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Wilderness Medical Training

Far From Help Part 2/Advanced Refresher

What WMT says

Far From Help Part 2 (FFH2) held over two days, aims to build on and refresh previous WMT training by introducing and practising useful invasive skills – suturing wounds, giving injections and using intravenous fluids. 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. 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, especially the ability to administer IV fluids, can buy more time in which to care for someone before help arrives or evacuation is affected. FFH2 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. 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 three years (Far From Help, FFH2 or Advanced Medicine). Exceptions to prior WMT training are made, at WMT’s discretion, for medical students (from year 4) and experienced nurses and paramedics. This course is not for doctors.

What’s covered on Far From Help Part 2?

In short, FFH2 builds on previous WMT training and you’ll extend your armoury of medical skills to include the use of invasive procedures; suturing, injections and IV canulation.

Skills & Techniques

What many student’s enjoy most is learning how to suture (stitch wounds), give intramuscular and intravenous injections and how and when to administer intravenous fluids. You’ll also practice physical examination, measuring blood pressure and taking a medical history from a patient. Outdoors, you’ll learn how to safely remove an injured person from a crashed vehicle and to stabilise their pelvis. We’ll update your understanding of ABC’s (airway, breathing, circulation) with challenging triage scenarios. CPR/resuscitation skills are refreshed and you’ll learn more about pain control and anaphylactic shock. Our “home video” of inserting a naso-gastric tube (a tube into the stomach via a nostril) is a pre-lunch favourite! Medical kits is a subject also revisited as it’s important to know what additional drugs are available (sometimes exclusively) by injection in life threatening situations, such as anaphylactic shock, snake bite and overwhelming infections.

FFH 2 syllabus

Day 1
Objectives, review of legal considerations
History taking revisited
Writing medical records – case studies
Triage scenarios
ABC approach to injury and illness conditions – group work
Video – passing a naso-gastric tube
Vehicle scene safety/extrication, helmet removal and pelvic stabilisation
Advanced wound management
Practical – suturing a wound

Day 2
Pain control/anaphylactic shock
intramuscular (i.m.) injections
intravenous (i.v.) fluids and injections
Medical kits & supplies
Written examination
Close/depart

Prescription Medications

You can read about using prescription antibiotics, Diamox (for high altitude) or strong pain killers in text books, injectables and IV fluids, 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. FFH2 training eliminates all these concerns. We’ll tell you what medical supplies to take and authorise you to purchase them. Our comprehensive field manual serves as an aide memoire in the field so you prescribe safely and we thoroughly cover the legal considerations on each course.

Download more information

Download this file for more information about this normal FFH 2 course.

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