Skip to main content

6MFS

6MFS Committee

6MFS Calendar

Topics Categories

All 6MFS Topics

Aviation

Airtankers

Felling Safety

Fire Communication

Firefighter Health and First Aid

Leadership

Miscellaneous Fireline Hazards

Operational Engagement

This Day in History

Vehicles - Roads

Weather - Fire Behavior

Week of Remembrance

Search All 6MFS Topics by Keyword

Exertional Rhabdomyolysis

 

Rhabdomyolysis, or “rhabdo,” is a medical condition where muscle tissue breaks down and the by-products of this process may lead to kidney failure and other complications. 

Rhabdo is commonly mistaken for heat illness or dehydration, so early recognition is critical. 

Exertional rhabdo can result from excessive exercise, physical training, or work. Wildland firefighters are engaged in strenuous activities and prolonged exertion often under harsh environmental conditions and difficult terrain–and so are at increased risk for exertional rhabdomyolysis. 

It is not possible to diagnose rhabdomyolysis in the field because specialized blood tests and a clinical evaluation by a professional are necessary. 

Contributing Factors:  

  • Sudden intense increase in physical exertion after periods away from activity such as occurs with poor conditioning and/or lower fitness levels.
  • Overexertion such as during high-intensity or long-duration activities without adequate recovery time.
  • Heat stress or working in extreme heat.
  • Excessive caffeine intake.
  • Dehydration.
  • Over the counter medications (decongestants, antihistamines, NSAIDs).
  • Prescription medications (antidepressants, statins).
  • Supplements such as creatine.

Treatment: Stop your current activity. Seek immediate care at the nearest hospital.

Rhabdomyolysis–Watch Out Situations:

Plastic cup with very dark urine.
  • Extremely sore for more than 3 days.
  • Soreness extends beyond muscles that were exercised→ i.e., the full body.
  • Soreness that feels out of proportion to the exercise done.
  • Stiffness and decreased range of motion.
  • Nausea, vomiting, headache, confusion.
  • Swelling in the arms and legs.
  • Dark, cola colored urine; gradually getting darker.
  • Extreme fatigue and/or weakness.

Key Recommendations:

  • Listen to your body!
  • Maintain your physical training program, nutrition, hydration, and rest.
  • Introduce new exercises slowly.
  • Keep open lines of communication about fitness, rhabdo, and other injuries/ailments.

Discussion Questions:

  • Given we have a very physical job, what would excessive pain, fatigue, and cramps look like to you?
  • What is your crew’s medical plan for rhabdomyolysis?
  • What are specific steps you and your crew can take to prevent and respond to this condition?

References:

Category
Firefighter Health and First Aid

6MFS Suggestion Form


Have an idea or feedback?

Share it with the NWCG 6MFS Subcommittee
 


Follow NWCG on X and Facebook
 


 

Print PDF

Last Modified / Reviewed:

NWCG Latest Announcements

RMC Safety Bulletin 26-001: Rhabdomyolysis in Wildland Firefighters

Date:  May 28, 2026
Questions? 
Please contact: Risk Management Committee

The Risk Management Committee (RMC) has issued Safety Bulletin 26-001: Rhabdomyolysis in Wildland Firefighters. Research from 2016 to 2025 shows that 88 cases of rhabdomyolysis (rhabdo) were reported. Analysis of reports from eSafety, the Safety Management Information System (SMIS), and the Wildland Fire Lessons Learned Center (LLC) indicates that rhabdo is common during this time of year due to Work Capacity Tests and contributing factors such as weather, hydration, nutrition, and medication or supplement use.

RMC issued this safety bulletin to raise awareness in the Wildland Fire Community, and to provide research findings and educational resources that support reducing future cases of rhabdo.

References:

NWCG Alerts

RMC Safety Bulletin 26-001: Rhabdomyolysis in Wildland Firefighters

NEW! D-110, Expanded Dispatch Recorder Course Available Now

Date:  May 15, 2026
Questions? 
Please contact: Dispatch Position and Curriculum Management Subcommittee

NWCG is pleased to announce the new D-110, Expanded Dispatch Recorder (Instructor-led) course is now available on the Wildland Fire Learning Portal (WFLP). Developed through the National Coordination System Committee, this course introduces the structure and function of expanded dispatch, the qualities of an effective dispatcher, and provides hands-on experience with the Interagency Resource Ordering Capability (IROC) system. 

The D-110, Expanded Dispatch Recorder course aligns with the competencies and duties outlined in the NWCG Incident Position Standards for Expanded Dispatch Recorder, PMS 350-59, and is designed for individuals with no prior experience who may be called upon to support dispatch operations.

References:

D-110, Expanded Dispatch Recorder (Instructor-Led)

Expanded Dispatch Recorder (EDRC), Position Page

NWCG Incident Position Standards for Expanded Dispatch Recorder, PMS 350-59

Wildland Fire Learning Portal

Leadership Committee IAP Flyer Now Available

Date:  May 8, 2026
Questions? 
Please contact: Leadership Committee

The NWCG Leadership Committee promotes and enables leadership development across the wildland fire service. The committee provides education, training opportunities, and support for leadership innovation and best practices throughout the community.

A new IAP flyer is now available on the committee website, offering an overview of the products, curriculum, and learning opportunities the Leadership Committee develops. This resource is ideal for posting in your office, sharing with new employees, or distributing through your incident management teams to engage new voices in the leadership journey and reinforce a culture of self‑reflection, development, and growth.

References:

Leadership Committee 2026 IAP Flyer

Incident Operations Subcommittee Updates the Next Generation Position Task Book for FFT1

Date:  May 7, 2026
Questions? 
Please contact: Incident Operations Subcommittee

The NWCG Incident Operations Subcommittee (IOSC) has updated the NWCG Position Task Book for Firefighter Type 1 (Squad Boss) (FFT1), PMS 311‑14. The FFT1 Position Task Book transitioned to the Next Generation (Next Gen PTB) format in June 2025 through the Incident Performance and Training Modernization effort. Since then, IOSC has received feedback from the wildland fire community regarding coding for one of the tasks. Task #13 has been updated to include the option of evaluation in a simulation.

See IOSC Memorandum 26‑01: Transition Plan for Implementation of Updates to the NWCG Position Task Book for Firefighter Type 1 (Squad Boss) (FFT1), PMS 311‑14 for more information.

References:

IOSC Memorandum 26-01: Transition Plan for Implementation of Updates to the NWCG Position Task Book for Firefighter Type 1

NWCG Firefighter Type 1 Squad Boss Position Page