Wilderness Advanced Life Support

Wilderness and remote medicine skills for advanced medical care practitioners

Four-day intensive for physicians and other advanced providers seeking skills in overseeing response to complex medical emergencies in low-resource contexts.

Course covers assessment and medical treatment, incident management, and medical adaptation/improvisation in extreme environments.

Course Overview

Wilderness Advanced Life Support

Course # 280102

Dates

January 1 –
January 5

Course Length

4 days

Location

Boise, Idaho

Registration deadline

December 31

Cost

USD 750

Language

English

Certification

Wilderness Advanced Life Support

Full Course Description

Course Description

The Wilderness Advanced Life Support course curriculum is written by a team of remote medical rescue researchers and professionals. Ongoing evidence-based research and review is used to develop a unique and innovative approach to patient care in backcountry and austere settings. The curriculum is comprehensive, complete, and kept current on an annual basis.

Course learning outcomes include the capacity to:

  • Apply concepts of pathophysiology to long-term care for medical, trauma and environmental conditions.
  • Connect anticipated problems for injuries and common medical issues in a remote setting to relevant treatment and extended care.
  • Create an appropriate inventory of medical and first aid supplies, including prescription and OTC medications, and considerations for their use in remote patient care contexts.
  • Use adaptation and improvisation skills to transfer existing skills and protocols to extreme environments and low-resource contexts.
  • Improvise patient stabilization through, for instance, pelvic binders improvised from nearby materials, femur splints, and lifting, moving and extrication without hospital/pre-hospital tools.
  • Develop a treatment and evacuation plan for a wide variety of patient profiles, using considered risk-benefit analysis, in remote, austere, offshore or disaster settings.
  • Work collaboratively with team members in complex, time-critical emergencies with limited access to equipment and trained personnel

Certifications

Upon successful completion, learners will receive a Wilderness Advanced Life Support certification card.

This constitutes a wilderness endorsement to the practitioner’s current level of licensure.

Certifications are valid for three years.

Current regional or national registration as a medical provider is required for validity of WALS certification.

Evaluation

Successful completion with certification is based on 100 percent attendance, satisfactory performance on homework assignments and written quizzes, demonstrated proficiency with practical skills and a successful grade on a final written exam. Viristar is committed to making reasonable accommodation to any learner with special needs.

Recertification

To continue certification, a graduate of a WALS training should re-enroll in the course.

Prerequisites

Participants must have current ALS certification, such as Physician, Advanced Practice Provider (PA, NP), Registered Nurse, or Paramedic or other ALS-trained field provider.
 
Other prospective participants (e.g. advanced EMTs) may be considered for admission on a case-by-case basis.

Continuing Education Hours

Materials Provided

All teaching materials will be at no additional cost. Participants will receive the following books on this course:

  • SOAP Notebook
  • Wilderness and Rescue Medicine: A Practical Guide for the Basic and Advanced Practitioner
  • The Field Guide of Wilderness and Rescue Medicine
  • Wilderness Medicine Workbook
  • Wilderness EMS/Wilderness ALS Class Notes

Equipment

We ask our sponsors and course hosts to provide basic outdoor equipment and any specific gear relevant to their personnel when in remote and austere environments. Viristar will supply a specific equipment list to cover simulation and classroom needs.

Viristar will normally provide equipment such as vascular access tools, airway adjuncts, chest trauma management tools, OPA/NPAs, pressure infuser, epinephrine sticks lab supplies, and wound cleaning and dressing supplies.

Customization

As part of Viristar’s commitment to your medical rescue training, our instructors and management will inquire about your group’s needs and teach according to your group’s backgrounds, environments, and experience. Simulations and hands-on activities will be realistic and relevant. Relevant adult education is incorporated directly into our curriculum to maximize learning of medical theory and development of practical skills.

Syllabus

DOWNLOAD FULL SYLLABUS

Topics

Day 1
8.5

Logistics and introduction
General concepts in wilderness medicine
Patient assessment with drills
Critical system summary
Anaphylaxis
Spine (lecture, demonstration and practice of examination; assessment drills)
Patient movement/improvised patient carries
Patient packaging
Wrap-up

Day 2
9.5

Homework review
Pain management
Musculoskeletal
Limb splinting
Dislocations (lecture, reduction demo with videos and practice)
Wounds/Burns
Thermoregulation
Small group BLS simulations and debrief
Wrap-up

Day 3
10.5

Homework review
Altitude
Cold injuries
Lightning
Medical aspects of avalanche
ALS tools lab & appropriate technology (lecture and lab)
SAR/Organization/Roles
Night simulation

Day 4
7.5

Homework review
Night sim debrief
Drowning/SCUBA (barotrauma)
Toxins/Zoonotic Disease Vectors
Expedition practitioner/backcountry medicine (lecture, discussion and drill)
First aid kits and prescription medications
Medical-legal considerations
Review & wrap-up

Instructor

kaelan young

Kaelan Young

Communications Manager

Kaelan Young (she/her) brings her passion for the outdoors and a rich background in outdoor and experiential education to her role as Communications Manager at Viristar. With a degree from the University of Southern Mississippi, Kaelan has seamlessly woven her experiences as an outdoor educator and her expertise in marketing and operations for outdoor education organizations into her professional journey. 

