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Incident Medical Unit Subcommittee

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Mission Statement

Mission Statement

The Incident Medical Unit Subcommittee provides leadership in all areas of medical response and services of wildland fire incident Medical Units, with the focus of modernizing and standardizing medical unit processes and capacity to rapidly assess, treat and/or transport sick and injured firefighters and incident support personnel.

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Primary Objectives

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  • Modernize the incident medical organization to match Agency Administrator, incident responder expectations and operational needs.
  • Develop and maintain wildland fire scope of practice for medical practitioners operating as a part of an incident Medical Unit.
  • Address issuance of narcotics and providers across state lines, garnering support of the United States Drug Enforcement Administration (DEA).
  • Establish and regularly update wildland fire incident position standards related MEDL. This includes an incident position description and position requirements for training, experience, physical fitness, and position currency.
  • Establish and regularly update training and performance support materials such as job aids, training courses, and position task books for MEDL.
  • Develop telemedicine standards and practices for incident Medical Units.  

Hot Topics

Featured Links

Medical Unit Toolbox

Medical Incident Report Guidance

Resources for Medical Units

Limited Request for Recognition

Hospitals, Burn Centers, Air Ambulance

This section is for the EMS individuals with the primary responsibility to organize and manage an effective and efficient medical unit for a wildland fire or all-risk incident. Whether you're a medical unit leader (MEDL), incident medical specialist manager (IMSM), or involved with the fire medic program, this site will help you develop the medical unit quickly and also serve as a resource for you.

The forms and templates provided here will help you get started quickly and accurately. It is your responsibility to verify the information on these forms and websites provided. The procedures, information, and forms may change periodically before it can be posted.

Note Many states require certified/licensed EMS personnel to carry on their person their current EMS credentials at all times. It is recommended that all wildland/all-risk EMS resources do so as well.

Hospital Resources

Burn Center

Air Ambulance

Chair: Sinclair, Alan

NWCG Coordinator: Gaskill, Steven

Parent Committee: Emergency Medical Committee

Page Last Modified or Reviewed:

NWCG Latest Announcements

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

Make an Impact: Serve the Wildland Fire Community as an IPTM SME!

Date:  June 11, 2026
Questions? 
Please contact: NWCG SME Specialist

Note: Positions with an * will last approximately 6 months.
Positions with ** will last 12 - 18 months.

NWCG is seeking experienced wildland firefighters and support personnel to serve as Subject Matter Experts (SMEs) for the Incident Performance and Training Modernization (IPTM) initiative. IPTM aims to transition NWCG’s training and qualification system to a performance-based model by updating position descriptions, Incident Position Standards, Next Generation Position Task Books (Next Gen PTBs), and training where needed.

NWCG is currently recruiting SMEs for the Fall 2026 positions listed below:

  • Equipment Manager (EQPM)*
  • Fixed Wing Parking Tender (FWPT)**
  • Mixmaster (MXMS)*
  • Public Information Officer Complex (PIOC)*
  • Retardant Crewmember (RTCM)*
  • Strike Team Leader Crew (STCR)*
  • Strike Team Leader Engine (STEN)*
  • Strike Team Leader Heavy Equipment (STEQ)*
  • Task Force Leader (TFLD)**
  • Wildland Fire Investigator (INVF)** 

Projects begin October 2026. Sign up by July 10, 2026, at the link below and review the attached document for additional details. 

References:

NWCG SME Interest Sign-up

IPTM Subject Matter Expert Duties and Expectations Document

Incident Performance and Training Modernization (IPTM)

RMC Safety Bulletin 26-001: Rhabdomyolysis in Wildland Firefighters

Date:  May 28, 2026
Questions? 
Please contact: Risk Management Committee

The Risk Management Committee (RMC) has issued Safety Bulletin 26-001: Rhabdomyolysis in Wildland Firefighters. Research from 2016 to 2025 shows that 88 cases of rhabdomyolysis (rhabdo) were reported. Analysis of reports from eSafety, the Safety Management Information System (SMIS), and the Wildland Fire Lessons Learned Center (LLC) indicates that rhabdo is common during this time of year due to Work Capacity Tests and contributing factors such as weather, hydration, nutrition, and medication or supplement use.

RMC issued this safety bulletin to raise awareness in the Wildland Fire Community, and to provide research findings and educational resources that support reducing future cases of rhabdo.

References:

NWCG Alerts

RMC Safety Bulletin 26-001: Rhabdomyolysis in Wildland Firefighters