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Wilderness and Backcountry Medical Care and Training

(Click HERE for STS Training information)

(Updated January 5, 2010)

 Splinting in Advanced Wilderness First Aid 

Scheduled Wilderness Medical classes:

Please read the following information and links carefully! Answers to almost every question we are commonly asked about the Wilderness First Aid classes can be found on these pages.

The Basic (and Advanced) Wilderness First Aid classes are designed for anyone who recreates in the outdoors, with or without any prior training. We have had snowshoers and snowmobilers, ATV riders and MTB riders, hikers, skiers, dogsled mushers and 4-wheelers. We've also had doctors, nurses, lawyers, paramedics, preachers and teachers take the classes.  Anyone who wants to know what to do when things go wrong an hour or more from ambulances, doctors and hospitals is welcome and will benefit from the training.

The Backcountry Trail Patrol Association and Emergicare Medical Training will be holding the 10th annual, 16-hour Basic Wilderness First Aid Class at the REI Co-op in Roseville, MN, on February 19-21, 2010. Complete information can be found right here.

In addition, the 16-hour Advanced WFA/CPR class is being planned for the weekend of March 19-21, 2010, also at the Roseville REI, with a field session to be held at Sand Dunes State Forest near Zimmerman, MN. You must have Basic WFA certification to take the Advanced class.

Wilderness First Responder (WFR) class is tentatively planned to start in April in Fridley, MN, if there is sufficient interest. (Minimum 6 participants)

National certification will be awarded through the AAOS -Emergency Care and Safety Institute to those who successfully complete the class and practical sessions, and pass the written examination. We hope to be using the brand new, fourth edition of "Wilderness First Aid" by the Wilderness Medical Society, as our textbook for this class, but may have to use the third edition if publication is delayed. The tuition cost includes the textbook, CPR textbook for the AWFA class, and class materials. There is a one-time, $10.00 discount for REI members and employees taking the class. 

The CPR portion of the AWFA class will include Automatic External Defibrillator (AED) certification, and will be held on Friday, March 19th at 6:00 PM in Roseville. 

The class schedule is as follows:

16-Hour WFA, REI-Roseville, MN, February 19, 20 and 21, 2010

Friday, 6:00 - 9:00 PM

Saturday, 10:00 AM - 6:00 PM

Sunday, 11:00 AM - 5:00 PM

16-Hour Advanced WFA with CPR, REI-Roseville, and Sand Dunes State Forest, Orrock, MN, Mar. 19, 20, and 21, 2009

Friday, 6:00 - 9:00 PM (CPR/AED Training-May be taken separately if space is available.)

Saturday, 10:00 AM - 6:00 PM

Sunday (Field Session), 9:00 AM-5:00 PM Meet at Snowmobile Club Trail Shed* on County Rd. 4, across from the forest.

Volunteer Mountain Bike and Ski Patrollers e-mail for discount information.

Registration closes on February 6, 2010 or when the class reaches 20 participants. The closing of registration will be posted on the homepage of www.trailpatrol.org .

*Tentative meeting location.

Progressive Training:

Wilderness Medical Training with Emergicare Medical Training is done by progressive instruction. There are three certification levels: Basic Wilderness First Aid (WFA), Advanced Wilderness First Aid (AWFA), and Wilderness First Responder (WFR). The standards are built upon the premise that each certification level is part of a sequence that culminates in WFR certification. Each certification level is built upon the knowledge, skills and competencies of the lower levels. Thus, an AWFA must meet all of the competencies of WFA, as well as those specific to the AWFA. Likewise, a WFR must meet all of the competencies of WFA and AWFA, as well as those specified for entry-level Wilderness First Responders. 

As the national paradigm for Emergency Medical Services, (or what we in the backcountry call "street EMS") moves into the new National EMS Education Standards, the title we know as "First Responder" is going to be changed to "Emergency Medical Responder". Accordingly, we expect the 72-hour course now called "Wilderness First Responder" will be changing to "Wilderness Medical Responder" in the near future. Emergicare has begun working on a textbook that will take this progression in training from the WFA/AWFA level of our AAOS Wilderness First Aid , 3rd Edition textbooks, to the Wilderness Medical Responder level.

Students may sign up for 16 (WFA), 32 (AWFA), CPR/AED, or 72 (WFR) hours of training when registering, or may choose to continue after completing the earlier segment. You must have Basic WFA certification to take Advanced WFA, and you must have current (within 2 years) AWFA certification to take Wilderness First Responder.

*AAOS - American Academy of Orthopedic Surgeons Emergency Care and Safety Institute.

Course pricing and other information can be found by clicking on the links below.


Click here for more information on our courses and training materials.

Click HERE to download the application form, with course pricing. (DOC Format)

(See Registration and Refund policies below.


MN DOT Required Special Transportation Service (STS) Training  

This section has moved to:

Emergicare Medical Training, Inc.

www.emergicaretraining.org


E-mail for more information.


