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Paramedic (not fireline qualified)

Position Description

The Paramedic provides emergency medical services (EMS) at the medical unit and/or other incident locations as requested by the Incident commander or representative.

Introduction

The Paramedics primary focus is to provide advanced emergency medical care for injured and sick persons.  The position has the knowledge associated with, and is expected to be competent in all of the skills of the EMT, and AEMT.  A Paramedic completes a more thorough course of education, which in some states requires the completion of an Associate’s degree.  The paramedic has an in-depth understanding of human anatomy, physiology and pathophysiology which allows them to perform more advanced skills and a broader spectrum of medications than either an EMT or AEMT.  These skills carry a greater risk for the patient if improperly or inappropriately performed, are more difficult to attain and maintain competency in, and require significant background knowledge in basic and applied sciences.

While all Paramedics receive essentially the same training, the specific procedures that each individual Paramedic is authorized to perform varies depending on the Paramedic’s scope of practice.  A Paramedic’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 a Paramedic will vary by individual.

Skills, Knowledge, and Abilities

The following are the minimum psychomotor skills of the Paramedic:

  • Airway and Breathing
    • Performs endotracheal intubation
    • Performs percutaneous (not to include ‘surgical’ access using a scalpel) cricothyrotomy
    • Decompresses the pleural space of the chest cavity
    • Performs gastric decompression
    • Monitors and interprets Patient oxygen and carbon dioxide levels
  • Pharmacological interventions include
    • Inserts an intraosseous (IO) cannula
    • Enteral and parenteral administration of approved prescription medications
    • Accesses indwelling catheters and implanted central IV ports for fluid and medication administration
    • Administers medications by intravenous (IV), intraosseous, intramuscular, intranasal, sublingual, and subcutaneous routes
    • Maintains an infusion of blood or blood products
  • Medical/Cardiac Care
    • Performs cardioversion, manual defibrillation, and transcutaneous packing
    • Performs and interprets the results of Electrocardiogram (EKG) including 12-lead

Position Knowledge and/or Requirements

  • Current Paramedic license (must be issued by the Paramedic’s home-state EMS licensing authority)
  • Introduction to ICS (I-100)
  • NIMS:  An Introduction (IS-700)
  • No physical fitness level has been established for this position

Other Training Supporting Development of Knowledge and Skills

  • Firefighter Training (S-130)
  • Annual Fireline Safety Refresher (RT-130)
  • Introduction to Wildland Fire (S-190)
  • Human Factors in the Wildland Fire Service (L-180)
  • Intermediate Wildland Fire Behavior (S-290)
  • Basic Air Operations (S-270)
  • Helicopter Crewmember (S-271)
  • Advanced Cardiac Life Support (if not required for state/agency licensure)

 

NWCG Latest Announcements

Updated NWCG Guide for Wildland Fire Modules, PMS 431

Date: May 14, 2025
Questions?  Please contact:
Fire Use Subcommittee

The updated NWCG Guide for Wildland Fire Modules, PMS 431 serves as a supplemental resource for wildland fire module operations, providing information frequently used in the field.

PMS 431 defines the organizational structure, staffing, and qualifications for Type 1 and Type 2 Wildland Fire Modules, outlining their roles in wildland fire suppression, prescribed fire, and resource management. The NWCG Guide for Wildland Fire Modules, PMS 431, should be used in conjunction with the NWCG Standards for Wildland Fire Module Operations, PMS 430.

References:

NWCG Guide for Wildland Fire Modules, PMS 431

NWCG Standards for Wildland Fire Module Operations, PMS 430

Updated NWCG Standards for Wildland Fire Resource Typing, PMS 200 Now Includes Off-Highway Vehicle Typing Standards

Date: May 13, 2025
Questions?  Please contact:
Mobile Fire Equipment Subcommittee 

The NWCG Standards for Wildland Fire Resource Typing, PMS 200 has been updated to include newly developed Off-Highway Vehicle (OHV) typing standards. These standards organize OHV information into logical categories and outline key safety requirements for occupants.

NWCG Standards for Wildland Fire Resource Typing, PMS 200 establishes minimum typing standards for aircraft, crews, and equipment used in national mobilization to wildland fire incidents. Typing designations are assigned based on measurable capability and performance criteria.

References:

NWCG Standards for Wildland Fire Resource Typing, PMS 200

NEW! S-204, Interpersonal and Critical Thinking Skills for Safety Officers Now Available

Date: May 12, 2025
Questions?  Please contact:
Risk Management Committee

The S-204, Interpersonal and Critical Thinking Skills for Safety Officers self-directed online course is now available! Developed through the Incident Performance and Training Modernization (IPTM) effort, this training supports individuals working towards Safety Officer, Field (SOFF) incident qualifications.

S-204, Interpersonal and Critical Thinking Skills for Safety Officers focuses on facilitating hazard mitigation conversations and building trust to influence safety-related decisions. Individuals can self-enroll through the Wildland Fire Learning Portal (WFLP).

Any changes to qualification pathways will take effect with the next update of the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1.

References:

S-204, Interpersonal and Critical Thinking Skills for Safety Officers 

NWCG Safety Officer, Field (SOFF) Position Page

Wildland Fire Learning Portal

Great Basin Cache Upgrading to New Inventory System

Date: May 7, 2025
Questions?  Please contact:
Great Basin Cache
Phone: (208) 387-5104
Fax: (208) 387-5573

The Great Basin Cache (GBK) is transitioning to a new inventory system to better serve the wildland fire community. During this upgrade, GBK will be unable to process standard orders from Part 1: Fire Supplies and Equipment and Part 2: Publications between May 8-20, 2025, with exceptions made for emergency fire orders. Orders will be accepted through close of business May 7.

To browse the latest available items, please refer to the National Fire Equipment System (NFES) catalogs. 

References:

NWCG NFES Catalog-Part 1: Fire Supplies and Equipment, PMS 449-1

NWCG NFES Catalog-Part 2: Publications, PMS 449-2