WMSLogo Affiliate.png

// Remote Area/Wilderness Emergency Medical Technician: RAW Casualty Care

 

 

 

 

 

 

 

 

 

 

R2Ri is a Wilderness Medical Society Affiliate
IMG_6111.JPG

We have designed the Remote Area/Wilderness EMT course as a progression course for non health care professionals from our very highly regarded Wilderness First Responder course. This upgrade significantly increases the delegate's knowledge, skills and ability to respond to an incident in the field and look after the health of the group in your care.

'Remote' and 'Wilderness':

 

We know that outdoor activity instructors associate with the word 'Wilderness' and its connotations, in a medical context,  of carrying a very small medical kit in a Mountain Leader or Expedition Leader context. Those operating in the TV, fieldwork and NGO sectors associate more with the 'Remote' label, with connotations of larger med bags, operating from base camps or vehicles or operating with a full med backpack providing medical cover. We cover both aspects on our courses, with some scenarios operating from full med page (with delegates having been trained on appropriate use of all the kit), through to small med kits in an expedition setting. We issue badges and certificates under whichever label suits your sector best.

Given that many of our delegates work overseas, we have been cautious in running a REMT/WEMT course unless that course provides comparable levels of training to WEMT courses in the U.S. - where WEMT courses originate from.

REMT/WEMT from a UK perspective:

In the US, a WEMT course takes 4 weeks. Our programme is designed to fit the realities of the UK market, where smaller numbers of people attend higher level medical courses and often have less time and funds available to do it. To that end, we have developed a modular programme, allowing delegates to attend relevant training and to consolidate training post WFR, to achieve the WEMT certification. Recertification is by attending a REMT/WEMT/ Advanced Wilderness First responder recertification every 3 years. Delegates are encouraged to undertake a one day Basic Life Support or ILS refresher every year, to keep their skills current.

Faculty:

As with all of our courses, the Faculty consists of experienced remote area medics, ranging from holders of the Diploma in Mountain Medicine, Travel & Tropical Health qualifications, Doctors, Paramedics, Nurses, Military Medics and more. Our Faculty page speaks for itself.

Modular and comprehensive programme:

The foundation stone of the REMT/WEMT course is our highly respected,, long standing, tried and tested 7 day Wilderness First Responder course. That course requires approximately a week of pre study. We designed that course with a view to delivering a credible WEMT course and for the WFR course to be the foundation module. In the U.S., a WEMT course will take circa 4 weeks, including ambulance placements.

Modules:

Our Wilderness First Responder course, the REMT/WEMT foundation stone, is delivered at a level higher than most comparable WFR courses - it is taught at a level comparable with U.S. EMT courses. It goes beyond traditional basic first aid into First Responder level Pre Hospital Emergency Care.  This is for two reasons. Firstly, we wanted the course to be benchmarked and credible in the UK - where  we are based, hence aligning it to level E on the Pre Hospital Emergency Care Framework. We also wanted to underpin the course with a respected, non wilderness specific, Ofqual regulated First Responder certification as well as Ofqual regulated certification in the administration of emergency oxygen (we also add in Penthrox training for pain relief), to allow delegates to gain experience working as event first responders and as an important quality check. Secondly, we wanted it to be delivered at a level suitable to form a module on the REMT/WEMT course.

We firmly believe that to do justice to the WEMT title, that specific additional skills (reflecting the realities of the main medical problems encountered in the outdoors/on expedition) and additional practice are needed. To that end, our REMT/WEMT course is made up of the following modules.

Foundation:

  • Wilderness First Responder 7 days plus c. 4 days pre course study.

  • Ofqual regulated First Responder level course (included in WFR)

  • Administration of Emergency Oxygen (included in WFR)

  • Penthrox Competent Administrator (included in WFR)

  • Celox Academy Catastrophic Bleeding (included in WFR)

Consolidation phase:

Subsequent to completing WFR, delegates are encouraged to gain experience working as event first aiders or as first aiders within their organisation and then attend additional modules to complete their academic knowledge, skills and scenario elements.

Upskilling phase :

Importantly, the modules allow delegates to gain knowledge and skills that are important in the remote area and wilderness settings, whilst also achieving additional, highly relevant and testing qualifications.

At the completion of the programme, delegates will have significant levels of knowledge, undertaken multiple skill stations which they will have practiced during further training (practice and scenario based training) and undertaken multiple knowledge assessments, will have had time (by their won arrangement) to get hands on experience in event medical cover, evidencing this in a portfolio and observe medical treatment as an observer in an ambulance or other setting (again, evidenced by way of a portfolio) and demonstrated skills in numerous practical settings - both by way of individual and groups assessments.

Importantly, delegates will have gone through highly respected and internationally recognised qualifications (WFR, First Responder, celox Academy, 

REMT/WEMT upgrade modules.

Post WFR and consolidation, the final module consists of subjects that can be undertaken separately and most of them are run as blocks in spring and autumn 2022. Dates will be released for late 2022/ 2023 that see the REMT/WEMT final module run as one 7 day module.

