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Concussion and Head Injuries

 

Being struck in the head is unfortunately common in the wildland environment. Snags, equipment, loose scree, and UTV use all abound in our environment. Hard hats and helmets are a must and provide a degree of protection. But what if your co-worker gets a hit to the head (with helmet on!) and stumbles to the ground?

Image
Twelve symptoms that could indicated concussion.

Consider the scenario:

Your crew is walking along a trail when a large tree branch falls and hits the head of a team member. They are knocked to the ground but do not appear unconscious. No other injuries are identified and after a few minutes they seem to be OK. With relief, you hike onwards. A few minutes later they ask, “Where are we?” and you answer. Again, after a couple minutes the same question—same answer. This happens several more times and pretty clearly, they are not able to process or retain the information. What’s going on? What should you do? 

A blow to the head–with or without loss of consciousness–which results in some impaired cognition is a concussion. Concussed individuals sometimes repeatedly ask the same question and can’t seem to process the answers. They may complain of headache, dizziness, nausea. More severe concussions can result in being off balance, vomiting and some degree of panic as they cannot understand what has happened no matter how much you explain.

Fortunately, thanks to mainly the field of Sports Medicine there are now standard approaches to patients with concussions, as well as clear guidelines.

Follow the three 6 Rs: recognize, report, and recover.

Or even better are the 6 R’s:

  • Recognize. Learn the signs and symptoms of a concussion.
  • Remove. If an individual has a concussion or even a suspected concussion, they must be removed from duty immediately.
  • Refer. Seek medical attention.
  • Rest. A minimum of 24 hours for mild symptoms – 72 is better.
  • Recover. And then begin a gradual process of low levels of physical and mental activities over the next 7-14 days.
  • Return. If all symptoms have resolved and you are cleared to do so by a medical provider.

Allowing a person with a concussion to continue on duty is not only detrimental to their recovery but could put the entire crew in jeopardy if quick thinking or movement is required.

References:

Category
Firefighter Health and First Aid

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Updated! L-280, Followership to Leadership (Instructor-led) Course

Date: October 3, 2024
Questions? Please contact:
Leadership Committee

NWCG is pleased to announce the updated L-280, Followership to Leadership (Instructor-led) course is now available. L-280 is intended for operational personnel at the Firefighter Type 1 level, and for individuals pursuing Leadership Level 2, New Leader. 

This instructor-led course is a primer on leadership and the second formal course in the Wildland Fire Leadership Development Program. It helps emerging leaders build the confidence, skills, and mindset needed to lead effectively in high-risk environments. 

For more information about leadership development and available courses, visit the Leadership Committee Web Portal.

References:

L-280, Followership to Leadership (Instructor-led)

Wildland Fire Leadership Development Program

Wildland Fire Learning Portal

Equipment Advisory 25-01: Pre-2006 Fire Shelter Degradation and Discontinuation of Use

Date: Sept 26, 2025
Questions? Please contact:
Equipment Technology Committee 

The Equipment Technology Committee (ETC) has released Equipment Advisory 25-01: Pre-2006 Fire Shelter Degradation and Discontinuation of Use. This advisory recommends all pre-2006 fire shelters should be removed from service by January 1, 2026.

This advisory recommends firefighters and fire managers to:

  • Inspect fire shelters immediately
  • Replace and destroy any pre-2006 shelters (identified by white or pink insert label)
  • Order replacements as needed

For further details, please refer to the complete advisory. 

References:

Equipment Advisory 25-01: Pre-2006 Fire Shelter Degradation and Discontinuation of Use

NWCG Fire Inspection Flowchart, PMS 411-1

NWCG Alerts

NEW! S-219, Firing Operations (Blended) Now Available

Date: Sept 11, 2025
Questions? Please contact:
Fuels Management Committee 

The S-219, Firing Operations (Blended) course is now available on the Wildland Fire Learning Portal. Developed through the Incident Performance and Training Modernization (IPTM) effort, this training supports individuals working towards Firing Boss, Single Resource (FIRB) incident qualifications.

This blended course combines online and instructor-led training to provide students with the knowledge and skills required to perform the duties of the FIRB, as described in the NWCG Incident Position Standards for Firing Boss, Single Resource, PMS 350-105.

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 January 2026.

References:

S-219, Firing Operations (Blended)

NWCG Firing Boss, Single Resource Position Page

Wildland Fire Learning Portal

NWCG Committees Observe Suicide Prevention Awareness Week: September 7-13, 2025

Date: Sep 5, 2025
Questions? Please contact:
Mental Health Subcommittee

The NWCG Mental Health Subcommittee (MHSC) and Risk Management Committee (RMC) recognize the unique challenges and demands faced by the wildland fire community. The MHSC and RMC know that we are all stronger together and believe in fostering a culture of support, understanding, and resilience.

Suicide Prevention Awareness encourages us to actively connect with and support each other. For more information that could make a difference for yourself or someone else please review the materials and resources provided for the 2025 Suicide Prevention Awareness Week.

References:

2025 Suicide Prevention Awareness Week Materials and Resources