R2Ri is a Wilderness Medical Society Partner.

// Advanced Wilderness Life Support ® in the UK.

The team at R2Ri have significant expertise across many levels in the Remote Area and Wilderness Medical Fields. Team members represented industry bodies during the Institute of Outdoor Learning consultation on Outdoor First Aid. Other team members are involved in writing the wilderness medicine elements of new european pre hospital qualifications and several have taught the subject both in the UK and overseas, including at advanced levels. Team member hold numerous relevant qualifications from the Diploma in Mountain Medicine to Hyperbaric qualifications amongst others and invest heavily in ongoing CPD, including in the UK at prestigious academic institutions such as Schools of Tropical Medicine, to overseas educational establishments.

R2Ri is the only Wilderness Medical Society Partner headquartered in England and Wales and one of only two WMS Partners in the UK - the other being the Faculty of Pre Hospital Care, Royal College of Surgeons (Edinburgh).

We have a suite of courses to allow those based in England and Wales to achieve their Wilderness Medical Society Fellowship in the Academy of Wilderness Medicine. The suite of courses will allow those meeting the criteria to become Fellows, to undertake a course relevant to their work - either a high level Remote Area and Wilderness specific qualification (AWLS)  or a well recognised qualification, delivered with a Remote Area and Wilderness emphasis (a Remote Area focused PHTLS coursewhich also has urban application. 


Our NAEMT Pre Hospital Trauma Life Support courses are delivered with Remote Area and Wilderness emphasis and attracts credits towards FAWM. The Advanced Wilderness Life Support Course also attracts FAWM points.

Advanced Wilderness Life Support ® in the UK:


The Advanced Wilderness Life Support® certification course has grown significantly since its development at the University of Utah School of Medicine in 1997. The course grew from a Committee including wilderness medical experts from across the U.S. and U.S. Military and now features an impressive Faculty and a 364 page written manual maintained by international contributors with geographical content covering many parts of the globe - including with European input. The course is now delivered through approved providers at locations in many countries throughout the globe. R2Ri is proud to be delivering the AWLS course in the UK. We have chosen to deliver this course as it gives a good foundation to the subject to those who already hold medical qualifications, over a realistic time scale, is supported by, reviewed and kept up to date by medical professionals and is accompanied by an excellent text which references Wilderness Medical Society papers and research. This course is a great launching point to more in depth medical study related to Remote Area and Wilderness medicine.

The mission of AWLS is to create competence in medical professionals, enabling them to prevent and effectively manage emergency medical situations outside traditional medical facilities.

The AWLS certification is a three day course delivering Remote Area and Wilderness specific content for those who already have a medical background. It is appropriate for any licensed medical professional, or medical professional in training, who has an interest in wilderness activities. AWLS graduates include outdoor enthusiasts, expedition participants, US and UK Army and other military medical personnel, wilderness medicine academics and Wilderness Medical Society Fellowship candidates. Delegates who have attended our AWLS and PHTLS courses have indicated that this was excellent preparation for their first deployment as expedition medics overseas, to remote areas, including jungle, at altitude and diving expeditions, with medical responsibility for groups.

Who is the course for?:

It is appropriate for any licensed medical professional, or medical professional in training, who has an interest in wilderness activities.

Licensed medical professionals should take the AWLS course, thus any one who holds of these degrees: MD, PhD, PA, NP, RN, Paramedic, EMT, current CMT1,  FREC 4. It also includes medical professionals who may not see emergency care or general practice responsibilities on a day to day basis (ie: podiatrist, OBGYN). Our graduates include outdoor enthusiasts, expedition participants, US Army, UK and other military medical personnel, wilderness medicine academics, and Wilderness Medical Society Fellowship candidates.

The Objectives of AWLS include:

  • Providing a practical foundation in Wilderness Medicine for medical professionals

  • Teaching patient assessment and treatment guidelines for life support until definitive care or evacuation is available

  • Training the provider in methods to manage medical and trauma emergencies and urgencies in the wilderness when evacuation is unavailable or unnecessary

  • Teaching techniques and guidelines for evacuation.

