RM Wilderness Medicine 72 hr Class
Taught to the ECSI 32-hr Comprehensive Wilderness Medicine Standard
Accreditation & Certification through ECSI upon successful completion
Sunday 31AUG25
Day 1 - Daylight Phase - Sunrise approx 0700 hrs local
Begin Exercise 0800 hrs
0800-1200 hrs Gear Layout, Infil patrol, camp site setup
Compass, Area Familiarity, Gear Shakedown
Lunch Break 1200 hrs - Topic of Discussion: Line Gear & Layering Capabilities
1300-1700 hrs water refill, purification, firemaking & boiling
Hydration, Waterborne illness threats, signs, symptoms, and treatment;
Review of S-MARCH-E in a Wilderness Setting
Primary & Secondary Assessments block of instruction: S-MARCH-E, AMPLE, COLDER methods
Dinner Break 1700 hrs - Topic of Discussion: Foot Care & Individual Mobility
Day 1 - Lowlight Phase - Sundown approx 1900 hrs local
Resume Exercise 1800 hrs
1800-2000 hrs Daylight Vitals & Patient Package and Transport
2000-2200 hrs Lowlight/No Light Vitals & Patient Package and Transport
Rest Break 2200 hrs
Monday 1SEP25
Day 2 - Daylight Phase - Sunrise approx 0700 hrs local
Begin Exercise 0800 hrs
0800-0900 Massive Bleeding - Commercial & field-expedient TQs; Wound Packing, lacerations
0900-1000 Airway & Respiratory - Commercial & field-expedient chest seals; breathing sounds, respiratory rate, distended airway, tension pneumathorax diagnosis and treatment, HAPE.
1000-1100 Circulation, Head Injury - vitals, pulses, pupil dilation, c-spine stabilization,
1100-1130 Hypothermia - signs, treatment, mitigation
1130-1200 Expose, Evaluate, Evacuate, Elevate - thorough patient assessments, hike or helicopter, patient hand-off; Area Familiarity- where am I? Where can I land a Helo? How do I signal a Helo? How do I get from here to there?
Lunch Break 1200 hrs - Topic of Discussion: Review S-MARCH-E, AMPLE, COLDER
1300-1700 Scenarios 1-8 - 180-240 mins Total Runtime
Scenario 1: Abdominal Pain - 20 mins
Scenario 2: Trauma, Intra-Abdominal Pain, Open Fracture - 40 mins
Scenario 3: Fractured Radius & Ulna - 20 mins
Scenario 4: Fractured Radius, Ulna, Clavicle - 20 mins
Scenario 5: Chest Pain - 20 mins
Scenario 6: High Altitude Pulmonary Edema (HAPE) - 20 mins
Scenario 7: Hypothermia/Submersion Injury - 20 mins
Scenario 8: Lightning Injury - 20 mins
Dinner Break 1700 hrs - Topic of Discussion: The Four Types of Shock & Treatment
Day 2 - Lowlight Phase - Sundown approx 1900 hrs local
Resume Exercise 1800 hrs
1800-2200 Scenarios 9-16 - 200-240 mins Total Runtime
Scenario 9: Seizure - 20 mins
Scenario 10: High Altitude Cerebral Edema (HACE) - 40 mins
Scenario 11: Femur & Wrist Fractures, package & transport - 40 mins
Scenario 12: Dislocated Shoulder - 20 mins
Scenario 13: Anaphylactic Reaction to Food - 20 mins
Scenario 14: Hypoglycemia requiring Oral Glucose & Evacuation - 40 mins
Scenario 15: Ankle Fracture Requiring Splinting - 20 mins
Scenario 16: The Leader is Dead; Now What? - 20-40 mins
Rest Break 2200 hrs
Tuesday 2SEP25
Day 3 Daylight Phase - Sunrise approx 0700 hrs local
Begin Exercise 0800 hrs
0800-0900 hrs Scenario Review & AAR
0900-1000 hrs CAS/MEDEVAC, review c-spine stabilization, moving the patient, quick litters,
1000-1100 hrs Travois construction & demonstration
1100-1200 hrs Emergency Signaling: fires, gunshots, signal mirror, radio, GPS, VS-17 panel, chemlights - motion and contrast
Lunch Break 1200-1300 hrs - Topic of Discussion: Open Q&A Prior to Testing
1300-1600 hrs break camp, police trash. Exfil, Event AAR
1600-1700 Final Exam
1700 EndEx
General Rules:
No Alcohol
No Smoking
No Live Ammunition
Quiet Time 2200 hrs through 0600 hrs
No Trash - Pack out EVERYTHING you pack in
THERE WILL BE A LAYOUT: If you do not have the minimum packing list contents with you, you will not proceed with the training event. No refunds will be issued on the grounds of “I forgot it at home” or “I didn’t know”.
Minimum Packing List
Signal Mirror - Starflash or similar
Sleep Kit - ground pad, sleeping bag and/or blanket, mylar bivvy sack
Water, 1 gallon minimum, Nalgene or Canteens FILLED BEFORE CLASS
Metal cup or single-wall (uninsulated) vessel
Knife - fixed blade, 3.5” to 5” blade recommended
Small Sharpening stone
Folding Saw - 6-8” blade
Cordage - 100’ paracord (550 cord) and 1 roll waxed bankline
12 or 10 AWG wire, 5-10 feet
Firemaking kit: ferro rod, lighter, tinder (waterproofed)
Shelter: poncho and/or tarp, or small tent
Rainjacket or dedicated Poncho
Headlamp and 1 set spare batteries
Handheld flashlight and 1 set spare batteries
Compass
Small Binos or Monocle
Chem-lights, minimum 2
Calories for 72 hours
Large heavy duty trash bags, minimum 2
IFAK w/ TQ
Long Gun & chamber flag, must have a sling, optic, and weapons light
Magazines for long gun, minimum 3
FRS/GMRS handheld radio & charged spare battery
Triangle Bandages, minimum 2
Cohesive Bandages, minimum 2
BooBoo kit, OTC meds, and Anti-Diahreal meds
Electrical tape, 1 roll minimum
2” fabric tape, 1 roll minimum
Nitrile gloves, 10 pair minimum
Prescription meds, if required, 5 day supply minimum
E-tool or Spetznaz shovel
Toilet paper in ziplock bag or dry-bag
Hand sanitizer, bar of soap, and wipes
Complete change of clothes in Dry Bag (shirt, pants, underwear, warming layer)
Spare Socks in Zip-Lock bag, minimum 2
25+ feet ⅜”-½’ diameter climb rated rope
Locking Carabiner, professional-grade, minimum 2 (Petzl or other reputable manufacturer)
Carpenter’s Pencil, minimum 2
Notebook and Writing Utensils (recommend Write-in-Rain and Sharpie products)
Clear safety glasses
Suitable Footwear
Recommended but not required:
Knee pads (or cool-guy pants with built-in knee pads)
Bug spray
Mosquito netting
Sunscreen
Instant Coffee and/or tea bags
Oral Rehydration Salts
Gorilla Tape - Large Roll
Camp stool or seat
Mechanix or leather gloves
Tinted safety glasses
A minimum packing list and recommended gear list will be provided to you via email; Wilderness Responder Training Kits for the 72hr course will be included with your purchase. This kit will provide all medical gear covered in the class and will be yours to take home after class. The Wilderness Training Kit is over a $499 value.
