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Wilderness First Responder Course
Medical Training for Outdoor Professionals and Enthusiasts
Located one hour from Portland, Oregon, this course location is perfect for anyone looking for a WFR course in Washington or Oregon. The Wilderness First Responder course is designed with outdoor professionals and outdoor enthusiasts in mind. It has become the industry standard for most wilderness guide services and environmental education programs. It focuses on developing skills for treating medical problems and injuries in a wilderness setting outside of the “golden hour” of first response, under extreme conditions with limited equipment. These courses include lots of anatomy and physiology, providing the wilderness rescuer with the knowledge and skills to care for patients over an extended period of time. It is based on the protocols set by the Wilderness Medical Society and instruction encourages the students’ ability to think through body systems in an effort to determine the best response to traumatic, environmental, or medical situations. Classroom sessions are followed with hands-on practice scenarios designed to integrate the information in a field setting. The realistic practice scenarios include a nighttime scenario. Students will also have the opportunity to see their skills in action as video coverage of intensive scenarios will be reviewed towards the end of the course. The course includes AEHS adult, child and infant CPR certification which is OSHA approved.
The following is a description of the various classroom and scenario topics that will be covered during the 80 hour (8 days) Wilderness First Responder course. Quizzes and regular practical scenarios will lead to a final written exam and test scenario. The curriculum and class time can exceed 10 hours a day with the required homework during this intensive wildnerness medical training. It is time well spent!
WFR COURSE OUTLINE
• Opening and Course Paperwork
• Course Introduction and Expectations
• Student and Instructor Introductions
• Medical Legal Overview
Basic Life Support Skills/ Anatomy and Physiology
• Evolution of Patient Care System and how WFR’s fit in
• Patient Assessment System (PAS) Part 1 • General review of anatomy and physiology (all systems)
• Specific exploration of respiratory system
• Hands on practice establishing an airway/airway management
• Specific exploration of the circulatory system
• Hands on practice for checking for pulse, controlling bleeding, CPR
• Specific exploration of nervous system
• Evaluating level of consciousness and maintaining spine stability
• Optional examination of a pig’s heart, lungs, kidneys and liver
• Basic Life Support lab / AED’s/ AEHS CPR testing
• Understanding the Inflammatory Response/ review of cellular physiology
• Autonomic Stress Response/Acute Stress Response
• Nervous system injuries/ increased ICP, Concussion, head wounds, unstable spine
• Respiratory injuries/ respiratory distress
• Circulatory injuries/ Volume Shock
• Stable and unstable muskuloskeletal injuries
• Patient Assessment System (PAS) Part 2
• Hands on field exercises/ two-on-one patient assessments
• Quiz 1 – wounds, infections, burns
• Pig’s foot lab: wound irrigation, punctured objects and fish hook removal
• Exploration of the muskuloskeletal system: anatomy and physiology
• Stable and unstable muskuloskeletal injuries; 1:1 splinting lab
• Dislocations lab
• Spine assessment and lab: A conservative process for checking the spine
• Spine ruling-out quiz
• Heat problems (heat stroke, heat exhaustion, electrolyte sickness, sunburn)
• Cold injuries (frostbite, trench foot, chilblains)
• Spine management lab: Moving spine-injured patients, back-boarding, litters
• Quiz 2 – Toxins, bites and stings (Includes BBC video)
• Anaphylaxis & allergies
• Injections lab
• Lightning – More two-on-one patient field assessments: 3 rotations
• Quiz 3
Introduction to Medical
• Infectious diseases
• Gastrointestinal system: anatomy and physiology, and problems (diarrhea, constipation, ulcers, hernias, signs and symptoms of serious problems)
• Genitourinary system: anatomy and physiology and problems (UTI, vaginitis, testicular torsion, pregnancy)
• Ears, eyes, nose and throat/teeth problems
• Asthma; heart attack, angina; BBC Video
• Stroke & seizures
• Mini-medical scenarios
Improvised Litters and Final Written Exam
• Improvised litters, carries and passes
• Obstacle course with improvised litters
• Triage lecture and drill
• Mass casualty scenario
• Final written test
• Video Simulation #1
• Debrief Video Simulation #1
• Video Simulation #2
• Debrief Video Simulation #2
Video Simulation #3 and Course Closure
• Debrief Night Scenario – Video Simulation #3
• Review of written exam, medical equipment, first aid kits, & survival kits
• Finish any testing
• Course debrief, cleanup and closing
All scenarios are created within realistic outdoor settings, and students will be taking turns acting as the rescuer and the patient. Be prepared to be in the outdoors for extended periods of time, and wear clothing appropriate for the weather. In addition, fake blood and make-up is used to create realistic wounds, bruising and bleeding. Students will need at least one or two extra pairs of clothes that may be cut and stained to use during scenarios.
This is a VERY interactive course. To protect your personal space you should wear your jog bra, bathing suit, boxers and/or shorts (these will not be cut) under your simulation clothes for all patient assessment skills labs.
You will need to bring:
• Notebook, pen, pencil
• Two full sets of old clothing (two long sleeve shirts, two long pants, two t-shirts) that can be cut up and dirtied with fake blood for scenarios
• Backpack big enough for course materials and other gear as we will be on the move to various different sites around the course location
• Water bottle
• Camp chair or crazy creek chair if you have one
• On some days (not the first day) you may be asked to bring gear that you would have when you are playing or working in the outdoors in order to practice splinting, protecting patients from the environment, etc. Bringing outdoor equipment is optional as we will have plenty of gear available to practice with. However, it is nice to know how YOUR gear works as a wilderness medicine tool. Example: trekking poles, paddles, snow shovels, snowshoes, skis, axes, backpacks, chairs, sleeping pads.
When you have successfully completed the Wilderness First Responder Course, you will receive a Wilderness First Responder certification card from Sierra Rescue. This card acknowledges that you have successfully demonstrated the skills presented during your course according to established guidelines. It does not certify that you will be able to perform at that level. It is your responsibility to stay current with both your understanding and practice. Most medical control personnel require certification as a baseline for authorization. Your Sierra Rescue certification will be recognized world-wide!
Successful completion of the course includes:
• 100% participation in the entire course
• Participation in practice scenarios
• Passing the course written exam
• Passing the final practical scenario
Your certification will be valid for three years. You MUST re-certify within this three-year period at a course specifically designed as a “Wilderness First Responder Recertification” course. When you go to re-certify, you may re-certify with a responsible and recognized provider of Wilderness Medicine Instruction. We recommend that you take a three-day recertification course. If you fail to re-certify within the three year time period, you will have to take the FULL 80 hour WFR course again. Do not ever let your WFR expire!
We have used many other companies and rivers in the past, but think you are the best! We are planning another trip this summer
We had several wonderful trips. Thanks for all your help. Staff is wonderful, congenial, competent, just great. Even the weather was fantastic! I will put together more trips with you guys. Many, many thanks!
What a rush. Your guides are the best. Professional and friendly staff. Keep up the great job!
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