The upgrade from WFR to WEMT sees significant additional knowledge, skills, assessment and scenario based training. Delegates are also trained on safe administration of medications - to prepare them for issue of medications by their own organisation under their organisation's Clinical Governance.

  • Pre Hospital Trauma Life Support (2 days plus approximately 5 days pre study) - The international Gold standard in Pre Hospital Trauma Care. A significant knowledge and skills enhancement module with specific remote area and wilderness material.

  • Wound Care (1 day) - theory and hands on practical - learn how to assess, clean, close ...(or know when not to close), wounds.

  • Prolonged Field Care (2 days) - what happens when help doesn't arrive - how to care for a patient in the longer term, working with helicopters,

comms use and more.​

  • Pain relief & Safe administration of medications includes Penthrox refresher and re qualification.

  • SAR skills training.

  • Extended scenario training including night time SAR scenario.

Finally, we encourage WEMT delegates to undertake the Off Site Safety Management Course. This course is aimed an preventing problems happening in the first place and covers planning, management in the field including minor and major incident management.

Overview Contents list encompassing the whole programme including WFR:

  • First Aid Kits

  • Difference between Outdoor and Remote Area First Aid

  • Evacuation necessary ailments 

  • Communications including trackers, sat phones and radios 

  • Calling for help and what to say

  • Telemedicine and telemedicine scripts

  • Prolonged Field Care including patient nursing skills and an overnight scenario

  • Packaging and evacuation including practice with multiple commercial and improvised stretcher options.

  • Working with helicopters

  • Handing over to rescue medical teams

  • Law and the Wilderness - delivered by an expedition legal expert.

  • Consent

  • Hygiene 

  • Scene Safety

  • Patient Assessment scene sizeup, primary & secondary survey

  • Airway management including OPA's, NPA's & iGELS.

  • Breathing including BVM's and Oxygen Administration.

  • Bleeding and Shock including catastrophic bleeding, tourniquets and haemostatic agents - using high quality woundcubes, skill trainers and manikins.

  • Vitals Workshop including blood pressure, pulse oximetry and more

  • Heat Induced Injuries 

  • Hypothermia and Cold Injuries 

  • Head trauma and spinal injuries

  • Lightning Injuries and Prevention 

  • Medical Problems in the field

  • Anaphylaxis and Allergies

  • Musculoskeletal Injuries: Dislocations, Fractures, Sprains & strains

  • Drowning and water safety

  • Eye injuries and disorders

  • Water Disinfection and hydration

  • Wilderness Medical Kits

  • Wilderness Wound Management including wound cleaning and closure

  • Chest Injuries including needle decompression and chest seals

  • Abdominal Injuries 

  • Gastro intestinal problems

  • Bites and stings

  • Altitude Illness including hands on training with Portable Altitude Chambers

  • Fractures & dislocations including SAM Splints, Pelvic Binders (commercial and improvised) and Kendrick Traction Devices

  • Avalanche Survival 

  • Bites and stings

  • Evacuation Guidelines for complex situations 

  • Dive Medicine 

  • Head & Spine 

  • Gender specific Emergencies

  • Hydration and nutrition

  • Poisoning

  • Skin conditions

  • Tropical illnesses

  • Infectious disease

  • Medical Problems including diabetes, asthma, heart attack, stroke, epilepsy (amongst others)

  • Wilderness Dentistry

  • Abdominal pain 

  •  Psychological issues in the wilderness

  • Athletic Injuries (sprains, strains, etc).

  • Pain relief including Penthrox administration

  • Safe administration of medications

  • Misc wilderness problems

  

 

Completion:

Following completion of all the REMT/WEMT modules, we require delegates to undergo 2 days placements as observers on front line ambulances. We can arrange this for you via one of our Partners - a private company that operates front line ambulances, or alternatively you can arrange this yourself/ evidence such experience/extensive event medical experience by way of a questionnaire.

Certification:

We certificate this course with an REMT/WEMT certificate.

Certificates gained during the whole programme (including WFR) include:

Wilderness Emergency Medical Technician/Remote Emergency Medical Technician

U.S. University Medical School accredited Wilderness First Responder

U.S. CPR and AED Certification

Ofqual regulated First Responder certification (including CPR and AED use).

Ofqual regulated Administration of Emergency Gases

Celox - Catastrophic bleeding

Penthrox Competent Administrator

Ofqual regulated Safe administration of medications

Prolonged Field Care

Wound Care

Pre Hospital Trauma Life Support

Pre - requisites:

 

Delegates much be 18 or over and have a minimum of a current 2 day Outdoor first aid course before entry into the WFR course.

Delegates must complete all elements within 12 months.

Cost:

WFR module: £775.00

WEMT upgrade: £995.00 (includes PHTLS which usually costs £450.00 itself, Wound care £150.00, Prolonged Field Care £300.00, Safe administration of Medication (£95.00) plus an additional 2 days training.

Accommodation and food are not included.

Delegates will be sent a list of pre course reading that they must acquire and study prior to the course.

Dates:

Late 2022 and 2023 programme Dates will be published very soon

Bookings:

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. Terms and Conditions can be found in the booking pack and any booking form submitted to us is subject to these booking terms and conditions (including cancellation charges).

Booking link: