R2Ri is a Wilderness Medical Society Partner

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

// Remote Area and Wilderness First Responder: 

 

 

 

 

R2Ri is the Wilderness Medical Society Partner in England and Wales and one of only two WMS Partners in the UK - the other being the Faculty of Pre Hospital Care, Royal College of Surgeons (Edinburgh).

 

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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The course 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.

As indicated on our Remote Area and Wilderness First Aid courses page, 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 aims of this panel were to: (1) provide guidance to ensure the best possible medical care for patients within the geographical, logistical and human factor constraints of an expedition environment. (2) Give aspiring and established expedition medics a ‘benchmark’ of skills they should meet. (3) Facilitate expedition organisers in selecting the most appropriate medical cover and provider for their planned activity. A system of medical planning is suggested to enable expedition leaders to identify the potential medical risks and their mitigation. It was recognised that the scope of practice for wilderness medicine covers elements of primary healthcare, pre-hospital emergency medicine and preventative medicine. Some unique competencies were also identified. Further to this, the panel recommends the use of a matrix and advisory expedition medic competencies relating to the remoteness and medical threat of the expedition. This advice is aimed at all levels of expedition medic, leader and organiser who may be responsible for delivering or managing the delivery of remote medical care for participants. The expedition medic should be someone equipped with the appropriate medical competencies, scope of practice and capabilities in the expedition environment and need not necessarily be a qualified doctor. "

The paper is available to read following the link above. However, to summarise the position in relation to non-medic (Doctor, Nurse, Paramedic) provision of medical cover for expeditions, the Consensus statement said that even for low risk expeditions overseas ("Low—such as young, fit group trekking in foothills of Atlas Mountains, Morocco" - in summer conditions, less than 4 hours away from advanced life support (in cases 4-12 hours away in the same low risk expeditions, a level D or G was recommended), expedition leaders responsible for medical provision  would have a certification that meets a minimum of a Level D on the Pre Hospital Emergency Medicine framework. 

That training should render them competent to deliver "...emergency field care"  and at the 4-12 hour category "...commence definitive treatment in the field." Moreover, level D Pre Hospital Care Providers will operate within a framework of Clinical Governance and CPD (in the case of expedition companies, this would be likely be Clinical Governance by the company Doctor/Medical Advisor).

We mirror this view and in fact have argued for years that this should be the case. This view supports the views of other learned bodies outside the UK. A learned body of expert opinion now agrees with us. It will be interesting to see how this is taken up in the adventure travel and similar sectors and we wonder how long it will be before an incident occurs and this paper is submitted as evidence in legal proceedings.

The solution?

A Remote Area and Wilderness specific course that delivers content up to descriptor level D and the Remote Area and Wilderness considerations highlighted in the paper - and taught by experienced instructors competent to teach in this field.

All widely recognised urban level D courses in the UK currently take approximately 5 days to complete the courses so it is logical that with additional content to cover Remote Area and Wilderness aspects, that a period longer than 5 days will be necessary.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 who understand 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 Mountain Centre, Plas Y Brenin, Snowdonia (and other locations by arrangement)

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

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 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. We also include Competent Administrator certification for Penthrox (pain relief medication). There is also an option (at additional cost - i.e. what it costs us to provide the additional manuals, certification and administration) for those undertaking the full, 7 day course, to undertake the Ofqual Regulated QNUK Level 3 Award in First Response (RQF) - a level D qualification on the Pre Hospital Emergency Medicine framework - (as is FREC 3) and the Ofqual Regulated Level 3 Award in Administering Emergency Oxygen (RQF). This allows the delegates to secure additional, optional, non wilderness specific certifications that would normally cost circa £525.00, for the nominal additional sum of £100.00. These certifications are at event first responder level . The QNUK Level 3 First Responder Award also meets the SIA criteria for Close Protection Operative medical requirements.

In addition, the 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.

