2014 wildland fire incident summary

The Wildland Fire Lessons Learned Center has released a summary of incidents that occurred on wildland fires in 2014. The document only includes incidents that were reported to the LLC. Unfortunately the LLC does not define the term “incident” but it appears to be a serious injury or accident on a wildland fire, perhaps including serious near misses.

Below we have a few graphic highlights. The complete report can be found HERE.

2014 wildland fire incidents by activity
2014 wildland fire incidents by activity. (click to enlarge)

The chart above represents wildland fire incidents from various agencies that were submitted to the Wildland Fire Lessons Learned Center (LLC) during 2014. Half of the physical training incidents were Rhabdomyolysis cases.

2014 wildland fire incidents by outcome
2014 wildland fire incidents by outcome (click to enlarge)

wildfire Vehicle rollovers by type of vehicleIt would be interesting to know how many of the rollovers of water tenders, engines, and crew carriers involved vehicles that were over the allowed weight (GVW) or were top-heavy. In other words — were they disasters waiting to happen.

Lessons Learned Review: Rhabdomyolysis leading to heat stroke

Heat stroke and rhabdo
PT run trail
Trail on which the PT run was conducted. NPS photo.

A Lessons Learned Review (LLR) for an unusual but severe injury has been released. A firefighter working for the National Park Service at Sequoia and Kings Canyon National Parks in California developed rhabdomyolysis (rhabdo) during his first week of work this season, probably after his first day which included very strenuous physical training. Then four days later, on June 27, 2013, he suffered from heat stroke during a training run. Recent research indicates that muscle damaging exercises can increase heat strain during subsequent exercise.

The firefighter was treated by NPS medics at the scene and then transported by a California Highway Patrol helicopter with a paramedic on board. He arrived at a Level I trauma center within one hour and thirty three minutes of his collapse while running. The doctor at the hospital told his parents that he was “…a profoundly sick young man, who may not make it.” He was hospitalized for two weeks and underwent kidney dialysis three times a week for seven weeks; reduced to once a week at the time the report was written, and was projected to make a full recovery. He hopes to return to light duty work, but cannot do so until he is finished with kidney dialysis treatments.

An excerpt from the report:

The LLR Team would like to commend the EMS responders, both from the NPS and the CHP, for their quick- thinking and actions. The LLR Team is certain that if these employees had not done so, [the firefighter’s] injury would have proved fatal.

The report, written by a four-person team that included an Exercise Physiologist with a PH.D., is very well written. It includes numerous recommendations for sustaining good practices as well as suggestions for improving the handling of rhambdo and other serious injuries, both locally and nationally.

All firefighters should read this Lessons Learned Review.

Heat stroke and rhabdoMore information and heat illness and its prevention.

Other articles at Wildfire Today about rhabdomyolysis.