Is It For Me?
No prior experience is required and anyone without medical training is welcome to attend. Advanced Medicine has been the gold standard in expedition medical training in the UK for over 20 years and has been attended by hundreds of teachers, leaders, travelers, explorers, overland drivers, climbers, divers, field researchers, university staff and many others. Advanced Medicine is firmly geared to those working or travelling overseas to remote places where the risk of medical problems is high and medical facilities are limited. The course covers a broad range of injury and illness conditions including the use of prescription medicines and some invasive techniques – stapling wounds and giving injections.
You can read about using prescription antibiotics, Diamox (for high altitude) or strong pain killers in text books, injectable drugs and the like, but the problem remains of how to obtain these supplies, how to use them appropriately and your legal position. Advanced Medicine training eliminates all these concerns. We’ll teach you about the medical supplies to take and enable you to obtain these via Nomad Travel’s pharmacy for up to two years post-course. Our comprehensive A5 field manual with nearly 200 pages serves as an aide memoire in the field so you prescribe safely and we thoroughly cover the legal considerations on each course.
Advanced Medicine is normally run as 2 back to back courses over 4 days – the first 2 days are Far From Help and the final 2 is FFH Part 2/Advanced Refresher.
Day 1 Introductions & aims of the course Bench marking trauma scenario – practical Legal issues Measuring vital signs (blood pressure, pulse, breathing) – practical Practical sessions: • ABC approach to the injured casualty • Latest CPR guidelines Practical sessions: • moving / lifting / straightening an injured casualty • basic fracture & dislocation management Head and spine injuries Wound management Wound management – practical: • use of Steristrips • burns and dressings • use of glue & wound packing Expedition medical planning
Day 2 Diagnosis – how to take a patient history Practical sessions: • history taking • examining ENT (ear, nose, throat) & eyes Pain management & nursing care Common medical conditions – diarrhoea, asthma, blisters, bites Case based discussions: • heat illness • cold and frostbite injuries • altitude sickness – use of Diamox/dexamethasone/nifedipine Anaphylactic shock and use of Epipen/Anapen Medical kits & supplies Written examination Final questions / certificates / feedback & farewell
Day 3 Introductions and aims of the course Review of important legal aspects History taking revisited Approach to illness – pearls and pitfalls: • differentiating the severe headache • approach to chest pain • abdominal problems (appendicitis, hernias, testicular problems) • snake bite Pain management – use of intramuscular Tramadol CPR practical Anaphylactic shock – use of adrenaline, Epipen/Anapen Intramuscular injections – practical Case based discussions • Asthma – spacer use, ventolin regimes • Diabetes – including BM (blood glucose) measurement • Fever – including malaria Advanced medical kits and supplies – including intramuscular medicines Medical kit workshop – pulse oximeters, blood glucose measuring devices, malaria rapid diagnostic test and standby treatment, water purification
Day 4ABC approach to trauma – including blast/ballistics Advanced fracture and dislocation management Practical sessions: • the broken pelvis – use of pelvic binder • the broken leg – use of Kendrick traction device Practical sessions: • vehicle extrication & RTA scene safety • triage workshop Advanced wound management Wound management – practical: • injecting local anaesthetic • stapling • use of Steristrips & skin glue Written exam Final questions / certificates / feedback & farewell
Note: some of the skills taught, and the use of prescription-only-medicines (POMs) and injections especially, are not appropriate for use in the UK or anywhere if professional medical support is readily available. Professional medical advice should always be sought before using prescription medications. WMT reserves the right to amend course content without notice in keeping with the latest best clinical practice.
What Will I Need?
Comfortable clothing and sensible shoes are recommended. We might do some outdoor based scenario teaching – please have appropriate outdoor clothes and suitable footwear including a waterproof jacket and pants. The Lodge “stores” have waterproofs you can borrow for free if you are travelling light. Please ignore the Lodge’s generic advice re: outdoor kit – these are not outdoor activity courses.
Glenmore Lodge also has a pool, gym & climbing wall – so don’t forget your swimming/gym/climbing kit and a spare towel!