Topics include:

  • Relevant standards

  • What the statistics say - what happens in the mountains, fieldwork, expeditions and travel

  • Animal, Insect, Arthropod, Marine Bites & Stings

  • Avalanche

  • Dive Medicine

  • Head, Eye, Ear, Nose, Throat, Skin

  • High Altitude Related Problems

  • Hyperthermia

  • Hypothermia & Frostbite

  • Infectious Disease

  • Lightning

  • Medical kits

  • Medical Problems

  • Moving an Injured Patient

  • Patient Assessment

  • Patient Packaging & Evacuation

  • Submersion Injuries

  • Water Disinfection & Purification

  • Wound & Musculoskeletal Injuries Management

Approximately half of the course time is spent in small groups participating in hands on teaching sessions and mock patient scenarios. AWLS is approved for up to 20.5 hours of AMA/PRA Category 1 Credits through the Wilderness Medical Society.  Some courses may be approved for additional hours.  


Course Dates:

Our next AWLS course is:

23,24,25 September 2020

Cost: TBA per delegate for bookings made after that date - which includes course fee, certification, course materials, licence fee, plus access to (non compulsory) post course CPD materials. Accommodation and food are not included as clients tell us that they want flexibility and we wish to be as inclusive as possible. Camping to YHA to accommodation at PYB itself are options.

Venue: Plas Y Brenin. This excellent, internationally delivered and respected course, maintained by a large, international, group of subject matter expert medics and accredited by a University Medical School, is delivered by us on a Non Profit basis to provide medic delegates with an excellent foundation introduction to Wilderness Medicine - which very nicely complements our remote area emphasis PHTLS course.

Cost: £650.00* for bookings received, accepted by us and invoiced by 31.01.20, £695 by 01.06 20 and £750.00 thereafter . Bookings will close 01.08.20. This course is run on a NON PROFIT basis and the course cost includes a £200.00 a head certification fee (included in the cost). The cost includes course fee, certification (this costs us £200 a head), course materials, manual, wipe clean aide memoire and sharpie pen, plus access to (non compulsory ) post course CPD materials. 

Venue: Plas Y Brenin, The National Mountain Centre, Snowdonia.

Places: 18​

* We are also offering a free Royal Geographical Society certified Off Site Safety Management course in 2020 for those who book on before 31.01.20 then subsequently paying for and attending the AWLS course booked. This OSSM course usually retails at £190.00. Only one per person, not transferable to anyone else and subject to availability. The available dates are the april and september dates on our website for OSSM. We may put on further dates at our discretion. Travel, accommodation and food not included.

How to book:

Click the link below to access the booking course pack for the course you are interested in. Download the pack, save it your computer and you can complete the booking form electronically and email to us. Alternatively, print off the pack, complete and scan the booking form back to us.

This course needs a minimum number to run as we run it on a non profit making basis. Our terms and conditions allow us to move your course booking to another date or offer you a refund (we would only do this if we not have minimum numbers). We will not do this on an AWLS course less than 10 working days before the course. Please bear this in mind when booking accommodation and consider cancellation limits on accom before booking. We recommend all delegates to take out suitable insurance before booking courses.


Testimonials for AWLS:

Delegates loved: “the instructors’ experience”, “the informality and interactivity”, “availability and selection of kit”, “credibility of faculty”, “pre- course support”, “venue and excellent Faculty/organisation”, “really good scenarios to practice”.


“Great instructors, well informed”, “nothing I didn’t like”, “good venue and excellent facilities”, “the content and interaction”, “really good and useful. Would recommend!”, “fantastic outdoor scenarios”, “very good delivery of sessions...I have very much enjoyed the scenarios too”, “excellent day, well organised and delivered 🙂. Thanks!”, “(Outdoor) Wilderness scenarios: a highlight of the course”, “Challenging scenarios”, “ great scenarios, great facilitation”, “every subject taught me something new and practical”, “very good course”, “excellent day 3”,  “excellent sessions, particularly as practical”, “good clinical scenarios, I liked the distraction by the media personnel”, “good use of anecdotes to put teaching into use”, “really nice and informal, easy to interrupt and ask questions”, “very interactive and interesting day, well organised sessions”, “great final group exercise”, “excellent, well taught and organised first day, looking forward to days 2 and 3”.

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