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Advanced Emergency Medical Technician ─ Fireline Qualified

Position Description

Introduction

The AEMF provides emergency medical services (EMS) at the medical unit and/or other incident location as requested by the Incident Commander or representative.

NOTE:  Some states may use the terminology for this position:  “EMT-Intermediate”.

Duties

  • Performs a combination of basic and limited advanced lifesaving procedures focused on the initial management of injured and sick persons.
  • This position has the knowledge associated with, and is expected to be competent in all the skills of the EMT.
  • AEMFs are not independent practitioners and therefore must be supervised by a physician medical director.  Although many of the procedures that an AEMF is allowed to perform do not require real-time oversight by the supervising medical director, more complex decision making (such as that concerning patient disposition) must be made with consultation from the medical director.
  • While all AEMFs receive essentially the same training, the specific procedures that each individual AEMF is authorized to perform vary depending on the AEMFs scope of practice.  An AEMF’s scope of practice contains only those procedures for which he or she is educated, certified (by passing an exam), credentialed (medical director grants “permission” to practice), and licensed by a state to perform.  Therefore, the scope of practice of an AEMF will vary by individual.
  • The AEMF will be required to work on the fireline or other remote areas of an incident.  The AEMF would be expected to participate in and/or lead the evacuation of a sick or injured person from this environment.  The AEMF would also be expected to perform these lifesaving skills with the equipment available to them on the fireline, which is significantly less than those AEMTs in the medical unit or typical urban EMS system.
  • The AEMF may be the only medical provider on scene for an extended period of time in less than ideal conditions.

Position Knowledge and Skills

The following is a list of the typical skills that an AEMF can perform:

  • Airway and Breathing
    • Using upper airway adjuncts, bag-valve-mask, manually triggered ventilators and automatic transportation ventilators for airway management.
    • Tracheobronchial suctioning of an already intubated patient.
  • Pharmacological Interventions
    • Providing lifesaving medications with an auto-injector.
    • Helping a patient take his or her own prescribed medications.
    • Giving specific over-the-counter medications (with appropriate medical oversight).
    • Administer sublingual nitroglycerine to a patient experiencing chest pain of suspected ischemic origin.
    • Administer subcutaneous or intramuscular epinephrine to a patient in anaphylaxis.
    • Administer glucagon to a hypoglycemic patient.
    • Administer intravenous D50 to a hypoglycemic patient.
    • Administer inhaled beta agonists to a patient experiencing difficulty breathing and wheezing.
    • Administer a narcotic antagonist to a patient suspected of narcotic overdose.
    • Administer nitrous oxide for pain relief.
    • Establishing intravenous (IV) or intraosseous (IO) access to deliver fluids or medications.
  • Using an automated external defibrillator.
  • Trauma Care
    • Stabilizing suspected spinal injuries and extremity fractures.
    • Controlling bleeding.
    • Evacuation of a sick or injured patient using purpose made and improvised litters.
    • Appropriate triage of sick or injured patients in order to assist with the formulation of an evacuation plan.
    • Application and inflation of the pneumatic anti-shock garment (PASG) for fracture stabilization.

Position Requirements

Other Training Supporting Development of Knowledge and Skills

NWCG Latest Announcements

NWCG Committees Observe Suicide Prevention Awareness Week: September 7-13, 2025

Date: Sep 5, 2025
Questions? Please contact:
Mental Health Subcommittee

The NWCG Mental Health Subcommittee (MHSC) and Risk Management Committee (RMC) recognize the unique challenges and demands faced by the wildland fire community. The MHSC and RMC know that we are all stronger together and believe in fostering a culture of support, understanding, and resilience.

Suicide Prevention Awareness encourages us to actively connect with and support each other. For more information that could make a difference for yourself or someone else please review the materials and resources provided for the 2025 Suicide Prevention Awareness Week.

References:

2025 Suicide Prevention Awareness Week Materials and Resources

NEW! Incident Performance and Training Modernization Story Map Now Available

Date: Aug 26, 2025
Questions? Please contact:
National Wildfire Coordinating Group

NWCG is excited to announce the launch of the Incident Performance and Training Modernization (IPTM) Story Map, a new interactive resource that showcases how NWCG is transforming wildland fire training and qualifications through a performance-based system.

Since its launch in 2023, IPTM has made major strides in updating how we manage incident positions:

  • 36 incident positions now have new Incident Position Standards and Next Generation Position Task Books available for field use
  • 6 more incident positions are nearing completion
  • 111 total incident positions are being analyzed through the IPTM initiative

The Story Map guides you through the IPTM process, highlights key accomplishments, and outlines what’s ahead. Whether you are a trainer or a trainee, this tool offers valuable insight into the modernization effort shaping the future of wildland fire training and qualifications.

This effort would not be possible without the contributions of NWCG staff, NWCG committees, and hundreds of subject matter experts across the wildland fire community.

References:

IPTM Story Map

Incident Performance and Training Modernization Webpage

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