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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.

 

References
NWCG Emergency Medical Committee
AANS, Concussion – Symptoms, Diagnosis, and Safety Guidelines
IRPG, PMS 461 – Emergency Medical Care (red pages)


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The Incident Position Standards and Next Generation Position Task Book are now available for Status/Check-In Recorder (SCKN)

Date: August 27, 2024
Contact: Incident Planning Subcommittee 

NWCG is excited to announce that the NWCG Incident Position Standards for Status/Check-In Recorder, PMS 350-32, NWCG Position Task Book for Status/Check-In Recorder (SCKN), PMS 311-32, and Checking In Resources Customer Service Job Aid, J-111 are now available.

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References:

NWCG Status/Check-In Recorder Position Page

NWCG Incident Position Standards for Status/Check-In Recorder, PMS 350-32

NWCG Position Task Book for Status/Check-In Recorder (SCKN), PMS 311-32

Checking In Resources Customer Service Job Aid, J-111

The Next Generation Position Task Book and Incident Position Standards are now available for Safety Officer, Field (SOFF)

Date: July 26, 2024
Contact: Risk Management Committee 

NWCG is excited to announce that the NWCG Incident Position Standards for Safety Officer, Field, PMS 350-81 and NWCG Position Task Book for Safety Officer, Field (SOFF), PMS 311-81 are now available.

The Safety Officer, Field (SOFF) is responsible for monitoring operations on an incident from a risk management perspective to provide for the welfare of incident resources and the public. The new Incident Position Standards and Next Generation Position Task Book are developed through the Incident Performance and Training Modernization (IPTM) effort.

References:

NWCG Safety Officer, Field (SOFF) Position

NWCG Incident Position Standards for Safety Officer, Field, PMS 350-81

NWCG Position Task Book for Safety Officer, Field (SOFF), PMS 311-81

Updated NWCG Standards for Electronic Documentation (eDoc), PMS 277

Date: July 25, 2024
Contact: Incident Planning Subcommittee 

The Incident Planning Subcommittee has updated the NWCG Standards for Electronic Documentation (eDoc), PMS 277.

The NWCG Standards for Electronic Documentation (eDoc) establishes the standards for collection and retention of records on wildland fires. This July 2024 update will provide incident management teams the most current standards required to maintain incident records and submit them to host units at the close of an incident.

References:

NWCG Standards for Electronic Documentation (eDoc), PMS 277

eDoc Box Directory (zip file)

NWCG Off-Highway Vehicle Typing Standard Request for Comment

Date: July 24, 2024
Contact: Mobile Fire Equipment Subcommittee 

The Mobile Fire Equipment Subcommittee has released Equipment Bulletin 24-002 NWCG Off-Highway Vehicle (OHV) Typing Standard - Request for Comment. This bulletin outlines the proposed NWCG OHV typing standard, as well as the business need for establishing the standard. Comments on the proposed standard will be accepted through August 15th using the comment form linked below.

References:

ETC-EB-2024-02: NWCG Off-Highway Vehicle (OHV) Typing Standard - Request for Comment

NWCG Off-Highway Vehicle (OHV) Typing Standard Comment Form