1. NWCG RMC Incident Emergency Medical Subcommittee
Update
2011

2. IEMS Mission
The 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.

3. IEMTG Tactical Plan Subcommittees Accomplishments Timeline Futuring
Overview

4. Background 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

5. 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

6. 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

7. 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

8. Incident Emergency Medical Subcommittee
Introduced June 2008

9. IEMS Jan Peterson, Chair ID BLM Safety Manager
Dr. Jim Upchurch, Advisor
Mary Jo Lommen, R-1 USFS IMS Program Manager
Debbie Anderson, R-6
USFS IMS Program Manager
Gene Madden, NIMO Safety USFS-WO
Dean Ross, WO Chief
NPS Branch of ER Services
Tawni 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 Chief
North Lake Tahoe Fire Protection District
Jon Thomas, Executive Secretary AK BLM Safety Manager
Michelle Moore, Fire Management Specialist – DOI/BIA
Larry Sutton, RMC Liaison
Fire Operations Risk Management Officer - USFS – WO

10. IEMS Interagency Tactical Plan

11. 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

12. 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

13. Tactical Plan Continued
Training & Credentialing
Jan Peterson
Gene Madden
Incident Medical Unit Operations and Evaluation Criteria
Jon Thomas
Physician Advisory System
Dr. Upchurch
Mary Jo Lommen

14. Tactical Plan Continued
Emergency Equipment Rental Agreement Model EMS Language
Jon Thomas
Mary Jo Lommen
Communications
Jan Peterson
Gene Madden

15. Tactical Plan Continued
Communications Continued
Annual IEMS Report
Web Page
Presentations
Conferences
-International Association of Wildland Firefighters – Safety Summit
Meetings

16. Tactical Plan Continued
Communications continued
Contacting Federal EMS Programs
Foster NWCG Committee and Subcommittee Relationships
Bulletins: Intro Letter, Alerts

17. IEMS Products
Interim NWCG Minimum Standards for Medical Units Managed By NWCG Member Agencies
Infectious Diseases Guidelines For Wildland Fire Incidents Management Teams
Reviewed: Standards for Burn Injuries
Interim NWCG Minimum Standards for Incident Emergency Medical Services

18. IEMS Products IRPG Medical Section rewrite
Evaluated the 500 and 100 Person First Aid Kits
Developing Guidelines for Occupational Health Care for Wildland Fires

19. 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

20. 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

21. Summary and Questions