Outside of her work, Kaelan finds solace and joy in nature. An intrepid traveler and dedicated backpacker, she finds fulfillment in discovering new landscapes and immersing herself in the wonders of the natural world. Whether she’s blazing trails, designing content, or crafting compelling narratives, Kaelan approaches each endeavor with boundless enthusiasm and a profound reverence for the beauty of our world.

Other Course Dates

List View Grid View
course name
Month/Year
start date
tuition
location

Wilderness Advanced Life Support

Dates: 31 October – 21 November, 2024
Cost: USD 649
Location: Seattle Zoo
October, 2024
31 October, 2024
USD 649
Seattle Zoo

Wilderness Advanced Life Support

Dates: 31 October – 6 November, 2025
Cost: USD 101
Location: Yellow Springs, Ohio USA
October, 2025
31 October, 2025
USD 101
Yellow Springs, Ohio USA

Wilderness Advanced Life Support

Dates: 3 August – 7 August, 2028
Cost: USD 725.25
Location: Tivoli, Copenhagen
Instructor: Kristina Vateva
August, 2028
3 August, 2028
USD 725.25
Tivoli, Copenhagen

Course Description

The Wilderness Advanced Life Support course curriculum is written by a team of remote medical rescue researchers and professionals. Ongoing evidence-based research and review is used to develop a unique and innovative approach to patient care in backcountry and austere settings. The curriculum is comprehensive, complete, and kept current on an annual basis.

Course learning outcomes include the capacity to:

  • Apply concepts of pathophysiology to long-term care for medical, trauma and environmental conditions.
  • Connect anticipated problems for injuries and common medical issues in a remote setting to relevant treatment and extended care.
  • Create an appropriate inventory of medical and first aid supplies, including prescription and OTC medications, and considerations for their use in remote patient care contexts.
  • Use adaptation and improvisation skills to transfer existing skills and protocols to extreme environments and low-resource contexts.
  • Improvise patient stabilization through, for instance, pelvic binders improvised from nearby materials, femur splints, and lifting, moving and extrication without hospital/pre-hospital tools.
  • Develop a treatment and evacuation plan for a wide variety of patient profiles, using considered risk-benefit analysis, in remote, austere, offshore or disaster settings.
  • Work collaboratively with team members in complex, time-critical emergencies with limited access to equipment and trained personnel

Certifications

Upon successful completion, learners will receive a Wilderness Advanced Life Support certification card.

This constitutes a wilderness endorsement to the practitioner’s current level of licensure.

Certifications are valid for three years.

Current regional or national registration as a medical provider is required for validity of WALS certification.

Evaluation

Successful completion with certification is based on 100 percent attendance, satisfactory performance on homework assignments and written quizzes, demonstrated proficiency with practical skills and a successful grade on a final written exam. Viristar is committed to making reasonable accommodation to any learner with special needs.

Recertification

To continue certification, a graduate of a WALS training should re-enroll in the course.

Prerequisites

Participants must have current ALS certification, such as Physician, Advanced Practice Provider (PA, NP), Registered Nurse, or Paramedic or other ALS-trained field provider.
 
Other prospective participants (e.g. advanced EMTs) may be considered for admission on a case-by-case basis.

Continuing Education Hours

Materials Provided

All teaching materials will be at no additional cost. Participants will receive the following books on this course:

  • SOAP Notebook
  • Wilderness and Rescue Medicine: A Practical Guide for the Basic and Advanced Practitioner
  • The Field Guide of Wilderness and Rescue Medicine
  • Wilderness Medicine Workbook
  • Wilderness EMS/Wilderness ALS Class Notes

Equipment

We ask our sponsors and course hosts to provide basic outdoor equipment and any specific gear relevant to their personnel when in remote and austere environments. Viristar will supply a specific equipment list to cover simulation and classroom needs.

Viristar will normally provide equipment such as vascular access tools, airway adjuncts, chest trauma management tools, OPA/NPAs, pressure infuser, epinephrine sticks lab supplies, and wound cleaning and dressing supplies.

Customization

As part of Viristar’s commitment to your medical rescue training, our instructors and management will inquire about your group’s needs and teach according to your group’s backgrounds, environments, and experience. Simulations and hands-on activities will be realistic and relevant. Relevant adult education is incorporated directly into our curriculum to maximize learning of medical theory and development of practical skills.

