lower leg.
  • This may become a surgical emergency and require surgical treatment.

Traumatic 

  • Caused by a variety of things:
    • Broken bone
    • Badly bruised muscle
    • Crush type injuries
    • Anabolic steroid use
    • Constricting bandages or clothing
  • Traumatic compartment syndrome is considered a surgical emergency and requires surgical treatment.

Watch Outs:

  • A swollen, painful limb that does not improve with rest can be a sign of a significant emergency and should be treated in an emergency department.
  • Any numbness or weakness in the limb should mandate transport for professional medical evaluation.

Discussion Questions:

  • Your leg is swollen and sore after a long day of physical work.  What should you do?
  • Your crew member has been resting his swollen leg for a couple hours and now says it is tingling and cramping, what are your next steps?
     
Category
Firefighter Health & First Aid
References
Compartment Syndrome in Wildland Firefighters (USFS)

Last Modified / Reviewed:


Have an idea or feedback?

Share it with the NWCG 6MFS Subcommittee
 


Follow NWCG on X and Facebook
 


 

Print PDF

NWCG Latest Announcements

Updated NWCG Standards for Fire Unmanned Aircraft Systems Operations, PMS 515

Date: April 23, 2025
Questions?  Please contact:
Interagency Fire Unmanned Aircraft Systems Subcommittee

The NWCG Standards for Fire Unmanned Aircraft Systems Operations, PMS 515 standardizes processes and procedures for the interagency use of Unmanned Aircraft Systems (UAS), including pilot inspections and approvals. This updated publication provides the aviation community with standards to ensure UAS are used safely, effectively, and efficiently in support of fire management goals and objectives.

References:

NWCG Standards for Fire Unmanned Aircraft Systems Operations, PMS 515

NWCG National Interagency Aviation Committee

ETC Bulletin 25-001: Retrofitted Hot/Cold Beverage Kits - 2025 Field Season

Date: April 16, 2025
Questions?  Please contact:
Equipment Technology Committee

Due to spout failures and the associated risk of burn injuries, manufacturers have retrofitted the Hot/Cold Beverage Kits using a heat-shrinking band to secure the black spout at the insertion site. The updated kits feature a fluorescent label on each full kit assembly for easy identification. Catering units are encouraged to confirm the clear heat-shrinking bands are intact around each spout before filling.

ETC Bulletin 24-001 regarding Hot/Cold Beverage Kits has been archived and replaced by ETC Bulletin 25-001 for the 2025 season.

References:

NWCG Alerts

ETC-EB-25-001 Retrofitted Hot/Cold Beverage Kits

NWCG Standards for Wildland Fire Chainsaw Operations, PMS 212, and Next Generation Position Task Book for Basic Faller Are Now Available

Date: April 14, 2025
Questions?  Please contact:
Hazard Tree and Tree Felling Subcommittee

The updated NWCG Standards for Wildland Fire Chainsaw Operations, PMS 212, and NWCG Position Task Book for Basic Faller (FAL3), PMS 311-19 are now available.

The NWCG Standards for Wildland Fire Chainsaw Operations, PMS 212 includes position standards designed to be used in conjunction with the Next Generation Position Task Book (Next Gen PTB). The Next Gen PTB for Basic Faller (FAL3) includes an evaluation guide with suggested rating elements to consider when assessing trainees.

References:

NWCG Standards For Wildland Fire Chainsaw Operations, PMS 212

NWCG Position Task Book for Basic Faller (FAL3), PMS 311-119

NWCG Basic Faller (FAL3)

RMC Memo 25-01: Summary of Updates to Safety Officer Positions

Date: April 9, 2025
Questions?  Please contact:
RMC Member Eric Fransted

The Risk Management Committee (RMC) serves as the position steward for all Safety Officer incident positions and continues to improve position standards, training, and naming conventions. The implementation of Complex Incident Management (CIM) required changes to position titles. RMC collaborated with the NWCG Incident Position Standards Committee (IPSC) to propose and implement these updates. 

References:

RMC Memo 25-01: Summary of Updates to Safety Officer Positions 

NWCG Position Catalog