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Wilderness First Responder SafariEndeavour'sAim We endeavour to give you the knowledge and skills to confidently plan and deliver medical care in remote or extreme environments. Our vision is to create a worldwide community with equitable access to high quality education and knowledge. Howwedeliver This course takes a holistic approach to remote and expedition medicine in an African environment through integrated learning in scenarios, workshops and open discussion. The curriculum is written and delivered by senior expedition medical doctors with decades of experience, including throughout Africa. Members of our faculty co-authored the Faculty of Prehospital Care Updated Guidance on Medical Provision for Wilderness Medicine and The Oxford Handbook of Wilderness and Expedition Medicine.Level1RMR Two Day Course Structure The Level 1 RMR course goes beyond standard 16 hour first aid courses. Through the use of simulation and scenarios we deliver you the tools to approach medical or trauma emergencies with structure and confidence. We will discuss expedition medical planning, medico-legal and ethical considerations and mental health preparedness. We will train you in the use of targeted Prescription only Medications (POMs) and you will have access to prescribing these for overseas use for 2 years following the course.Course Syllabus and Learning Outcomes Leadership and Human Factors Why do humans make errors? How does the environment and culture we work in contribute to risk, errors and safety? How do we respond when under threat and make sensible decisions that we can communicate to a wider team? Understanding the importance of human factors and leadership is a key step in predicting, preventing, and managing time critical situations. Remote Medical Planning and Risk Assessment Plan and prepare for your next expedition. Review ethical and legal considerations of giving medical care. Understand how to use a risk matrix. Consider the resources you have available, what you will need, and how to obtain them. Explore evacuation procedures, SOPs and EOPs. Appreciate important concepts including how far definitive care is and how you access this day or night.The Collapsed Casualty: CPR, ABCDE, Drowning, Choking, Anaphylaxis Understand the principles of the collapsed casualty and how to approach an emergency situation in a calm and structured manner. Review the differences in the management of Basic Life Support in children, drowning and anaphylaxis. Confidently take and record vital signs. Injuries, wounds and burns Review how to treat and manage acute injuries and burns. Practice cleaning, dressing and closing wounds. Learn how to reduce simple fractures and dislocations. Discuss the pain ladder and advanced analgesia such as Penthrox Trauma, head and spinal injuries Understand how to complete a thorough primary survey in a trauma scenario. Explore methods to assess, manage and package patients with head and spinal injuries .Medical illnesses Use a systematic approach to take a history of a medical illness. Utilise tools to make informed decisions regarding the need to treat or evacuate. Review important medical illnesses including cardiovascular, respiratory, neurological, gastrointestinal, and diabetes. Mental health workshop Gain practical tools in how to normalise mental health concepts. Understanding your own needs, and that mental health preparedness is a skill for everyone. Learn how to design and utilise your own ‘Emotional Kit List’. Ear, Nose, Throat and Eyes Learn how to fully examine an eye, ear, the nose and throat. Recognise inner and outer ear infections with the use of an otoscope and how to treat these. Practice everting an eyelid and removing floating foreign bodies from eyes. Understand principles of epistaxis management.Environmental Illness, Bites and Stings Understand environmental illnesses including hyperthermia, hypothermia, Acute Mountain Sickness, tropical illnesses, and bites and stings including snake bites. Learn how to initiate medical management in remote, extreme and austere environments. Medical Kits Review content of medical kits for specific locations / expeditions. Acknowledge use of the Drug Checklist Understand how to use and dispense prescription only medications POMs and safely use medical equipment. "The most interesting and engaging course I've ever attended" James , Guide and Mountain Leader "Highly knowledgeable and approachable instructors. Thank you". Sally, Mountain guide and MumLevel2RMR Four Day Course Structure Enhancing the knowledge and skills gained from the Level 1 course, Level 2 will deliver training in advanced medical techniques including: intramuscular injections, wound stapling and closure and subcutaneous fluids. We work through scenarios in multiple casualty triage, advanced trauma management, communication with pre- hospital services and how to practically manage complex evacuations. You will learn theory and techniques in advanced pain management including the use of controlled drugs. "Shortly after this course, I had to give adrenaline for anaphylaxis. It was such a relief to have the skills and confidence to do it" Sarah, Lodge Manager , "Fantastic training in wound management. Thank you" Charlie, First aid instructor and kayak guide.Intramuscular injections Understand the principles giving medications via intramuscular route. Acknowledge the use of checklists and sharp safety when giving IM medications Advanced wound management Learn the use of local anaesthetic and staples to clean and close complex wounds. Practice following a checklist to mitigate against technical and drug errors. Understand the importance of good documentation and follow up care. Triage and communication Practice triaging patients in a casualty scenario. Learn techniques to speak to pre- hospital crews to relay important medical information. Shock and fluid balance Review the concepts of shock, taking and monitoring vital signs, and understanding fluid balance. Learn how to give subcutaneous fluid and monitoring the fluid needs of a patient.Commentsfromourattendees "The teaching on the course was excellent, it was pitched at the perfect level. Fantastic scenario and 100% practical based tasks, combined with useful lectures and discussions." Of participants would recommend this course to a friend "The instructor team were excellent and have so much experience behind them; examples from real-world experience brings so much extra context to a course.” 5 Feedback for course "Superb, knowledgeable instructors who also created an content, delivery and environment in which questions where welcomed.” applicability. "I thought the course was excellent. The course content, delivery and staff were all superb. Easily one of the best 98% courses I have ever been on.” Would feel confident to deliver advanced care in the field "I've completed many advanced first aid courses before, but none with the depth or interest of this one. I can genuinely say I wasn't bored or disengaged for a single minute! I would 100% do it again” 5 Feedback from all practical sessions and workshops "I left feeling confident in both medical knowledge and the advanced practical skills. The knowledge and expertise you brought to the course was far greater than any other first aid course I've done"Readers appreciate Readers appreciate accurate information accurate information Readers appreciate accurate information www.endeavourmedical.co.uk hello@endeavourmedical.co.uk @endeavourmedical