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2024 WOR: Burn Protocols

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Burn Protocols

On August 19, 2018, while conducting burn operations on the Mendocino Complex, six firefighters were forced to run from the fire after a sudden wind shift caused a significant increase in fire behavior and cut off their escape route. During their escape, firefighters suffered 1st and 2nd degree burns. Initially the burned firefighters declined the need for medical transport. Upon further evaluation, they were transported for medical treatment. 

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Figure 1: NWCG Burn Injury Protocols.
Figure 1: NWCG Burn Injury Protocols. (select image to enlarge)

To help firefighters and fire managers better assess burn injuries and expedite evacuations, the NWCG Emergency Medical Committee (EMC) developed and released burn protocols in 2023. 

The burn protocols require transfer to the nearest emergency department for all moderate and any minor burns that do not improve with basic first aid treatment. Firefighters should not hesitate to activate the Incident Within an Incident (IWI) process for anything more than a minor burn.

Many burns will NOT need treatment at a burn center initially but require close follow-up over days to weeks for possible treatment at a burn center later as the wound heals.
 
Burns that appear minor should be monitored as small or minor burns can become infected and threaten firefighter health.

Wildland firefighters train for the worst-case scenario often involving an Incident Within an Incident (IWI).  All wildland firefighters must be trained to use the Medical Incident Report (ICS 206 WF).  The Medical Incident Report is available in your NWCG Incident Response Pocket Guide (IRPG), PMS 461 on pages 118-119. 

Discussion Questions:

  • What are your home unit's reporting protocols for burns and injuries? 
  • Do you know the location of your nearest emergency department?
  • Discuss burn sources (heat vs. chemical) and what training and resources you have on your crew to treat burns until transfer to definitive care is achieved.
     

Resources:

 

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ETC Equipment Bulletin: 25-003 Flame-Resistant Shirt Survey

Date: June 12, 2025
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The U.S. Forest Service National Technology and Development Program (NTDP) is seeking input on the Forest Service-designed flame-resistant (FR) shirt, currently available through the National Interagency Support Cache system and FedMall.

NTDP is conducting a product review to improve future FR shirt designs. As part of this effort, a short survey is now open for federal employees who have worn any of three recent FR shirt models. Feedback will guide design improvements to better meet the needs of wildland firefighters.

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The S-130, Firefighter Training (Blended), equips new wildland firefighters with essential skills through a mix of online learning and hands-on training. The course features a required online component and an instructor-led exercise, reinforcing online concepts with practical performance-based training.

The course builds competencies in wildland fire operations, safety, and equipment use, applicable across various operational environments. Both the online component and instructor-led field exercise must be completed to receive a certificate of completion. Students are required to finish the prerequisite S-190, Introduction to Wildland Fire Behavior, before enrolling in S-130, Firefighter Training (Blended).

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Date: June 3, 2025
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The Emergency Medical Committee has issued interim guidance for Rapid Extraction Module Support (REMS) teams. Until further notice, Type I and II REMS teams must designate a team leader qualified at Firefighter Type 1 Squad Boss (FFT1) or higher. This temporary change replaces the Single Resource Boss (SRB) requirement, which is currently not feasible due to administrative barriers.

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The Equipment Technology Committee issued Equipment Bulletin: 25-002 to address a manufacturing nonconformity affecting Forest Service specification, 6170-4K Chain Saw Chaps. The issue applies to chaps manufactured in 2024 and 2025 and distributed through FedMall. These chaps may have incorrectly bound edges that expose inner protective layers.

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