Syllabus

DOWNLOAD FULL SYLLABUS

Topics

Day 1
8.5

Logistics and introduction
General concepts in wilderness medicine
Patient assessment with drills
Critical system summary
Anaphylaxis
Spine (lecture, demonstration and practice of examination; assessment drills)
Patient movement/improvised patient carries
Patient packaging
Wrap-up

Day 2
9.5

Homework review
Pain management
Musculoskeletal
Limb splinting
Dislocations (lecture, reduction demo with videos and practice)
Wounds/Burns
Thermoregulation
Small group BLS simulations and debrief
Wrap-up

Day 3
10.5

Homework review
Altitude
Cold injuries
Lightning
Medical aspects of avalanche
ALS tools lab & appropriate technology (lecture and lab)
SAR/Organization/Roles
Night simulation

Day 4
7.5

Homework review
Night sim debrief
Drowning/SCUBA (barotrauma)
Toxins/Zoonotic Disease Vectors
Expedition practitioner/backcountry medicine (lecture, discussion and drill)
First aid kits and prescription medications
Medical-legal considerations
Review & wrap-up

Instructor

kaelan young

Kaelan Young

Communications Manager

Kaelan Young (she/her) brings her passion for the outdoors and a rich background in outdoor and experiential education to her role as Communications Manager at Viristar. With a degree from the University of Southern Mississippi, Kaelan has seamlessly woven her experiences as an outdoor educator and her expertise in marketing and operations for outdoor education organizations into her professional journey. 

Outside of her work, Kaelan finds solace and joy in nature. An intrepid traveler and dedicated backpacker, she finds fulfillment in discovering new landscapes and immersing herself in the wonders of the natural world. Whether she’s blazing trails, designing content, or crafting compelling narratives, Kaelan approaches each endeavor with boundless enthusiasm and a profound reverence for the beauty of our world.

Other Course Dates

List View Grid View
course name
Month/Year
start date
tuition
location

Wilderness Advanced Life Support

Dates: 31 October – 21 November, 2024
Cost: USD 649
Location: Seattle Zoo
October, 2024
31 October, 2024
USD 649
Seattle Zoo

Wilderness Advanced Life Support

Dates: 31 October – 6 November, 2025
Cost: USD 101
Location: Yellow Springs, Ohio USA
October, 2025
31 October, 2025
USD 101
Yellow Springs, Ohio USA

Wilderness Advanced Life Support

Dates: 3 August – 7 August, 2028
Cost: USD 725.25
Location: Tivoli, Copenhagen
Instructor: Kristina Vateva
August, 2028
3 August, 2028
USD 725.25
Tivoli, Copenhagen
  • We have been extremely pleased with the outdoor safety-related trainings…world-class.

    Gabriel Côté-Valiquette

    Program Coordinator, Keilir Adventure Studies, Reykjanesbær, Iceland

  • The instructors were amazing.

    Guadalupe Navarro

    Community Engagement Manager, Sonoma County Regional Parks, California, USA

  • Great information made understandable, and skills needed explained and demonstrated well.

    Kalea D’Atre

    Wilderness First Aid student, Washington state, USA

  • Learned A LOT in a short time. The presenter was very approachable and was excellent at teaching learners of all backgrounds.

    Josh Doppelt

    Washington state, USA

  • Inspiring…got a new paradigm of first aid knowledge.

    Participant, Wilderness First Aid course

    Odyssey Institute, West Java, Indonesia

  • It was such a great experience!

    Nguyen Thu Thao

    Senior Instructor, Outward Bound Vietnam, Cát Hải, Bình Định, Vietnam

  • This course is useful for humanitarian workers in remote contexts.

    Paul Harper

    Humanitarian aid worker, Cambodia

  • Derek Angevine

    Director of Experiential Education, Spring St International School, Washington state, USA

  • I’ve learned more than I expected…it was a hands-on inquiry-based learning journey with excellent guidance.

    Hanneri Coetsee

    Teacher, Satit Bilingual School of Rangsit University, Bangkok, Thailand

  • I feel confident that the knowledge and experience gained during this course will help me stay calm and help no matter how stressful the situation.

    Tjaša Metličar

    Keilir Academy Adventure Studies Program, Reykjanesbaer, Iceland

  • Kate Johnston

    Outdoor Educator, Singapore

  • I learned a lot about medical conditions and how to treat and respond to them in the wilderness.

    Kamna Mishra

    Lead Instructor, Outward Bound Vietnam, Cát Hải, Bình Định, Vietnam

  • Great course–I feel much more prepared for wilderness emergencies.

    Tuva Rødningsand Kirkerud

    Keilir Academy Adventure Studies Program, Reykjavik, Iceland

  • Very well done program and presentation.

    Gil LeFrancois

    Upper School Teacher, Charles Wright Academy, Washington state, USA

  • Viristar was awesome! The WFA class was engaging and fun and interesting, and I appreciate the relevant information and training.

    Carie Ward

    Lead Teacher, Charles Wright Academy, Washington state, USA