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R2Ri is a Wilderness Medical Society Affiliate

// Remote Area and Wilderness Casualty Care (TM) Series: RAW Casualty Care (TM):

// Remote Area and Wilderness First Responder: 







International Mountain Leader: “Hands down best course I’ve done in my career so far.”

Mountain Leader/Exped Leader: “More useful than all the other medical courses I have done, combined !”

Veterans Charity Exped leader: “Brilliant!”.

Remote field scientist doing a WFR requal: Faculty were “Exceptional”.

Polar kayaking guide: “Great experience, amazing faculty.”





We believe that this course is simply the most up to date and relevant Pre- Hospital Care course for civilian, non medic remote area operatives and expedition leaders in the UK. Medical School Accredited. Delivered by multiple, subject matter expert, genuine remote area medics. It takes genuine, experienced, remote area medics to impart relevant, correct and up to date knowledge and skills, competently and authoritatively, at this level.

The R2Ri Remote Area and Wilderness First Responder course is a big part of why R2Ri was set up - our aim is to advance the cause and knowledge and practice of suitable duty of care considerations worldwide - we can deliver this course at client venues, outdoor activity centres and elsewhere.












































This evidence based medical course covers both the issues that statistics and research from quality organisations, tell us commonly arise in the field, from gastro intestinal issues, blisters, cuts, grazes, twisted ankles, eye and dental issues etc, as well as less frequent yet high impact occurrences that may impact the ability of your team to remain in the field and/or could be life threatening, such as catastrophic bleeds and spinal injuries. The statistic sets from multiple authoritative, evidenced based sources, are addressed at the start of our courses. 


The course is is suitable for expedition leaders, outdoor instructors, outdoor guides, rafting guides, aid workers, SAR Team members, field workers, field geologists, forestry staff, and exploration teams amongst others - those non medics responsible for the care of others in the wilderness.

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 (we run expedition/wilderness specific risk management courses that are Royal Geographical Society accredited).

  • 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). We allow our WFR delegates to progress to PHTLS.

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

The solution?

The guidance continues to mirror our own views that training some way above and beyond a standard, basic 2 day outdoor first aid course (usually an Emergency First Aid at Work in an outdoor context plus an additional day of practice and content) is highly desirable/necessary for anything but the lowest risk expeditions within fairly short timescales to definitive treatment (well equipped ER, not an ambulance). In fact, the guidance refers to ‘Advanced First Aid’ at the lowest level. A standard outdoor first aid course is not ‘Advanced’.


The guidance for wilderness medical expertise band 1 (lowest) on the skills framework refers to a need for ‘Advanced First Aid Training’  - ‘A minimum of 16 hours is essential, 2-4 days course specific to wilderness environment.’ This is for the lowest risk expeditions. Our initial analysis is that this means a basic 16 hour of essentials plus 2-4 days on specific wilderness medical content. That interpretation would make sense given that most well regarded level D courses on the Pre Hospital Emergency Medicine framework take 4-5 days -  without wilderness content.  A 6-7 day training period to encompass all the content would fit with our delivery experience. There is only so much that can be taught in a day and a quality learning day can only last so long.


The guidance is simply that - guidance - but would be a document waved round in court to demonstrate what a panel of experts considered to be ‘good practice’. Medic provision should be guided by expedition specific risk assessment. We have espoused our (widely supported) views for a number of years that many organisations are not equipping their medic role fulfilling leaders with training that meets good practice for the risk level and remoteness of the activities they are delivering.

Our (US and U.K. certified, medical school accredited) Wilderness First Responder course will very nicely cover all the wilderness medic competencies for non medics at level 1 in the skills framework. It’s clear a more urban based First Responder course simply delivered in an outdoor context isn’t a Wilderness First Responder course in the internationally accepted sense of the title and won’t cut the mustard for anything but the lowest risk expeditions near to definitive care. Wilderness, activity, risk and environment specific emphasis  medical training is necessary. The Wilderness First Responder course will nicely cover all the category 1 (non medic) competency subjects and will probably be even more relevant than previously for qualified medics to undertake to widen their skill base.

























