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2024 WOR: Burn Protocols

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Burn Protocols

On August 19, 2018, while conducting burn operations on the Mendocino Complex, six firefighters were forced to run from the fire after a sudden wind shift caused a significant increase in fire behavior and cut off their escape route. During their escape, firefighters suffered 1st and 2nd degree burns. Initially the burned firefighters declined the need for medical transport. Upon further evaluation, they were transported for medical treatment. 

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Figure 1: NWCG Burn Injury Protocols.
Figure 1: NWCG Burn Injury Protocols. (select image to enlarge)

To help firefighters and fire managers better assess burn injuries and expedite evacuations, the NWCG Emergency Medical Committee (EMC) developed and released burn protocols in 2023. 

The burn protocols require transfer to the nearest emergency department for all moderate and any minor burns that do not improve with basic first aid treatment. Firefighters should not hesitate to activate the Incident Within an Incident (IWI) process for anything more than a minor burn.

Many burns will NOT need treatment at a burn center initially but require close follow-up over days to weeks for possible treatment at a burn center later as the wound heals.
 
Burns that appear minor should be monitored as small or minor burns can become infected and threaten firefighter health.

Wildland firefighters train for the worst-case scenario often involving an Incident Within an Incident (IWI).  All wildland firefighters must be trained to use the Medical Incident Report (ICS 206 WF).  The Medical Incident Report is available in your NWCG Incident Response Pocket Guide (IRPG), PMS 461 on pages 118-119. 

Discussion Questions:

  • What are your home unit's reporting protocols for burns and injuries? 
  • Do you know the location of your nearest emergency department?
  • Discuss burn sources (heat vs. chemical) and what training and resources you have on your crew to treat burns until transfer to definitive care is achieved.
     

Resources:

 

6MFS Suggestion Form


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Date: December 22, 2025
Questions about RT-130? 
Please contact: Fire Behavior Subcommittee

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This third course in the series combines online and instructor-led training components aimed at individuals who are involved in planning, managing, and executing wildland fire and prescribed burn operations; who require a thorough understanding of fire behavior calculations to enhance effectiveness and safety. This includes students who require the knowledge and skill necessary to perform the duties of a Type 3 Incident Commander (ICT3), Division/Group Supervisor (DIVS), or Prescribed Fire Burn Boss Type 2 (RXB2).

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NWCG is excited to announce the release of the new Ransom Road Fire Module to RT-130, Wildland Fire Safety Training Annual Refresher (WFSTAR).

This module features a firsthand account from Rob Lee, official reports, and animated maps of the Ransom Road Fire which occurred on June 8, 1981, in Florida's Merritt Island National Wildlife Refuge.

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Call for Nominations: Paul Gleason Lead by Example Award

Date: December 11, 2025
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Do you know someone working in wildland fire who strives to make positive change and is undeterred by obstacles or setbacks? Now is your chance to give that person the acknowledgment they deserve by nominating them for a Paul Gleason Lead by Example Award.

This award, is presented by the NWCG Leadership Committee to remember Paul Gleason's contributions to the wildland fire community and to recognize individuals or groups that exhibit the same spirit and dedication to leadership – those who lead by example.

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