Skip to main content

2018 WOR: Leadership in Medevac Situations

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.
 

It’s July 5th and you just attended morning briefing and received your crew’s assignment for the day. In your division breakout they mentioned that you would be operating in some “pretty gnarly terrain” filled with loose rocks and steep slopes. You brief the crew on the day’s mission, get them going and then start to scout out what’s ahead. All of a sudden you get a call from one of sawyers saying their saw partner has been hit by a rolling rock and is unconscious. WHAT DO YOU DO????

“Fire is a complex, dynamic, and often unpredictable phenomenon. Fire operations require mobilizing a complex organization that includes management, command, support, and firefighting personnel, as well as aircraft, vehicles, machinery, and communications equipment. While the magnitude and complexity of the fire itself and of the human response to it will vary, the fact that fire operations are inherently dangerous will never change. A firefighter utilizing the best available science, equipment, training, and working within the scope of agency doctrine and policy, can still suffer serious injury or death.”  Interagency Standards for Fire and Fire Aviation Operations (Red Book), chapter 1, page 8.

“We honor and remember through learning”

Brit Rosso
Director, LLC

 

The guiding doctrine for fire operations clearly states that the environment that we work in is filled with many unknown variables. As leaders it’s our responsibility to adequately prepare ourselves and team members for the inevitable situations we will be faced with. Medevac situations add another level of complexity within our environment and usually tend to be chaotic in nature. Emotions run high, fog of war rolls in and often times it’s a situation a lot of people haven’t been involved with. During these situations it is imperative to be cognizant of your operational tempo and ensure you give clear leaders intent.

Operational tempo: is the speed and intensity of our actions relative to the speed and intensity of unfolding events in the operational environment. When life is threatened there is an obvious sense of urgency.  Remember the 6th Standard Firefighting Order: Be alert. Keep calm. Think clearly. Act decisively.

Clear leader’s intent: is the foundation to bringing order to chaos. It allows you to effectively give a clear task, purpose and end state. When the situation presents itself you may find yourself as the Incident within an Incident commander whether or not you’re the Division, Crew Boss, or Squad Leader. You must rapidly evaluate the situation and build an organization to assist in patient care, transportation and communication.

Action: Watch this video (WFSTAR preparing for wildfire medevac) then answer the following questions

  1. What are you doing preseason to train for medevac situations? Do you incorporate medevac scenarios into your sandtable exercises?
     
  2. Does everyone understand the Medical Incident Report and the process involved? Is everyone prepared to act as the Incident Commander for a medical situation? What are some considerations when establishing a command structure to handle the situation?
     
  3. What are some considerations to consider post medevac? How is the crew handling the situation? Is there a need for peer support or CISM?

 

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.

6MFS Suggestion Form


Have an idea or feedback?

Share it with the NWCG 6MFS Subcommittee
 


Follow NWCG on X and Facebook
 


 

Last Modified / Reviewed:

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