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R2Ri is a Wilderness Medical Society Affiliate.

// 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. Three of our medics sit on Wilderness Medical Society Committees: Operational Medicine (military medicine, environmental and Prolonged Field care) as well as Global Health and Expedition Medicine committees). Some of our medics also teach wilderness medicine at University level. 


Team members represented an expedition sector industry body 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 travel health and tropical medicine, 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 Affiliate headquartered in England and Wales and one of only two WMS Affiliates 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.

The Faculty of Pre - Hospital Care at the Royal College of Surgeons Edinburgh produced a Consensus Paper on Medical Provision for Wilderness Medicine. This was published on 1 December 2015 in the Extreme Physiology and Medicine Journal.

The guidance was updated in february 2020. See the link here. The update guidance placed an emphasis on a blend of skills for medics operating in remote areas, which included (but not limited to):

  • Medical skills

  • Wilderness Medical Training

  • Wilderness Skills 

  •  Risk Management knowledge (see our Off Site Safety Management course).

  • For some of the higher grades, a trauma course is indicated. We run a remote area emphasis Pre Hospital Trauma Life Support course (delivered in 64 countries - delivered by us in the UK as a UK localised edition, endorsed by the College of Paramedics and JRCALC compliant). Our delivery of the course, uniquely, globally, carries credits for the Wilderness Medical Society Faculty in the Academy of Wilderness Medicine). 

 Please also have a read of our blog post considering the new guidelines in some detail. AWLS is an excellent course to work towards meeting the new guidelines. The course is very much complemented by our PHTLS and Off Site Safety Management courses.

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. It is a foundation level course to introduce those who are already medically qualified (see pre requisites below), to the wilderness medicine. 

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: 6-8 November 2021.

Bookings open.

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 and Prolonged Field Care courses.

Cost: £695.00 for bookings received, accepted by us and invoiced by 1 August 2021 and £750.00 thereafter . Bookings will close 1.10.21. 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 Outdoor Centre, Snowdonia.

Places: 2 places left.

Covid19: We have limited places to ensure social distancing and have also significantly upscaled kit to minimise cross handling of kit. Wearing of masks will be mandatory. Scenarios will be individual and/or socially distanced. Masks and face shields plus gloves and sanitiser will be issued to all delegates. There will be pre screening of all delegates prior to attending the venue. Please view the venue website regarding the steps that they are taking regarding Covid precautions - that all our delegates will have to comply with on site.

***Terms and Conditions apply. 

How to book: 

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. Bookings cannot bmade until the link below goes live but we will happily take names to email when bookings do go live.


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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