What WMT says
Advanced Medicine – the gold standard – is our most comprensive Explorer course for laypeople. In short, Advanced Medicine combines the rich two day Far From Help syllabus with one additional training day which 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)
Who can 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.
Research – what you might need to treat
A Royal Geographical Society study of 1263 medical complaints on expedition found that more than half (51%) were classified either as gastrointestinal upsets (30%) or medical problems (21% – infections, headache, malaria etc.). So there’s more than dramatic broken bones and sucking chest wounds to deal with! Minor illnesses left untreated, especially diarrhoea, can slow a whole team down, reduce productivity and enjoyment and threaten the success of an expedition.
What’s covered on Advanced Medicine?
In short, Advanced Medicine will help you deal with the most common problems that are identified by this RGS research and you’ll learn a range of medical skills and techniques, about the treatment of infections, illness and symptoms and how to treat injuries and special problems. See the full syllabus below.
Skills & Techniques
You’ll learn how to perform a physical examination, measure vital signs (e.g. blood pressure) and take a medical history from a patient. Examination + history = diagnosis, then treatment. Plus you’ll learn about improvised splinting, using neck collars and managing spinal injuries, examining eyes and ears, resuscitation in the wilderness and using a stethoscope. What many students enjoy most is learning how to close simple wounds using staples and glue and how to give intramuscular injections.
Treating Infections, Illness & Symptoms
First aid courses mainly focus on dealing with injuries but people get ill on expeditions too. You’ll learn how to treat or manage a variety of illnesses and infections such as malaria, diarrhoea, wound infections, asthma and other important, common conditions of the heart, lungs, ears, nose and throat, water works and the gut. Symptom control is vital and you’ll also learn how to control or reduce fever, pain and nausea even if you don’t know what the underlying cause is.
Treating Injuries & Special Problems
Advanced Medicine covers strains, sprains and fractures and other traumatic injuries, in addition to wounds, burns, frostbite, mountain sickness, some tropical diseases, bites and stings, rabies and shock.
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 taking into account allergies, contra-indications between medicines (taking more than one at a time) and your legal position. Advanced Medicine training eliminates all these concerns. We’ll tell you what medical supplies to take and enable you to obtain these via Nomad Travel’s pharmacy. 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 timetable and content
Advanced Medicine is normally run as 2 back to back courses over 3 days – the first 2 days are Far From Help and the third day is FFH Part 2/Advanced Refresher.
Aims of course
Expedition medical planning – includes anti-malarials & immunisations
Diagnosis – how to take a medical history
Practical – history taking
Nursing care – measuring vital signs
Cardio-pulmonary resuscitation – latest guidelines
Recognition and treatment of 5 types of shock
Basic wound management – soft tissue injuries & burns
Head, neck/spinal, chest & abdominal injuries
Fractures, dislocations & practical splinting
Common medical conditions. Management of diarrhoea
Eye & ear problems. Practical – examining eyes & ears
Cold injuries & altitude sickness
Tropical problems – heat illness, malaria, bites & stings
Medical kits & supplies (1)
Far From Help written examination
FFH2 course objectives
Review of legal considerations
History taking revisited
Approach to illness – pearls and pitfalls
Advanced wound management
Practical – administering local anaesthetic, use of Steri-Strips, using staples and glue
Review of anaphylactic shock and i.m. injections
Medical kits & supplies (2) – including medications by intramuscular injection
FFH2 written examination/debrief
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.
Download more information
Download this 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 for a WMT course and especially those in Scotland of which there are many in the outdoor, academic and sporting communities who no longer have to travel “down south” for WMT training. We are now running courses at the Lodge in spring and late autumn. 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 travel page to help plan your journey by all modes. All WMT courses at the Lodge are administered by the Lodge who need to monitor and cross reference WMT bookings and accommodation demands with their other courses. 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 to improve their skills or further their outdoor qualifications.