Nuts wrote:All thats really needed (that could be taught in any short course) is expanding on basic first aid for longer term management ie, if they haven't likely been evacuated first, nothing special..
The current standard first aid courses are designed so industry can meet its obligations to provide first aid in the workplace. This is the market at work. As such, they are tailored to the sort of incident likely to be found in factories, mines and other workplaces. To some extent, these incidents can occur anywhere, such as a broken leg, so the courses can be useful outside of the workplace.
Nevertheless, the workplace is the current orientation. And because employers do not want to be paying employees who are being trained (ie, not working), the courses have gradually been cut down in content and depth to meet this need. The first Senior First Aid course I did in 1984 lasted about six or eight weeks, one night a week (18-24 hours). And I also spent about 10 hours studying for the test too. Now it is two working days, ie, 14 hours, with the test included.
And because most workplaces are in built-up areas, ambulances are readily to hand if needed. First aid training therefore focuses on stopping bleeding and applying CPR if needed until the ambulance arrives. There is very little assessment of the state of the injured person and investigation of non-obvious injuries - this is left to the professionals.
And I also note that there is very little real practice of the techniques being taught. I was told once that the idea is that anything you do is better than nothing, and if people know roughly what to do until the ambulance arrives, that is usually good enough.
When you are in a remote area, very little of this applies. You are stuck with an injured person where help may be hours or days away. Even just dealing with the dynamics of the group in organising a response to an incident can be a major task. For example, if the best first aider is the leader, does he/she do the organising or the first aid? How do you handle a bunch of upset people all rushing around trying to do what they each think is useful but may not deal with the most important issues? Who decides which techniques are best for stabilising a condition, protecting the casualty from the elements, insects, etc? What can you do to allow the casualty to go to the toilet while waiting for help to arrive? Should they be allowed to eat something if help is 24 hours away?
So a good wilderness first aid course is more than expanding on a basic course.
I will add that Dave Sheppard's course used to last four very full days which included all the theory, a lot of practice, realistic situations, and improvisation with the sort of things bushwalkers have or can find. He now sends out the theory notes in advance, and you are expected to have done all that before you turn up. The four days now include a lot more practice and exploring situations of the kind you are likely to encounter in the bush.