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2024 WOR: Burn Protocols

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Burn Protocols

On August 19, 2018, while conducting burn operations on the Mendocino Complex, six firefighters were forced to run from the fire after a sudden wind shift caused a significant increase in fire behavior and cut off their escape route. During their escape, firefighters suffered 1st and 2nd degree burns. Initially the burned firefighters declined the need for medical transport. Upon further evaluation, they were transported for medical treatment. 

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Figure 1: NWCG Burn Injury Protocols.
Figure 1: NWCG Burn Injury Protocols. (select image to enlarge)

To help firefighters and fire managers better assess burn injuries and expedite evacuations, the NWCG Emergency Medical Committee (EMC) developed and released burn protocols in 2023. 

The burn protocols require transfer to the nearest emergency department for all moderate and any minor burns that do not improve with basic first aid treatment. Firefighters should not hesitate to activate the Incident Within an Incident (IWI) process for anything more than a minor burn.

Many burns will NOT need treatment at a burn center initially but require close follow-up over days to weeks for possible treatment at a burn center later as the wound heals.
 
Burns that appear minor should be monitored as small or minor burns can become infected and threaten firefighter health.

Wildland firefighters train for the worst-case scenario often involving an Incident Within an Incident (IWI).  All wildland firefighters must be trained to use the Medical Incident Report (ICS 206 WF).  The Medical Incident Report is available in your NWCG Incident Response Pocket Guide (IRPG), PMS 461 on pages 118-119. 

Discussion Questions:

  • What are your home unit's reporting protocols for burns and injuries? 
  • Do you know the location of your nearest emergency department?
  • Discuss burn sources (heat vs. chemical) and what training and resources you have on your crew to treat burns until transfer to definitive care is achieved.
     

Resources:

 

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