10/26/2026
A wildland firefighter goes down with a femur fracture. Your medic reaches for ketamine. Under federal law right now, that could be illegal.
Not because the medicine is wrong. Because of a zip code.
The DEA’s March 2026 rule requires EMS agencies to hold a DEA registration AND a physical storage site in every state where they might give a controlled substance. Wildland crews deploy within 72 hours. Registration can take months.
Fires don’t check a map.
Seth Hawkins (Wake Forest), Sarah Frances McClure (Aligned Providers Wyoming), and Brian Drury (OHSU) lay out the impossible choice this creates for medical directors, and the fixes they’re urging the DEA to adopt, in a sharp new letter in Prehospital Emergency Care.
If you support wildland fire or WEMS teams, read this before your next deployment.
📚https://media.handtevy.com/website/Federal-Controlled-Substance-Actions-and-Wildland-Fire-EMS-Operations.pdf