NWCG RMCIncident Emergency Medical

Subcommittee

Update

2011

IEMS MissionThe mission of the Incident

Emergency Medical Subcommittee (IEMS) is to establish a

methodology that meets the emergency medical and

occupational health care needs of managed incidents with the

integration of local, state, tribal, and federal systems.

OverviewIEMTG Tactical Plan

Subcommittees

Accomplishments

Timeline

Futuring

BackgroundBackground

• Unique healthcare needs for wildland fire operations

• Lack of clearly defined uniform and consistent standards and protocols for medical personnel to follow on incidents

• EMSG Chartered 2001 – Sunset 2007• National Association of State Emergency

Medical Services Officials Letter - 11/2/07

• IEMS chartered - June 2008

NASEMSO Letter

• Recognized the need for quality EMS for firefighters

• Legislative Authority and Responsibility

• Failure to receive proper state level authorization as EMS personnel or ambulance services may be in violation of state statutes, making individuals and organizations both civilly and criminally liable

NASEMSO

• Pledged to work with the NWCG and NIFC to identify and implement a workable resolution and provide appropriate and accountable out of-hospital medical care and safety to the firefighters and others responding to incidents across the United Stated

Most Common Misconceptions

• The Good Samaritan Law will protect EMS activities on wildland fires

• Wildland fire is on “Federal” land so State Law does not apply

• National Registry Card qualifies EMS Personnel to Function as EMS on Wildland Fire Incidents

Incident Emergency Medical Subcommittee

Introduced June 2008

IEMSJan Peterson, Chair

ID BLM Safety ManagerDr. Jim Upchurch, AdvisorMary Jo Lommen, R-1 USFS IMS Program ManagerDebbie Anderson, R-6

USFS IMS Program Manager Gene Madden, NIMO Safety USFS-WODean Ross, WO Chief

NPS Branch of ER ServicesTawni Taylor, Investigator ID EMS

Bonnie Taylor, EMS Director Grand Teton NPS

Jim DeTienne, Supervisor EMS/ Trauma Systems, MT EMS

Kyle Thornton, Bureau Chief NM EMS

Mike Brown, Fire ChiefNorth Lake Tahoe Fire Protection District

Jon Thomas, Executive Secretary AK BLM Safety Manager

Michelle Moore, Fire Management Specialist – DOI/BIA

Larry Sutton, RMC LiaisonFire Operations Risk Management Officer - USFS – WO

IEMS Interagency Tactical Plan

http://www.nwcg.gov/branches/pre/rmc/iems/index.html

Tactical Plan Components• Scope of Practice• Jim De Tienne• Kyle Thornton• Tawni Taylor

• Data and Records Management• Gene Madden• Jim Powell

•  EMS Equipment & Supplies• Jon Thomas• Mary Jo Lommen

Tactical Plan Continued

• Review of Policy, Guidelines, Directives

– BLM & USFS Smokejumpers

– NPS Directives & Field Manuals

– R1 & R6 IMS Programs

– R5 Cal Fire Medical Program

– DHS/FEMA

Tactical Plan Continued• Training & Credentialing

– Jan Peterson– Gene Madden

• Incident Medical Unit Operations and Evaluation Criteria– Jan Peterson– Jon Thomas

• Physician Advisory System– Dr. Upchurch– Mary Jo Lommen

 

Tactical Plan Continued

• Emergency Equipment Rental Agreement Model EMS Language– Jon Thomas– Mary Jo Lommen

• Communications– Jan Peterson– Gene Madden

Tactical Plan Continued

• Communications Continued

– Annual IEMS Report

– Web Page

– Presentations

• Conferences– -International Association of Wildland

Firefighters – Safety Summit

• Meetings

Tactical Plan Continued

• Communications continued

– Contacting Federal EMS Programs

– Foster NWCG Committee and Subcommittee Relationships

– Bulletins: Intro Letter, Alerts

IEMS Products• Interim NWCG Minimum Standards

for Medical Units Managed By NWCG Member Agencies

• Infectious Diseases GuidelinesFor Wildland Fire Incidents Management Teams

• Reviewed: Standards for Burn Injuries• Interim NWCG Minimum Standards

for Incident Emergency Medical Services

IEMS Products

• IRPG Medical Section rewrite

• Evaluated the 500 and 100 Person First Aid Kits

• Developing Guidelines for Occupational Health Care for Wildland Fires

Futuring

• Identify SMEs

• Maintain IEMS Web Page

• Build Partnership Bank

• Stay on top of Communications

• Create National MEDL Association

• Form Medical Directors/Advisors in each State and Region

Futuring (continued)

• Outreach and Training

• Standardize the Management of Medical Units

• Assist with Standards for Contracting

• Incorporate Industry Standards for EMS Terminology and Position Titles

• Data Management / ISUITE

Summaryand

Questions