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Incident Medical Specialist Manager

Position Description

Duties

  • Provides general oversight, coordination, and supervision of incident medical support on incidents.
  • Assesses numbers/capabilities and coordinate with local EMS and other health care providers.
  • Develops medical unit plans and procedures.
  • Prepares all medical reports and submit reports as directed.
  • Coordinates emergency medivacs utilizing incident and/or local resources.
  • Ensures all medical personnel follow established protocols for patient evaluation, treatment, documentation, and use of non-prescription medications.
  • Maintains personal responsibility for prescription medications (i.e. Epi-Pens®) issued under the authority of the advising physician.
  • Establishes and organizes the medical field unit to efficiently provide medical care.
  • Provides adjunct services, such as coordination of prescription refills or dental support items needed by incident personnel.
  • Maintains readiness for dispatch to line for medical emergencies.
  • Supervises Incident Medical Specialist (IMS) assistants and other assigned personnel.
  • Coordinates physician/hospital visits for personnel needing additional medical care.
  • Keeps MEDL informed of any major injuries or illnesses, emergency responses or transports, identified trends of injury or illness among crews, and makes recommendations for no duty/light duty status or medical DEMOB.
  • Works closely with COMP to insure accurate and timely completion of forms/documents.

Position Knowledge and/or Requirements

  • Annual incident medical specialist training
  • Maintain EMT certification
  • Maintain S-132 Standards for Survival currency
  • WCT at moderate level

NWCG Latest Announcements

LMC Equipment Bulletin 26-001: Aquatic Invasive Species – Seasonal Reminder for Mussels

Date:  July 30, 2026
Questions? 
Please contact: Equipment and Technology Subcommittee

The Logistics and Equipment Management Committee (LMC) issued Equipment Bulletin 26-001: Aquatic Invasive Species - Seasonal Reminder for Mussels, reminding the wildland fire community that aquatic mussels continue to be a problem. Mussels rapidly colonize hard and soft surfaces, including aquatic plants and fire equipment, clogging pipes, fouling motors, disrupting water systems, and impacting native species.

To help prevent their spread, fire personnel must follow the decontamination procedures outlined in the NWCG Guide to Preventing Aquatic Invasive Species Transport by Wildland Fire Operations, PMS 444. Additionally, report any sightings immediately to your Lead Resource Advisor and include clear, close-up photos (with a pen or your hand for size reference) and location details.”

Read the complete LMC Equipment Bulletin 26-001, to learn more. 

References:

NWCG Alerts

LMC Equipment Bulletin 26-001: Aquatic Invasive Species - Seasonal Reminder for Mussels

NWCG Guide to Preventing Aquatic Invasive Species Transport by Wildland Fire Operations, PMS 444

Intermediate Faller (FAL2) Position Task Book Update

Date:  July 24, 2026
Questions? 
Please contact: Tree Felling Subcommittee

NWCG Operations Management Committee (OMC) has issued an update to the NWCG Position Task Book for Intermediate Faller (FAL2), PMS 311-91. To ensure clarity for both trainees and evaluators, the updated FAL2 Position Task Book (PTB) explicitly states who is authorized to sign off on your tasks:

“Evaluators must be qualified as a FAL2, or an Advanced Faller (FAL1).”

If you are currently working out of a previously published version of the FAL2 PTB, you do not need to restart. However, OMC highly encourages you to take the following step to prevent any confusion in the field:

  • Print and replace the updated evaluator information page (page 2) in your current physical PTB.

References:

Intermediate Faller (FAL2) Position Page

RMC Memo 26-01: Transition Plan for Implementing Updates to Intermediate Faller (FAL2) Position Qualifications

NWCG Position Task Book for Intermediate Faller (FAL2), PMS 311-91

Equipment Advisory 26-001: Potential Front Driveline Joint Failure on 2018 and Earlier Ram Pickups

Date:  July 10, 2026
Questions? 
Please contact: Equipment and Technology Subcommittee

The Logistics/Equipment Management Committee (LMC) has released Equipment Advisory 26-001: Potential Front Driveline Joint Failure on 2018 and Earlier Ram Pickups. This advisory highlights multiple U.S. Forest Service regions reporting front driveline joint failure incidents.

This advisory recommends firefighters and fire managers to: 

  • Follow all Ram-issued inspection, maintenance, and service guidance for front driveline joints. 
  • Consider installing a driveline loop. 
  • Coordinate with fleet managers and service providers to determine the most appropriate driveline loop kit for each pickup.

For further details, please refer to the complete advisory.

References:

Equipment Advisory 26-001: Potential Front Driveline Joint Failure on 2018 and Earlier Ram Pickups

Technical Service Bulletin: 03-002-21

NEW! NWCG Standard Operating Procedures, PMS 900

Date:  July 9, 2026
Questions? 
Please contact: NWCG Staff

NWCG is excited to announce the publication of the NWCG Standard Operating Procedures, PMS 900.

The new publication establishes general, consistent, and uniform standards for conducting business with the National Wildfire Coordinating Group.

References:

NWCG Standard Operating Procedures, PMS 900