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Hypothermia

Hypothermia occurs when your core body temperature falls below normal. Hypothermia due to environmental exposure can occur during any season and in most climates. It can easily happen in cold winds or wetness. Hypothermia can also occur in moderately cool temperatures, particularly if coupled with dehydration. People tend to forget to drink on cool, wet days, and can get hypothermic even when the temperature stays well above freezing.

Symptoms of hypothermia include:

  • Slurred speech. 
  • Weakness and loss of coordination. 
  • Confusion. 
  • Irrational behavior.
  • Uncontrollable shivering (although, at extremely low body temperatures, shivering may stop). 
  • Pale and cold skin. 
  • Drowsiness – especially in more severe stages. 
  • Slowed breathing or heart rate.

Your body automatically begins to shiver to warm itself. As your energy is used up to keep warm, you may reach a point where your body will be unable to warm itself. If left untreated, your body will gradually shut down; and you can die.

You can avoid hypothermia with the following precautions:

  • Stay hydrated.
  • Avoid fatigue.
  • Avoid cold winds.
  • Change out of wet clothes.
  • Be aware of the symptoms and act immediately upon their onset.

If you recognize hypothermia, take the following steps:

  • Move the patient to shelter.
  • Remove wet clothes and replace them with warm, dry garments.
  • If the victim is alert, give them food and warm liquids to drink.
  • Insulation protects from heat loss. Insulating materials include extra clothing, blankets, quilts, sleeping bags, and insulated pads.
  • A sleeping bag should not be used like a blanket; rather the patient should be placed inside, and the enclosure should be completely zipped up. Multiple sleeping bags, if available, can be placed within each other to create a multilayered enclosure.
Image
Info graphic of a chart that explains how to assess a potentially hypothermic patient.

 

Category
Firefighter Health & First Aid
References
Survival in the Ice - Part 1
NWCG Incident Response Pocket Guide, PMS 461
Interagency Standards for Fire & Fire Aviation Operations (Red Book)

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NWCG Latest Announcements

EMC Memo 25-001: Interim Rapid Extraction Module (REMS) Training and Qualification Requirements

Date: June 3, 2025
Questions?  Please contact:
Emergency Medical Committee

The Emergency Medical Committee has issued interim guidance for Rapid Extraction Module Support (REMS) teams. Until further notice, Type I and II REMS teams must designate a team leader qualified at Firefighter Type 1 Squad Boss (FFT1) or higher. This temporary change replaces the Single Resource Boss (SRB) requirement, which is currently not feasible due to administrative barriers.

This memorandum does not include any other changes to the NWCG Standards for Rapid Extraction Module Support, PMS 552. This interim change takes effect immediately and will remain in place until further notice.

References:

EMC Memo 25-001: Interim Rapid Extraction Module (REMS) Training and Qualification Requirements

NWCG Standards for Rapid Extraction Module Support, PMS 552

Equipment Bulletin 25-002: Chaps, Chain Saw, M-2020, Nonconformities Affecting Use, Appearance, and Serviceability

Date: June 2, 2025
Questions?  Please contact:
Equipment Technology Committee

The Equipment Technology Committee issued Equipment Bulletin: 25-002 to address a manufacturing nonconformity affecting Forest Service specification, 6170-4K Chain Saw Chaps. The issue applies to chaps manufactured in 2024 and 2025 and distributed through FedMall. These chaps may have incorrectly bound edges that expose inner protective layers.

Independent purchasers should inspect all chain saw chaps received from FedMall beginning in 2024, prior to use. Review the full Equipment Bulletin: 25-002 for inspection criteria and recommended actions.

References:

NWCG Alerts

ETC Equipment Bulletin: 25-002

2024 Wildland Fire Emergency Medical Service Awards

Date: May 22, 2025
Questions?  Please contact:
Emergency Medical Committee

The NWCG Emergency Medical Committee (EMC) is proud to announce the recipients of the 2024 Wildland Fire Emergency Medical Service Awards. Each year, EMC recognizes individuals and groups who have demonstrated exceptional actions or accomplishments that go above and beyond their normal mission or job duties.

Congratulations to all the awardees and nominees. Through leadership and initiative, they have made significant contributions to the safety and well-being of the wildland fire community. These honors are well deserved.

References:

2024 Wildland Fire EMS Awards

NWCG Emergency Medical Committee

NWCG Welcomes the Incident Management Teams Association as an Associate Member

Date: May 21, 2025
Questions?  Please contact:
https://www.nwcg.gov/contact-us

The NWCG Executive Board is honored to announce that the Incident Management Teams Association (IMTA) has joined the National Wildfire Coordinating Group as an associate member.

IMTA is a dedicated group of incident management professionals committed to enhancing the profession by promoting standards and fostering collaboration across federal, state, local, Tribal, and private sector partners throughout all phases of incident management.

“Joining NWCG aligns with our mission to elevate incident management professionals nationwide,” said Dr. Randal Collins, President of IMTA. “This is a proud moment for all of us committed to advancing public safety.”

References:

Incident Management Teams Association

National Wildfire Coordinating Group