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

Wilderness First Responder

The internationally recognized Wilderness First Responder course provides students with the knowledge and skills necessary to administer emergency and medical care in non-urban environments. The curriculum covers basic anatomy and physiology, assessment and treatment of a variety of injuries and illnesses, appropriate short-term to multi-day patient care, and evacuation considerations as applicable to remote environments. The Wilderness Medical Associates (WMA) Wilderness First Responder training program is a nationally recognized program that trains participants to respond to emergencies in remote settings. The 80-hour curriculum includes standards for urban and extended care situations. Special topics include, but are not limited to: wound management and infection, realigning fractures and dislocations, improvised splinting techniques, patient monitoring and long term management problems, up-to-date information on all environmental emergencies, and advice on drug therapies. Emphasis is placed on prevention and decision-making. Course format includes lectures as well as hands-on application of skills. The course includes several major mock-accident scenes where students will be given the opportunity to assess, treat and evacuate patients. Video debriefs will also be used.

METHODS OF INSTRUCTION

Lectures, hands-on in-class practice, scenarios, case studies and reading assignments will be used. Quizzes and an exam will be used to test progress and understanding of material.

COURSE TEXTS

Included in Course Fees:

  • Wilderness & Rescue Medicine: A Practical Guide for the Basic & Advanced Practitioner
  • Wilderness Medical Associates Lecture Notes
  • Wilderness Medical Associates Workbook
  • Wilderness Medical Associates Field Guide
  • SOAP notes

COURSE CURRICULUM

This course will introduce students to:

  • Anatomy and physiology
  • Circulatory and respiratory emergencies
  • Medical emergencies
  • Environmental injuries and illnesses
  • Patient assessment system
  • Assessing and dealing with spine injuries
  • Anaphylaxis
  • Simple dislocations
  • Wound care and definition of high-risk wounds
  • Stable/unstable injuries
  • Basic life support and cessation of CPR
  • Evacuation decision-making
  • Legal responsibilities and considerations

EXPECTED OUTCOMES

By the end of the course, the successful participant will be able to:

  • Understand basic anatomy and physiology
  • Assess and provide basic treatment for circulatory and respiratory emergencies
  • Assess and provide basic treatment for medical emergencies
  • Assess and provide basic treatment for environmental injuries and illnesses
  • Understand the patient assessment system
  • Assess and immobilize a spine-injured patient
  • Assess and provide treatment for anaphylaxis
  • Assess and provide treatment for simple dislocations
  • Assess and provide basic care for wounds
  • Assess and provide basic treatment for stable and unstable injuries
  • Understand when and why it is appropriate to stop CPR
  • Understand evacuation decision-making
  • Identify legal responsibilities and considerations

CERTIFICATION

Upon successful completion of practical and written exams, you will receive a nationally recognized, three-year Wilderness Medical Associates, Wilderness First Responder certification card, a two-year American Heart Association provider level CPR certification card, certification of blood-borne pathogen training, certification of anaphylaxis training, and a WMA patch and pin.

Students must earn 80 percent or better on the final exam and show satisfactory application of assessment skills and treatment methods in order to receive a Wilderness Medical Associates Wilderness First Responder certification. Students who earn 70-79 percent on the final exam and have shown satisfactory skill performance will receive a Wilderness Advanced First Aid certification. Students who earn 80 percent or more on the final but who have not shown satisfactory skill performance will also receive a Wilderness Advanced First Aid certification.

Please Note: Students missing more than 2 hours of instruction will not receive a passing grade or certification.

