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Over the Counter Medication

When using OTC medications:

  • Take them only as indicated on the package label and only for the conditions listed.
  • Stop use and see a medical professional if your symptoms get worse or don’t improve.
  • Carry your own OTC medications and keep them in the original packaging.
  • Many OTC medications may cause drowsiness for prolonged periods of time. Do not operate machinery or tools when using these.

Some common side effects from common OTCs:

  • Ibuprofen or non-steroidal anti-inflammatory drugs (NSAIDs) (Motrin, Aleve): Ulcers, gastrointestinal bleeding
  • Acetaminophen (Tylenol): Liver toxicity
  • Diphenhydramine (Benadryl): Drowsiness, urinary obstruction

Remember, OTC medications are to be used short-term for very mild conditions. Prolonged use or using them for other conditions than listed should only be done under the care of a physician. Additionally, many OTC products contain a combination of medications (cold and flu, etc.). Make sure not to over-use a single drug if taking medications that contain multiple drugs.

Discussion Topics:

  • What are the most common OTC medications your crew uses?
  • What are some side effects of diphenhydramine (Benadryl) that may be of concern in our environment?
  • Take out a packet of any OTC and read the back – when should you stop using it and seek treatment?

Resources:

Category
Firefighter Health and First Aid

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NWCG Latest Announcements

2025 Wildland Fire EMS Awards

Date:  June 12, 2026
Questions? 
Please contact: Emergency Medical Committee

The NWCG Emergency Medical Committee (EMC) announces the recipients of the 2025 Wildland Fire Emergency Medical Service (EMS) Awards. EMC annually recognizes individuals and groups who have demonstrated outstanding actions or accomplishments that are above and beyond the expectation of one’s normal mission or job duties.

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

References:

2025 Wildland Fire EMS Awards

Emergency Medical Committee

Incident Position Standards and the Next Generation Position Task Book Now Available for RAMP

Date:  June 12, 2026
Questions? 
Please contact: Airtanker Base Operations Unit

NWCG is excited to announce that Incident Position Standards and the Next Generation Position Task Book are now available for Ramp Manager (RAMP).

The Performance Support Package for this position was 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 release in January 2027.

References:

NWCG Ramp Manager Position Page

National Interagency Aviation Committee

Make an Impact: Serve the Wildland Fire Community as an IPTM SME!

Date:  June 11, 2026
Questions? 
Please contact: NWCG SME Specialist

Note: Positions with an * will last approximately 6 months.
Positions with ** will last 12 - 18 months.

NWCG is seeking experienced wildland firefighters and support personnel to serve as Subject Matter Experts (SMEs) for the Incident Performance and Training Modernization (IPTM) initiative. IPTM aims to transition NWCG’s training and qualification system to a performance-based model by updating position descriptions, Incident Position Standards, Next Generation Position Task Books (Next Gen PTBs), and training where needed.

NWCG is currently recruiting SMEs for the Fall 2026 positions listed below:

  • Equipment Manager (EQPM)*
  • Fixed Wing Parking Tender (FWPT)**
  • Mixmaster (MXMS)*
  • Public Information Officer Complex (PIOC)*
  • Retardant Crewmember (RTCM)*
  • Strike Team Leader Crew (STCR)*
  • Strike Team Leader Engine (STEN)*
  • Strike Team Leader Heavy Equipment (STEQ)*
  • Task Force Leader (TFLD)**
  • Wildland Fire Investigator (INVF)** 

Projects begin October 2026. Sign up by July 10, 2026, at the link below and review the attached document for additional details. 

References:

NWCG SME Interest Sign-up

IPTM Subject Matter Expert Duties and Expectations Document

Incident Performance and Training Modernization (IPTM)

RMC Safety Bulletin 26-001: Rhabdomyolysis in Wildland Firefighters

Date:  May 28, 2026
Questions? 
Please contact: Risk Management Committee

The Risk Management Committee (RMC) has issued Safety Bulletin 26-001: Rhabdomyolysis in Wildland Firefighters. Research from 2016 to 2025 shows that 88 cases of rhabdomyolysis (rhabdo) were reported. Analysis of reports from eSafety, the Safety Management Information System (SMIS), and the Wildland Fire Lessons Learned Center (LLC) indicates that rhabdo is common during this time of year due to Work Capacity Tests and contributing factors such as weather, hydration, nutrition, and medication or supplement use.

RMC issued this safety bulletin to raise awareness in the Wildland Fire Community, and to provide research findings and educational resources that support reducing future cases of rhabdo.

References:

NWCG Alerts

RMC Safety Bulletin 26-001: Rhabdomyolysis in Wildland Firefighters