Remote Emergency Medical Technician
(Wilderness EMT)
Located in County Kerry, Ireland
EMT-Basic with additional Remote Medical skills
Taught by US Army Special Forces Medics and PHECC Advanced Paramedics
Part I: 60 days of online self paced EMT training
Part II: 9 day Wilderness Emergency First Responder course
Part III: 5 day Remote EMT course
Part IV: 39 hours of Irish or London ambulance placement through Irish Ambulance Training Institute
Students can also arrange their own ambulance placement
Optional extra for Irish PHECC certification: 6 days of PHECC upskilling €800 through Irish Ambulance Training Institute
This is arranged directly with IATI
The Remote & Expedition Emergency Medical Technician program is designed for anyone wishing to provide advanced medical skills outside of the hospital setting. The course gives certification for mountain rescue, remote area medical practitioners, marine and industrial medical personnel, offshore EMTs and anyone seeking certification in prehospital and ambulatory skills.
The REMT covers city based medicine and is a certified EMT-B course, but focuses on aspects of providing medical care in remote, austere, and wilderness environments. The course covers prolonged remote care, wilderness wound management, wilderness trauma management, common and simple injuries sustained in remote environments, and additional topics in Remote Medicine.
Remote Medicine
Remote or Wilderness Medicine differs significantly from standard HSE or NHS courses or the Occupational First Aid courses. This course teaches what to do with a medical emergency when help is far away and calling 999 isn’t an option. We prepare students for emergency situations that involve prolonged patient care, severe environments and improvised equipment.
Located in Killarney National Park’s Education Centre
Remote EMT vs. Wilderness EMT
There are other organisations who offer the Wilderness Emergency Medical Technicians course. The WEMT course will give the student a profound level of instruction and hands on experience. The main difference between the Wilderness EMT and Remote EMT is this: the WEMT is geared towards rescue personnel and assumes that you will have eventual access to advanced medical care and within hours have the casualty in the hospital. The REMT certification includes the WEMT curriculum and a WEMT cert is included in the programme.
For the Remote EMT, the training assumes that YOU are the entire medical establishment. You are the only medically trained responder that the casualty will have for many hours or days. In Remote and Austere Medicine, the practitioner has to be able to provide highly effective and often long term medical care.
Remote Medicine Training
If you are interested in learning remote medicine, then the Remote EMT course is the place to start. During this programme you will be taught how to provide medical care for your casualty without the luxury of a lot of medical gear and equipment. It will be your wits and your knowledge that can save a life. This course is designed for people who will be far out of reach of the medical system. This could be during long term expeditions, while living in third world countries, or in the aftermath of a devastating natural disaster.
At the end of this Remote EMT course, if you desire for further and more advanced medical training, then a paramedic course will be the next logical step. Motivated students who are certified at the EMT level can apply directly to the AREMT Offshore Paramedic course offered by RMI.
Class format
- Part I: 60 days of online EMT training
- Part II: 9 day Wilderness Emergency First Responder course
- Part III: 5 day Remote EMT course consisting of practicals, OSCE exams, and hands on training located in Killarney National Park, Ireland
- Part IV: 39 hours of Irish ambulance placement. This is arranged as three 13 hour days in Dublin.
- Optional Extra for Irish PHECC certification: 6 days of classroom based PHECC upskilling - €800.
This is only for those who wish to join the Irish registry of EMTs.
CERTIFICATION:
This programme is internationally recognised in the UK, Australia, Africa, Middle East and Asia through AREMT. This programme certifies to the standard of city based EMT-Basic, but the curriculum focuses on remote and austere medical practice. This certification is used for offshore medics, oil rigs, civilian contractors, and PSD teams in various locations around the globe.
Once you finish all five parts of this course you will be able to apply to PHECC for their EMT certificate.
Irish PHECC EMT certification is offered through the Irish Ambulance Training Institute in Galway, Ireland.
