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  • You are being hoisted into a helicopter when you start to spin dramatically. To stop the effects of spin, what needs to occur immediately? a. The pilot needs to apply forward airspeed b. Signal to be put back on the ground immediately c. Tilt the basket and patient to create resistance to slow the spin
    Correct Answer is A Rationale: The helicopter crew need to apply forward airspeed (10 to 20 KIA (Knots in Airspeed) immediately as defined in external load operations.
  • Individual demographics, the presence of acute or chronic health conditions, history of previous injury or illness during participation in a wilderness sport/adventure, and environment-specific conditions of the activity are evaluated during a: a. medical screening exam b. preparticipation physical evaluation c. fit for duty assessment
    Correct answer is B Rational: PPEs are not intended to disqualify a participant; rather they are intended to reduce morbidity and mortality during participation in wilderness activities. PPEs are not intended to disqualify a participant; rather they are intended to reduce morbidity and mortality during participation in wilderness activities. It is rare to disqualify or recommend an individual not be cleared for a wilderness sport or adventure.
  • You are providing medical support for a trek. Several days into the trip, at 5500 m (18000 ft) you are approached by a patient complaining of chest pain. The patient has a history of angina. The patient tells you they are having chest pain after exertion. The pain has resolved with rest and nitroglycerine. What is the best recommendation? a. Slow the pace of the trek and allow more rest time b. Evacuation for hospital evaluation c. Acclimatize for an additional day at current altitude
    Correct answer is B Rationale: The patient is experiencing unstable angina, likely exacerbated by altitude. The patient should be evacuated and should not continue to ascend.
  • A 22-year-old female patient presents with circumferential full-thickness burns from her mid-thigh to her toes of both legs. She has lost distal pulses and requires an escharotomy. Where and how do you make the incisions to perform the escharotomy? a. Lateral and anterior limb incisions through the dermis of both lower extremities b. Anterior limb incisions through the dermis of both lower extremities c. Medial and lateral limb incisions through the dermis of both lower extremities
    Correct answer is C Rationale: Escharotomy incisions for the limbs should be carried to the level of the thenar and hypothenar eminences for the upper extremity and to the level of the great toe medially and the little toe laterally for the lower extremity.
  • Do I Need Any Pre-Reqs to get into your course?
    For Basic EMT you just need a photo ID and a smile. For Advanced EMT you need to hold a curent Utah state EMT liscence before the start of class.
  • What gear is needed for this academy?
    5.11 type Blue or Black EMS style pants and boots, black tactical belt, and a white T-shirt. You will also need school supplies like the textbook for the class, notebooks, colored pens and pencils, markers, and flashcards.

The Wilderness First Responder certification program offers a comprehensive educational pathway for individuals seeking to enhance their ability to manage medical emergency's in remote locations. This intensive course, is designed to bridge the gap between basic first aid and wilderness medical care.

Addressing the Challenges of Remote Emergencies: 

Traditional first aid training often proves insufficient when faced with the unique challenges of wilderness environments.  Limited resources, extended evacuation times, potential environmental hazards calls for skilled patient management. This course curriculum equips participants with the knowledge and practice skills to:

-Perform thorough patient assessment in outdoor setting

-implement evidence-based intervention for a wide range of medical and traumatic emergencies

-Effectively utilize limited resources to stabilize patients and mitigate further injury

-Make sound clinical decisions regarding patient care and evacuation strategies.


Wilderness Course

Medical Mission Planning

Maps & Satellite navigation

Availability of resupply

Ancillary resources

Shelter needs

Protective equipment

Risk Assessment & management

Situation awareness

Risk mitigation, satisfaction

Medical Mission Planning

Medical Mission Planning

Environmentally appropriate medical equipment

Battery Maintenance & management



Impact/weather resistance

Rope rescue technique

Patient evacuation

Radio communication

Hand signals/emergency signaling

Modes of transportation

Rescue animals 

Aircraft operation

Safety & restrain system

Avalanche burial

High altitude/cave/dive

Geothermal hazards

Rescue Interface

Prolonged Care

Improvised care/ patient comfort

impact of environment on medical condition


End of life consideration

Vital signs

Resuscitation/ airway control

Ventilation & oxygenation

Physical exam/diagnostic

Fitness & preparedness 

Common accreditation standards

 Medical literature

Evidence based medicine

Ethical consideration

Environmental impact

Confidentiality/privacy practice

Regulation & jurisdiction

Professional liability

Professional Consideration


Interpersonal communication

Interagency communication

Media awareness

Debriefing requirements

Prolonged field care patient flow chart

Patient handoff

Waveform capnography monitoring

Non-invasive positive pressure ventilation

Specialized airway equipment

Point of care testing

Hemodynamic monitoring

Advanced multi-led ECG interception

Neuroprotective strategies

Tourniquet conversions 

General Medical

General Medical

Airway assessment/ Surgical airway

Medication facilitated airway management

Mechanical ventilation

Alternative airway devices

Peri-intubation arrest

Special airway(e.g. Tracheostomy)

Tube confirmation & monitoring

Endotracheal cuff pressures

Dive/altitude related illness

Adverse flora reaction

Animal bites/envenomation

Heat illness/dehydration

Hypothermia, lighting injures


Cold injuries

Sun injuries

Vector born disease

Environmental Management

General Medical

Neurophysiology/Pulmonary physiology

Trauma/burn patients

Diagnostic treatment

Diabetic Emergencies

Gastrointestinal system disorder

Acid-base and metabolic disorder

Infectious disease/immunology

Chronic cardiac conditions/seizures

Spinal cord injuries

Surgical Intervention 

Wilderness Course Topic Outline

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