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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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NWCG Latest Announcements

Incident Position Standards and the Next Generation Position Task Books Now Available for UASD, UASM, UASL and UASP

Date: July 31, 2025
Questions?  Please contact:
Interagency Fire Unmanned Aircraft Systems Subcommittee
 

NWCG is excited to announce that Incident Position Standards and the Next Generation Position Task Books are now available for all four Unmanned Aircraft Systems positions:

  • Unmanned Aircraft Systems, Data Specialist (UASD)
  • Unmanned Aircraft Systems, Manager (UASM)
  • Unmanned Aircraft Systems, Module Leader (UASL)
  • Unmanned Aircraft Systems Pilot (UASP)

The Performance Support Packages for these positions were 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 January 2026.

References:

NWCG Unmanned Aircraft Systems, Data Specialist Position Page

NWCG Unmanned Aircraft Systems, Manager Position Page

NWCG Unmanned Aircraft Systems, Module Leader Position Page

NWCG Unmanned Aircraft Systems Pilot Position Page

Incident Position Standards and the Next Generation Position Task Books Now Available for RADO and INCM

Date: July 30, 2025
Questions?  Please contact:
Incident Logistics Subcommittee
 

NWCG is excited to announce that Incident Position Standards and the Next Generation Position Task Books are now available for Radio Operator (RADO) and Incident Communications Center Manager (INCM).

The Performance Support Packages for these positions were 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 January 2026.

References:

NWCG Radio Operator Position Page

NWCG Incident Communications Center Manager Position Page

ETC Equipment Bulletin: 25-004 NEW Aquatic Invasive Species – Golden Mussels

Date: July 29, 2025
Questions?  Please contact:
Equipment Technology Committee
 

The Equipment Technology Committee (ETC) issued Equipment Bulletin: 25-004, notifying the wildland fire community about a newly discovered invasive species and actions to take if found. Golden mussels, a highly invasive species recently identified in California, pose a significant risk to native ecosystems, infrastructure, and fire equipment. These mussels rapidly colonize hard and soft surfaces, including aquatic plants and fire equipment, clogging pipes, fouling motors, disrupting water systems, and impacting native species.

To help prevent their spread, fire personnel must follow the decontamination procedures outlined in the NWCG Guide to Preventing Aquatic Invasive Species Transport by Wildland Fire Operations, PMS 444. Additionally, report any sightings immediately to your Lead Resource Advisor and include clear, close-up photos and location details.

Read the complete ETC Equipment Bulletin: 25-004 to learn more. 

References:

NWCG Alerts

ETC Equipment Bulletin: 25-004

NWCG Guide to Preventing Aquatic Invasive Species Transport by Wildland Fire Operations, PMS 444

Incident Position Standards and the Next Generation Position Task Books Now Available for ICT5 and FFT1

Date: July 29, 2025
Questions?  Please contact:
Incident Command Subcommittee
Incident Operations Subcommittee

NWCG is excited to announce that Incident Position Standards and the Next Generation Position Task Books are now available for Incident Commander Type 5 (ICT5) and Firefighter Type 1 Squad Boss (FFT1).

The Performance Support Packages for these positions were 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 January 2026.

References:

NWCG Incident Commander Type 5 Position Page

NWCG Firefighter Type 1 Squad Boss Position Page