CLASS FORMAT & WHERE TO MEET

The course will be held at the AMS Mountain Shop on F street in East Talkeetna, Alaska, 113 miles north of Anchorage. Course days will run from 8:00 a.m. to 8:00 p.m., with the exception of the final course day, which may end at 6:00 or 7:00 pm. There will be no class on day five of the course. Please note that this course is academic and very intensive. It involves long days, 50-100 pages of required reading each night, written homework, and a quiz each morning. There will be short breaks throughout each day, with a break for lunch and a 20-30 minute evening break for a quick dinner. We encourage students to bring snacks. The course format integrates classroom lectures with practical scenarios, skills practice sessions, case studies, role-playing and simulated rescues. Attendance is required for all scheduled classes. 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 the Mountain Shop which has carpeted 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 all day 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 stores and pharmacies 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: MORNING Meet at 7:45 am at the AMS Mountain Shop

  • Introductions/course description
  • General concepts
  • Wilderness protocols
  • Basic anatomy
  • Circulatory system
  • Shock and bleeding

AFTERNOON/EVENING

  • Shock and bleeding, cont.
  • PAS; part 1 (Scene Size-up)
  • Blood-borne pathogens
  • Wound care, burns and high-risk wounds (protocol #1)
  • Wound lab
  • Reading assignment:
  • The Outward Bound Wilderness First-Aid Handbook (WFAH): General concepts, Patient Assessment System, Circulatory System, Respiratory System, and Nervous System.
  • Cardiopulmonary Resuscitation (CPR), Fifth edition: entire pamphlet.
  • Handouts

Day 2: MORNING Meet at 8 am from this day forward

  • Quiz #1
  • Respiratory system
  • Patient communication and consent
  • PAS; part 2 (Initial Assessment)
  • Heart attack vs. angina
  • Rescue breathing
  • CPR

AFTERNOON/EVENING

  • CPR continued
  • CPR exam
  • Nervous system/head injuries
  • PAS; part 3 (patient history, physical exam, and vital signs)
  • Focused exam practice
  • Reading assignment: WFAH, Musculoskeletal Injuries (not dislocation),
  • Spine Assessment/Injuries/Management.
  • Handouts.

Day 3 MORNING

  • Quiz #2
  • Muscular/skeletal injuries
  • Splinting practice
  • Organizing patient assessment information-SOAP
  • Patient assessments and SOAP drills

AFTERNOON/EVENING

  • Femur fractures and traction splints
  • Spine injuries, assessment of (protocol #2)
  • Spine management
  • Positions 1, 2 and 3
  • Cervical collars
  • Jams and pretzels
  • Rolling to a backboard; strapping to a board
  • Reading assignment: WFAH, Dislocations.
  • Handouts

Day 4 MORNING

  • Quiz #3
  • Case study #1
  • Dislocation assessment and reduction (protocol #3)
  • Drills and skill practice

AFTERNOON/EVENING

  • Skill practice
  • Incident command system and decision-making
  • Scenario #1
  • Reading assignment: WFAH, Environmental Injuries (Altitude, Drowning, Cold/Heat-Related Injuries), and Appendix I.
  • Handouts

Day 5 No Class!

Day 6: MORNING

  • Case study #2 (to be turned in)
  • Altitude
  • Frostbite
  • Near drowning
  • Water disinfecting

AFTERNOON/EVENING

  • Hypothermia/hyperthermia
  • CPR in extended settings (hypothermic and normothermic)
  • Cessation of CPR (protocol #4)
  • Litter packaging the hypothermic patient
  • Reading assignment: WFAH, Toxins/bites/stings.
  • Handouts

Day 7 MORNING

  • Quiz #4
  • Case study #3 (to be turned in)
  • Sun, electricity and lightning injuries
  • Toxins, bites and stings
  • Allergy and anaphylaxis (protocol #6)

AFTERNOON/EVENING

  • Severe asthma
  • Diabetes
  • Patient carries
  • Scenario #2
  • Reading assignment: WFAH, Backcountry Medicine (ear/eyes/throat, etc.)
  • Handouts

Day 8: MORNING

  • Quiz #5
  • Backcountry medicine rodeo
  • Search and rescue
  • Evacuation decision-making

AFTERNOON/EVENING

  • Improvised litters
  • Scenario #3
  • Reading assignment: handouts

Day 9: MORNING

  • Medico legal
  • First-aid kits/meds
  • Emergency childbirth

AFTERNOON

  • Clean-up
  • Final exam
  • Student evaluations
  • Awarding of certifications