Wilderness First Responder
The Wilderness First Responder (WFR) is the standard for outdoor leaders, guides, outdoor educators, those who plan to be far off the beaten path, for longer periods of time. The WFR offers a comprehensive understanding of how to handle injury/illness in remote settings, while focusing on the types of problems that are most common (and less common). Students are taught to how to assess people to find what is wrong, how bad it is, and what to do about it...in wild places, far from help, with improvised gear. Learn how to treat serious airway/respiratory problems, resuscitation, bleeding and shock, long-term wound care/blisters and infection prevention, sprains,, fractures, dislocations, bits & stings, injuries of heat and cold, altitude, organizing a back-country rescue, litter building, and much more. The course is taught under the recommended curriculum guidelines of the Wilderness Medical Society following the new National EMS Education Standards. An integral part of the course presentation is preparation of the student to be an outdoor leader, with a foundation in understanding why people get hurt/sick in the wild and how to prevent it. The 75+ hour course uses a blend of lecture, interactive group sessions, skill labs, scenarios, and mock rescues. The course finishes with both practical and written exams, allowing the student to earn their Wilderness First Responder Certification. Typically 8 days and two evenings.
A mock rescue in the Sonoran Desert, west of Tucson, AZ, 2011. Photo: Bill Kane
"Throughout my recent Wilderness First Responder course with Bill Kane, I found him to maintain the highest standards of mentoring. His control of the subject matter was extraordinary and his instruction was thorough, precise, and exhaustive. He expected from his students, and demonstrated, the highest standards of interpersonal behavior.
Without exception, he was demanding-but-patient, precise, articulate, and he consistently responded to the students with respect and with an unusual degree of kindness.
After teaching mountaineering for over 40 years, I found myself continuously questioning my own methods and learning from his behavior. I do not typically write letters such as this. And I do not exaggerate. Anyone taking a course from Bill Kane is a very, very lucky person."
Mike Jewell, Professional Mountain Guide
Founder/Program Director, Kismet Rock Foundation
Wilderness First Aid
If you ever hike, climb, paddle, peddle, slide, trek or just want to be safer when you are far from help...then a Wilderness First Aid (WFA) course is for you. it is the most popular wild medicine course in the world. The WFA offers, in just 16 hours, how to recognize, treat and sometimes, prevent, the most common problems folks encounter in wild places. Not only will you learn what to do for an injury or illness, the important part is how to do it in a remote setting with improvised materials! Our WFA covers the challenges of wild response and rescue, patient assessment, opening airways,, stopping bleeds, treating shock, long-term wound care and infection care and blisters, How to handle sprains and fractures, hypothermia, frostbite, heat injuries, medical emergencies, and more. This course will change the way you approach outdoor adventures, building the confidence to act when someone is in need. Follows Wilderness Medical Society Guidelines and nationally recognized certification 16 hours, usually over two days.
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Wild Readiness & Response
Wild Readiness and Response (WRR) is a new idea! This one day program is designed to help folks learn how NOT to have big problems during wilderness adventures rather than just how to handle them when they do! Most bad things that happen to people in remote places are predictable and, to a great extent, preventable. The WRR begins with the problems/accidents that typically occur, temperature's impact, how to prevent bad things from happening, and a simple list of the gear you should always have. The second part prepares folks to handle the usual things that may still occur whether it's a short day hike, or a week-long trek. Learn how to find out what's wrong, treat problems of heat, cold, underfed, stop bleeds, clean and dress wounds, prevent and treat blisters and burns, handle sprains, broken writs, and much more. This is the best investment of time you can make, if you want to be safer and better prepared for a trip into the wild. 8 hours, usually one day or 2-3 evenings.
Emergency Medical Responder
The Emergency Medical Responder (EMR), is the new level of first responder, with greater depth of understanding about how people get sick and injured and greater skill capabilities and expectations. The EMR is the medical training level designed for the firefighter or police officer to work at the scene prior to EMS arrival, and as the entry level for an EMS provider who wants to work at the scene and then into the truck. Students learn how to approach the scene, assess the patient, and provide appropriate immediate care like opening airways, ventilation and oxygen administration, stopping bleeds, stabilization fractures, caring for heart attacks, diabetic emergencies, and more. As experiential educators we teach both how to be first on scene and then work as a team with arriving personnel...EMS, Fire, and Police using lecture to set up skill labs, scenarios, and mock rescues.
All course are taught under the new National EMS Education Standards and to the National Scope of Practice Standards. Students are prepared for the National Registry of EMTs practical and computer-based-exams (CBT). 48-60 hours, various schedules are possible.
A couple of "gray" rattlers escaping the midday heat, Lake Pleasant, AZ, 2006. Photo: Bill Kane
John Bragg on an early attempt of the, then unclimbed, Myth of Sisyphus, Whitehorse Ledge, NH, 1981. Photo: Bill Kane
Advanced EMT Refresher
This AEMT Refresher offers 10 hours of NCCP National curriculum topics. The course content is focused on knowledge of A & P, homeostasis, cellular metabolism, and pharmacology connecting to increased use of medications. Advanced airway skills, fluid access review, and other ALS skill as well as Team Resuscitation and Assessment techniques are covered.
