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Emergency Medical Technician – Fireline

Position Description

Introduction

The EMTF provides emergency medical services (EMS) on an active fireline, division or other physically challenging assignment.  This position may also assist at the medical unit and/or other incident location as requested by the Incident Commander or representative.

Duties

  • Performs non-invasive lifesaving procedures focused on the initial management of injured and sick person. 
  • EMTFs are not independent practitioners and therefore must be supervised by a physician medical director.  Although many of the procedures that an EMTF is allowed to perform do not require real-time oversight by the supervising medical director, the EMTF makes destination decisions in collaboration with medical oversight.
  • While all EMTFs receive essentially the same training, the specific procedures that each individual EMTF is authorized to perform vary depending on the EMTF’s scope of practice.  An EMTF’s scope of practice contains only those procedures for which he or she is educated, certified (by passing an exam), credentialed (medical director grants “permission” to practice), and licensed by a state to perform.  Therefore, the scope of practice of an EMTF will vary by individual.
  • EMTFs will be required to work on the fireline or other remote areas of an incident.  The EMTF would be expected to participate in and/or lead the evacuation of a sick or injured person from this environment.  The EMTF would also be expected to perform these lifesaving skills with the equipment available to them on the fireline, which is significantly less than those EMT in the medical unit or typical urban EMS system.  The EMTF may be the only medical provider on scene for an extended period of time in less than ideal conditions.

Position Knowledge and/or Requirements

The following is a list of the typical skills than EMTF can perform:

  • Airway and Breathing
    • Insertion of airway adjuncts intended to go into the oropharynx or nasopharynx.
    • Use of positive pressure ventilation devices such as manually triggered ventilators and automatic transport ventilators.
  • Pharmacological Interventions
    • Assist patients in taking their own prescribed medications.
    • Provide lifesaving medications with an auto injector.
    • Administration of the following over-the-counter medications with appropriate medical oversight including the following:
      • Oral glucose for suspected hypoglycemia.
      • Aspirin for chest pain of suspected ischemic origin.
  • Use of an automated external defibrillator.
  • Trauma Care:
    • Stabilizing suspected spinal injuries and extremity fractures.
    • Controlling bleeding.
    • Evacuation of a sick or injured patient using purpose made and improvised litters.
    • Appropriate triage of sick or injured patients in order to assist with the formulation of an evacuation plan.
    • Application and inflation of the pneumatic anti-shock garment (PASG) for fracture stabilization.

Position Knowledge and/or Requirements

  • Current EMT license (must be issued by the EMTs home-state EMS licensing authority)
  • Introduction to ICS (I-100)
  • Firefighter Training (S-130)
  • Introduction to Wildland Fire (S-190)
  • NIMS:  An Introduction (IS-700)
  • Annual Fireline Safety Refresher (RT-130)
  • Human Factors in the Wildland Fire Service (L-180)
  • An arduous physical fitness level has been established for this position

Other Training Supporting Development of Knowledge and Skills

  • Intermediate Wildland Fire Behavior (S-290)
  • Basic Air Operations (S-270)
  • Helicopter Crewmember (S-271)
  • Wilderness Emergency Medical Technician

NWCG Latest Announcements

NWCG Equipment Technology Committee Releases New Equipment Bulletins

Date: September 27, 2024
Contact: Equipment Technology Committee

The Equipment Technology Committee (ETC) has released three new Equipment Bulletins:

  • ETC-EB-24-003 Diesel exhaust fluid (DEF) in fuel containers.
  • ETC-EB-24-004 Two-compartment fuel and oil container (Dolmar) unavailable in the United States (US) and reminders for upkeeping current inventories.
  • ETC-EB-24-005 Personal Protective Equipment (PPE): Inspection, Care, and Maintenance.

These bulletins remind field going personnel of important issues related to equipment for wildland firefighting efforts.

References:

NWCG Alerts

ETC-EB-24-003 Diesel exhaust fluid (DEF) in fuel containers

ETC-EB-24-004 Two-compartment fuel and oil container (Dolmar) unavailable in the United States (US) and reminders for upkeeping current inventories

ETC-EB-24-005 Personal Protective Equipment (PPE): Inspection, Care, and Maintenance

The Experiential Learning Subcommittee is looking for your feedback on Staff Rides

Date: September 20, 2024
Contact: Ashleigh D'Antonio and George Risko, Leadership Committee

The Experiential Learning Subcommittee needs to hear from the field about where the greatest need lies regarding staff rides and their accessibility.

