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Burn Protocols

 

Burn injuries range from minor burns that can be taken care of with basic first aid on the fireline to life-threatening injuries that require complex treatment and surgical teams at regional burn centers. Due to recent changes in both technology and the American Burn Association referral guidelines, NWCG has updated their burn protocol recommendations which can be found on the NWCG website and in the current Interagency Standards for Fire & Fire Aviation Operations (Red Book). Firefighters should familiarize themselves with these new protocols.

A burn injury that is beyond basic first aid treatment should be sent to the nearest emergency department for evaluation. Any life-threatening issues such as airway, pain control, and fluid resuscitation can, and should, be treated at a local emergency department. Bypassing local emergency departments to go directly to regional burn centers can put the patient at risk, delay initial treatment, and result in unnecessary travel and risk to both the patient and others. Of note, if a local EMS/aeromedical resource responds and transports the patient, they will follow their destination protocols.

In the emergency department, a licensed independent provider will determine what care should be initiated. This may include any of the below:

  • Immediate transfer to a burn center after stabilization
  • Remote (tele) consultation with a burn center
  • Treatment and referral to local primary care or wound care

The NWCG burn protocol has a flow sheet that addresses the processes in the emergency department as well as a handout that can be provided to the physician to help guide treatment for our firefighters.

When a patient does not need emergent transfer to a burn center it is common for burns to continue to evolve and develop over the course of days to weeks. This means that treatment does not end after the initial emergency department visit. It is imperative to follow the directions from the emergency department and attend all follow-up appointments. All burn patients being discharged from an emergency department should receive/request a follow-up referral.

Discussion Items:

  • What does a minor burn that could be taken care of with first aid look like?
  • What would your crew do if they had a member sustain a large burn on the hand? Consider initial treatment by your crew.
  • When would you activate EMS/IWI? Which Emergency Room would they go to?

Resources:

Category
Firefighter Health and First Aid

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NWCG Latest Announcements

2024 Paul Gleason Award Winners Announced

Date:  March 13, 2026
Questions? 
Please contact: Leadership Committee

The NWCG Leadership Committee is proud to announce the recipients of the 2024 Paul Gleason "Lead By Example" awards. Award categories include Initiative and Innovation, Mentoring and Teamwork, Motivation and Vision, as well as a Lifetime Achievement Award.

Congratulations to the awardees:

  • Justin Baxter, National Unmanned Aerial System (UAS) Operations Specialist, with the U.S. Forest Service — Initiative and Innovation
  • Kelly Woods, Director of the Wildland Firefighting Lessons Learned Center — Mentoring and Teamwork
  • Doug Booster, Instructor, ProHealth Net, Inc. — Motivation and Vision
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References:

Paul Gleason Lead By Example Award

Wildland Fire Leadership Development Program (WFLDP)

Leadership Committee

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Date:  March 6, 2026
Questions? 
Please contact: Incident Operations Subcommittee

NWCG is pleased to announce the new S-231, Engine Boss (Single Resource) course is now available on the Wildland Fire Learning Portal (WFLP). Developed through the Incident Performance and Training Modernization (IPTM) effort, this training supports individuals working towards Engine Boss, Single Resource (ENGB) incident qualifications. 

This is a performance-based instructor-led training (ILT) that focuses on the application of ENGB responsibilities during wildland fire operations, emphasizing readiness, information gathering, risk management, engine tactics, and Wildland Urban Interface (WUI) operations. Trainees apply these skills through scenario-based group work and an optional field day that reinforces hands-on engine operation tasks. 

References:

S-231, Engine Boss (Single Resource) (Instructor-led)

NWCG Engine Boss, Single Resource (ENGB) Position Page

Wildland Fire Learning Portal

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Date:  March 6, 2026
Questions? 
Please contact: NWCG Executive Secretary

NWCG is proud to celebrate 50 years of service to the wildland fire community. Beginning in 1976 with an interagency agreement between the Department of Interior and Department of Agriculture, NWCG has grown to include additional member agencies and is recognized as the standard-setting leader in wildland fire operations.

To honor where we’ve been and highlight where we are going, the NWCG team has created a video showcasing our history and accomplishments. The video is now available on the NWCG website.

References:

NWCG 50 Year Anniversary Video

NEW! S-131, Firefighter Type 1 Course Available Now

Date:  March 6, 2026
Questions? 
Please contact: Incident Operations Subcommittee

NWCG is pleased to announce the new S-131, Firefighter Type 1 course is now available on the Wildland Fire Learning Portal (WFLP). Developed through the Incident Performance and Training Modernization (IPTM) effort, this course is a performance-based instructor-led training (ILT) that focuses on the application of situational awareness and decision making, building on the knowledge and concepts introduced in previous required courses. Using a threaded fictitious fire, each unit focuses on a performance-based activity in which students practice applying their decision-making and problem-solving skills.

The S-131, Firefighter Type 1 course is required for individuals seeking qualifications to be a Firefighter Type 1 (Squad Boss) (FFT1) or an Incident Commander Type 5 (ICT5).

References:

S-131, Firefighter Type 1 (Instructor-led)

NWCG Firefighter Type 1 (Squad Boss) Position Page

NWCG Incident Commander Type 5 Position Page

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