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Wilderness Medical Training

Far From Help Part 2/Advanced Refresher

What WMT says

Far From Help Part 2 (FFH2) is a two-day course that builds on and refreshes previous WMT training by introducing and practising useful invasive skills – wound closure using staples, glue and Steri-Strips, injecting local anaesthetic into wounds and giving intramuscular injections. There are very important lectures to re-visit including the legal considerations, shock, history taking and much more. On completion of FFH2, students are awarded WMT’s Advanced Medicine certificate that’s valid for 2 years. We recommend FFH2 to our keenest FFH students, overland 4×4 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. You must have attended a previous WMT course in the last 2 years to attend FFH2. Not suitable for doctors. To recap FFH + FFH2 equals the Advanced Medicine syllabus.

What students say

All instructors extremely knowledgeable and helpful.
Fully comprehensive (re: content and materials)
All excellent. Very helpful, easy to understand and very practical (re: instructors)
Thank you very much….especially for the great practical sessions.

Who can attend?

Anyone who has completed any WMT Explorer training in the last two years (3 years if your WMT training was BEFORE August 2013). This course is not for doctors.

Prescription Medications

You can read about using prescription antibiotics, Diamox (for high altitude) or strong pain killers in text books, and injectable medications but the problem remains of how to obtain these supplies, how to use them appropriately and your legal position. FFH2 training eliminates all these concerns. We’ll tell you what medical supplies to take and facilitate you obtaining these for 2 years post-course. Our comprehensive course manual serves as an essential field aide memoire.

FFH2/Advanced Refresher – outline programme & content

Courses normally start no earlier than 9am and finish each day by 5.30. The running order and structure of courses may differ depending on the venue and group size but all content will be covered or included in the course manual. Tea/coffee/lunch breaks are taken as required. Lunches are not provided except on residential courses.

Day 1
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 2
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 file about FFH2 and read more about how the course fits into the WMT training progression scheme.

FFH2 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 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 y 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 to improve their skills or further their outdoor qualifications.