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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

Incident Position Standards and Next Generation Position Task Book Available for Helicopter Crewmember

Date: April 28, 2025
Questions?  Please contact:
Interagency Helicopter Operations Subcommittee

NWCG is excited to announce that the NWCG Incident Position Standards for Helicopter Crewmember, PMS 350-22, and the NWCG Position Task Book for Helicopter Crewmember (HECM), PMS 311-22, are now available.

These resources, part of the Performance Support Package developed through the Incident Performance and Training Modernization (IPTM) effort, support trainees, qualified personnel, and evaluators.

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 Incident Position Standards for Helicopter Crewmember, PMS 350-22

NWCG Incident Position Standards for Helicopter Crewmember, PMS 350-22

NWCG Position Task Book for Helicopter Crewmember (HECM), PMS 311-22

Updated NWCG Standards for Fire Unmanned Aircraft Systems Operations, PMS 515

Date: April 23, 2025
Questions?  Please contact:
Interagency Fire Unmanned Aircraft Systems Subcommittee

The NWCG Standards for Fire Unmanned Aircraft Systems Operations, PMS 515 standardizes processes and procedures for the interagency use of Unmanned Aircraft Systems (UAS), including pilot inspections and approvals. This updated publication provides the aviation community with standards to ensure UAS are used safely, effectively, and efficiently in support of fire management goals and objectives.

References:

NWCG Standards for Fire Unmanned Aircraft Systems Operations, PMS 515

NWCG National Interagency Aviation Committee

ETC Bulletin 25-001: Retrofitted Hot/Cold Beverage Kits - 2025 Field Season

Date: April 16, 2025
Questions?  Please contact:
Equipment Technology Committee

Due to spout failures and the associated risk of burn injuries, manufacturers have retrofitted the Hot/Cold Beverage Kits using a heat-shrinking band to secure the black spout at the insertion site. The updated kits feature a fluorescent label on each full kit assembly for easy identification. Catering units are encouraged to confirm the clear heat-shrinking bands are intact around each spout before filling.

ETC Bulletin 24-001 regarding Hot/Cold Beverage Kits has been archived and replaced by ETC Bulletin 25-001 for the 2025 season.

References:

NWCG Alerts

ETC-EB-25-001 Retrofitted Hot/Cold Beverage Kits

NWCG Standards for Wildland Fire Chainsaw Operations, PMS 212, and Next Generation Position Task Book for Basic Faller Are Now Available

Date: April 14, 2025
Questions?  Please contact:
Hazard Tree and Tree Felling Subcommittee

The updated NWCG Standards for Wildland Fire Chainsaw Operations, PMS 212, and NWCG Position Task Book for Basic Faller (FAL3), PMS 311-19 are now available.

The NWCG Standards for Wildland Fire Chainsaw Operations, PMS 212 includes position standards designed to be used in conjunction with the Next Generation Position Task Book (Next Gen PTB). The Next Gen PTB for Basic Faller (FAL3) includes an evaluation guide with suggested rating elements to consider when assessing trainees.

References:

NWCG Standards For Wildland Fire Chainsaw Operations, PMS 212

NWCG Position Task Book for Basic Faller (FAL3), PMS 311-119

NWCG Basic Faller (FAL3)