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Compartment Syndrome

Compartment syndrome

Most of our muscles are divided into compartments surrounded by fascia which is not very giving (the silver skin for those who hunt). Compartment syndrome is a painful condition that occurs when pressure within the muscle compartment builds to dangerous levels.
This pressure can decrease blood flow, which prevents nourishment and oxygen from reaching nerve and muscle cells.
Small nerve and muscle cells can die leading to permanent disability, weakness, and numbness.

Image
Leg on left shows section of calf that would be swollen, and a cross section of the calf shows where the anterior compartment area of muscle is located.

Classic signs and symptoms

  1. Muscle pain and cramping
  2. Swelling of the affected limb
  3. Weakness and decreased range of motion in the affected limb
  4. Tingling, burning or numbness

Two types to consider:

Non-Traumatic/Exertional

  • The pain and swelling are caused by physical exertion. People who participate in activities with repetitive motions, such as running or marching, are more likely to develop non traumatic compartment syndrome.
  • This may be relieved by discontinuing the physical activity and rest. It is commonly mistaken as shin splints in the lower leg.
  • This may become a surgical emergency and require surgical treatment.

Traumatic 

  • Caused by a variety of things:
    • Broken bone
    • Badly bruised muscle
    • Crush type injuries
    • Anabolic steroid use
    • Constricting bandages or clothing
  • Traumatic compartment syndrome is considered a surgical emergency and requires surgical treatment.

Watch Outs:

  • A swollen, painful limb that does not improve with rest can be a sign of a significant emergency and should be treated in an emergency department.
  • Any numbness or weakness in the limb should mandate transport for professional medical evaluation.

Discussion Questions:

  • Your leg is swollen and sore after a long day of physical work.  What should you do?
  • Your crew member has been resting his swollen leg for a couple hours and now says it is tingling and cramping, what are your next steps?
     
Category
Firefighter Health & First Aid
References
Compartment Syndrome in Wildland Firefighters (USFS)


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Incident Position Standards and the Next Generation Position Task Books Now Available for DMOB, DOCL, and RESL

Date: February 28, 2025
Contact: Incident Operations Subcommittee

NWCG is excited to announce that Incident Position Standards and the Next Generation Position Task Books are now available for Demobilization Unit Leader (DMOB), Documentation Unit Leader (DOCL), and Resources Unit Leader (RESL).

The Performance Support Packages for these positions, including a job aid for RESL, were developed as part of the Incident Performance and Training Modernization (IPTM) 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.

References:

NWCG Demobilization Unit Leader Position Page 

NWCG Documentation Unit Leader Position Page 

NWCG Resources Unit Leader Position Page 

Next Generation Position Task Book and Updated Incident Position Description Now Available for Operations Section Chief Complex

Date: February 27, 2025
Contact: Incident Operations Subcommittee

NWCG is excited to announce that Operations Section Chief Complex (OSCC) has a Next Generation NWCG Position Task Book for Operations Section Chief Complex (OSCC), PMS 311-108 and an updated Incident Position Description.

These resources support trainees, qualified personnel, and evaluators in their respective roles.

References:

NWCG Operations Section Chief Complex Position Page 

NWCG Operations Section Chief Complex Incident Position Description 

NWCG Position Task Book for Operations Section Chief Complex (OSCC), PMS 311-108 

2025 NWCG Incident Response Pocket Guide (IRPG), PMS 461, Now Available

Date: February 27, 2025
Contact: Incident Operations Subcommittee

NWCG is excited to announce that the 2025 NWCG Incident Response Pocket Guide (IRPG), PMS 461, is now available. Visit NWCG's website to learn about the major updates and changes in the 2025 version of the IRPG. The NWCG Guia de Respuesta de Incidente de Bolsillo (GRI), PMS 461-ES is available electronically and will be available from Great Basin Cache by early summer 2025.

All hard copy materials, including the IRPG, are ordered through the Great Basin Cache (GBK). Information on the ordering process can be found in the National Fire Equipment System (NFES) Catalog.

References:

2025 IRPG Information 

NWCG Incident Response Pocket Guide (IRPG), PMS 461 

NWCG Guia de Respuesta de Incidente de Bolsillo (GRI), PMS 461-ES 

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

2025 Professional Reading Program

Date: February 18, 2025
Contact: Wildland Fire Leadership Development Program (WFLDP)

The Wildland Fire Leadership Development Program is announcing the 2025 Professional Reading list! The goal of the annual reading list is to promote the reading and discussion of the books throughout the year.

The five books chosen for this year are: Surf When You Can by Brett Crozier, Man’s Search for Meaning by Viktor E. Frankl, Elephant Company by Vicki Constantine Croke, Simply Managing by Henry Mintzberg, and Chop Wood Carry Water by Joshua Metcalf.

References:

Professional Reading Program