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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. 

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:

 

6MFS Suggestion Form


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NWCG Latest Announcements

2025 Wildland Fire EMS Awards

Date:  June 12, 2026
Questions? 
Please contact: Emergency Medical Committee

The NWCG Emergency Medical Committee (EMC) announces the recipients of the 2025 Wildland Fire Emergency Medical Service (EMS) Awards. EMC annually recognizes individuals and groups who have demonstrated outstanding actions or accomplishments that are above and beyond the expectation of one’s normal mission or job duties.

Congratulations to all the awardees and nominees. Through leadership and initiative, they have made significant contributions to the safety of the wildland fire community. These awards are well deserved.

References:

2025 Wildland Fire EMS Awards

Emergency Medical Committee

Incident Position Standards and the Next Generation Position Task Book Now Available for RAMP

Date:  June 12, 2026
Questions? 
Please contact: Airtanker Base Operations Unit

NWCG is excited to announce that Incident Position Standards and the Next Generation Position Task Book are now available for Ramp Manager (RAMP).

The Performance Support Package for this position was developed as part of the Incident Performance and Training Modernization effort. These resources support trainees, qualified personnel, and evaluators in their respective roles.

Any changes to qualification pathways will take effect with the next update of the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1, scheduled for release in January 2027.

References:

NWCG Ramp Manager Position Page

National Interagency Aviation Committee

Make an Impact: Serve the Wildland Fire Community as an IPTM SME!

Date:  June 11, 2026
Questions? 
Please contact: NWCG SME Specialist

Note: Positions with an * will last approximately 6 months.
Positions with ** will last 12 - 18 months.

NWCG is seeking experienced wildland firefighters and support personnel to serve as Subject Matter Experts (SMEs) for the Incident Performance and Training Modernization (IPTM) initiative. IPTM aims to transition NWCG’s training and qualification system to a performance-based model by updating position descriptions, Incident Position Standards, Next Generation Position Task Books (Next Gen PTBs), and training where needed.

NWCG is currently recruiting SMEs for the Fall 2026 positions listed below:

  • Equipment Manager (EQPM)*
  • Fixed Wing Parking Tender (FWPT)**
  • Mixmaster (MXMS)*
  • Public Information Officer Complex (PIOC)*
  • Retardant Crewmember (RTCM)*
  • Strike Team Leader Crew (STCR)*
  • Strike Team Leader Engine (STEN)*
  • Strike Team Leader Heavy Equipment (STEQ)*
  • Task Force Leader (TFLD)**
  • Wildland Fire Investigator (INVF)** 

Projects begin October 2026. Sign up by July 10, 2026, at the link below and review the attached document for additional details. 

References:

NWCG SME Interest Sign-up

IPTM Subject Matter Expert Duties and Expectations Document

Incident Performance and Training Modernization (IPTM)

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