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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

2026 Week of Remembrance

Date:  June 30, 2026
Questions? 
Please contact: 6 Minutes for Safety Subcommittee

As we approach the 2026 Week of Remembrance (WOR), June 30–July 6, we dedicate this time to reflect on past incidents from 2016 and honor the fallen through learning. Since its inception in 2014, WOR has honored wildland firefighters who made the ultimate sacrifice while encouraging critical discussions that reinforce lessons learned.

Throughout the week, we encourage thoughtful and generative conversations that promote a culture of continuous learning and safety.

References:

2026 Week of Remembrance: Letter to Leadership

Wildland Fire Lessons Learned Center

RMC Memorandum 26-02: SAFENET Modernization and SafeNetX Launch

Date:  June 25, 2026
Questions? 
Please contact: Risk Management Committee

The Risk Management Committee (RMC) is pleased to announce the launch of SafeNetX, the modernized safety reporting system now available to the wildland fire community. Effective June 15, 2026, SafeNetX enables reporting of unsafe, unhealthy, near-miss, and high-risk operations across wildland fire, all-hazard incidents, training, and related work environments.

SafeNetX is the result of a multi-agency modernization effort led by RMC, which began evaluating improvements to the legacy SAFENET system in 2021. To learn more, read the full RMC memorandum in the links provided.

References:

SafeNetX

RMC Safety Memorandum 26-02: SAFENET Modernization and SafeNet X Launch

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