WILDERNESS FIRST RESPONDER COURSE By Wilderness Medicine Institute of NOLS & Crossing Latitudes This Wilderness First Responder course is designed specifically to provide you with the tools to make critical medical and evacuation decisions in remote locations. Half of your time will be spent completing practical skills, case studies and scenarios designed to challenge your decision-making abilities. Adult CPR is included in this course. We do encourage you to browse the textbook before the course. Course out-line below. Course Location: Gilwellstugan, 64034 Sparreholm, Sweden The Gilwell Center is owned by the Swedish Scout Association. Sparreholm is located 20km from Flen where the train stops. Sparreholm is 100km from Stockholm. You can take a train from Stockholm to Flen where we can pick you up. The train ride is less then an hour long. Travel Directions below. Course Dates: November 1-11, 2012. Day 6 (Tuesday November 6) is a day off. Course Fee: US$1450.00 per person. The fee includes course materials, books, instruction, lodging and all meals. Travel to and from the course location is not included. Meals & Lodging: Lodging and food are included in your course fee. Three full meals and snacks are served each day. We create fun, nutritious and plentiful meals. Signing up / Registration Policy: The full tuition is required to reserve a space in the course. Payments may be made via submitting a VISA, Master Card number or a transfer to Crossing Latitudes Swedish Plusgiro account 100 75 14-1. The tuition fee covers textbooks, syllabus, equipment, certifications, lodging and all meals. A full refund will be given if we are forced to cancel the course for any reason. Crossing Latitudes Swedish Tax ID number: 502069-8584 Crossing Latitudes Cancellation & Refund Policy: If a student cancels or withdraws from the course: *Greater than or equal to 30 days prior to the course starting date, Crossing Latitudes will retain a $100.00 administrative fee. *Between 29 days and 14 days prior to the course starting date, Crossing Latitudes will retain 25% of the course tuition. *13 days prior to the course starting date and throughout the duration of the course all deposit and tuition moneys are non-refundable. If the cancelled spot can be filled with another person prior to course start the tuition will be returned minus the administrative fee of $100.00. *If Crossing Latitudes cancels the course the whole tuition is refunded. Course Language: English. Our two WMI of NOLS instructors are from the USA. One instructor speaks Swedish fluently. The Wilderness First Responder textbook is in English and will be sent to you pre course and we highly recommend that you start reading it. For Course specific information: Please contact Crossing Latitudes (representative for WMI of NOLS in Europe) at info@crossinglatitudes.com Phone (USA): 1-406-585-5356. Phone (Europe): +46-70-670 1153 WFR Course Description: Essential wilderness first aid education for anyone who spends significant time in remote places or who has a professional career in the outdoors. The Wilderness First Responder (WFR) course will prepare you to make difficult medical decisions. This course is fast-paced and engaging. You'll spend half your time outside of the classroom doing hands-on skills and realistic scenarios. In addition to scenarios, you'll participate in a full-scale night mock rescue. WMI's curriculum encompasses a wide range of topics including long-term patient care, wound management, straightening angulated fractures, reducing dislocations, litter packaging and administering medications. You'll complete this course with the tools and confidence to manage patients in the backcountry for multiple days. The intensive 80-hour curriculum is internationally recognized and supported by the Wilderness Medicine Institute's Medical Advisory Panel. You'll be taught by dynamic educators who have practiced both wilderness and urban medicine. This 80-hour course is ideal for all professionals operating in remote environments. Adult CPR certification is included. The WFR course is pre-approved for 70 hours of EMT CEU’s by CECBEMS (see more info below). For more information about WMI of NOLS and the WFR course, please visit: http://www.nols.edu/wmi/courses/wildfirstresponder.shtml Class time & Scenarios: The Course language is English. Two WMI instructors will be coming from the US and Sweden. Many hours will be spent indoors learning in-depth about different topics. 