Becoming a Wilderness First Responder
By Shireen Cave
I have led over 2 dozen wilderness destination trips and countless instructional lessons and have been fortunate to never have a serious medical emergency occur to a student or myself. As a guide most often I am required to have only a basic knowledge of First Aid and CPR which sadly often means watching a few hours of video and answering a dozen multiple choice questions. This December I had the opportunity to travel to Landmark Learning an affiliate of NOLS (National Outdoor Leadership School) and take part in a 9-day intensive Wilderness First Responder (WFR or pronounced 'woofer') course, which blew any of my previous training out of the water!
The main focus was on patient care management and how
to prevent injuries and illnesses before they appeared. In the event that
something should happen the course covered topics head to toe (literally) from
issues on the outside: bumps and bruises to rashes and impairments to things
internal such as broken bones, heart and lung issues, stomach pain, wounds, general
illness and more. Coming
from a rather naive medical background myself the instructors shared stories of
events they had to remedy on the trail. I was amazed and shocked at the things
that could happen in the outdoors and realized that so far my guiding
experience had been fairly well bubble wrapped from injuries. Not that I am
now an advocate of injury and mayhem I am thankful that so far the worst injury
I have encountered is some severe sunburn and skinned knees.
The training involved a
series of lectures indoors outlining common symptoms and treatments of each
ailment as well as when and how to consider evacuating a patient. There were
also many outdoor scenarios where we each played victim and rescuer and got a
playful and very practical experience. The culmination of the training was an
outdoor rescue situation where we worked in teams of 4. I (chosen by our
instructor) was secretly set up to be the victim. Our scenario was that a group
of us got lost in the woods after swimming at a waterfall and our map and
compass got wet and became useless. We were trying to hike out of the woods
when I ‘fell’ and compound fractured my shinbone. (Apparently I have a good
career in acting because my teammates actually turned around to our instructor
to alert them to my fall) With stage make-up blood and bone sticking out of my
leg my teammates put my leg into traction, dressed my wound, and splinted my
leg until further medical treatment might be found. A second teammate then
had a seizure (which was also part of the training) and to the amazement of my
last 2-team mates they now had 2 patients to deal with in the woods in the
middle of the night. Imagine…. about 40 degrees, no moon, a flickering
headlight, shirts and gear strewn about, a ‘gushing’ wound, a flailing man, and
4 people wondering what in the &*$ is going on… that about sums up the
scene! All 4 of us managed the scenario and huddled together for over an hour
while our instructors waited in the shadows watching and taking notes. In the
end ‘help’ did arrive and we safely made it home.
The biggest impact this
course taught us was that no matter how prepared you are with a 10lb medical
kit and all the knowledge in the world strange and unique things happen in the
wilderness. The best ‘medicine’ you can have is a calm mind and great
improvisational skills. As a paddler, hiker, cyclist, skier, or a person who
enjoys a walk in the woods injury can happen to anyone and at any time. Though
I will never be 100% prepared for what can happen I will get you out of the
woods! So next time you’re on a trip with me just know that out of the corner
of my eye I’ll be searching for supplies I need in case of an emergency.
Our group of 12 newly certified Wilderness First Responders |
* For more information on
NOLS please visit www.nols.edu
* For more information Landmark Learning please visit
www.landmarklearning.edu
Shireen Cave has been an avid paddler for over 5 years. She is a certified sea kayaker and stand up paddle boarder who loves to venture into long open coastal water adventures. Initially starting she thought small lakes and ponds would be the biggest she’d ever get but she graduated up to sea kayaking in a year. Currently Shireen works at CanoeSport Outfitters where she is a kayak instructor and now certified WFR. Check out more about Shireen by visiting www.canoesportoutfitters.com.
Shireen Cave has been an avid paddler for over 5 years. She is a certified sea kayaker and stand up paddle boarder who loves to venture into long open coastal water adventures. Initially starting she thought small lakes and ponds would be the biggest she’d ever get but she graduated up to sea kayaking in a year. Currently Shireen works at CanoeSport Outfitters where she is a kayak instructor and now certified WFR. Check out more about Shireen by visiting www.canoesportoutfitters.com.