This week’s Extra Alarm insights come to us from Deputy Chief Vince Bettinazzi, addressing the critical steps for managing a situation where the incident commander (IC) becomes incapacitated. Bettinazzi emphasizes the importance of preparing for such scenarios, including training and designating backups. He explores the impacts on fireground operations and various strategies for continuity of command, such as transferring responsibilities to other battalion chiefs, safety officers or rapid intervention team officers. The need for clear identification and communication from the IC is highlighted, along with practical solutions to maintain command structure effectively. The episode serves as a prompt for fire departments to develop or review their contingency plans for unexpected IC incapacitation.