  • Do you have an event you would like to turn into a learning experience?
  • Do you have a staff ride built, but are struggling to implement the delivery?
  • Do you need help building capacity?
  • What other ideas do you have to support experiential leadership training?

Fill out this short survey below to help us help you.

References:

Staff Rides: Feedback

Staff Rides

Updated NWCG Single Resource Casual Hire Information, PMS 934

Date: September 19, 2024
Contact: Incident Business Committee

The Incident Business Committee has updated the NWCG Single Resource Casual Hire Information, PMS 934. This update expands the provisions for hiring emergency personnel.

References:

NWCG Single Resource Casual Hire Information, PMS 934

IBC Memorandum 24-03

NWCG 2024 Spring/Summer Highlights

Date: September 13, 2024

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National Park Service Logo
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Fish & Wildlife Service Logo
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State Foresters Logo
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U.S. Fire Administration
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International Association of Fire Chiefs
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Welcome to our latest highlights from the National Wildfire Coordinating Group, where we explore the latest updates, insights, and efforts that develop interoperable wildland fire operations among federal, state, local, Tribal, and territorial partners.

The Performance Support Package, which for ABRO 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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NASA JOINS NWCG!

The National Aeronautics and Space Administration (NASA) is officially an associate member of NWCG. As such, NASA is beginning to collaborate with wildland fire management agencies with the goal of increasing collaboration across agencies and leveraging NASA data, technology, and innovation for nation-wide efforts in wildland fire management. NASA has a rich history of research, development, and technology transfer in the areas of Earth science, space technologies, and aeronautics that support the NWCG mission.

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NWCG new website look.

WWW.NWCG.GOV HAS A NEW LOOK AND DESIGN

The NWCG web team dedicated the past two years to making a significant upgrade to the www.nwcg.gov site. This upgrade involved a comprehensive redesign of over 7,700 web pages.

The modernization of NWCG’s website involved migrating to Drupal 10, a cutting—edge content management system, and leveraging Amazon Web Service GovCloud for secure and efficient hosting. These upgrades help ensure that the NWCG website remains current in content management practices, offering enhanced customization, improved performance, and an overall superior user experience.

NWCG Leadership Committee

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WFLDP PRP book covers

The Wildland Fire Leadership Development Program announced the Professional Reading Program’s 2024 list!

The years books include:

  • Young Men and Fire by Norman Maclean
  • The Wisdom of the Bullfrog by William H. McRaven
  • The Art of Clear Thinking by Hasard Lee
  • Emotional Agility by Susan David
  • Writing to Persuade by Trish Hall

Learn more at the NWCG Leadership Committee

INCIDENT PERFORMANCE AND TRAINING MODERNIZATION

In 2023, NWCG kicked off the Incident Performance and Training Modernization (IPTM) effort. A training system overhaul focused on developing a performance-based training system designed to shift training to on-the-job when appropriate.

Over the next five years, NWCG intends to analyze all positions within the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1. To date we are currently working on 30 incident positions, and planning for 20+ in calendar year 2025.

Subject Matter Experts from a variety of geographical areas and agencies recently completed the position analysis for 16 positions. From this analysis, Incident Positions Standards and a Next Generation Position Task Book will be developed for each position.

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Incident Performance and Training Modernization

NEXT GENERATION POSITION TASK BOOK

In April 2024, NWCG launched the new Next Generation Position Task Book (Next Gen PTB) which is a key component of the IPTM effort. This revised evaluation tool is designed to work in conjunction with the newly developed Incident Position Standards.

Major Next Gen PTB changes:

  • Structured to improve constructive conversations between evaluators and trainees.
  • Reference new Incident Position Standards.
  • Include only tasks required to be evaluated for successful performance.
  • Trainees will be rated on their performance vs. initialing whether a task was completed.
  • Must include written feedback when trainee does not meet the standard.
  • Will be position specific (no combined PTBs).
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Screen shot of the Next Gen Position Task Book
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NWCG’s training course catalog is now available on the Wildland Fire Learning Portal (WFLP).

To access the training course catalog, visit WFLP and either set up an account or login as a guest.