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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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NWCG Latest Announcements

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

NEW! D-110, Expanded Dispatch Recorder Course Available Now

Date:  May 15, 2026
Questions? 
Please contact: Dispatch Position and Curriculum Management Subcommittee

NWCG is pleased to announce the new D-110, Expanded Dispatch Recorder (Instructor-led) course is now available on the Wildland Fire Learning Portal (WFLP). Developed through the National Coordination System Committee, this course introduces the structure and function of expanded dispatch, the qualities of an effective dispatcher, and provides hands-on experience with the Interagency Resource Ordering Capability (IROC) system. 

The D-110, Expanded Dispatch Recorder course aligns with the competencies and duties outlined in the NWCG Incident Position Standards for Expanded Dispatch Recorder, PMS 350-59, and is designed for individuals with no prior experience who may be called upon to support dispatch operations.

References:

D-110, Expanded Dispatch Recorder (Instructor-Led)

Expanded Dispatch Recorder (EDRC), Position Page

NWCG Incident Position Standards for Expanded Dispatch Recorder, PMS 350-59

Wildland Fire Learning Portal

Leadership Committee IAP Flyer Now Available

Date:  May 8, 2026
Questions? 
Please contact: Leadership Committee

The NWCG Leadership Committee promotes and enables leadership development across the wildland fire service. The committee provides education, training opportunities, and support for leadership innovation and best practices throughout the community.

A new IAP flyer is now available on the committee website, offering an overview of the products, curriculum, and learning opportunities the Leadership Committee develops. This resource is ideal for posting in your office, sharing with new employees, or distributing through your incident management teams to engage new voices in the leadership journey and reinforce a culture of self‑reflection, development, and growth.

References:

Leadership Committee 2026 IAP Flyer

Incident Operations Subcommittee Updates the Next Generation Position Task Book for FFT1

Date:  May 7, 2026
Questions? 
Please contact: Incident Operations Subcommittee

The NWCG Incident Operations Subcommittee (IOSC) has updated the NWCG Position Task Book for Firefighter Type 1 (Squad Boss) (FFT1), PMS 311‑14. The FFT1 Position Task Book transitioned to the Next Generation (Next Gen PTB) format in June 2025 through the Incident Performance and Training Modernization effort. Since then, IOSC has received feedback from the wildland fire community regarding coding for one of the tasks. Task #13 has been updated to include the option of evaluation in a simulation.

See IOSC Memorandum 26‑01: Transition Plan for Implementation of Updates to the NWCG Position Task Book for Firefighter Type 1 (Squad Boss) (FFT1), PMS 311‑14 for more information.

References:

IOSC Memorandum 26-01: Transition Plan for Implementation of Updates to the NWCG Position Task Book for Firefighter Type 1

NWCG Firefighter Type 1 Squad Boss Position Page