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 2-day Far From Help syllabus with two further days of more specialised and advanced training that includes stapling/glueing wounds, giving intramuscular injections and giving subcutaneous fluids to the dehydrated patient via a needle under the skin, using oxygen, reconstituting drugs, handling “sharps” and more moulage/scenario training. 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.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.

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!
Very experienced advice and all content just right.


WMT Glenmore Lodge all May 2018 courses dossier – see this pdf as an example; December 2018 Glenmore course details coming soon. Timings are the same.

Who should attend?

No prior experience is required and anyone without medical training is welcome to attend but it is an intense course that requires 100% participation and strong English language skills. Advanced Medicine has been the gold standard in expedition medical training in the UK for 25 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 useful invasive techniques – stapling wounds, giving injections and giving subcutaneous fluids (a needle goes under the skin) to help rehydrate a patient.

Read this testimonial by WMT alumni Martin Holland

A passionate social entrepreneur, Martin Holland is the founder of multiple enterprises including the Heart of Borneo Project, Beyond Conservation, Beyond Exploration, and Expedition Base Camp. About his WMT training, Martin Holland writes – …sometimes you come across people who are delivering a service or a product that is so good, so well designed and delivered, and so far ahead of the competition that they’re really operating in their own self-created realm of excellence. Read his full blog post about his May 2016 Advanced Medicine student experience.

Prescription medications & duration of certification

You can read about using prescription antibiotics, high altitude medicines 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 manual serves as an aide memoire in the field. WMT issues a certificate which is valid for 2 years.

What’s new in the Advanced Medicine syllabus?

Penthrox was introduced to Explorer courses in May 2017. The Penthrox (Methoxyflurane) ‘Green Whistle’ provides inhalational pain relief that is self-administered by a conscious haemodynamically stable patient (under supervision of personnel trained in its use). Read more about Penthrox in our Spring 2017 Newsletter.

Advanced Medicine – outline programme & content

Advanced Medicine is run as two back to back 2-day 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
– reconstitution of drugs
– safe handling of “sharps” (dirty needles)
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 & practical moulages (illness and accident scenario training)
Advanced wound management
Wound management – practical:
• injecting local anaesthetic
• stapling
• use of Steristrips & skin glue
Giving subcutaneous fluids
Using Oxygen
Written exam (pass mark of 70%)
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. It is good practice for laypeople to seek professional medical advice whenever possible before giving prescription medications to a patient in the field.

Advanced Medicine courses at Glenmore Lodge PH22 1QZ

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 i.e. they take payment. 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.

2019 course dates at Glenmore Lodge that will be live to book soon are:
Far From Help 11-12 May & 30 Nov – 1 Dec
Advanced Medicine 11-14 May & 30 Nov – 3 Dec
Far From Help Part 2/Advanced Refresher 13-14 May & 2-3 Dec