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2018 WOR: Ground-based Medevac

Ribbon symbol for survivor next to the Wildland Fire Leadership logoWeek of Remembrance June 30-July 6

This Week of Remembrance is dedicated to all those who have fallen in the line of duty and is intended to serve as an opportunity to renew our commitment to the health, wellness and safety of wildland firefighters.

There are many examples of firefighters being carried out from the fireline due to a medical emergency. The reports often include lessons learned and suggestions from the firefighters involved that may be very helpful to you and your crew when a medevac situation becomes a reality on your piece of the fireline. Below are just a few for you and your crew to review for training purposes.

 

“We honor and remember through learning”

Brit Rosso
Director, LLC

  1. “The crews who had trained with medical evac simulations—when faced with the real thing on the fireline—performed in an orderly and comfortable manner, saving precious time. Those who had not practiced wished they had. This holds true for everyone involved—including dispatch and administrators. Do this! If you get hit by a tree, I’m sure you would prefer the folks around you were not at their first rodeo.” Quote from Travis Dotson Fire Management Specialist, Two More Chains Spring 2011 Vol 1 Issue 1 Digging Through Incident Reviews.
     
  2. “Knowing whether or not the injury to a firefighter is life threatening is critical information that needs to be relayed to decision makers early in emergency response scenarios. Pre-planned decisions as to whether to use air or ground transport, or to mobilize an incident helicopter instead of an air ambulance, depend on having a good patient assessment. When this information is not clearly communicated by EMTs on scene attending to the medical emergency, the managing organization needs to take the necessary actions to obtain it.”  Pyramid Butte Fire 2010 Facilitated Learning Analysis.
     
  3. When a hotshot got pinned by a burning log, a Rapid Extraction Module (REM) team joined the effort to pack him out. REMs are a relatively new, emerging resource, which many fireline resources/IMTs have not yet had the opportunity to work with. The speed at which the low-angle rescue mission was performed on this incident was slower than expected by the ground resources.  What is your definition of rapid? One hour? Four hours? Are we expecting more from this “tool” than the tool can provide? IMTs and crews need to talk with these teams and get an understanding of their capabilities and SOPs. “We need to train together” was one recommendation from a REM team member on this incident. Learn about REM teams by reading this RLS. Rough Fire Medical Extraction Lessons Learned Review 2015.
     
  4. At the beginning of the season, this hotshot crew practiced building a backcountry litter during training. During the July 20 medical emergency, when Foreman requested backcountry litter, “everyone on the crew had a solid image of what needed to be done and what it would look like when ready. Later in the season, the crew was involved in a carryout involving cardiac arrest . Based on this experience, crewmembers were able to be decisive in finding the best way to help during this medical incident. Whether it was building the stretcher/splint, controlling the fire’s edge, or clearing a path out to the trail, everyone found a way to contribute. Check out this 1 ½ minute video on how this crew trained for this emergency—and how that training paid off in a real situation. Rapid Lessons Shared (RLS) – Non-emergency carryout of Hotshot crewmember 2013 IHC Packout.

 

Action: Train and drill with other resources from your home unit on ground-based medevac simulations.

 

The topics, review, and resources for the NWCG “Wildland Firefighter Week of Remembrance” have been contributed by the Wildland Fire Lessons Learned Center, the Wildland Fire Leadership Subcommittee, the Interagency Helicopter Operations Subcommittee, interagency dispatchers, and many other field SMEs.

 

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NEW! S-290, Intermediate Wildland Fire Behavior (Blended) Available Now

Date: Aug 15, 2025
Questions? Please contact:
Fire Behavior Subcommittee

NWCG is excited to announce that the S-290, Intermediate Wildland Fire Behavior (Blended) training is now available on the Wildland Fire Learning Portal. S-290 (Blended) training combines online training and instructor-led training components that support individuals working towards any Single Resource Boss or Fire Effects Monitor incident qualifications.

This second course in the series collectively serves to develop fire behavior prediction knowledge and skills, and provides more detailed information on fuels, weather, and topography that affect wildland fire behavior for safety purposes.

Students are required to finish the prerequisite S-190, Introduction to Wildland Fire Behavior, before enrolling in S-290, Intermediate Wildland Fire Behavior (Blended).

References:

S-290, Intermediate Wildland Fire Behavior (Blended)

S-190, Introduction to Wildland Fire Behavior

Wildland Fire Learning Portal

NEW! S-271, Helicopter Crewmember (Blended) Now Available

Date: Aug 14, 2025
Questions? Please contact:
Interagency Helicopter Operations Subcommittee

The S-271, Helicopter Crewmember (Blended) is now available. Developed through the Incident Performance and Training Modernization (IPTM) effort, this training supports individuals working towards Helicopter Crewmember (HECM) incident qualifications. 

S-271, Helicopter Crewmember (Blended) training combines online training and instructor-led training components. This course is designed to provide students with the knowledge and skills necessary to perform the duties of the HECM position, as described in the NWCG Incident Position Standards for Helicopter Crewmember, PMS 350-22.

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:

S-271, Helicopter Crewmember (Blended)

NWCG Helicopter Crewmember (HECM) Position Page

Wildland Fire Learning Portal

Incident Position Standards and Next Generation Position Task Books Now Available for FBAN and LTAN

Date: Aug 13, 2025
Questions? Please contact:
Fire Behavior Subcommittee

NWCG is excited to announce that Incident Position Standards and Next Generation Position Task Books are now available for Fire Behavior Analyst (FBAN) and Long Term Fire Analyst (LTAN).

The Performance Support Packages for these positions were developed as part of the Incident Performance and Training Modernization (IPTM) 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 Fire Behavior Analyst Position Page

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ETC/RMC Safety Bulletin: 25-001 New Guidance on Laundering Wildland Fire Clothing to Reduce Contamination

Date: Aug 8, 2025
Questions? Please contact:
Equipment Technology Committee
 Risk Management Committee

The Equipment Technology Committee (ETC) and the Risk Management Committee (RMC) have issued Safety Bulletin 25-001: Laundering to Decontaminate Wildland Fire Clothing. Recent research revealed that wildland fire flame-resistant pants and shirts can be contaminated with chemicals from combustion byproducts, including carcinogens, and that common laundering practices can effectively remove these harmful contaminants from wildland firefighter clothing more effectively than previously understood. It is recommended to decontaminate wildland fire clothing as frequently as possible. 

Frequently Asked Questions about this new information and how to implement recommendations can be found on the NWCG Alerts page. Read the complete ETC/RMC Safety Bulletin: 25-001 to learn more. 

References:

NWCG Alerts

ETC Safety Bulletin: 25-001

Frequently Asked Questions (FAQ) on Laundering to Decontaminate Wildland Fire Clothing

Equipment Technology Committee

Risk Management Committee