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Concussion and Head Injuries

 

Being struck in the head is unfortunately common in the wildland environment. Snags, equipment, loose scree, and UTV use all abound in our environment. Hard hats and helmets are a must and provide a degree of protection. But what if your co-worker gets a hit to the head (with helmet on!) and stumbles to the ground?

Image
Twelve symptoms that could indicated concussion.

Consider the scenario:

Your crew is walking along a trail when a large tree branch falls and hits the head of a team member. They are knocked to the ground but do not appear unconscious. No other injuries are identified and after a few minutes they seem to be OK. With relief, you hike onwards. A few minutes later they ask, “Where are we?” and you answer. Again, after a couple minutes the same question—same answer. This happens several more times and pretty clearly, they are not able to process or retain the information. What’s going on? What should you do? 

A blow to the head–with or without loss of consciousness–which results in some impaired cognition is a concussion. Concussed individuals sometimes repeatedly ask the same question and can’t seem to process the answers. They may complain of headache, dizziness, nausea. More severe concussions can result in being off balance, vomiting and some degree of panic as they cannot understand what has happened no matter how much you explain.

Fortunately, thanks to mainly the field of Sports Medicine there are now standard approaches to patients with concussions, as well as clear guidelines.

Follow the three 6 Rs: recognize, report, and recover.

Or even better are the 6 R’s:

  • Recognize. Learn the signs and symptoms of a concussion.
  • Remove. If an individual has a concussion or even a suspected concussion, they must be removed from duty immediately.
  • Refer. Seek medical attention.
  • Rest. A minimum of 24 hours for mild symptoms – 72 is better.
  • Recover. And then begin a gradual process of low levels of physical and mental activities over the next 7-14 days.
  • Return. If all symptoms have resolved and you are cleared to do so by a medical provider.

Allowing a person with a concussion to continue on duty is not only detrimental to their recovery but could put the entire crew in jeopardy if quick thinking or movement is required.

 

Category
Firefighter Health & First Aid
References
NWCG Emergency Medical Committee
AANS, Concussion – Symptoms, Diagnosis, and Safety Guidelines
IRPG, PMS 461 – Emergency Medical Care (red pages)


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NWCG Equipment Technology Committee Releases Safety Warning: 24-001 Stihl Chainsaw Toolless Fuel Cap Spill Prevention

Date: November 14, 2024
Contact: Equipment Technology Committee

The Equipment Technology Committee (ETC) has released Safety Warning: 24-001 Stihl Chainsaw Toolless Fuel Cap Spill Prevention. Misaligned toolless fuel caps on Stihl chainsaws have led to recurring fuel spillage, fuel ignition, and burn injuries during wildland fire management operations.

This Safety Warning is intended to highlight the details and recommended procedures for the installation of a Stihl chainsaw toolless fuel cap, as well as how to identify and correct a misaligned, damaged, or broken fuel cap to help prevent fuel spillage.

References:

NWCG Safety Warning: 24-001 Stihl Chainsaw Toolless Fuel Cap Spill Prevention

Advertencia de equipos 24-001: Prevención de derrames de la tapa de combustible sin herramientas de la motosierra Stihl

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The Incident Position Standards and Next Generation Position Task Book are now available for Equipment Time Recorder (EQTR)

Date: November 13, 2024
Contact: Incident Business Committee

NWCG is excited to announce that the NWCG Incident Position Standards for Equipment Time Recorder, PMS 350-51 and NWCG Position Task Book for Equipment Time Recorder (EQTR), PMS 311-51 are now available.

The Performance Support Package, which for EQTR, includes the Incident Position Standards and Next Generation Position Task Book were developed through the Incident Performance and Training Modernization (IPTM) effort. The Performance Support Package will support trainees, those qualified in the position, and evaluators.

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NWCG Equipment Time Recorder Position Page

NWCG Incident Position Standards for Equipment Time Recorder, PMS 350-51

NWCG Position Task Book for Equipment Time Recorder (EQTR), PMS 311-51

The Incident Position Standards and Next Generation Position Task Book are now available for Personnel Time Recorder (PTRC)

Date: November 13, 2024
Contact: Incident Business Committee

NWCG is excited to announce that the NWCG Incident Position Standards for Personnel Time Recorder, PMS 350-53 and NWCG Position Task Book for Personnel Time Recorder (PTRC), PMS 311-53 are now available.

The Performance Support Package, which for PTRC, includes the Incident Position Standards and Next Generation Position Task Book were developed through the Incident Performance and Training Modernization (IPTM) effort. The Performance Support Package will support trainees, those qualified in the position, and evaluators.

References:

NWCG Personnel Time Recorder Position Page

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Date: November 7, 2024
Contact: Risk Management Committee

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Safety Bulletin 24-001 outlines the following topics regarding respirator use for wildland fires:

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