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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

6MFS Suggestion Form


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NEW! S-390, Introduction to Wildland Fire Behavior Calculations (Blended) Available Now

Date: December 22, 2025
Questions about RT-130? 
Please contact: Fire Behavior Subcommittee

NWCG is excited to announce that the new S-390, Introduction to Wildland Fire Behavior Calculations (Blended) training is now available on the Wildland Fire Learning Portal.

This third course in the series combines online and instructor-led training components aimed at individuals who are involved in planning, managing, and executing wildland fire and prescribed burn operations; who require a thorough understanding of fire behavior calculations to enhance effectiveness and safety. This includes students who require the knowledge and skill necessary to perform the duties of a Type 3 Incident Commander (ICT3), Division/Group Supervisor (DIVS), or Prescribed Fire Burn Boss Type 2 (RXB2).

Students are required to be qualified as any Single Resource Boss position and complete the prerequisite S-290, Intermediate Wildland Fire behavior (Blended) course, before enrolling in S-390.

References:

S-390, Introduction to Wildland Fire Behavior Calculations (Blended)

Wildland Fire Learning Portal

NEW! S-320, Introduction to Incident Management Teams (Blended) Available Now

Date: December 18, 2025
Questions about RT-130? 
Please contact: Incident and Position Standards Committee

NWCG is excited to announce that S-320, Introduction to Incident Management Teams (Blended) is now available on the Wildland Fire Learning Portal!

This blended course combines online learning with instructor-led training, designed for individuals seeking to build leadership skills and gain experience in incident management.

Students are required to complete the prerequisite trainings ICS-100, Introduction to Incident Command System (ICS), ICS-200, Basic ICS for Initial Response, and ICS-700, An Introduction to the National Incident Management System (NIMS) prior to attending S-320.

References:

S-320, Introduction to Incident Management Teams (Blended)

Wildland Fire Learning Portal

New! Ransom Road WFSTAR Module

Date: December 16, 2025
Questions about RT-130? 
Please contact: NWCG Audiovisual Specialist

NWCG is excited to announce the release of the new Ransom Road Fire Module to RT-130, Wildland Fire Safety Training Annual Refresher (WFSTAR).

This module features a firsthand account from Rob Lee, official reports, and animated maps of the Ransom Road Fire which occurred on June 8, 1981, in Florida's Merritt Island National Wildlife Refuge.

The module is available now in NWCG's RT-130, WFSTAR Catalog.

References:

WFSTAR Catalog

Wildland Fire Lessons Learned Center

Call for Nominations: Paul Gleason Lead by Example Award

Date: December 11, 2025
Questions? Please contact:
 Leadership Committee 

Do you know someone working in wildland fire who strives to make positive change and is undeterred by obstacles or setbacks? Now is your chance to give that person the acknowledgment they deserve by nominating them for a Paul Gleason Lead by Example Award.

This award, is presented by the NWCG Leadership Committee to remember Paul Gleason's contributions to the wildland fire community and to recognize individuals or groups that exhibit the same spirit and dedication to leadership – those who lead by example.

Nominations can be submitted via email with an attached Lead by Example Form to BLM_FA_Leadership_Feedback@blm.gov or through the online form. 

Tips for successful nominations and more information can be found on the Lead by Example webpage. All nominations must be submitted by December 31, 2025.

References:

Paul Gleason Lead By Example Award 

Paul Gleason Lead by Example Award Nomination Form 2025 

Leadership Committee