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) 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 medication

  •    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)

 

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

    history,

  • 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 includes:

  • First Aid Kits

  • Difference between Outdoor and Remote Area First Aid

  • Evacuation necessary ailments 

  • Communications 

  • Calling for help and what to say

  • Telemedicine

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

  • Handing over to rescue medical teams

  • Legal Considerations

  • Consent

  • Hygiene

  • Scene Safety

  • Patient Assessment scene sizeup, primary & secondary survey

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

  • Breathing including BVM's.

  • Bleeding and Shock including catastrophic bleeding, tourniquets and haemostatic agents

  • Vitals Workshop including blood pressure

  • Heat Induced Injuries 

  • Hypothermia and Cold Injuries 

  • Lightning Injuries and Prevention 

  • Medical Problems

  • Anaphylaxis and Allergies

  • Musculoskeletal Injuries: Dislocations, Fractures, Sprains & strains

  • Submersion Injuries 

  • Water Disinfection

  • Wilderness Medical Kits

  • Wilderness Wound Management 

  • Chest Injuries 

  • Abdominal Injuries 

  • Altitude Illness

  • Fractures & dislocations 

  • Avalanche Survival 

  • Bites and stings

  • Evacuation Guidelines for complex situations 

  • Dive Medicine 

  • Head & Spine 

  • Gender specific Emergencies

  • Hydration and nutrition

  • Poisoning

  • Law and the Wilderness 

  • Medical Problems

  • Abdominal pain, heart lung diabetes, neurological 

  • Psych in the wilderness

  • Athletic Injuries (sprains, strains, etc.

  • Misc wilderness problems (skin, blisters, dentistry, eyes) 

Costs: £750.00* ** (no vat) for the WFR certification. See early bird discounts below...

 

*Optional addition of the Ofqual Regulated QNUK Level 3 Award in First Response (RQF) and the Ofqual Regulated Level 3 Award in Administering Emergency Oxygen (RQF)  - is an additional £100.00.00

 

**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, the courses are run at venues where very reasonably costed accommodation and food are available, youth hostel accommodation and camping, cafes and shops are available nearby. We know that many clients prefer to camp and arrange their own food. 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 and must be able to swim in open water.

Refresher Courses:

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

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 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'). 

Once you have done the 7 day Remote Area and Wilderness First Responder with us, you can simply undertake a three day refresher (the first three days of a WFR) plus test paper and practicals, to refresh both the US WFR and the R2Ri certifications.

We also issue WFR certificates after a 3 day refresher for those who have done a 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.

This includes full WFR previously done in the US or Canada with NOLS WMI, SOLO, WMA - 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. 
 

Course Dates:

Our next Remote Area and Wilderness First Responder and WFR Refreshers which are open to the public are:

 

11- 17 May 2020

 

28 Sept - 4 Oct.

Details:

WFR 2020 cost: £750.00 (or £675.00 for bookings made by 31.01.20) which includes course fee, certification, course materials, licence fee, plus access to (non compulsory) post course CPD materials, wipe clean field aide memoire, course manual. Pre course study is necessary.

Places: 18​

 

We are also offering a free Royal Geographical Society certified Off Site Safety Management course in 2020 for those who book on before 31.01.20 then subsequently pay for and attending the WFR course booked. This OSSM course usually retails at £190.00. Only one per person. Not transferable to anyone else and subject to availability. The available dates are the april and september dates on our website for OSSM. We may put on further dates at our discretion. Travel, accommodation and food not included.

The optional additional qualifications cost an additional £100.00. We strongly recommend you take up this option as the additional qualifications usually cost £525.00 as a stand alone. These additional certifications are not available for the 3 day WFR Refresher. Please tell us when booking if you want to undertake these additional certifications.

WFR Refresher cost: £425.00 (£395 for bookings made by 31.01.20) which includes course fee, certification, course materials, licence fee, plus access to (non compulsory) post course CPD materials and course manual.

 

Accommodation and food are not included as clients tell us that they want flexibility and we wish to be as inclusive as possible. Inexpensive camping, bunk house and YHA options are available very close to the venue and accommodation can be booked at the venue itself.

Venue: The National Mountain Centre, Capel Curig, Plas Y Brenin, Snowdonia, Wales.

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.

Booking link:

 

 

 

 

 

Testimonials:

"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”

“Amazing”

“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”

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