Alpine Endeavors

WILDERNESS MEDICINE - Wilderness First Responder

Our courses are held at the Mohonk Preserve Visitor's Center.

Wilderness First Responder - WFR
The Wilderness First Responder curriculum uses the principles of long-term care, improvised resources, and varying environmental conditions as the framework for learning. Now the most widely recognized and most often required outdoor leader certification, the Wilderness First Responder course was first developed and taught by SOLO in the mid-1980's. Created to provide outdoor leaders, guides, and rangers with the knowledge needed to deal with crises in remote settings, this 80-hour certification course meets DOT National Standards for First Responder with additional protocols for extended-care situations. Like all SOLO programs, the emphasis of the WFR is on prevention and decision-making.

Preparing for a bivouac.

The SOLO WFR addresses the issues of medicolegal concerns, bloodborne pathogens and infectious diseases. The Patient Assessment System, the foundation of the course, trains students to determine what is going on with backcountry patients. Other sessions provide instruction in traumatic situations as well as medical emergencies. Environmental issues such as hypothermia and heat injuries are dealt with in great detail. Practical simulations and labs provide practice in backcountry leadership and rescue skills.

How Long is a WFR Course?
The intensive 80-hour curriculum takes place over eight days, in order for us to be able to have an eight day course, CPR will be provided during one of the evenings for those who need it. A typical day consists of a mixture of hands-on practical skill work and didactic lecture sessions. To optimize learning potentials, SOLO complements these sessions with a variety of mock scenarios and simulations. The program is fast-paced and both intellectually and physically demanding.

What Should I Bring With Me?
Since much of the class time is outdoors, SOLO asks that you come prepared for the time of year and environment in which you are taking the course. Sturdy boots, reliable raingear, and outdoor items such as hats, gloves, and headlamps are entirely appropriate. A gear list of required and recommended items will be sent to you with your registration confirmation.

Managing an accident and taking vital signs.

About WFR Certification
Students who successfully complete the SOLO Wilderness First Responder course will receive a SOLO Wilderness First Responder card and an American Heart Association Adult Heartsaver CPR card (or equivalent).
Certification is based on successful completion of the course. In order to do so, all certification candidates are required to participate in 100% of the course, as that is the best way to assess mastery of the skills involved. SOLO instructors provide ongoing feedback and many opportunities for questions. Final assessment of each student's skills includes written and practical exams.

Treating for shock.

SOLO Wilderness First Responder
Student Course Outline
Section 1: Introduction
Introductions
-Staff, Students & Course Outline
-SOLO…A look at who we are
-Details, details, details…
Wilderness First Responder vs. Urban First Responder
-Role of the WFR
Medicolegal issues
Bloodborn pathogens & infectious disease

Section 2: Patient Assessment System (PAS)
Patient Assessment System
Anatomy of a Backcountry Crisis
Primary Survey= “the first five minutes”
Secondary survey & vital signs
History Taking and AMPLE
Lifting and moving techniques
PAS in the extreme environment

Section 3: Rescues and the Human Animal
Organizing the rescue= SOAP note and getting help
The Ten Essentials
Bivouac skills and practice
The Human Animal – overview of the human physiology
Body Systems – overview of human anatomy and physiology

Section 4: The Cardiovascular System
The Anatomy and Physiology of the cardiovascular system
Cardiopulmonary Resuscitation (CPR)
-Prudent Heart Living
-Techniques of CPR
-CPR Skills practice

Section 5: Cardiopulmonary Resuscitation
CPR practical exam
CPR considerations in the remote environment
Automated External Defibrillation

Section 6: Soft Tissue Injury
Shock & bleeding control
Long term management of the shock victim
The anatomy and physiology of the integumentrary system
Soft tissue injuries & bandaging skill
Long term wound care
Burns

Section 7: The Musculoskeletal System
The anatomy and physiology of the musculoskeletal system
Sprains and strains
Fractures & splinting techniques
Dislocations and reduction techniques
Splinting practice

Section 8: The Central Nervous System
The anatomy and physiology of the central nervous system
Head trauma
Spinal cord injury
Spinal cord management: Improvised collar, long boarding, litter packing

Section 9: The Chest and Abdominal Systems
The anatomy and physiology of the respiratory system
and cardiothoracic region
Chest Trauma
The anatomy and physiology of the gastrointestinal and genitourinary system
Abdominal trauma

Section 10: The Human Animal & Environmental Emergencies Part I
The Human Animal
Heat related injuries
-dehydration, heat exhaustion, heat cramps and heat stroke
Cold related injuries
-hypothermia, frostbite and non-freezing cold injuries

Section 11: Environmental Emergencies Part II
Lightning related injuries
Drowning related injuries

Section 12: Animals, Plants and Allergies
Animals that bite and sting
Plants that bite and sting
Allergic reactions
local, systemic & anaphylactic
Use of epinephrine

Section 13: Environemntal Emergencies Part III
Altitude Related Injuries
Medical Emergencies and Patient Assessment

Section14: Medical Emergenices Part I
Changes in Level of Consciousness (LOC)
Diabetic Emergencies

Section 15: Medical Emergencies Part II
Chest pain
Shortness of breath
Emergency Childbirth

Section 16: Medical Emergencies Part III
Poisoning
Abdominal Pain
Group Preventative Medicine
-Water purification
-Sanitation/Defication

Section 17: Long-term Patient Care
Wilderness stabilization and bivouac
Improvising litters
Leadership in a backcountry emergency

Section 18: Mock Rescue
Mock Rescue
Debrief

Section 19: WFR Practical exam
Practical exam
Common expedition problems

Section 20: WFR Written Exam
Written exam
Closure and Graduation

Caring for an amputation.

For more info on wilderness medicine contact:

Stonehearth Open Learning Opportunity
P.O. Box 3150
Conway, NH 03818 USA
603-447-6711
info@soloschools.com
www.soloschools.com