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PostPosted: Thu Feb 11, 2016 7:43 am 
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I only have slight experience with NOLS. I sent a lot of young EMT's there, but I'd say, look into the instructor backgrounds in the other places if you can or try to hook up with someone that has taken a class at your target place and can give you a students opinion on it. If you had said, "Hey, Ian, what about a Tactical Medical training place for me?", I would have been able to be more help.......Your going the right route though, If I was starting again and had only one opportunity between Traditional EMS and Wilderness EMS, I'd immediately hit a Wilderness Medical class up.


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PostPosted: Thu Feb 11, 2016 6:49 pm 
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IANMCDEVITT wrote:
I only have slight experience with NOLS. I sent a lot of young EMT's there, but I'd say, look into the instructor backgrounds in the other places if you can or try to hook up with someone that has taken a class at your target place and can give you a students opinion on it. If you had said, "Hey, Ian, what about a Tactical Medical training place for me?", I would have been able to be more help.......Your going the right route though, If I was starting again and had only one opportunity between Traditional EMS and Wilderness EMS, I'd immediately hit a Wilderness Medical class up.



Thanks! Great idea to vet the quals of the potential instructors. Maybe see if they know their way around a Casspir? :mrgreen:

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PostPosted: Thu Feb 11, 2016 6:53 pm 
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teotwaki wrote:
IANMCDEVITT wrote:
I only have slight experience with NOLS. I sent a lot of young EMT's there, but I'd say, look into the instructor backgrounds in the other places if you can or try to hook up with someone that has taken a class at your target place and can give you a students opinion on it. If you had said, "Hey, Ian, what about a Tactical Medical training place for me?", I would have been able to be more help.......Your going the right route though, If I was starting again and had only one opportunity between Traditional EMS and Wilderness EMS, I'd immediately hit a Wilderness Medical class up.



Thanks! Great idea to vet the quals of the potential instructors. Maybe see if they know their way around a Casspir? :mrgreen:


FWIW, I thought the WMI WFR course was awesome. (WMI was purchased by NOLS the next year). We (Rescue Essentials) have had a great relationship with NOLS/WMI for decades, and I still think they do a great job. At least that's what the people we've sent there say about it...


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PostPosted: Thu Feb 11, 2016 7:31 pm 
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You don't wanna know a casspir dude, I have spent hours and hours in them. They are the grand-daddy to all them new fangled vehicles. Try being in there with the PKM gunner going loco up above, the vehicle tearing thru the African bush, a T-55 ripping main gun rounds out, and katushka rockets screaming over head. It's an experience....Now back to the Wilderness Medicine.


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PostPosted: Fri Feb 12, 2016 6:00 pm 
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jdev wrote:
The BP cuff looks like what my agency issues. The stethoscope is probably garbage, though. I'd at least upgrade that to a $10-15 Sprague-rapport type. Clearer sound.



Man, you made me flog Google pretty hard to find the better dual tube stethoscope and a BP cuff combo :mrgreen:

http://www.ebay.com/itm/BLACK-330-SET-B ... xy4XNSRbjB

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Looks as if it ends up being a little less expensive than the one I posted earlier

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PostPosted: Sat Feb 13, 2016 5:50 pm 
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zXzGrifterzXz wrote:
I'd also suggest if you don't have previous training, acquiring training on how to use it and practice it on every person who will let you. Also, learn how to take BP by "Palp", Which is very helpful in loud environments or when conditions aren't optimal(like bouncing around in the back of an Ambulance while a Firefighter is driving :lol: ). And since you have a stethoscope, work on and learn how to properly listen for lung sounds (and find some good youtube vids on what abnormal lung sounds, sound like). Again its something that you want to try to practice on anyone who will let you because the best way to learn about abnormal lung sounds is to listen to lungs in person.

Furthermore, you can learn about and listen to bowel sounds and what abnormal bowel sounds present like. There are a large number of things you could run into while on the trail and far away from civilization, something like a bad case of diverticulitis could be very deadly if not diagnosed(technically "field impressioned") and delivered to definitive care in time.

Just a few things that popped into my head when I saw you acquired a Steth and Cuff, Good on you for becoming better prepared, you have a nice kit going.



Great advice right there!


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PostPosted: Sat Feb 13, 2016 7:54 pm 
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teotwaki wrote:


This kit is intended more for my remote back-country vehicular trips where self rescue is the main option and external help may only be available via helicopter. Places such as these in Arizona, the Sierra Nevada Mountains or Death Valley are typical locations.



all I can say is throw in a lot of small dressings such as island dressings, non-adherent dressings and tape. that will get the most use. when a group of us go on a trip up to Cape York (3-ish weeks) we ensure we have plenty of each size and type to minimise the likelihood of having to turn around early

also, I'm not sure about HF radios in America, but are you carrying two forms of communication (i.e. EPIRB and sat phone)?

other than that its looking like a pretty full on kit. enjoy your trips :awesome:

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PostPosted: Sat Feb 13, 2016 9:04 pm 
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taipan821 wrote:


all I can say is throw in a lot of small dressings such as island dressings, non-adherent dressings and tape. that will get the most use. when a group of us go on a trip up to Cape York (3-ish weeks) we ensure we have plenty of each size and type to minimise the likelihood of having to turn around early

also, I'm not sure about HF radios in America, but are you carrying two forms of communication (i.e. EPIRB and sat phone)?

other than that its looking like a pretty full on kit. enjoy your trips :awesome:


Thanks for the great feedback!

