Remote Area Risk International is an approved Centre for delivery of the 2 day NAEMT Pre- Hospital Trauma Life Support Course and the one day Trauma First Responder Course. As with everything that we do, we deliver the 2 day course with a Remote Area and Wilderness emphasis - making this course perfect for those wanting to undertake PHTLS for use in their roles related to Search and Rescue teams, Expeditions, Oil and Gas Sector, Extractives Sectors, TV and film safety cover and more.

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

  • 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 circa 64 countries - delivered by us in the UK as a UK localised edition, endorsed by the College of Paramedics and JRCALC compliant). 

 Please also have a read of our blog post considering the new guidelines in some detail.

The strength of a course is its Faculty - all hand- picked by and known to our Course Co - Ordinator or Director for years. Our team are all Remote Area specialists. By that, we do not mean that they have medical qualifications and have been on a couple of expeditions in the past - we mean that they have medical qualifications AND regularly operate (providing medical cover) in remote areas for extended periods. Faculty members work in the extractives industries in remote areas overseas, as Off Shore Medical Rescue team leads, as Expedition Medics and providing medical and safety support for Television programmes. They have remote area medical expertise, military and Search and Rescue Experience. The Faculty have experience in multiple Jungles, Deserts, Mountainous regions, Arctic Circle and more.

Many of our PHTLS courses carry credits towards the Wilderness Medical Society Fellowship in the Academy of Wilderness Medicine. if you need credits, please check that the course is registered for FAWM credits on the WMS website before booking with us and notify us both when booking and at the start of the course as you will need to attend a number of additional content during the course to achieve the FAWM credits.

The 2 day course:

NAEMT's Prehospital Trauma Life Support (PHTLS) is recognized around the world as the leading continuing education program for prehospital emergency trauma care. The mission of PHTLS is to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care.  PHTLS is developed by NAEMT in cooperation with the American College of Surgeons' Committee on Trauma. The Committee provides the medical direction and content oversight for the PHTLS program. We deliver the UK localised, current, 9th edition (a number of our instructors were subject matter expert editors), which is JRCALC compliant and endorsed by the UK College of Paramedics.


PHTLS courses improve the quality of trauma care and decrease mortality. The program is based on a philosophy stressing the treatment of the multi-system trauma patient as a unique entity with specific needs. PHTLS promotes critical thinking as the foundation for providing quality care. It is based on the belief that, given a good fund of knowledge and key principles, EMS practitioners are capable of making reasoned decisions regarding patient care. The course utilizes the internationally recognized PHTLS textbook and covers the following topics:

  • Physiology of life and death

  • Scene assessment

  • Patient assessment

  • Airway

  • Breathing, ventilation and oxygenation

  • Circulation, hemorrhage and shock

  • Patients with disabilities

  • Patient simulations

The course is endorsed by the U.S Special Operations Medical Association amongst other organisations. The (very comprehensive) manual also covers Remote Area and Wilderness specific content including Environmental Trauma: heat and cold injuries, altitude as well as snake bites and other remote area related problems. As you would expect from Remote Area Risk International, we deliver the course with Remote Areas in mind and, so, many of our scenarios are based outdoors at the training venue: Plas Y Brenin, The National Mountain Centre, Capel Curig, North Wales. Training takes place at a private, perfectly located, purpose converted training venue, set apart from the main PYB site, further up the side of the mountain, with direct access on to the mountains, into the forest...and into the lake.


There is parking on site.


Accommodation is available on site at the venue (right next to the training rooms), with bed and breakfast options, and full kitchen facilities are available. There are alternative (very close) accommodation options a very short distance away - or camping for those that prefer that option. There are local food options and facilities. Meals are not provided as there are excellent options nearby - or delegates can utilise the kitchens to prepare their own food. We aim to cater for all budgets. Accommodation is not included in the course cost.


Tea, Coffee and biscuits are provided.

We utilise quality equipment. The course syllabus covers the core PHTLS content. We also have options/possibility (let the instructors know on the morning of day 1) for additional evening or day 2 afternoon lectures (including hands on practice with a Portable Altitude Chamber) that we build in for delegates needing credits for the Wilderness Medical Society Fellowship in the Academy of Wilderness Medicine. We usually go with the majority vote. Cold and Altitude seem the two favourites.

An excellent Faculty, Venue and Equipment.

A PHTLS manual will be issued to all delegates in advance of the course. Usually 3-4 weeks before the course as otherwise delegates will nor remember the content come the exam. There are skill stations and an exam at the end of the course. It is essential that delegates fully study the manual before attending the course or you will not pass the exam.

