Travel Medical First Aid Curriculum

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Equipment Supplied by Office (not applicable on instructor sponsored) •Injection Lab Kit - including syringes for students. (3 extra syringes included for demo), alcohol wipes per student (3 extras), 1 non-injectable 1 ml ampule of saline for demo, 10 ml o.9% sodium chloride (1 per 14 students), sharps biohazard container (1 per 14 students), band-aids •Fast packs (backpack style) - 1 fastpack per 3 students (only if not supplied by instructor) •Wound Cleaning Kit (only if not supplied by instructor) •AED trainer (only if not supplied by instructor) •Course paperwork

Equipment Supplied by Instructors •Fast packs (if owned) •Wound Cleaning Kit (if owned) •CPR manikins (if not supplied by sponsor) WMA Canada has given all lead instructors a CPR “Annie” manikin. If you don’t have one, contact the office. •Moulage Kit •Video Camera (optional on this course) •Laptop Computer •Digital Projector (if not supplied by sponsor) •Hypo wrap material if unavailable from the sponsor - sleeping bag(s), tarp, garbage bags, and ground insulation

Equipment Supplied by Sponsor (Lead instructor should confirm beforehand) •Digital Projector and Projection Screen •Classroom with Chairs and Tables •CPR manikins (instructor needs to confirm or bring your own) •Hypo wrap material (instructor needs to confirm or bring your own) •Splinting material - outdoor recreation gear may not be suitable for students of this course, consider other items relevant to students environment that can be used improvisation

Evaluation This course does have a pass/fail criteria. Failure criteria could consist of any or all of the following: •Lack of attendance (student misses a portion of the course that the instructor deems is too great for full

comprehension of the course) •Lack of participation (the student opts out of PAS drills, scenarios, and simulations, or fails to do any assigned

homework •Inability to demonstrate CPR. The student needs to demonstrate that they can perform compressions and

ventilations at the very least. •Cannot demonstrate or explain the procedure for delivering an epi injection either by syringe & ampule or auto-

injector trainer •There is no written test with the TMFA course, please focus evaluation on PAS drills •Failure to perform at least one full patient assessment. The student should be permitted to use their SOAP notes

and field guide to assist with their assessment. If they cannot do an assessment while referring to these documents, it could be considered a failure criteria 2010, Wilderness Medical Associates

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Travel Medicine First Aid - Curriculum Outline Day 1

AM 30 min Introduction & Registration & Paperwork 30 min Abbreviated General Concepts 30 min PAS 1 - Scene Size Up & Initial Assessment 1.5 hours BLS Skills Severe Bleeding Adult CPR Opening Airways - head/tilt, jaw thrust, adjuncts Obstructed Airways & Heimlich PPV & CPR masks Assessing Consciousness C-spine immobilization - "Hands on stable" 1-person patient rolls & vomit rolls Universal Precautions - gloves, masks, googles, gowns (improvised & commercial) 20 min PAS Trauma - C-spine and CPR 20 min PAS Medical - Possible MI and CPR 20 min PAS - Obstructed Airway PM 1 hour Travel Medicine General Concepts History of Travel Med Epidemiology W5 and How's of Travel med HIC vs LMIC Disease Pathways The Immune System Immunization Chemprophylaxis Evolving Hazard Landscape Information Acquisition 20 min PAS 2 - Focused Hx & Physical Exam 20 min Vital Sign Practice Physical Exam Practice 20 min Volume Shock - Trauma, Medical, Environmental 20 min PAS Trauma - Internal or External Bleeding 20 min

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PAS Environmental - GI Volume Shock 30 min Respiratory Drinking Straw Resp Distress Activity Distress, Failure, Arrest PROP Upper Airway Obstructions Inhalation Injuries Asthma & MDI Use 20 min PAS - Resp Distress/Failure 30 min SOAP & Repatriation Info

Day 2

AM 15 min PAS - CPR Cessation 15 min Oral Quiz 30 min Nervous STOPEATS, TBI, increased ICP, Seizures, Diabetic Emergencies 20 min PAS - TBI with or without increased ICP 20 min PAS - STOPEATS - hypoglycemia 30 min Lifting Moving Extrication 30 min Travel Risk Management Who? What? Where? When? Why? How? How Long? 1 hour Musculoskeletal & Splinting PM 1 hour Disease Pathways Vectors Edibles Airborne - person to person Sexually transmitted/blood borne Zoonotic Soil & Water 30 min Travelers Diarrhea 1 hour Wound cleaning workshop & impaled objects

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30 min Arthropod Borne Illnesses Ticks Mosquitos Malaria 1.5 hours Backcountry Medicine Set Up & Rodeo Common GI Common GU ENT



Day 3

AM 1 hour Thermoregulation 20 min Hypowrap (no daisy chain) 20 min Drowning 20 min Bites & Stings - Generic with minimal North America 30 min Anaphylaxis 30 min Injection Lab 20 min PAS - Thermoregulation - Heat vs cold depending on group 20 min PAS - Submersion incident 20 min PAS - Anaphylaxis PM 1 hour Medical Strategies Travel Med Consult Medical facility identification and assessment Local culture/legal considerations Self treatment Advanced Medical Kits Advanced Protocols Telemedicine 1 hour Elective Topic Altitude, Scuba, Lightning, Frostbite (only 1 that is relevant to group) 1.5 hours Simulation - small scale - should include impaled object, CPR cessation, and backcountry medical problems 30 min Back at Home Resources

2010, Wilderness Medical Associates

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GRADUATION!

2010, Wilderness Medical Associates

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