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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

Meeting Schedule:

TBD

Page Last Modified or Reviewed:

NWCG Latest Announcements

2025/2026 Leadership Campaign Quarter 2 Now Available!

Date: February 13, 2026
Questions? 
Please contact: Leadership Committee

NWCG is excited to announce that the Quarter Two materials for the 2025/2026 Wildland Fire Leadership Campaign are now available! This annual initiative invites all leadership and wildland fire management students to engage with essential skills and knowledge needed to lead effectively in dynamic environments.

This quarter focuses on Leadership Level 2: New Leader (Conveying Intent). Conveying intent is a crucial leadership competency in the high-risk, dynamic environment of wildland firefighting. Months 4 - 6 will concentrate on how successfully conveying intent enhances situational awareness, promotes shared understanding, and empowers firefighters to exercise initiative and adapt to changing conditions.

References:

2025/2026 NWCG Leadership Campaign - Leadership Levels

Wildland Fire Leadership Development Program

Leadership Committee

Opportunity to Serve the Wildland Fire Community as an IPTM SME!

Date: February 10, 2026
Questions? 
Please contact: NWCG SME Specialist

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. The intent of IPTM is to transition NWCG’s training and qualification system to a performance-based model through updated position descriptions, Incident Position Standards, Next Generation Position Task Books (Next Gen PTBs), and updates to training where needed.

NWCG is currently recruiting SMEs for the following positions:

  • Aircraft Timekeeper (ATIM)
  • Compensation/Claims Unit Leader (COMP)
  • Cost Unit Leader (COST)
  • Crew Representative (CREP)
  • Deck Coordinator (DECK)
  • Fire Effects Monitor (FEMO)
  • Field Observer (FOBS)
  • Geographic Information System Specialist (GISS)
  • Ordering Manager (ORDM)
  • Receiving/Distribution Manager (RCDM)
  • Staging Area Manager (STAM)

Projects begin April/May 2026 and require 15–20 hours per month for 6–8 months, including a five-day workshop in Boise, Idaho this May. Apply by February 27, 2026, at the link below and review the attached document for details.

References:

NWCG SME Interest Sign-up

IPTM Subject Matter Expert Duties and Expectations Document

Incident Performance and Training Modernization (IPTM)

NEW! M-280, Resource Advisor, Fireline (Instructor-Led) Course Available Now

Date: January 29, 2026
Questions? 
Please contact: Resource Advisor Subcommittee

NWCG is pleased to announce the new M-280, Resource Advisor, Fireline (Instructor-Led) course is now available. This training supports individuals working towards Resource Advisor, Fireline (REAF) incident qualifications.

M-280, Resource Advisor, Fireline (Instructor-Led) training prepares students to serve as a Resource Advisor, Fireline (REAF) as defined in NWCG Incident Position Standards for Resource Advisor, Fireline, PMS 350-112. This course presents scenarios that reflect the diverse challenges a REAF may encounter during an incident. Through these scenarios, participants gain hands-on experience and an understanding of REAF responsibilities in a controlled learning environment.

References:

Resource Advisor, Fireline Position Page

NWCG Position Standards for Resource Advisor, Fireline, PMS 350-112

M-280, Resource Advisor, Fireline (Instructor-Led)

Wildland Fire Learning Portal

2026 Updates to the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1

Date: January 23, 2026
Questions? 
Please contact: Incident and Position Standards Committee

The Incident and Position Standards Committee has updated the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1.

These updates address changes to incident position names and requirements for qualification, training, and experience. Updates related to the implementation of Complex Incident Management (CIM) and Incident Performance Training Modernization (IPTM) are also included.

The NWCG Wildland Fire Position Qualification Flowchart, PMS 308 has also been updated to reflect the recent changes.

References:

NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1

NWCG Wildland Fire Position Qualification Flowchart, PMS 308

IPSC Memo 26-01: January 2026 Updates to the NWCG Standards for Wildland Fire Positions Qualifications, PMS 310-1