A med bag/backpack friendly Remote Area and Wilderness Medical manual, along with a wipe clean incident aide memoire, will be given to all attendees to keep.

Post course, delegates will be given access to our CPD portal where they can undertake (entirely non compulsory) post course CPD, at their own pace, all Remote Area and Wilderness Medical related.

PHTLS is the global gold standard in prehospital trauma education and is taught in 64 countries. PHTLS is appropriate for EMTs, paramedics, nurses, physician assistants, physicians, and other prehospital providers, including Expedition Medics. We also allow First Responders at First Response Emergency Care Level 4 and above to attend the course. PHTLS is accredited by CAPCE and recognized by NREMT.

The qualification is valid for 4 years.

Draft programme outline (please note we start courses at 09.00 and have additional, optional sessions at the end of day 1).


"Excellent and well run course - a credit to NAEMT/WMS and R2Ri."


"The experience and nature of the Faculty was exceptional. This was echoed by their enthusiasm and support in all aspects of the course. I can not recommend these gentlemen higher. Excellent course, venue and overall delivery."


"All exceptional."


"Well impressed by the course itself as well as lecturers. Excellent."


"A very enjoyable course, excellent Faculty they provided a highly enjoyable learning environment and made us feel at ease. Thank you !"


"Considerable value added from the Faculty. This gives a context and understanding beyond what is otherwise possible."


"Very well taught and delivered."


"Practical scenarios in outdoor environment were excellent teaching tools."


"Experience of instructors was fantastic."


"Scenarios run outside the classroom added a huge amount of fidelity."


"...the staff of R2Ri who were professional in both their teaching and delivery. Would highly recommend."


"Great use of pressure to make a decision and to justify that decision -clinical or logistical."


"Great idea for the teams to form and pack their own kit bags."

"Great to see new and well maintained equipment."


"All relevant and well run - excellent time keeping."

“First class, gained knowledge and inspiration in each session. Perfect dynamics from the Faculty. Literally faultless.”

“Challenging practical scenarios with excellent feedback and reflection opportunities. Final exercise especially.”

“Overall fantastic course. Hugely knowledgeable Faculty. Good interactive lectures. Good balance between practical skill sessions and lecture content. Packing kit bags and mass casualty simulations were two particular highlights. Thanks very much.”

“This was my first Wilderness related course and I found it amazing. Doing the last multi casualty scenario, I worked with 3 other teams. Having understood the language used in PHTLS, I was able step in and understand what was going on and get involved appropriately.”

“A great course with great support and knowledge from the Faculty team.”

“ Thanks for a great course! Lots of opportunities for learning points and skills. Wide knowledge base amongst all the instructors., great deliver.”

“Highly educational and well equipped simulations. Great teaching resources and knowledgeable Faculty. Excellent highlight towards remote care.”

“Very good balance of theory and practical teaching. Faculty team have been excellent. I cannot fault their teaching.”

“ Excellent Faculty and organisation. Lots of experience. Remote area focus really useful.”

“Great venue. Good scenarios. Great Faculty. Great at explaining things.””All of the lessons were delivered well. Relevant lectures for the course. The lectures were very informative and stuck closely to the manual.”

“The Course ties in with Advanced Wilderness Life Support. I particularly enjoyed the skill stations. The scenarios as usual were very well run and organised.”

Course Dates:

Our next Remote Area Emphasis Pre Hospital Trauma Life Support Courses, which are open to the public are:

December 3-4, 2022 - Course Full. Manuals were dispatched to arrive 21.10.22, via amazon - delegates need to study the manual in advance of the course to pass the exam. Delegates do not need to study the whole manual: elements beyond division 6 'Special Considerations' are not needed for the exam. Joining instructions were sent out 04.11.22. Final reminders and directions were sent out 25.11.22.

Venue: Plas y Brenin, The National Outdoor Centre, Snowdonia.

Cost: £425.00 which includes course fee, certification, course materials, manual, plus access to (non compulsory ) post course CPD materials 

Accommodation and food are not included but B&B accommodation and food are available at Plas y Brenin itself.

How to book:

Click the link below to access the booking course pack, once dates go live - 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.

Only complete and submit the booking form if you intent to attend the course and be bound by our terms and conditions. Once we send you  an invoice,  a binding contract will exist. If you later decide to cancel, the contractual booking terms (found in the booking pack attached), apply.



PHTLS Course 3-4 Dec 2022 - FULL

// Pre- Hospital Trauma Life Support


"I can not recommend these gentlemen higher. Excellent course, venue and overall delivery."