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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

 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:

PHTLS courses are intensive 2 day CPD experiences - a blend of lectures, skills stations and scenarios.

We deliver the UK localised, JRCALC compliant 9th Edition of  NAEMT's Prehospital Trauma Life Support (PHTLS). The course 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. 


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 to be the two favourites.

An excellent Faculty, Venue and Equipment.

Delegates order their own PHTLS manual and we recommend that they start studying - 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.

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.


"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:

14/15 March 2024 - Full. We are happy to accept provisional reservations by email. Once bookings open, a completed booking form is required within 7 days of bookings opening to secure a place. Joining instructions have been sent to all delegates. Final directions and gate codes will be sent 08 March 2024 by email.

18/19 May 2024 - Bookings open. We are happy to accept provisional reservations by email in advance. If you make a provisional reservation, you must send a booking from in within 7 days of bookings opening, to secure a place - otherwise your provisional reservation will be cancelled.

December 2024

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

Cost: £425.00 which includes course fee, certification and course consumables. The course manual is not included in the cost. To keep cost down, delegates order their own manual off amazon, borrow it from a friend or order it from their library or academic institution. We have reduced the course cost to allow for delegates ordering their own manuals and to cater for Mountain Rescue Casualty Carers, who attend this course with us frequently, in large numbers. This allows manuals to be recycled through organisations.

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

How to book:

Once bookings go live, the link below will go live and will lead to the booking pack, containing full course information, our terms and conditions and the booking form. 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 the form by hand, scan it then send it back to us. 

Only complete and submit the booking form if you intend to attend the course and be bound by our terms and conditions. Once the booking form is received, we will review it. If you are successful in securing a place in the course, we send you an invoice,  at which point a binding contract will exist. If you later decide to cancel, the contractual booking terms (found in the booking pack attached), apply. These include cancellation charges. We recommend delegates tale out travel insurance to cover any cancellation (and accommodation costs).

Please note that places on courses are limited. Our 'Why' is supporting organisations and good causes such as NGO's, Rescue Organisations, expedition teams and others that need excellent training at reasonable cost. We support a number of disaster response and SAR organisations who cycle volumes of delegates through our courses. Priority in terms of bookings/places will be given to operational remote area medics, NGO's and Rescue teams as well as other good causes. This is who we are set up to support. Instructors from other organisations delivering or seeking to deliver PHTLS courses in a remote area/austere/wilderness/outdoor/expedition context, either now or in the future, are not eligible to attend this course*. It is a clear conflict of interest - there are other providers available and it takes a place away from deploying medics who need the training. We have a legitimate interest in ensuring that our Project and our 'Why' are not undermined. For that reason, those coming from other commercial training organisations should pay particular attention to reading our terms and conditions in this regard, before submitting any Booking Form. These terms and conditions are explicitly clear, are referenced here for awareness, are included in the booking pack (you have to scroll through them to reach the booking form), contain legally binding restrictions and are in place specifically to safeguard the great work we do for and with great people, great causes and to ensure the sustainability of our Project. We work hard to support others. We also protect our intellectual property robustly. 

*It is essential that all elements of the booking form MUST be completed accurately to be considered for a place. It is a Condition Precedent of the terms and conditions that the booking form is filled in completely and accurately.



// Pre- Hospital Trauma Life Support


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

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