Course focus is directly based on preparing the candidates to function confidently under the new National Standards. This course coupled with the EMT RTP will give the AEMT 34 hours of con. ed. 10 hours.
The ABCs of back-country rescue are to Ambulate, Before, Carrying. A walking knee splint on a fit person at 6'5" and 235 lbs. Photo: Hannah Plowden
Emergency Medical Technician
This NH approved course is taught under the new National Education Standards for EMS and replaces, and supersedes, the old EMT-Basic (which disappears nationally in 2017), EMT is both the entry level licensed volunteer EMS provider and the first step to an EMS career. This course stresses a greater depth of knowledge about the anatomy and physiology of the body and how sickness and injury affect people, and most importantly the increased care/treatments available to stabilize people in emergent situations. This new format and curriculum stresses skill applications, scenarios, and not a lot of sitting around listening to long lectures. It prepares the EMT to offer a higher level of emergency care at the scene and to work as a full team member on the ambulance. The course is designed to prepare the student to become part of the National Registry of EMT's, and for licensure most states in the U.S., should they choose.
Happy patient rescued off Mt. Chocorua, Tamworth, NH, 2003. Photo: Bill Kane.
The Wilderness EMT Course is the comprehensive, evidence-based wilderness medicine course that prepares the student to handle injury and illness in the world's wildest places, far from help. Folks will learn everything it takes to provide assessment and care with improvised tools, how to rescue someone from deep in the woods, and then climb into the ambulance and know how to work in the back of the truck. From emergencies to health maintenance in wild places, students learn how to assess people in challenging conditions, handle life threats of airway, respiratory, and circulatory problems, stop bleeds, long-term wound care, sprains, strains, fractures, head/spine injury, cold/heat injuries, bites, stings, altitude problems, dive injuries, organizing a back-country rescue, and much more. Throughout the process, students learn the predictable and preventable behaviors that are at the heart of most of the bad things that happen in the wild. Outdoor leadership and wilderness rescue are woven in an integral part of wilderness preparedness and rescue.
We teach "practicable principles" and focus on not only what to do, but how to do it, in the wild, with what you can cobble together from your patient's pack, your pack and the world around you. Simultaneously, you will be learning all about the urban landscape of EMS, how the system is built, and what it is like to work in the ambulance. All students spend time working in real clinical settings/ambulances.
This "immersion-based" schedule allows the student to move through the training process full time, completing the 180+ hour curriculum in just 3+ weeks. The classes are typically, 6 days-a-week, 9 hour days with Sundays off (clinical time is evenings and Sundays). You will begin an active, dynamic experiential process of lecture, skill labs, scenarios, mock drills, team-building, and on-line study, with teachers who have decades in wilderness medicine practice and education. This course prepares the student for the National Registry exams and Nationally recognized certification. 180+ hours...usually over 3 weeks.
Course Schedule & Cost
May 8-9, 2019 6:00-10:00, 2 x 4 hr. 8 classes
June 22 & 23 2018
Fryeburg Rescue, Fryeburg, Maine
Register: The Kane Schools
Nov. 26 - Dec. 5, 2018
8:00-5:30, 8 Days, 2 Evenings
Nov. 26-Dec. 15, 2018
8:00-5:30, 6 Days (Sundays Off)
May 20 - Jun. 7, 2019
8:00-5:30, 6 Days-A-Week,
Cost: $1995 (Discounts Available)
Jan. 7-10, 2019
8:30-18:00, plus 1 Evening
April 6&7, 13&14, 27&28, May 4&5, 2019
Location: New London Hospital, New London, NH
June 22-29, 2019
(Fri. 4-10, Wed. 5-10, Sat./Sun. 8-18)
Feb. 5 to May 9, 2019
Tues. & Thurs. 5:30-10:00 pm, Sundays 8:00-5:00
North Conway Fire/EMS, No. Conway, NH
Jan. 26-Mar. 10, 2019
8:30-6:00 pm, plus 4 Classes at the Sim-Lab
Newport Fire, Newport, NH
Jan. Dates TBA, 2019
Fri. 2/9 1700-2200, Sat. 2/10 0800-1800, Sun. 2/11, 0800-1800
Location: Fryeburg Rescue, Fryeburg, ME
Jan. Dates TBA Sat. 0800-1800
Location: Fryeburg Rescue,
Madison Fire, Madison NH
Teaching wilderness medicine to Tongan villagers, in Nsongwe, about 30 km from Livingston, Zambia, 2012. Photo: Bill Kane
EMT Refresher, NCCP Content
EMS providers must"refresh" their knowledge and skills, usually every two years. There are currently two methods that the National Registry of EMTs (NREMT) uses to focus con. ed. hours so that core curriculum concerns are met. The 2012 the NREMT began a very focused re-certification process called National Continued Competency Program (NCCP) with 3 target content areas, 50% on National topics, 25% on State topics, and 25% on Local topics. The EMT enrolled in the NCCP program drops their minimum requirement to 40 hours. The NREMT will continue to recognize both models until further notice, make sure your State does as well. All of our Refresher are NCCP curriculum, but we offer a 24 hour model that satisfies the 20 hour national curriculum topic plus 4 hours of local content. It is built to satisfy the requirements of both programs. 24 hours, usually 2 long days/1 evening
