60:. After all, without an understanding of the applicable gear, skills, and knowledge needed to best function in wilderness environments, including a fundamental understanding of the related medical issues more commonly faced, even an advanced provider may often become little more than a first responder when called upon in such an emergency. WEMT training and certification is similar in scope to
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certified, but the curriculum is the same, the standard of care and scope of practice may vary. Often a student will have to travel a long distance to attend a WEMT class, and as a result, most WEMT classes involve taking classes 8–10 hours per day for one or more weeks (depending on whether the student is already an EMT).
64:(WALS) or other courses for advanced providers such as AWLS (advanced wilderness life support), WUMP (wilderness upgrade for medical professionals), WMPP (wilderness medicine for professional practitioner), and RMAP (remote medicine for advanced providers). Unlike more conventional emergency medicine training,
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began teaching first aid to lay people. Over the years, these organizations trained hundreds of thousands of people in the elements of providing assistance until definitive care could be arranged. The training in these courses assumed that definitive care was nearby and could be delivered quickly.
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is usually out of the question, and one may have to treat or stabilize a critical patient for hours until help arrives or you can get them the care they need. Backcountry medicine often speaks of the golden day—a patient's survival chances for critical injuries drastically drop off around 24 hours
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can perform more advanced interventions, such as giving patients prescribed medications outside the scope of an urban EMT or first responder with off-line medical direction. Some of these medications include those for pain, fever and infections depending on what standing orders the WEMT or WFR has.
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There is a strong focus on rendering aid with improvised means (for instance, using a branch and some rope to splint an injured extremity rather than using commercially available splinting devices). In wilderness settings it is unlikely that the specialized equipment found in an ambulance will be
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that is better equipped than other licensed healthcare providers, who typically function almost exclusively in wilderness environments, to better stabilize, assess, treat, and protect patients in remote and austere environments until definitive medical care is reached. Despite the term, wilderness
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WEMT training is not standardized and varies by state and school but typically involves around 50 hours of wilderness medicine training in addition to the traditional EMT training. Most schools also allow for other health care professionals, such as RNs, MDs, or
Paramedics, to become wilderness
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available, so the focus is on using only what is at hand in your assessment and care for a patient. There is also a greater focus on long-term care, since a WEMT may have to be with a patient for many hours, while most urban EMTs are with each patient for no more than an hour at the most.
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Eventually there was a realization that this training, while valuable, needed to be supplemented and/or revised to deal with the extended time and limited resources inherent when a medical crisis occurs in a wilderness setting. In the 1950s organizations such as
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WEMTs also are allowed some acts outside the scope of practice of urban EMTs, such as stopping CPR after all efforts have been exhausted, dislocation reductions and ruling out spinal injuries. Wilderness EMT courses are available in
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began teaching the principles of first aid at mining sites and near large railway centers. By the dawn of the 20th century, additional organizations such as the
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training to their instructors. Meanwhile the DOT EMS program recognized a need to develop standardized training for "
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began developing training programs that addressed these special needs. In 1966, the US Government, through the
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Some of the main providers of wilderness emergency medical technician training in the United States include
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adapt their skills and knowledge when working with search and rescue teams. By 1977 organizations such as
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but are not recognised by the respective governing bodies for pre-hospital care.
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128:(EMS). From this program came the standardized curriculum for the position of
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where conventional hospital care can be many hours, even days, away to reach.
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emergency medical technician training is available and geared not just to the
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132:(EMT). The first wilderness EMT course was taught in 1976 to help EMTs in
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265:"Wilderness First Aid and Wilderness First Responder Recertification"
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Near the end of the 19th century, volunteer organizations such as
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254:(2006) Wilderness Medicine Handbook, 10th Edition. WMI of NOLS
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Providing care in the wild can be a daunting task, since the
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places a greater emphasis on long-term patient care in the
220:"Outdoors enthusiasts learn wilderness first aid"
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124:(DOT) responsibility for creating a national
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83:, the Wilderness Medicine Institute at (
464:Wilderness emergency medical technician
138:Stonehearth Open Learning Opportunities
77:Stonehearth Open Learning Opportunities
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18:Wilderness Emergency Medical Technician
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66:wilderness emergency medicine
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351:Cardiopulmonary resuscitation
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218:Berg, Lauren (18 July 2015).
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356:Emergency bleeding control
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174:wilderness first responder
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169:without hospital care.
89:Remote Medical Training
397:Nasopharyngeal airway
402:Oropharyngeal airway
222:. The Daily Progress
142:wilderness first aid
516:Wilderness medicine
495:Wilderness medicine
54:physician assistant
490:Good Samaritan law
109:American Red Cross
101:St. John Ambulance
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485:Golden hour
172:WEMT's and
166:golden hour
120:, gave the
70:backcountry
510:Categories
322:Techniques
273:2009-04-12
205:References
105:Boy Scouts
521:First aid
411:Mnemonics
365:Equipment
315:First aid
42:paramedic
480:Bleeding
387:Dressing
344:Advanced
193:See also
185:and the
152:Training
134:Colorado
107:and the
382:Bandage
183:Ireland
95:History
473:Topics
433:SAMPLE
423:OPQRST
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339:Basic
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226:4 May
438:SOAP
428:RICE
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