50% of the time will be spent outdoors with practical sessions and scenarios. There will be night exercises and you might encounter "patients" you never met before (specially invited folks). Discussions about leadership, group dynamics and evacuation procedures are part of this course. All participants will be playing both “patients” and “rescuers” each day. We use fake blood to make the scenarios more realistic. The moulage blood will come off clothing but you might have to wash twice. Directions: If you are coming from outside Sweden you can fly or take a train to Stockholm. From Stockholm you can travel to Flen by train. The Swedish Rail Road page: http://www.sj.se/sj/jsp/polopoly.jsp?d=10&l=en We will pick you up in Flen. We will also be glad to figure out carpooling as we get closer to the course start. Enter Gilwellstugan, 64034 Sparreholm, Sweden on Mapquest.se or Eniro.se and you will find more detailed maps of where Gilwellstugan is located. Meals: Three healthy and plentiful meals are served each day by Crossing Latitudes staff. Snacks and hot-drinks will also be available. Prepared meals will include pasta, whole grains, fresh vegetables and meat. Meals will be served family-style at 7:00am, 12:30pm and 6:30pm. Please let us know in advance if you have specific questions regarding food allergies, diet or food requests. Meals on your day off are also included in your tuition. There is no refund if you choose to leave the Gilwell center this day and eat out on your own. We ask all participants to help out with basic clearing of the tables and kitchen chores on a rotating schedule. No one will loose class time by helping out. Lodging: You will share a room with a few other participants. You need to bring your own sheets, sleeping bag and towels. There are blankets and pillows at the center. There are several study-rooms, bathrooms, showers and a sauna. Recreation: The Gilwell center is located in the forest. If you are a runner or enjoy taking long walks this is a great area to enjoy. There are endless miles of dirt and paved roads for folks who bring their bikes. The nearby community of Flen is only 20 km away so if you are looking for a bike trip this will be a great destination. We welcome you to bring your own kayak or canoe. The Båven lake is large with numerous islands creating an interesting area to paddle in. November in Sweden can be both wet and cold so be prepared. It also gets dark quite early so a headlamp is a must. Internet: There is no wireless Internet connection at Gilwell but there is good cell phone reception. WMI of NOLS Mission: The Wilderness Medicine Institute's goal is to provide the highest quality education and information for the recognition, treatment, and prevention of wilderness emergencies. For over a decade, the Wilderness Medicine Institute (http://www.nols.edu/wmi/) has been the most recognized and respected teacher of wilderness medicine, training over 110,000 students around the world. At WMI, students learn treatment principles and decision-making skills, not the memorization of long lists. Our courses are rigorous and intensive. They will challenge your decision-making skills and they will get you ready. To date we have run courses internationally in USA, Australia, Canada, Nepal, Columbia, Costa Rica, Chile, India, Kenya, Mexico, Norway, Thailand, South Africa, Sri Lanka, Sweden, Germany, England and Tanzania. WMI of NOLS is an internationally recognized program that trains participants to respond to emergencies in remote settings. What can you expect? Expect dynamic instructors with lots of backcountry experience. Expect to spend lots of time outside with realistic scenarios. There will be intense but rewarding days. You will have to study hard in the evenings. We will have a night scenario. There will be a written and a practical exam at the end of the course. You need to pass both the written and the practical tests in order to receive WMI of NOLS international WFR certification. You can expect a curriculum that is evidence-based, not just copied out of a textbook. We teach wilderness medicine practices and protocols that are supported by a physicianbased medical advisory panel and disseminated by our curriculum director. This means you're getting the latest findings and protocols in the industry. What do we expect of you? We expect you to be on time each day. We expect you to come prepared each morning. We expect you to be respectful of other participants and our staff – both in the classroom and during our scenarios outside. We expect you to take good care of the equipment. We hope you will ask us if you don’t understand. We expect you to study and practice in the evenings. We ask that all participants’ cell phones and computers will be turned off during class time. No smoking during our class time (which includes scenario time). Continuing Education College credit and EMT CEUS: The course is pre-approved for three (3) semester hour credits through the University of Utah at a cost. If interested, please check