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Wilderness Medical Training

Advanced Medicine

What WMT says

Advanced Medicine – the gold standard – is our most comprehensive Explorer course for laypeople. In short, Advanced Medicine combines the foundation two day Far From Help syllabus with two further days of more specialised and advanced training that includes stapling/glueing wounds, giving intramuscular injections and more. We recommend this course to our keenest students, vehicle and yacht based expeditions, aid workers, close protection security personnel and others going to particularly remote places where additional medical skills and resources can buy more time in which to care for someone before help arrives or evacuation is affected. The aim of Advanced Medicine is to build confidence and achieve a thorough grounding in providing more comprehensive care in all remote environments to patients who are injured and ill. Advanced Medicine training may enable you to resolve an injury, infection or illness condition in the field without resorting to evacuation and at the same time make your patient more comfortable by the control of pain, nausea and fever.

What students say

Every single session was extremely useful, but the practical sessions were absolutely great!
Very, very, very good. All excellent. (about WMT instructors)
Fantastic course!

Who should attend?

No prior experience is required and anyone without medical training is welcome to attend. Advanced Medicine has been the gold standard in expedition medical training in the UK for over 20 years and has been attended by hundreds of teachers, leaders, travelers, explorers, overland drivers, climbers, divers, field researchers, university staff and many others. Advanced Medicine is firmly geared to those working or travelling overseas to remote places where the risk of medical problems is high and medical facilities are limited. The course covers a broad range of injury and illness conditions including the use of prescription medicines and some invasive techniques – stapling wounds and giving injections.

Prescription Medications

You can read about using prescription antibiotics, Diamox (for high altitude) or strong pain killers in text books, injectable drugs and the like, but the problem remains of how to obtain these supplies, how to use them appropriately and your legal position. Advanced Medicine training eliminates all these concerns. We’ll teach you about the medical supplies to take and enable you to obtain these via Nomad Travel’s pharmacy for up to two years post-course. Our comprehensive A5 field manual with nearly 200 pages serves as an aide memoire in the field so you prescribe safely and we thoroughly cover the legal considerations on each course.

Advanced Medicine – outline programme & content

Advanced Medicine is normally run as 2 back to back courses over 4 days – the first 2 days are Far From Help and the final 2 is FFH Part 2/Advanced Refresher.

Day 1
Introductions & aims of the course
Bench marking trauma scenario – practical
Legal issues
Measuring vital signs (blood pressure, pulse, breathing) – practical
Practical sessions:
ABC approach to the injured casualty
• Latest CPR guidelines
Practical sessions:
• moving / lifting / straightening an injured casualty
• basic fracture & dislocation management
Head and spine injuries
Wound management
Wound management – practical:
• use of Steristrips
• burns and dressings
• use of glue & wound packing
Expedition medical planning

Day 2
Diagnosis – how to take a patient history
Practical sessions:
• history taking
• examining ENT (ear, nose, throat) & eyes
Pain management & nursing care
Common medical conditions – diarrhoea, asthma, blisters, bites
Case based discussions:
• heat illness
• cold and frostbite injuries
• altitude sickness – use of Diamox/dexamethasone/nifedipine
Anaphylactic shock and use of Epipen/Anapen
Medical kits & supplies
Written examination
Final questions / certificates / feedback & farewell

Day 3
Introductions and aims of the course
Review of important legal aspects
History taking revisited
Approach to illness – pearls and pitfalls:
• differentiating the severe headache
• approach to chest pain
• abdominal problems (appendicitis, hernias, testicular problems)
• snake bite
Pain management – use of intramuscular Tramadol
CPR practical
Anaphylactic shock – use of adrenaline, Epipen/Anapen
Intramuscular injections – practical
Case based discussions
• Asthma – spacer use, ventolin regimes
• Diabetes – including BM (blood glucose) measurement
• Fever – including malaria
Advanced medical kits and supplies – including intramuscular medicines
Medical kit workshop – pulse oximeters, blood glucose measuring devices, malaria rapid diagnostic test and standby treatment, water purification

Day 4
ABC approach to trauma – including blast/ballistics
Advanced fracture and dislocation management
Practical sessions:
• the broken pelvis – use of pelvic binder
• the broken leg – use of Kendrick traction device
Practical sessions:
• vehicle extrication & RTA scene safety
• triage workshop
Advanced wound management
Wound management – practical:
• injecting local anaesthetic
• stapling
• use of Steristrips & skin glue
Written exam
Final questions / certificates / feedback & farewell

Note: some of the skills taught, and the use of prescription-only-medicines (POMs) and injections especially, are not appropriate for use in the UK or anywhere if professional medical support is readily available. Professional medical advice should always be sought before using prescription medications. WMT reserves the right to amend course content without notice in keeping with the latest best clinical practice.

Download more information

Download this Explorer course information file for more information about this GOLD standard course.

Advanced Medicine at Glenmore Lodge

We love working at Glenmore Lodge near Aviemore, Scotland. The facilities, food, accommodation and wild setting at the foot of Cairngorm are amazing. These are the most competitively priced WMT Explorer courses and suit clients who prefer a full board/accommodation one price package and especially those in Scotland. Aviemore is 30 miles and 45 minutes from Inverness airport which is well served with flights from London, Bristol, Manchester, Birmingham and elsewhere. You can get to Aviemore by bus and train from Inverness. Travel to Aviemore by road is very good and scenic as is rail access. Use SKYSCANNER to research flights or visit the Lodge’s very useful How to find us page to help plan your journey by all modes. All WMT courses at the Lodge are administered by the Lodge. Many delegates plan a holiday around a WMT Lodge course and stay in the area to climb, ski, bike or walk independently or attend another Lodge course.