Crucially, our course offering is a UK specific solution delivered to UK standards and addressing international standards, delivered by UK based highly experienced and UK qualified remote area medics along with subject matter experts in fields such as law, Search and Rescue and more - all of whom understanding are expert in requirements for UK based organisations operating overseas. 


We have worked with international partners and drawn on some of our Faculty members to develop a  7 day Remote Area and Wilderness First Responder course, delivered at the National Outdoor Centre, Plas y Brenin, Snowdonia (and other locations by arrangement)

The course is certificated as a Wilderness First Responder by Remote Area Risk International for 3 years. The course meets and exceeds most UK NGB awards. The course is delivered at Level 'E' on the Pre Hospital Emergency Medicine Framework. The WFR course has been upgraded to meet UK good practice including airway adjuncts, tourniquets and haemostatic agents.

The U.S. Wilderness First Responder aspect is accredited for 2 years (with 12 months grace period thereafter where delegates only need to undertake a 3 day WFR refresher rather than re do the whole course) by the University of Utah School of Medicine under their 7 day Wilderness First Responder/ Basic Wilderness Life Support Scheme (only referred to as 'Basic' because they also run a course for Doctors - which we also run - entitled 'Advanced Wilderness Life Support'). 

Undertake the WFR within 3 years and both certifications renew.


For 2021, for those paying for the full, 7 day course (not the Requals), we are including in the WFR course cost, the following additional certifications above and beyond the Wilderness First Responder certification:


Ofqual Regulated QNUK Level 3 Award for First Responders (RQF) - a level D qualification on the Pre Hospital Emergency Medicine framework - (as is FREC 3).

Ofqual Regulated QNUK Level 3 Award in Administering Emergency Oxygen (RQF).


This allows the delegates to secure additional, non wilderness specific certifications (that would normally cost circa £525.00) at no extra cost. These certifications are at event first responder level. The QNUK Level 3 First Responder Award also meets the SIA Close Protection Officer medical requirements.


Finally, we are also including the Faculty of Pre Hospital Care, Royal College of Surgeons (Edinburgh) endorsed, Celox Academy 'External Haemorrhage Control - A Stepwise Approach' certification as an additional module, included within the full WFR (not the requal) price.










The WFR course content meets international requirements for Wilderness First Responder courses including the Wilderness First Responder Scope of Practice Consensus published on 25 January 2016. Our courses comply with that Scope of Practice consensus. This course meets those requirements and should be recognised internationally wherever WFR courses are recognised. We have delegates booking from all over Europe to undertake this course.

The Course lasts 7 days and covers lectures, skills stations and scenarios (including medical moulage simulations) with delivery being across all seven days with additional lectures and scenarios of a night. Pre reading and self assessment prior to the course is compulsory.

The course is taught as a minimum 74-hour course lectures and face to face hands on training - with an emphasis on practical skills and drills. The scope of practice is to prevent and identify medical problems, initiate reasonable and prudent field management and identify red flag signs and symptoms necessitating evacuation for potentially life-threatening problems. There is pre reading (including self assessment questions) of approximately 24 hours and 118 hours post course (non compulsory) wilderness specific post course reading and resources via our CPD Portal.



















The course consists of:

  •    74 minimum hours of lectures and hands on training

  •    Additional training in decision making and administering medications

  •    Pre Course reading supported by a comprehensive manual and self assessment questions

  •    Post course CPD and resources via online portal access.