I do have Telfa island dressings in various sizes and plenty of tape. I also have a full-range 100W HF radio, programmable commercial VHF radios with analog and APCO25 formats and a SPOT messenger. The only time I needed satcoms was once while in Alaska.

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PostPosted: Sun Feb 14, 2016 10:51 am 
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teotwaki wrote:
The only time I needed satcoms was once while in Alaska.


I envy your mobile phone network then :crazy:

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PostPosted: Sun Feb 14, 2016 12:19 pm 
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taipan821 wrote:
I envy your mobile phone network then :crazy:


I got lots of cell coverage up here

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PostPosted: Fri Feb 19, 2016 12:52 pm 
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http://www.ebay.com/itm/BLACK-330-SET-B ... xy4XNSRbjB

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Got them both on a best offer for $21 shipped and it arrived yesterday.

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PostPosted: Fri Feb 19, 2016 9:49 pm 
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I've been trying out the stethoscope and man is it cool to hear not only the heartbeat but so much more. Thanks Jdev for the pointer to the twin tube design. Today also saw the arrival of my other order so I now have the litter and the casualty cards.

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PostPosted: Mon Feb 22, 2016 8:39 pm 
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teotwaki wrote:
I've been trying out the stethoscope and man is it cool to hear not only the heartbeat but so much more. Thanks Jdev for the pointer to the twin tube design. Today also saw the arrival of my other order so I now have the litter and the casualty cards.


Glad you like it! Those are pretty much what my agency issues, though most of us spend a bit more to get a littman. If you aren't using it professionally, though, that Sprague-Rapport type is good for what you need.


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PostPosted: Tue Apr 26, 2016 3:21 am 
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very nice thanks

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PostPosted: Mon Nov 28, 2016 10:40 pm 
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Time to necro my own thread. I finally am getting around to improving my knowledge of first aid. First up is a two day class by Wilderness Medicine Institute that I will take this weekend.

"how to administer first aid in a wilderness context"

Topics include:

Patient Assessment System
creating evacuation plans
wilderness emergency procedures
spinal cord injuries
shock
head injuries
wilderness wound management
athletic injuries
fracture management
cold injuries
heat injuries
altitude sickness
lightning
the Medical Patient
Anaphylaxis.

Next year I plan to build on this with a 7 to 9 day Wilderness First Responder (IIRC) course.

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PostPosted: Wed Nov 30, 2016 12:09 pm 
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Nice, I can't wait to hear about it.


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PostPosted: Mon Dec 05, 2016 7:13 pm 
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full set of pix are here http://suntothenorth.blogspot.com/2016/ ... rness.html

Owning all of the fanciest off-road or back country gear in the world may not save someone from a death due to a treatable injury. No one wants to be faced with asking themselves why they stood by helplessly watching someone suffer during a backwoods emergency.

Wilderness First Aid (WFA) skills can apply in any location whether back country or during an earthquake because we may have to wait hours for help from EMTs or Paramedics.

I took the first step to improving my skills and signed up for the excellent Wilderness Medical Institute course offered under the umbrella of the National Outdoor Leadership School, or NOLS. Successful completion of the course earns you the WMI certification for WFA which also includes meeting the training standards for administering EPIPens (epinephrine auto-injectors) in California. Next year I plan to build on these WFA skills by taking the 10 day Wilderness EMT course.

Here is an outline of the 16 hour WFA course:

Learn how to administer first aid in a wilderness context.
The Patient Assessment System
Creating evacuation plans and wilderness emergency procedures
Spinal cord injuries
Shock
Head injuries
Wilderness wound management
Athletic injuries
Fracture management
Cold injuries
Heat injuries
Altitude sickness
Lightning
The Medical Patient
Anaphylaxis.

What sorts of instructors do they offer to guide you through the topics? The best! Danny is a 25 year EMT veteran, Dan brings 30 years of Paramedic experience and both are skilled outdoorsmen. They worked as a very effective team to provide spirited lectures, hands-on practice with medical supplies, solutions improvised from materials on hand and numerous medical emergency scenarios that students had to resolve.

Image

The two days were jam packed to say the least yet the pace was perfect. It helps that everyone attending was keenly interested in leaving the class with a good handle on the course material. Unlike public schools, no one sat in the back hoping to get by unnoticed. Everyone took a turn at playing the role of the patient within the context of providing rescuers with a valid learning scenario. Students readily volunteered when the instructors needed a live "victim" to demonstrate solutions to particular medical challenges.

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At various times my class roles included a head injury with mock blood dripping from my ear, Altitude Mountain Sickness effects on Mount Whitney or a broken leg due to a climbing accident.

These are some of my fellow students brainstorming to quickly improvise a way to immobilize my leg "injury". All of these scenarios were timed in order to add some urgency to the situation.

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To add to the class handouts I took twenty-three pages of notes and included quick sketches or items to follow up on.

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I cannot say too often that I am glad that I finally took this important step! You should take it too. Whether you are in an urban or wilderness setting the course can give you the confidence to address traumatic, medical, and environmental emergencies. You want to prepare to act if an accident occurs because waiting too long may have unwanted consequences.

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PostPosted: Wed Dec 07, 2016 12:10 pm 
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