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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

2025 Wildland Fire EMS Awards

Date:  June 12, 2026
Questions? 
Please contact: Emergency Medical Committee

The NWCG Emergency Medical Committee (EMC) announces the recipients of the 2025 Wildland Fire Emergency Medical Service (EMS) Awards. EMC annually recognizes individuals and groups who have demonstrated outstanding actions or accomplishments that are above and beyond the expectation of one’s normal mission or job duties.

Congratulations to all the awardees and nominees. Through leadership and initiative, they have made significant contributions to the safety of the wildland fire community. These awards are well deserved.

References:

2025 Wildland Fire EMS Awards

Emergency Medical Committee

Incident Position Standards and the Next Generation Position Task Book Now Available for RAMP

Date:  June 12, 2026
Questions? 
Please contact: Airtanker Base Operations Unit

NWCG is excited to announce that Incident Position Standards and the Next Generation Position Task Book are now available for Ramp Manager (RAMP).

The Performance Support Package for this position was developed as part of the Incident Performance and Training Modernization effort. These resources support trainees, qualified personnel, and evaluators in their respective roles.

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 release in January 2027.

References:

NWCG Ramp Manager Position Page

National Interagency Aviation Committee

Make an Impact: Serve the Wildland Fire Community as an IPTM SME!

Date:  June 11, 2026
Questions? 
Please contact: NWCG SME Specialist

Note: Positions with an * will last approximately 6 months.
Positions with ** will last 12 - 18 months.

NWCG is seeking experienced wildland firefighters and support personnel to serve as Subject Matter Experts (SMEs) for the Incident Performance and Training Modernization (IPTM) initiative. IPTM aims to transition NWCG’s training and qualification system to a performance-based model by updating position descriptions, Incident Position Standards, Next Generation Position Task Books (Next Gen PTBs), and training where needed.

NWCG is currently recruiting SMEs for the Fall 2026 positions listed below:

  • Equipment Manager (EQPM)*
  • Fixed Wing Parking Tender (FWPT)**
  • Mixmaster (MXMS)*
  • Public Information Officer Complex (PIOC)*
  • Retardant Crewmember (RTCM)*
  • Strike Team Leader Crew (STCR)*
  • Strike Team Leader Engine (STEN)*
  • Strike Team Leader Heavy Equipment (STEQ)*
  • Task Force Leader (TFLD)**
  • Wildland Fire Investigator (INVF)** 

Projects begin October 2026. Sign up by July 10, 2026, at the link below and review the attached document for additional details. 

References:

NWCG SME Interest Sign-up

IPTM Subject Matter Expert Duties and Expectations Document

Incident Performance and Training Modernization (IPTM)

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