  •    Certifying body advises that the WFR element exceeds NOLS WFR equivalent

  •    WFR course accredited by the University of Utah School of Medicine

  •    Course Directors are UK qualified, genuine remote area medics (including Pre Hospital Trauma Life Support instructors)

  •    Additional certifications including Penthrox Competent User (pain relief medication) - this is an online pre course study module


The focus is on:

  • A basic physical exam to identify obvious injuries or abnormalities, assessing

    signs, symptoms, and vital sign patterns, along with obtaining a relevant patient


  • Prevention of medical problems anticipated by the activity and environment,

  • Recognition of environmental conditions that may lead to problems and taking

    steps to mitigate the environmental challenge,

  • Treatment focused on stabilization of emergencies, initiation of specific and

    appropriate medical treatments (splints, wound care, spine injury management, managing environmental threats, etc.) and assisting patients utilizing their personal medications,

  • Conservative decisions on the need for, urgency of and appropriate type of evacuation and for interventions appropriate for this level of training. 

The course content (including lectures, scenarios and pre and post course study) includes:

  • 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

  • Prolonged Field Care 

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

  • 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 

  • Abdominal Injuries 

  • Gastro intestinal problems

  • Chest injuries

  • 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

  • Misc wilderness problems

Costs: £775.00  (no vat) for the WFR certification.


Please see the course calendar for current costs as they may vary by venue. We aim to make courses as accessible as possible and as inclusive as possible. Accommodation and food is not included in that cost. However, very reasonably costed accommodation and food are available at Plas Y Brenin (the course venue).  Group discounts apply for in house courses for groups of 16 or more. Courses can be delivered at your venue or suitable venues around the country by arrangement. Terms and Conditions apply.

Delegates need to be over the age of 18, hill fit and competent to operate on uneven ground.

Requalification Courses: follow the link for 2022 WFR Requalification Courses

The course is certificated as a Remote area and Wilderness First Responder by Remote Area Risk International for 3 years. The WFR course meets and exceeds most UK NGB award requirements.

The U.S. Wilderness First Responder aspect is accredited for 2 years (with an additional 12 months grace period thereafter where delegates only need to undertake a WFR requal rather than re do the whole course) by the University of Utah School of Medicine under their 7 day Wilderness First Responder/ Basic Wilderness Life Support Scheme (only referred to as 'Basic' because they also run a course for Doctors - which we also run - entitled 'Advanced Wilderness Life Support'). 

Once you have done the 7 day WFR with us, you can simply undertake a three day requal (during Covid, we are offering groups a private WFR (R) or the first three days of a WFR - to keep quals alive. We are aware other orgs are running 1 day online or 1 day face to face, just during Covid) plus test paper and practicals, to requal both the US WFR and the R2Ri certifications. 3 days is a common arrangement for WFR Requals, internationally.

We issue WFR certificates after a 3 day requal for those who have done a full (7 day face to face or longer) WFR elsewhere subject to that course being with a provider that we and our US Partner accepts. The original WFR must be in date when undertaking the WFR with us and that certificate must be provided to us as evidence. Please note that we no longer accept WFR courses of less than 7 days face to face training, for a 3 day requal.

We accept 7 day + face to face day WFR courses previously done in the US or Canada with NOLS WMI, SOLO - and in the U.K., WEMSI WFR courses.

Those having undertaken a WFR with another organisation would need to check with us first to see if it is accepted. 

Please note that requal courses cannot cover all the content from your original WFR course. WFR courses are generally 7 - 9 long days. The requal is to demonstrate your competence including by assessment. If you demonstrate competence, a WFR certificate will be issued. It is an opportunity for you to refresh knowledge of the basics, practice the basics (basics done well, every time, is what saves lives) - then demonstrate your knowledge and skills by way of exam and scenarios at the end of day 3. If you are not already very comfortable and experienced in undertaking primary and secondary assessments - and very confident of your abilities as a WFR, we recommend that you undertake the whole course instead. In 2021, we are offering requal delegates to stay on for the whole 7 day course at the requal price. We strongly recommend you do this. The requal is a short course to cover the basics to allow you to keep your certificate alive. You should only do a requal once, before undertaking the whole course on the next occasion.


Why undertake the course with us ?


