In 2010, the Incident Emergency Medical Subcommittee (IEMS), operating under the authority of the National Wildfire Coordinating Group (NWCG) - Risk Management Committee, completed the document, Interim Minimum Standards for Medical Units Managed By NWCG Member Agencies. The document was the first of several to be developed that will address the need for uniform standards and safe delivery of medical care provided by Emergency Medical Services (EMS) personnel at wildland fire. It focused on recognizing current practices and recommending standards to medical units for; promoting the use of licensed personnel within their scope of practice, state EMS office notification, applicable rules and jurisdictions, medical direction, communications, patient transportation and medical equipment, medication and supplies used. The IEMS also committed to developing wildland fire specific protocols and this document, Clinical Treatment Guidelines for Wildland Fire Medical Units, PMS 551, is the finished product. A task group of physicians with diverse backgrounds in wildland fire medicine, wilderness medicine and emergency/ clinical backgrounds reviewed this document and provided valuable input. These guidelines where developed with the expectation that the typical appropriate Basic Life Support (BLS) or Advanced Life Support (ALS) EMS interventions will be provided as needed so we did not include detailed protocols for EMS medical or trauma patient care, which already exists. Rather, we focused on guidance for the unique differences and challenges associated with remote sites and expanded evaluation skills needed for patient care issues such as: 1) assisting a patient with first aid and self-care health management; 2) triaging conditions for recognition of appropriate self-care assistance vs. need for transport to clinical medical care; and 3) initiating urgent/EMS care using appropriate and predetermined transport modes.

CONTENTS: 1. U.S. ARMY MEDEVAC CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES - CY20 Version Published January 2020, 278 pages 2. TCCC Guidelines for Medical Personnel - 1 August 2019, 24 pages 3. Joint Trauma System Clinical Practice Guideline Special Edition v2.0 - Management of COVID-19 in Austere Operational Environments (Prehospital & Prolonged Field Care) - 28 May 2020, 40 pages 4. DoD C-19 PRACTICE MANAGEMENT GUIDE - Clinical Management of COVID-19, 124 pages 5. COVID-19 Considerations in the Deployed Setting (Presentation) - 27 May 2020, 35 pages INTRODUCTION The STANDARD MEDICAL OPERATING GUIDELINES (SMOG) continues to go through significant improvements with each release as a result of the collaboration of Emergency Medicine professionals, experienced Flight Medics, Aeromedical Physician Assistants, Critical Care Nurses, and Flight Surgeons. There has been close coordination in the development of these guidelines by the Joint Trauma System, and the Defense Committees on Trauma. Our shared goal is to ensure the highest quality en route care possible and to standardize care across all evacuation and emergency medical pre-hospital units. It is our vision that all of these enhancements and improvements will advance en route care across the services and the Department of Defense. Unit medical trainers and medical directors should evaluate Critical Care Flight Paramedics (CCFP) ability to follow and execute the medical instructions herein. These medical guidelines are intended to guide CCFPs and prehospital professionals in the response and management of emergencies and the care and treatment of patients in both garrison and combat theater environments. Unit medical providers are not expected to employ these guidelines blindly. Unit medical providers are expected to manipulate and adjust these guidelines to their unit’s mission and medical air crew training / experience. Medical directors or designated supervising physicians should endorse these guidelines as a baseline, appropriately adjust components as needed, and responsibly manage individual unit medical missions within the scope of practice of their Critical Care Flight Paramedics, Enroute Critical Care Nurses, and advanced practice aeromedical providers. The medication section of this manual is provided for information purposes only. CCFPs may administer medications only as listed in the guidelines unless their medical director (supervising physician) orders a deviation. Other medications may be added, so long as the unit supervising physician and/or medical director approves them. This manual also serves as a reference for physicians providing medical direction and clinical oversight to the CCFP. Treatment direction, which is more appropriate to the patient’s condition than the guideline, should be provided by the physician as long as the CCFP scope of practice is not exceeded. Any medical guideline that is out of date or has been found to cause further harm will be updated or deleted immediately. The Medical Evacuation Concepts and Capabilities Division (MECCD) serves as the managing editor of the SMOG and are responsible for content updates, managing the formal review process, and identifying review committee members for the annual review. The Standard Medical Operating Guidelines are intended to provide medical procedural guidance and is in compliment to other Department of Defense and Department of the Army policies, regulatory and doctrinal guidance. Nothing herein overrides or supersedes laws, rules, regulation or policies of the United States, DoD or DA.

The Wildland Fire Incident Management Field Guide is a revision of what used to be called the Fireline Handbook, PMS 410-1. This guide has been renamed because, over time, the original purpose of the Fireline Handbook had been replaced by the Incident Response Pocket Guide, PMS 461. As a result, this new guide is aimed at a different audience, and it was felt a new name was in order.

This textbook is packaged with Navigate 2 Advantage Access which unlocks a complete eBook, Study Center, homework and Assessment Center, and a dashboard that reports actionable data. Experience Navigate 2 today at www.jblnavigate.com/2. Wildland Fire Fighter: Principles and Practice, Second Edition meets and exceeds the job performance requirements and objectives as outlined in the following National Fire Protection Association (NFPA) and National Wildland Coordinating Group (NWCG) standards: • NFPA 1051, Standard for Wildland Firefighting Personnel Professional Qualifications, 2020 Edition (Chapters 4 and 5) • NWCG S-190, Introduction to Wildland Fire Behavior, 2019 Edition • NWCG S-130, Firefighter Training, 2008 Edition • NWCG L-180, Human Factors in the Wildland Fire Service, 2014 Edition From wildland fire service history, to safety, to water supply, to firing operations, this single manual covers everything an NFPA Wildland Fire Fighter I and Wildland Fire Fighter II (NWCG Fire Fighter Type 2 and 1) needs to know. In addition, the Second Edition was significantly updated and reorganized to better serve the Wildland Fire Fighter I and Wildland Fire Fighter II. The program now features two distinct sections. Section 1 includes six chapters, which set the foundation for Wildland Fire Fighter I knowledge and understanding. Section 2 comprises eight chapters, which encompass the higher-level competencies required for Wildland Fire Fighter II. This new organization will allow instructors the flexibility to teach their Wildland Fire Fighter I and II course(s) exactly the way they wish. The features in this text will help students take that extra step toward becoming outstanding wildland fire fighters. These features include: • Refined Table of Contents. Now divided by level, the new table of contents addresses NFPA and NWCG requirements and objectives in an easy-to-follow manner. • New Chapters. New chapters including The Wildland Fire Service, Wildland/Urban Interface Considerations, Tools and Equipment, Human Resources, and Radio Communications ensure a comprehensive understanding of history, safety, and operations. • Scenario-Based Learning. You are the Wildland Fire Fighter and Wildland Fire Fighter in Action case scenarios are found in each chapter to encourage and foster critical-thinking skills. • Practical Tips for Wildland Fire Fighters. The Listen Up! and Did You Know? features provide helpful advice and encouragement. • Skill Drills. This feature provides written step-by-step explanations and visuals for important skills and procedures. This clear, concise format enhances student comprehension of complex procedures. • After-Action Review Section. The end-of-chapter review includes detailed chapter summaries and key terms to reinforce important principles. • Updated photos and illustrations. New and improved photos and illustrations enhance learning with visuals of incidents and training simulations, as well as highlighting advances i

Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.