COURSE CONTENT:
310 total hours of didactics and hands on training
* Mandatory online pre course study
* Anatomy and Physiology
* Patient Assessment and History Taking
* Documentation of Records & Reports
* Scene Size Up - Kinematics
* Basic Airway
* Bag Valve Mask
* Suction Equipment
* OPA & NPA placement
* Cardiovascular Emergencies
* Respiratory Emergency
* Cardiac Defibrillation (AEDs)
* Diabetes and Altered Mental States
* Poisoning and Overdoses
* Shock and Haemorrhage
* Moving and Lifting Patients
* Environmental Exposure
* Soft Tissue Injuries
* Chest Injuries
* Basic Pharmacology
* Medication Administration
* Head and Spinal Injuries
* Musculoskeletal Injuries
* Patient Management and Immobilisation
* Spinal Immobilisation
* Spine Boards
* Triage - Multiple Casualty Incidents
* Herbal Medicine for acute care
* Wilderness Trauma Management
* Basic Trauma Life Support (BTLS)
Advanced Medical Topics
-Surgical Airway
-Needle Decompression
-Minor Suturing Skills
-Live Cannulation Administration
& Venipuncture/phlebotomist training
-Intraosseous demo and practise
FAST-1
EZ-IO
-Use of Haemostatic Agents (CELOX)
-Oxygen Administration including EmOX demo
-Advanced Airway Options
-Introduction to 3-Lead EKGs
-Subcutaneous and Intramuscular Injection
-Intro to Battlefield Advanced Trauma Life Support (BATLS)
-Rectal Rehydration Lab (using manikins)
-Sub-cutaneous infusion
-Live Nasopharyngeal Airway placement
-Glucose Monitoring
Cost:
€1200
A €300 non refundable deposit is required to reserve your place.
This covers the AREMT Remote EMT course. The WEFR course must be purchased separately.
This covers the 39 hours of ambulance placement in Dulbin.
Other clinical placements can be arranged with approval from RMI instructors.
**this price does not include the Irish PHECC up skilling with IATI**
The course will be held at the Education Centre in Killarney National Park. It is a ten minute walk into downtown Killarney.
The some students are staying in the Neptune Hostel in downtown Killarney. It is only a few minutes' walk from the bus and train station and the course location.
There are plenty of accommodation options ranging from 5 star hotels to mid range B&Bs. All of them are within walking distance to the classroom.
Included with the RMI REMT:
All classroom material including books, online materials, and testing.
The EMT-Basic Textbook will be used for the EMT part of the course. There will also be an EMT workbook that will be filled out before arrival for the first day of the class.
The Remote Medicine Textbook will be used for the WEFR part of the Remote EMT course.
Garda vetting for clinical placements
Additional certs:
Introduction to Intravenous Therapy certificate from RMI
Introduction to Advanced Airway Management certificate from RMI
Wilderness Emergency Medical Technician certificate from WMS
What is not included:
AREMT registration. Individuals who want AREMT registration can submit this after the course is finished.
August 2012 Dates: two places left
Registration Deadline: 1 June 2012
Online EMT Training Dates: 1 June - August 2012
Remote EMT Course Dates: 13-17 August 2012
October 2012 Dates: ten places left
Registration Deadline: 1 August 2012
Online EMT Training Dates: 1 August - October 2012
Remote EMT Course Dates: 16-20 October 2012
February 2013 Dates: twelve places left
Registration Deadline: 1 December 2012
Online EMT Training Dates: 1 December - February 2013
Remote EMT Course Dates: 19-23 February 2013
May 2013 Dates: twelve places left
Registration Deadline: TBD
Online EMT Training Dates: TBD
Remote EMT Course Dates: TBD
Clinical Placement:
Students will be required to attend three 13 hour days of ambulance placement in Dublin. Students will arrange this through the Irish Ambulance Training Institute.
All students will be required to be Garda vetted before placements. RMI will pay for this service but students will be required to fill out the applications prior to attending the course.
There will always be at least two, and often three or four, RMI instructors on this course. RMI is passionate about having a high instructor to student ratio. With multiple instructors, RMI feels that the learning environment is optimal for difficult courses such as this Remote EMT course. That is the reason for the tuition price. You, the student, are paying for a higher quality of instruction from experienced operational Paramedics and Advanced Paramedics.
Sample REMT Daily schedule
Day 1
Intro to REEMT / Mini Medical School
Review A&P, Pathology, Patient Assessment, History Taking
Catastrophic Haemorrhage
-Haemostatic agents
-Tourniquets
Soft Tissue Injuries
Bleeding & Shock
Bleeding lab
Day 2
Airway Overview
Basic Airway & Lab
Advanced Airway & Lab
Surgical Airway
Respiratory Overview
Needle thoracentesis & Lab
Night Exercise 1
Day 3
Circulation Overview
Bandaging techniques
Cannulation Therapy Lecture & lab
Disability Overview
-Otoscope, tuning forks, and Exam techniques
Long term Low Tech Medicine
-Sterilizing techniques -Basic Laboratory
-Austere Dental Care
-Nursing Care in Austere Environments
Ten Common Complaints
Travel Medicine
Battlefield Advanced Life Support (BATLS) mini evening course
Day 4
Day in the Woods
The entire day is spent out in Killarney National Park
on scenarios and hands on wilderness medicine training
Day 5
Review
Written Exam / OSCEs
Mandatory reading for the Remote Medic:
This textbook on Remote, Austere and Survival Medicine should be in everyone’s library. Download this and use it as a reference for your studies on Remote and Wilderness medicine.
