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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

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 Postion Task Book for Firefighter Type 1

NWCG Firefighter Type 1 Squad Boss Position Page 

NEW! S-212, Intermediate Faller (Online) Course Available Now 

Date:  April 23, 2026
Questions? 
Please contact: Hazard Tree and Tree Felling Subcommittee

NWCG is pleased to announce that the new S‑212, Intermediate Faller (Online), course is now available on the Wildland Fire Learning Portal (WFLP). This second course in the series provides students with the knowledge and skills required to perform the duties of an Intermediate Faller (FAL2), as described in the FAL2 Incident Position Description. This course is intended for individuals seeking to advance from Basic Faller (FAL3) to FAL2.

S‑212, Intermediate Faller is a fully online, self‑paced training program consisting of 13 units. Learners will engage with interactive, scenario‑based content designed to progressively build foundational skills and knowledge essential for the FAL2 role.

Students must be qualified as a Basic Faller (FAL3) prior to enrolling in S‑212, Intermediate Faller course.

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 January 2027.

References:

S-212 Intermediate Faller (Online)

RMC Memo 26-01: Transition Plan for Implementing Updates to Intermediate Faller (FAL2) Position Qualifications

Intermediate Faller (FAL2) Position Page

NWCG Standards for Wildland Fire Chainsaw Operations, PMS 212

New Aircraft Flight Schedule Form, PMS 249

Date:  April 17, 2026
Questions? 
Please contact: National Coordination System Committee

A new publication from the National Coordination System Committee (NCSC) is now available. The NWCG Aircraft Flight Schedule Form, PMS 249, will be used for aviation crews and dispatch to share flight information that is needed for resource tracking, and if needed, for emergency procedures.

For further details, please contact your NCSC representative. 

References:

NCSC Memo 26-01: Implementation of NWCG Aircraft Flight Schedule Form, PMS 249

NWCG Aircraft Flight Schedule Form, PMS 249