with the instructors on the first day of class for the necessary information. WMI is proud to be a Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) accredited organization. Current EMTs are eligible to receive 70 CEU hours for their Wilderness First Responder courses. Please bring a photocopy of your current EMT card(s) with you to your course. PETS / DOGS ARE NOT ALLOWED AT THE COURSE. THIS INCLUDES LEASHING THEM OUTSIDE. NO EXCEPTIONS. Any student bringing pets to the course will be asked to leave the course until the pet is safely situated in a kennel or other facility. No alcohol or smoking is allowed on site during class hours. What to bring: WMI will bring medical equipment and outdoor gear for setting up realistic scenarios. During the course we will also sell WMI of NOLS first aid kits, T-shirts, books and first aid materials. Suggested Equipment List: Expect the best weather but be prepared for the worst! November in Sweden can be nasty! There are no wash machines at the Gilwell Center. If you need to wash clothing you will have to do it in the sink. We do have a sauna as well. Back pack Sleeping bag Sheets (to be used in your bed at the Gilwell Center) Personal Towels Therm-A-Rest or sleeping pad (to be used in scenarios) Underwear 2-3 layers of poly-pro / wool / silk top. 1-2 poly-pro / wool / silk bottoms (long johns) 1-2 warm sweaters or fleece jackets 1-2 outdoor pants 1-2 sweats or casual pants for evenings Rain jacket Rain pants 3-4 wool or synthetic socks 1-2 liner socks 2-3 ordinary socks Outdoor boots (remember there might be some cold and wet evenings) Indoor shoes or sandals 2-3 T-shirts or long sleeve casual shirts Hat, gloves, mittens, neck warmer / scarf Exercise clothing (running shoes etc) if you want to take a run Games, music instruments, outdoor “toys” (bike, Frisbee, hackysack etc) Toiletries Flash light or Head lamp with extra batteries (important for the night scenarios) Camera Note pad and pens Knife Sunglasses Water bottle Mug If you bring a phone, radio, iPod or other electronics you need an adaptor for Northern Europe IMPORTANT! Please bring one set of clothing (pants and shirt) that can be totally destroyed during the WFR course. These clothes you or someone else will wear during one of the longer scenarios when you are a “patient”. Your clothes will be soaked in “blood” and cut up with trauma scissors. Nothing fancy is needed – just some old jeans, pants, a button down shirt or sweater. Large or extra large clothing is good. COURSE SCHEDULE: DAY 0: WEDNESDAY OCTOBER 31: You are welcome to arrive this evening. DAY 1: THURSDAY NOVEMBER 1: 08:00 Morning: Introductions: Wilderness vs. Urban Initial Assessment Patient Exam Vital Signs: LOC, HR, RR, SCTM Afternoon: Vital Signs: BP, Pupils Focused History Documentation Medical Legal Issues DAY 2: FRIDAY NOVEMBER 2: 08:00 Morning: Problem of the Day Review and Practical Session CPR Afternoon: CPR in Remote Environments and Oxygen Spinal Cord Injuries Lifting and Moving Spinal Immobilization Litter Packaging, Carrying, and Long-Term Patient Management DAY 3: SATURDAY NOVEMBER 3: 08:00 Morning: Problem of the Day Chest Injuries Shock Afternoon: Focused Spinal Assessment Head Injuries DAY 4: SUNDAY NOVEMBER 4: 08:00 Morning: Problem of the Day Wilderness Wound Management Afternoon: Problem of the Day Athletic Injuries Fracture Management Evening: Traction Splinting Dislocations DAY 5: MONDAY NOVEMBER 5: 08:00 Morning: Problem of the Day Review and Practical Session Hypothermia Frostbite and Non-Freezing Cold Injury Afternoon: Heat and Hydration Altitude Illness Practical Scenario DAY 6: TUESDAY NOVEMBER 6: DAY OFF Day 7: WEDNESDAY NOVEMBER 7: 09:00 Morning: Problem of the Day Cardiac Emergencies Respiratory Emergencies Afternoon: Neurological Emergencies Acute Abdomen DAY 8: THURSDAY NOVEMBER 8: 08:00 Morning: Problem of the Day Bites and Stings Allergies and Anaphylaxis Afternoon: Diabetes Search Scenario Principles of Search and Rescue/Evacuation Evening: Rescue Scenario DAY 9: FRIDAY NOVEMBER 9: 08:00 Morning: Mock Rescue Debrief Common Problems Wrap-up Communicable Disease Poisoning Lightning Afternoon: Submersion Incidents DAY 10: SATURDAY NOVEMBER 10: 08:00 Morning: Wilderness Drug and First Aid Kits Gender Medical Issues Practical Scenario Extra time for Questions & Answers Afternoon: Practical Exams DAY 11: SUNDAY NOVEMBER 11: 08:00 Morning: Written Exam Closing Ceremony Departure approximately 14:00 For WMI or curriculum specific questions please contact Crossing Latitudes (WMI representative in Scandinavia) at info@crossinglatitudes.com Phone in Europe: +46-70670 1153 Phone in USA: +1-406-585-5356. WMI website: wmi.nols.edu Copyright © 2009 National Outdoor Leadership School. All rights reserved.