A unique course, meeting relevant requirements - and delivered by genuine remote area medics with huge and recent experience AS remote area medics - not just as theoretical instructors. Our team also happen to be highly professional, passionate and experienced clinical educators. The R2Ri difference (experience, qualifications and instructional ability) is why deploying professionals and instructors from other organisations, come to us for training. 

Pre Requisites:


We require delegates to have an in date), 2 day Outdoor First Aid Course or 3 day First Aid at Work course, or higher.

Course Dates:

October 30 - 5 November. Venue: Plas y Brenin, Snowdonia. Bookings now closed. Pre reading has already been sent by email & hard copy manuals x 2 dispatched 07.09.21.

We will be running a minimum of 3 WFR courses open to the public in 2022. Dates out very soon. Private courses also available for groups.

For 2022 courses, delegates will be able to attend the CPD/Skills/Scenario day immediately after their full WFR course, at no extra cost. This is NOT transferable to any other course date. This is essentially an optional, additional 8th day, for consolidation, to undertake additional scenarios, alongside others who have come along, just for the skills day. Delegates can operate as individuals or teams.


WFR 2021 cost: £775.00  which includes course fee, certification, course materials, licence fee, plus access to (non compulsory) post course CPD materials,  field aide memoire, course manual. Pre course study is necessary.

The additional certifications are not available for the 3 day WFR Requal. WFR (R) delegates will be issued with a US WFR certificate and a UK WFR certificate.

WFR Requal cost: £425.00 which includes course fee, certification, course materials, licence fee, plus access to (non compulsory) post course CPD materials and course manual. Delegates undertaking requal courses in 2021 can stay on for the full 7 day course at no extra cost, by prior arrangement with us (limited places available and additional certifications above WFR (R) are not included in the WFR (R) cost).


Accommodation and food are not included. We strongly recommend that delegates stay at PyB.

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

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. We MAY also require PCR tests to be undertaken at the venue (this is being considered). 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.

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. 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:












































Altitude Medicine
Snake Bite Treatment. Expedition First Aid.
Remote Medic
Expedition Medic
WFR: 10-16 May. Bookings closed.
Remote Area Risk International Wilderness First Responder
Celox Academy


The best training I’ve ever had! (emergency response field team member working in remote areas).

International Mountain Leader: “Hands down best course I’ve done in my career so far.”


Mountain Leader/Exped Leader: “More useful than all the other medical courses I have done, combined !”


Whether you found the course useful : 


Absolutely !


Definitely !


Cost is good! Value for money! 


Really good - great mix of teaching styles and personalities.


Excellent ! You will be seeing more of us (experienced Wilderness First Responder having qualified as a WFR overseas on a standard length WFR (8-10 days).


How does this compare to other courses?

‘Previously qualified with NOLS in the U.S. Both (NOLS and Remote Area Risk International) excellent with different approaches. (NOLS more ‘American’)’


Overall, I feel this course was better (than ‘excellent’ original WFR certification undertaken with a well known and respected provider outside the UK). 


I felt it more enjoyable than the first one I did (another delegate who had already completed a standard llength (8-10 days) WFR overseas with a  well respected provider).

Remote field scientist doing a WFR requal: Faculty were “Exceptional”.

‘More professional, thorough and engaging than previous courses’


‘Far better in every way (than previous courses)’


Great trainers with great experience and knowledge.


Very experienced and passionate communicators. A great mix.


I’ll be back. 


Good mix of indoor and outdoor lessons.


Lots of real world experience brought into the room.


Good value for money.


See you next time.


What did you find most useful ? : Depth of lectures for underpinning knowledge.


Thanks for an awesome week, looking forward to coming back.


Great for confidence and getting to know kit.


Great atmosphere and teaching techniques. 


Thank you and hopefully will be back.


Fantastic location, great atmosphere. Approachable and inspiring.

Thanks again was a great week, learnt a lot!


Thank you very much for such an awesome course. 


