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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?

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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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:

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Date:  March 6, 2026
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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. 

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Date:  March 6, 2026
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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.

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

Date:  March 6, 2026
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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).

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