Alaska Mountaineering School
" I was very impressed with AMS. So much so that I plan on taking more of their courses in the future. Colby and Caitlin bent over backwards to make sure we had everything we needed. "
— Sam Giroux, WFR

WFR Recertification

The Wilderness First Responder Recertification course is a 24-hour curriculum course that will include a review of patient assessment, equipment improvisation, bleeding control, shock and wound care, respiratory injuries and treatment, basic brain injuries and treatment, musculoskeletal injuries and splinting, common environmental injuries and medical emergencies. Emphasis will be placed on assessment skills and the problems that long-term evacuation present. Methods include lectures as well as hands-on application of material. Students will be given the opportunity to assess and treat patients during at least one mock accident. A video debrief is typically used to enhance learning. The course includes American Heart Association provider-level (Adult) CPR.

COURSE TEXT

Wilderness and Rescue Medicine: A Practical Guide for the Basic and Advanced Practitioner (provided)

COURSE CURRICULUM

This course will provide review of:

  • Assessing a scene
  • Assessing and managing life-threatening conditions
  • Completing a focused history and physical exam
  • Deciding on a plan
  • Assessing and treating soft tissue injuries
  • Assessing and treating common musculoskeletal injuries
  • Assessing and treating environmental challenges and injuries
  • Assessing and managing common medical emergencies
  • Conditions that can affect an assessment
  • Conditions that can affect patient care
  • Legal aspects of emergency care
  • All WFR protocols, as taught in the full certification course

CERTIFICATION

Upon successful completion of practical and written exams, you will receive a three-year WMA Wilderness First Responder certification, a two-year American Heart Association provider-level CPR certification, certification of blood-borne pathogen training, certification of anaphylaxis training, and a WMA patch and pin. Please Note: Complete course attendance is required to pass this course and receive certification.

EVALUATION PROCESS

Participants will be required to come to class with a completed pre-test (sent to you after registering for the course). Additionally, take-home quizzes/assignments will be handed out both nights. A final exam will be given on the final day.

Recertification will be based on satisfactory completion of the final exam, quizzes, assignments, and hands-on performance.

CLASS FORMAT & WHERE TO MEET

The course will be held at the AMS Mountain Shop located on F Street in Talkeetna, Alaska, located 113 miles north of Anchorage. Check in is at 8:45 am on the first day of the course. The course follows a format of classroom lectures integrated with practical scenarios. Scenarios, and practice sessions will take place both inside and outside. Frequently, stage blood (moulage) and makeup will be used to emphasize the reality of a scenario.

EQUIPMENT & CLOTHING

Wear or bring loose clothing (such as sweats, shorts, t-shirts, etc.) for practical exercises. A lot of indoor practical work will be done in a workshop area with bare floors. Also, a number of outdoor sessions will be held. You must be dressed appropriately to spend several hours outdoors, regardless of weather! Please wear "grubby" clothing and outdoor wear so we don't have to worry about damaging or staining it.

Temperatures in Talkeetna can range from the 50's during the day to zero at night, and there will be snow on the ground. Expect snow or rain, but hope for sunshine. Be prepared for Talkeetna's climate with warm clothing. You will want to have sturdy, insulated boots, warm layers of upper and lower body clothing, waterproof jacket and pants, a warm hat and sun hat, sunglasses, headlamp or flash light, a watch with a second hand, a day pack, and a full-length, closed-cell insulate pad. An outdoor mock rescue is part of the curriculum, so please dress accordingly. Kneepads, a Crazy Creek chair, and a bike are also convenient. For those planning to camp at AMS, you will need a tent, warm sleeping bag, sleeping pad, stove, cooking utensils, water jug and food storage bin. Camping is free. Experienced climbers may bring rock shoes to boulder on AMS' indoor bouldering gym. Don't forget your notebook, pens, and reusable mug for coffee and tea available during the course. The classroom environment lends itself to a pair of comfortable shoes, slippers, or sandals. Bring your favorite pair to wear.

If you are not properly dressed for an outdoor session, and the instructor determines it would be detrimental to your health and safety to participate outdoors, you will not be allowed to participate and will not receive credit for attending that part of the class.

TALKEETNA LODGING

The Talkeetna Roadhouse offers a special lodging discount to WFR students. They also have a breakfast special for all WFR students that should not be missed!

You are welcome to camp at AMS for free. We have plenty of space for you to set up your tent. You will need to provide your own camping set up: warm sleeping bag, pad, tent, stove, pots, etc. We have an outhouse, but no shower. Showers are available for a few dollars at the Laundromat on Main Street. The Talkeetna Roadhouse is one block away and will be open in the evenings for a warm place to study and for evening tea and baked goods.

Please contact the Roadhouse to for more information about their student lodging and breakfast specials. The Talkeetna Hostel also offers special rates for WFR students and is 3 blocks from the classroom. Options include camping with the use of indoor facilities, and bunkrooms. Contact information:

Talkeetna Roadhouse, 907-733-1351, www.talkeetnaroadhouse.com, WFR discount, famous breakfasts and bakery, internet, fireplaces, private and bunk rooms.

Talkeetna Hostel International, 907-733-4678, www.talkeetnahostel.com, WFR discount, bunks or camping, kitchen, bath and internet.

FOOD AND FACILITIES

There are six restaurants in Talkeetna, two small grocery stores, four bars, a lodge, two motels, and several bed and breakfasts and cabin rentals. There is also an ATM machine, laundry, and shower facilities. The closest major grocery store and pharmacy are located in Wasilla, a 1.5 hour drive south. It is best to stock up on food before arriving in Talkeetna if you choose to cook your own meals.

SAMPLE ITINERARY

Day 1: Meet at 8:45 am at the AMS Mountain Shop

  • Introductions
  • Review of WMA's Patient Assessment System
    1. Scene Size Up (safety, MOI, numbers)
    2. Initial Assessment (critical systems)
      1. medical emergencies — heart attack vs. angina
      2. basic life support (CPR)
      3. airway management
      4. realities of CPR in remote settings
    3. Focused Exam (head to toe, AMPLE, vitals)
  • Organizing thoughts (SOAP notes)
  • Making an assessment
  • Anticipating problems associated with terrain and environment
  • Anticipating problems associated with delayed transport
  • Review take-home test
  • LUNCH
  • Review take-home test, cont.
  • Provider-level CPR
  • Group assignments

Day 2: Meet at 9:00 am

  • Team presentations:
  • Bleeding and Shock (vs. ASR)
  • Concussion, Brain Injuries and Seizures
  • Breathing Problems and Asthma
  • Review of Unstable vs. Stable Injuries
  • Management of stable injuries
  • Management of unstable injuries
  • Splinting practice (upper and lower extremity)
  • Review (and practice of) wilderness protocols
  • LUNCH
  • Wilderness protocols cont. (if necessary)
  • Review of spine management and backboarding
  • Patient assessment drills and backboard practice
  • Scenario #1
  • Video debrief
  • Written Assignment: Case studies (take home)

Day 3: Meet at 9:00 am

  • Review of wound care; bleeding, abrasions, burns, etc.
  • Wound lab
  • Review of temperature problems (heat and cold)
  • Miscellaneous but relatively common problems — question and answer session
  • LUNCH
  • Legal liability considerations
  • Scenario #2
  • Video debrief
  • Clean Up
  • Final Exam