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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?

Image
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.

 

Category
Firefighter Health & First Aid
References
NWCG Emergency Medical Committee
AANS, Concussion – Symptoms, Diagnosis, and Safety Guidelines
IRPG, PMS 461 – Emergency Medical Care (red pages)


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Task Group Volunteers Needed to Update the Property Loss or Damage Report, OF 289

Date: February 5, 2025
Contact: Julie Bennett, Incident Business Committee Chair

The Incident Business Committee (IBC) is requesting volunteers for a new task group to revise the 1981 version of the Property Loss or Damage Report, OF 289 and create an incident replacement job aid. The volunteers may be recruited from within or outside the Geographic Area Incident Business Committees.

References:

IBC Memorandum 25-02

IBC Correspondence

2025 Updates to the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1

Date: February 4, 2025
Contact: Incident and Position Standards Committee

The NWCG Incident and Position Standards Committee has updated the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1. 

These updates address changes to incident position names and requirements for qualification, training, and experience. Updates related to the implementation of Complex Incident Management (CIM) are also included.  

The NWCG Wildland Fire Position Qualification Flowchart, PMS 308 has also been updated to reflect the recent changes.

References:

NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1

NWCG Wildland Fire Position Qualification Flowchart, PMS 308

NWCG Memo: 2025-01 January 2025 Updates to the NWCG Standards for Wildland Fire Positions Qualifications, PMS 310-1

NWCG Equipment Technology Committee Releases Safety Warning: 25-001 Non-specification fire shelters

Date: January 15, 2025
Contact: Equipment Technology Committee

The Equipment Technology Committee (ETC) has released Safety Warning: 25-001 Non-specification fire shelters. Non-specification fire shelters claiming to meet Forest Service (FS) fire shelter specification 5100-606 were first found in February of 2023. As of September 2024, non-specification shelters are again being advertised and sold on the open market.

This Safety Warning outlines details and recommended procedures to purchase FS specification shelters made with materials and components that meet performance criteria and toxicity testing requirements outlined in FS Specification 5100-606. 

For additional information on identifying non-specification shelters, please view ETC Safety Warning 23-01.

References:

ETC Safety Warning 25-001: Non-specification fire shelters

NWCG Equipment Technology Committee

ETC Safety Warning 23-01

Paul Gleason Lead by Example Awards

Date: January 14, 2025
Contact: Leadership Committee

The NWCG Leadership Committee has awarded the 2023 Paul Gleason “Lead By Example” awards to individuals in the categories of Initiative and Innovation, Mentoring and Teamwork, and Motivation and Vision, as well as a Lifetime Achievement Award.

Congratulations to the awardees:

  • Sam Bowen, Superintendent of the Mark Twain Veteran Crew with the U.S. Forest Service.
  • Greg Titus, Zone Fire Management Officer for the St. Marks National Wildlife Refuge with U.S. Fish and Wildlife Service.
  • Renae Crippen, Manager of the Blue Mountain Interagency Dispatch Center with the U.S. Forest Service.
  • Eric Carlson, Instructor with OMNA International.

References:

Paul Gleason Lead by Example Award

Wildland Fire Leadership Development Program

Interview with Paul Gleason