Good learning/teaching techniques


Fantastic trainers with wealth of experience. Good atmosphere throughout.


Great course, excellent presenters 


Brilliant practical realistic trainers 


Approachable trainers with great knowledge. Great course atmosphere. 


Excellent mood during lectures. Good fun, which is hugely appreciated. 

Veterans Charity Exped leader: “Brilliant!”.

Polar kayaking guide: “Great experience, amazing faculty.”


"The first authentic "remote area' course attended, however, it sets a strong benchmark."

“Excellent value.”

“Great resources & support provided.”

“Inspiring & really valuable.”

“Have enjoyed the continuous support & constructive learning.”


‘Invaluable learning experience’


"Far more confident dealing with a medical incident and leadership generally in the outdoors and wilderness.'

‘Really impressive knowledge but always focused on our level of understanding’

‘An intensive but really enjoyable week. My knowledge and confidence is so much stronger...’



‘I have done many 2 day outdoor first aid courses for my work and although I only book with first responders/mountain rescue, the course content is nowhere near the teaching on this course’.


‘Much more comprehensive than 2 day outdoor first aid courses. 2 day courses really not sufficient for outdoor professionals. WFR ... should be more widely encouraged.’


‘Very impressive. Couldn’t ask for more experience’


‘Very thorough and useful. Thank you !’

‘I’m naturally a very critical person. I like things correct. I simply cannot think of any improvements what so ever!!’

‘This course is on par with National Mountain Centre level standards - Glenmore Lodge, Rescue 3, Plas Y Brenin, Plas Menai. It is of that ‘ilk’ in standards and delivery’.

‘First class. Absolutely superb’

‘I have had a week with sector leaders’

‘Fantastic value for money’

‘Specialists in their field. Leaders in their field. Brilliant’

‘The wealth of information from the 3 of you and how it was delivered to us was second to none. Your different teaching styles complement each other’

‘As good as it gets’

‘Extremely helpful and often fascinating’

‘Vast amount of experience put across in extremely professional delivery styles’

‘Excellent course, highly recommended’

‘Massive experience. No egos, just teaching’

"100% one of the best things I have ever done, I can’t commend the course enough”

“Yep. Totally loved the course.   A MUST for anyone working with groups abroad and / or needing to up-skill themselves above the 16 hour Outdoor First Aid Course. Fantastic instructors, fantastic hands on kit usage and amazing venue.  Well done guys!”

“Incredible course, keep it up, so worth it, perfect”

Top possible rating for each of: instructors knowledge, ability, training resources and equipment across the board.

“Excellent Knowledge and great practical practice and use”

“Instructors have been incredible”

“It has been perfect”

“Awesome course, huge knowledge base to gain from”

“Loved every moment, the instructors are incredible.”

“Brilliant course. Loads for us to take away”


“I loved the course”

“Great to see, feel and use real kit”

“Brilliant instructors, obviously knowledgeable both theoretically and practically. This resulted in a very enjoyable and informative experience”


"Last week I had the pleasure of spending the week in Snowdonia at Plas y Brenin on a 7 day Wilderness First Responder course ran by Remote Area Risk International. Having worked in training and assessment over the past 15 years I’ve been on numerous courses, some very good and some not so much! Having some time to reflect on the course last week, I would like to thank Matt, Phil and Tim for the excellent course they delivered. From the initial introductions, I knew it would be a good week with the opportunity to mix and learn with great people from a range of diverse backgrounds and experience. Throughout the week, I felt at times I was out of my comfort zone and definitely extended my knowledge and skill set during the course. From essential background anatomy and physiology through to practical applications of real world, evidence based skills within the remote (and urban) setting. The instructors delivered the training with enthusiasm, passion and experience. Up until last weeks course, there has honestly only been two trainers that have left a lasting impression on me, I can now add a few more. If anyone is in need of a remote area first responder course, I whole heartedly recommend R2Ri, hopefully come refresher time we can all have a beer! Thanks again."