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RT-130, Wildland Fire Safety Training Annual Refresher (WFSTAR)

RT-130 Decorative banner. Group of wildland firefighters hiking down a valley to a fire. Black topo map and WFSTAR logo on left.

Patient Assessment

This video features subject matter experts guiding you through the process of patient assessment with the help of the Incident Response Pocket Guide (IRPG).
Category: Medical
Core Component(s):
Fire and Aviation Operational Safety
Estimated Delivery Time: 20 minutes
Video Length: 8:07

Remote Video

Intent

This module shows firefighters how to use standardized checklists from the NWCG Incident Response Pocket Guide (IRPG), PMS 461, during emergency responses. These tools improve communication and guide you through medical procedures. Firefighters with minimal medical experience can utilize the Patient Assessment and Medical Incident Response (MIR) checklists in the IRPG.

Facilitator Preparation

  • Review the video and module tools.
  • Consider additional activities and discussion questions relevant to the geographic location and your respective agency.

Facilitating the Discussion

  • Show the video.
  • Facilitate a small or large group discussion using the activity and discussion questions.
  • Present the scenario below and guide students through the exercise.

Scenario

You are on a single resource assignment as a heavy equipment boss on the Wolf Jaw Fire. In preparation for a burnout operation, you have been working with a skid steer operator for three days to move deadfall from a fireline.

At 10:00 AM on the third day, you watch as the skid steer operator grabs one end of a tree with the grapple and begins pushing it into the planned burn area. The tree meets resistance against a standing tree, slips off the grapple and smashes through the skid steer’s front glass. The operator reverses, stops, and then yells to you for help. You assist the operator out of the skid steer and have them sit on the ground. You notice blood seeping through the operator’s pants but cannot immediately see the extent of the wound. The operator says they feel dizzy and nauseous.

What do you do now? Discuss as a class

The top of the tree (in blue circle) smashed through the skid steer glass and hit the operator.
Image 1: The top of the tree (in blue circle) smashed through the skid steer glass and hit the operator. 
The skid steer glass was smashed by the tree.
Image 2: The skid steer glass was smashed by the tree.

Conduct Activity (Optional) 

  • Divide the class.
  • Give each group the Activity Questions below.
  • Discuss group responses. 

Activity Questions 

  1. Find the Patient Assessment page in your IRPG.
  2. Find the Medical Incident Report in your IRPG.
  3. What is the ABC (Airway, Breathing, Circulation) check used for? What are additional considerations to ABC?
  4. Go to Wildland Fire Lessons Learned Center and search for “Schenk” or “Schenk Prescribed Fire Hit by Tree 2024.” Read the Rapid Lesson Sharing report (RLS). Discuss how your responses to the activity compare to this real life success story.

Resources

Table of Abbreviations:

  • ABC: Airway, Breathing, Circulation. The most important considerations of life threats in addition to blood loss.
  • IRPG: Incident Response Pocket Guide
  • MIR: Medical Incident Report, often referred to as a MIR report.
  • RLS: Rapid Lesson Sharing

Additional Video Information

  • The video is also available as a download (Size 1.23GB); with the .srt file for closed captioning (you may need to right click and Save As). For information on how to add closed captioning to a video, see this how to page.

  • Note: For Chrome and Firefox, right click the word download and select Save Link As; for IE, right click and select Save Target As.

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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