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Serious Injury Procedures

Dealing with serious injuries on the fireline can add even more stress to our hectic work environment. In the event a fireline accident occurs, adherence to the following principles is important to ensure an adequate and appropriate response is made.

  • Before entering the scene, determine whether it is safe to approach. Look for hazards as well as what may have happened. It may be necessary to move the patient or to make the area safe before doing an assessment.
  • Provide life- or limb-saving or sight-preserving first aid and assess the extent of the injuries.
  • Contact your supervisor. Depending on the complexity of the fire, that could be your Crew Boss, Division Supervisor, Incident Commander, or even dispatch. If your fire has a medical plan, follow the plan.
  • Provide accurate, concise information on the following:
    • Number of people injured.
    • Type of injuries.
    • Severity of injuries (light, moderate, severe, life threatening).
    • Mechanism of injury.
    • Vital signs (pulse, respiration, level of consciousness, etc.).
  • Determine the best method of evacuation. Depending on the severity of injury or availability of resources, this decision may already be made for you.
  • Keep the radio frequency clear of non-emergency traffic. Provide updates of the patient's condition and await instructions.
  • If evacuation is by helicopter, it may be necessary to construct a helispot. Document treatment provided in case it is necessary to send the information along with the patient in the aircraft.
  • If the patient needs to be carried to a road, ensure enough people are available to work in relays.
  • Once the patient is clear, take a moment to write down a few thoughts to capture the circumstances of events, clean up notes and timelines, and document any other pertinent information.

 

Category
Firefighter Health & First Aid
References
Medical Plan, ICS 206 WF, including Medical Incident Report


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2025 NWCG Incident Response Pocket Guide (IRPG), PMS 461, Now Available

Date: February 27, 2025
Contact: Incident Operations Subcommittee

NWCG is excited to announce that the 2025 NWCG Incident Response Pocket Guide (IRPG), PMS 461, is now available. Visit NWCG's website to learn about the major updates and changes in the 2025 version of the IRPG. The NWCG Guia de Respuesta de Incidente de Bolsillo (GRI), PMS 461-ES is available electronically and will be available from Great Basin Cache by early summer 2025.

All hard copy materials, including the IRPG, are ordered through the Great Basin Cache (GBK). Information on the ordering process can be found in the National Fire Equipment System (NFES) Catalog.

References:

2025 IRPG Information 

NWCG Incident Response Pocket Guide (IRPG), PMS 461 

NWCG Guia de Respuesta de Incidente de Bolsillo (GRI), PMS 461-ES 

NWCG NFES Catalog - Part 2: Publications, PMS 449-2 

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Contact: Wildland Fire Leadership Development Program (WFLDP)

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Professional Reading Program

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Date: February 5, 2025
Contact: Julie Bennett, Incident Business Committee Chair

The Incident Business Committee (IBC) is requesting volunteers for a new task group to revise the 1981 version of the Property Loss or Damage Report, OF 289 and create an incident replacement job aid. The volunteers may be recruited from within or outside the Geographic Area Incident Business Committees.

References:

IBC Memorandum 25-02

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2025 Updates to the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1

Date: February 4, 2025
Contact: Incident and Position Standards Committee

The NWCG Incident and Position Standards Committee has updated the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1. 

These updates address changes to incident position names and requirements for qualification, training, and experience. Updates related to the implementation of Complex Incident Management (CIM) are also included.  

The NWCG Wildland Fire Position Qualification Flowchart, PMS 308 has also been updated to reflect the recent changes.

References:

NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1

NWCG Wildland Fire Position Qualification Flowchart, PMS 308

NWCG Memo: 2025-01 January 2025 Updates to the NWCG Standards for Wildland Fire Positions Qualifications, PMS 310-1