Classic "party" route w/climbers JoAnne Dodge, Brenda Einstein, and Rick Wilcox atop the First Flatiron, Boulder, CO, 1982. Photo: Bill Kane
Advanced Emergency Medical Technician
The Advanced EMT is the newest level of EMS provider in 18 years. The AEMT has been called the "Volunteer Paramedic" by learning a deeper understanding of A & P, pathophysiology, critical thinking, and enhanced ALS treatment modalities. The "A" is trained to know more and do more than the EMT-Intermediate/85 & 99 it replaces. In this NH approved course AEMT's learn IV/IO access (including pediatric I/O), advanced airways (Combitube, King Ltd,, LMA), EKG acquisition and understanding, pain management with nitrous oxide, use of the albuterol nebulizer, CPAP, enhanced use of medications, advanced trauma skills, and much more. Interactive classes are built around the regular use of lecture, skill labs, skills rodeos, scenarios, and clinical rotations. Included in the the cost will be three trips to the Weeks NCCE Sim-Lab in Whitefield, NH, where some of the more "difficult to find" clinical exposures can be found. Homework is supported by an excellent on-line study system, regular quizzes, and an AEMT Test Prep prior to National Registry CBT testing. This level of EMS training is the quickest most cost-effective way for the volunteer/non-career EMT who wants to excel to a higher level of ALS care in the truck, or the person who is thinking about a career in EMS, but is not ready for the expense and time commitment of a paramedic program. This course prepares the student for National Registry AEMT certification, the standard for licensure in NH, ME, and most other states. 180 hrs., plus On-Line Lessons and Quizzes
Packing open an infected wound with a sterile wick, 2004. Photo: Bill Kane
The Kane Schools, Wild & Rescue Medicine
207 935 2608
Wilderness Medicine Module
The Wilderness Medicine Module is built for the trained provider...*OEC, *EMR, EMT, AEMT, Paramedic, Nurse, NP, PA, MD, DO, anyone who has training in medicine and wants to learn how to offer a high level of care in remote settings, with improvised equipment perhaps working alone. Focus is on taking what the provider knows and puts them in the wild environment performing their familiar skills with new "twists" as well as looking at the role of ALS in the back-country. The wilderness produces a broad spectrum of traumatic injuries, soft tissue (cuts/scrapes, burns/blisters), musculo-skeletal injuries, injuries of heat, cold, altitude, and all sorts of bites, stings, and stabs. Learn the predictable and preventable principles that would minimize injury/illness and how to handle problems like, reduction of dislocations, improvised splinting, cleaning and dressing wounds to prevent infection, as well learning to create drinkable water, build an improvised litter, and the "magic" hypothermia wrap. This course prepares you to organize and perform a back-country rescue. Learn how to go into the wild prepared and build a new standard of care that prepares you to go from deep in the wild, to the road, and to the hospital in the truck. (*EMR and *OEC Techs will earn a Wilderness First Responder certification). 44 hours, usually 4 days and 1 or 2 evenings.
A local, watching us closely, on the Zambezi River Delta. Botswana, 2012. Photo: Bill Kane
OEC Technician to Emergency Medical Technician
We created this course in 2015, after numerous requests from OEC Techs (ski patrol techs) and ski patrol directors. To provide a course that would both recognize the excellent trauma and rescue skills of the certified patroller and build an EMT on that foundation by filling the gaps of the OEC course until they meet the EMT content requirements. The curriculum focuses on a deeper understanding of Anatomy & Physiology, Pathophysiology, Medical Emergencies, urban rescue, ambulance operations, HazMat, MCI/Triage, and much more. After the pilot program we have spread out the course content over four weekends, instead of three. This creates a more reasonable pace over the 80+ hours of the course, which includes take-home quizzes, and on-line lessons.. This course allows the certified OEC Technician to become an EMT in about half the time and expense of the usual course. This course is designed to prepare the student for the National Registry Exams and National certification. 80+ hrs., Sat/Sun, over 4 weekends.
Custom Training Programs
We can, with enough notice, build custom training programs for an organization. Our specific areas of expertise are in wilderness medicine, search and rescue, remote medicine, and EMS scope of practice levels up to the Advanced EMT. Custom programs are handled by the Director, who has built custom programs for the following:
Department of Defense, Colleges and Universities, Hospitals, Outdoor Education Programs, Guide Services, State Agencies, and more. Feel free to contact us for possibilities.
Learning the hard way, Pinnacle Gully, Huntington Ravine, December 1976. Photo: Sam Sargent
Continuing Education Programs
All medical providers must refresh, renew, and update their practice knowledge and skills on a regular basis. Our Con Ed Programs are taught by licensed Instructor/Coordinators, approved by appropriate State agencies, and based on established National Scope of Practice standards, under the National Education Standards for EMS. We also teach programs that comply with NREMT National Continuing Competency Program (NCCP) requirements.