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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

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

New Glossary Term for Review

Date:  April 15, 2026
Questions? 
Please contact: Data Standards and Terminology Board (DSTB)

The Data Standards and Terminology Board is requesting feedback on a new glossary term: Resource Protection Measure (RPM).

The proposed definition is: Practical guidance provided for incident personnel in a manner in which incident objectives can be achieved while reducing impacts to identified resources across the landscape. RPMs are informed by, but not restricted to, Minimum Impact Strategies and Tactics (MIST).

Please review, share with your subgroups, and provide feedback as appropriate through the following form: Request Feedback The comment period will close May 10, 2026.

Thank you for your engagement in the NWCG glossary process – your participation is key to our success.

References:

Glossary Request Feedback

Quarter Three Materials for the 2025-2026 Wildland Fire Leadership Campaign Now Available

Date:  April 1, 2026
Questions? 
Please contact: Leadership Committee

NWCG is excited to announce that Quarter Three 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 Three materials focus on Leadership Level 3: Leader of People (Develop Intent). Leadership Level 3 is where your values, your team, and your influence come together. Leaders of People put their teams first, build trust, and lead with authenticity. They mentor future leaders and shape decisions up and down the chain.

References:

2025/2026 NWCG Leadership Campaign - Leadership Levels

Wildland Fire Leadership Development Program

Leadership Committee