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Field Courses
The Learning Experience
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Doctors and Medical Personnel (CME):
The course is approved for American Medical Association (AMA) Continuing Medical Education (CME) credit(s) and American College of Emergency Physicians (ACEP).
REQUIRED DISCLOSURE:
Dr. Smith does not have any real or apparent conflicts to disclose.
Accreditation Statement:
Montgomery General Hospital is accredited by MedChi/ The Maryland State Medical Society to provide continuing medical education for physicians. Designation Statement: Montgomery General Hospital designates this educational activity for a maximum of 30 AMA PRA Category 1 credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Support for this lecture is provided by: In-Kind contributions were made by LifeStar Response.
Expedition Guides and Adventure Racers:
Will receive Wilderness First Responder often needed to continue as a guide or be hired for a guide position
Wilderness First Aid:
Students, Coaches, Athletes, Teachers, athletic directors, student athletes, parents, scout leaders, scouts, eagle scouts, Sports affiliated: will receive Wilderness First Aid and the knowledge and confidence to assess and handle an outdoor medical emergency.
• Altitude illness
• Frostbite
• High altitude pulmonary edema
• High altitude cerebral edema
• Acute mountain sickness
• Barotrauma
• Dive medicine descent
• Dive medicine ascent
• Cold tissue injuries
• Wilderness survival shelters
• Navigation stars, sun, compass, gps
• Wilderness menu and toxicology
• White water rescue
• Swift water survival
• Currents and strainers
• Snakes
• Spiders
• Scorpions
• Ticks
• Other insects
• Lyme disease
• Marine animal attacks
• Wilderness medical kit
• Strategies for the medical provider
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Orginally, the course is directed at Medical Students; however, non-medical participants, teachers, coaches, laypersons, parents, high school students are not at much of a disadvantage. The survival activities are well suited to both. The other large group that takes the course are adventure racers who need the skills plus the medical. I have taught students as young as 11 and a student age 71 both did well and enjoyed the course. If you are not in "shape" we will not ditch you in the woods or lake!!
Ideally, the participant should be able to handle a woodsy brisk hike, ride a bike, and be able to swim. (Life jackets will be worn and are mandatory in the water portions.) If not, the student may watch any portion he/she are not comfortable with. . No prior experience is needed with the rock climbing rescue. There is a good deal of stopping and explaining as we go along so the less fit can catch their breath
Indoor Day 1 (Friday Evening) is usually in the classroom for lectures to develop a base understanding of the concepts of wilderness medicine and the challenges faced by both victim and rescuer.
Outdoor Day 1(Saturday) is usually woods and ropes.....fire making, water purification, navigation, orienteering, deep water jumping, shelter building, survival strategy, hydration and nutrition, hypo and hyperthermia, medical concerns, medical kit, appropriate woods meds and clothes and gear, safety, self defense, canines and equines and pediatrics, orthopedics all disciplines of outdoor medicine, litter making, evacuation planning. Ropes training and high angle rescue takes up the evening of day 1: rappel, belay, top rope, 3:1 pulley, self evacuation, aid to fallen climber, rope and gear teaching, ascender use, prusik use, quickdraws, solo top roping and safety, and knots on rope and web, setting anchors.....
Outdoor Day 2 (Sunday) is typically, swift water rescue , swimmers position, strainer approach, throw bag handling and self evac, foot entrapment scenarios, boat rescue, kayaking, forward and sweep and back paddling, Z drag set up, re entry to overturned boat, mountain bike handling, jumping, climbing, downhill, falls, maintenance, use as race medic or doc, and adventure racing. Then the students have a large rescue to do with mapping UTM coordinates, tracking and navigating, orienteering to find a victim whether by boat, bike or on foot. They have to determine the medical needs of the victim, warm, dry and hydrate the victim, address injuries--splinting or communications, evacuate the victim and go on to the next victim. There will typically be4- 6 checkpoints (victims). The teams to rescue victims will have a mixture of med students and racers and volunteers so the student will have a chance to learn from others as well as rely on their own newly acquired skills. There will be a brief after event discussion to wrap up.

REGISTRATION & LIABILITY FORMS
(Please click on each form to download)
2008 Registration Form (pdf)
2008 WMFC Liability Form (pdf)
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