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Compartment Syndrome

Compartment syndrome

Most of our muscles are divided into compartments surrounded by fascia which is not very giving (the silver skin for those who hunt). Compartment syndrome is a painful condition that occurs when pressure within the muscle compartment builds to dangerous levels.
This pressure can decrease blood flow, which prevents nourishment and oxygen from reaching nerve and muscle cells.
Small nerve and muscle cells can die leading to permanent disability, weakness, and numbness.

Leg on left shows section of calf that would be swollen, and a cross section of the calf shows where the anterior compartment area of muscle is located.

Classic signs and symptoms

  1. Muscle pain and cramping
  2. Swelling of the affected limb
  3. Weakness and decreased range of motion in the affected limb
  4. Tingling, burning or numbness

Two types to consider:

Non-Traumatic/Exertional

  • The pain and swelling are caused by physical exertion. People who participate in activities with repetitive motions, such as running or marching, are more likely to develop non traumatic compartment syndrome.
  • This may be relieved by discontinuing the physical activity and rest. It is commonly mistaken as shin splints in the lower leg.
  • This may become a surgical emergency and require surgical treatment.

Traumatic 

  • Caused by a variety of things:
    • Broken bone
    • Badly bruised muscle
    • Crush type injuries
    • Anabolic steroid use
    • Constricting bandages or clothing
  • Traumatic compartment syndrome is considered a surgical emergency and requires surgical treatment.

Watch Outs:

  • A swollen, painful limb that does not improve with rest can be a sign of a significant emergency and should be treated in an emergency department.
  • Any numbness or weakness in the limb should mandate transport for professional medical evaluation.

Discussion Questions:

  • Your leg is swollen and sore after a long day of physical work.  What should you do?
  • Your crew member has been resting his swollen leg for a couple hours and now says it is tingling and cramping, what are your next steps?
     
Category
Firefighter Health and First Aid

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NEW! NWCG Standard Operating Procedures, PMS 900

Date:  July 9, 2026
Questions? 
Please contact: NWCG Staff

NWCG is excited to announce the publication of the NWCG Standard Operating Procedures, PMS 900.

The new publication establishes general, consistent, and uniform standards for conducting business with the National Wildfire Coordinating Group.

References:

NWCG Standard Operating Procedures, PMS 900

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NWCG is excited to announce that Fourth Quarter materials for the 2025/2026 Wildland Fire Leadership Campaign are now available. This annual initiative offers all students of leadership and wildland fire management an opportunity to engage with essential leadership skills and knowledge needed to lead effectively in dynamic environments.

Quarter Four materials focus on Leadership Level 4: Leader of Leaders (Provide Direction). Leadership Level 4 is where you are setting the conditions for others to do things well, even when you are not present. This quarter focuses on equipping experienced leaders with skills to provide direction, build trust across teams, and foster strong decision making. 

References:

2025/2026 NWCG Leadership Campaign - Leadership Levels

Wildland Fire Leadership Development Program

Leadership Development Subcommittee

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Date:  June 30, 2026
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Please contact: 6 Minutes for Safety Subcommittee

As we approach the 2026 Week of Remembrance (WOR), June 30–July 6, we dedicate this time to reflect on past incidents from 2016 and honor the fallen through learning. Since its inception in 2014, WOR has honored wildland firefighters who made the ultimate sacrifice while encouraging critical discussions that reinforce lessons learned.

Throughout the week, we encourage thoughtful and generative conversations that promote a culture of continuous learning and safety.

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2026 Week of Remembrance: Letter to Leadership

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RMC Memorandum 26-02: SAFENET Modernization and SafeNetX Launch

Date:  June 25, 2026
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The Risk Management Committee (RMC) is pleased to announce the launch of SafeNetX, the modernized safety reporting system now available to the wildland fire community. Effective June 15, 2026, SafeNetX enables reporting of unsafe, unhealthy, near-miss, and high-risk operations across wildland fire, all-hazard incidents, training, and related work environments.

SafeNetX is the result of a multi-agency modernization effort led by RMC, which began evaluating improvements to the legacy SAFENET system in 2021. To learn more, read the full RMC memorandum in the links provided.

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SafeNetX

RMC Safety Memorandum 26-02: SAFENET Modernization and SafeNet X Launch