Advanced Medicine

Course outline & key info

Taught by expedition doctors, Advanced Medicine – a gold standard – is WMT’s most comprehensive Explorer course for laypeople. This intensive 4-day syllabus covers injury and illness management and the safe and legal use of prescription only medicines (POMs) in addition to specialised invasive training including stapling wounds, giving intramuscular injections and administering subcutaneous fluids. Other training includes; advanced fracture management, using oxygen, injecting local anaesthetic, reconstituting drugs, handling “sharps” and outdoor moulage/scenario training. The aim of Advanced Medicine is to build confidence and achieve a thorough grounding in providing advanced care in all remote environments to patients who are injured and ill. 2-year certification. No pre-requisite to attend. A demanding course with a final written exam.

Delegate feedback

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.
Brilliant!

Important testimonial

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.

Target audience

Excellent training by doctors + a comprehensive field manual + POM authorisation = one stop shopping for the solo traveller, families, private teams, leaders, large expedition teams and others. Advanced Medicine has been attended by hundreds of professional and amateur explorers (for example: geologists, teachers, film/TV pros, climbers, university researchers) seeking autonomy over their health and well being during remote travels.

Prescription medicines – POMs

Advanced Medicine training covers what medical supplies to take and enables you to obtain them for 2 years post-course through WMT’s pharmacy partner so you can add antibiotics, high altitude medicines, strong pain killers, Penthrox and other useful injectable medicines to your medical kit such as adrenaline vials, Stemetil, dexamethasone, lignocaine and more.

Accreditation

WMT issues a certificate which is valid for 2 years and accepted by most, if not all, UK NGB awards. See also Accreditation.

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.

Courses at Glenmore Lodge, Scotland

All WMT courses at the Lodge are administered by the them i.e. when you click on the WMT website to book a course you will be redirected to the Lodge website; they take payment and clients are bound by their terms and conditions.

We love working at Glenmore Lodge near Aviemore, Scotland, PH22 1QZ. The facilities, food, accommodation and wild setting at the foot of Cairngorm are amazing. 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 useful How to find us page to help plan your journey by all modes.

Downloads

Available 4-8 weeks before a course.