Registration and refund policies:

Please read: Individual enrollment in all Backcountry Trail Patrol Association/Emergicare Medical Training, Inc. (Emergicare) courses is limited. To reserve a space in an Emergicare course, please return your application form and the appropriate tuition/deposit in check or money order only (We do not accept credit cards at this time.) to Emergicare. Courses under $200.00 require tuition payment in full at the time of registration. (A non-refundable deposit of $100.00 is required for Wilderness First Responder-level courses, and will be applied to the course cost.) Full, non-refundable and non-transferable tuition is due 14 days prior to the course. However, in the event of a student being unable to attend a course they have registered for, their payment may be applied to another Emergicare course at the same level, upon approval by Emergicare Medical Training. Prior to 14 days before the course date, tuition may be refunded, minus a 15% administrative fee to cover expenses.

If a program is cancelled by Emergicare due to low enrollment, the full deposit/tuition will be refunded.


Special Notice to Missionary Organizations, Summer Camps, Guide Services and Outdoor Groups:

Emergicare can conduct wilderness and backcountry and missions medical training programs at your location, and customized to meet your needs. E-mail for more information.

 

  

Hot Weather Medical Problems

Hypothermia

When your body loses heat faster than it can produce it, a situation may occur where all of your body's energy is used up trying to produce heat.The result is hypothermia, or abnormally low body temperature. 

Victims of hypothermia are most often elderly people with inadequate food, clothing, or heating; babies sleeping in cold bedrooms; and people who remain outdoors for long periods -- the homeless, hikers, hunters, etc. 

Each person is affected differently by the cold. Wet and cold can bring hypothermia on rapidly, or long exposure to the cold, rain, and wind can bring the symptoms of hypothermia on slowly.

Mild hypothermia occurs when the core body temperature is between 98.6° and 96°F. The core temperature for moderate hypothermia is 95° to 93°F.  If your core temperature reaches 92° or below, you are in a life-threatening situation. This condition will affect your heart rate, blood flow, and ability to think clearly. Immediate attention is necessary. 

Signs and Symptoms of hypothermia:

In Adults

·         shivering/exhaustion

·         confusion/memory loss

·         drowsiness

·         slurred speech

In Infants

·         bright red, cold skin

·         very low energy

If you believe you or someone else is suffering from hypothermia, it is imperative to get to a warm room or shelter and call for help. While you wait for help to arrive, remove any wet clothing and warm the center of the victim's body first. An electric blanket works well if one is available. Skin-to-skin contact under loose, dry layers of blankets, clothing, towels, or sheets may also be effective. Drinking warm beverages -- NOT ALCOHOL -- will also help increase the body temperature. Once the body temperature has increased, keep the victim dry and wrapped in a warm blanket including the head and neck until help arrives.

If the victim is suffering from severe hypothermia, he or she may be unconscious and may not seem to have a pulse or appear to be breathing. In this case, you need to handle the victim gently, and get emergency assistance immediately.

Frostbite:

Frostbite is an injury to the skin and sometimes the deeper tissues of the body due to freezing or formation of ice crystals in the tissue cells. Frostbite usually develops when the air temperature is below -12°C  (10°F), but may occur at a temperature nearer the freezing point (0°C/32°F) when other elements, such as high winds, dampness, or general chilling of the body, are present. Hands, feet, noses, and ears are the most likely body parts to be affected. Most often, the condition may be painful, but is not usually serious. However, severe untreated frostbite may result in gangrene.

You can avoid frostbite by staying out of the extreme cold. If you do have to go out, wear clothing to protect your face, nose, ears, fingers, and toes. Also, wiggling your fingers and toes frequently will help keep the blood flowing to these areas of your body. If you begin to loose feeling in your fingers and toes, or they begin to tingle, or feel painful, go inside and warm up.Signs and symptoms of frostbite include:

  • A "pins and needles" sensation, followed by numbness
  • Hard, pale, cold skin

How to treat frostbite:

If you suspect you have frostbite, it is important to get indoors or to a warm shelter as soon as possible. Take off any constricting jewelry or wet clothing. Immerse the affected area of your body in warm -- NOT HOT -- water, or apply warm cloths to affected areas of your ears, nose, or cheeks for 20-30 minutes. When your tissue has been thoroughly warmed, the skin will be soft and sensation will return. You should not use a heating pad, heat lamp, or the heat from a stove, fireplace, or radiator to warm yourself. Because you do not have any sensation in these areas of your body, they may burn easily and you would not feel it. Try to move the area of your body that is affected as little as possible. This helps decrease the damage to the affected area.


About Emergicare Medical Training:

Emergicare and Wilderness Rescue Associates, have been providing training in EMS and backcountry rescue since 1978. They were merged together to form Emergicare Medical Training, Inc., a non-profit, educational organization. New quality control programs were instituted to better respond to the suggestions and needs of trainees, and new, custom training materials are continually under development. Emergicare Medical Training specializes in wilderness first aid and medical care, and Minnesota DOT special-needs transportation (STS) driver training at reasonable tuition rates. Our primary operating philosophy is that you are more likely to take specialized training if it is informative, enjoyable and affordable. Emergicare Medical Training, Inc. is a non-profit, educational program of the Backcountry Trail Patrol Association, Inc. For further information on Emergicare Medical Training programs, please Click to send us e-mail 

 

Wilderness medicine at it's highest!