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Massgrunt
4 August 2006, 02:20
At IMUA's request.

This course is NOT to be confused with any kind of tactical care course. It is civilian EMT-B with a "wilderness" angle.

SOLO Schools, New Hampshire Wilderness EMT-B


After coming back from Iraq, I wanted to get some additional medical training before I deployed again. I was pretty happy with the basic stuff I was taught in the Marines and on the job training with some 18Ds, but I wanted to learn as much as possible. Fortunately, I never had to treat anything beyond my limited skills, but I never want to look at a wounded buddy and wonder "What do I do?" So I started looking for courses.

SOLO seemed like the best option, since the course was only a month long and accepted the GI Bill (through a local college). There were a few other similar courses, one at NOLS, but I went with this one. The course tuition was $2495 for a month long course, room and board included.

The campus is in Conway, New Hampshire. It's small and a pretty cool location, the residence hall is right across the road from the classroom building. Before I go any further, I have to mention the food. It's outstanding and included in the tuition. They have a full time chef at the school and he doesn't fuck around.

In my class, all the students were male, mostly outdoors industry types, one a full time NOLS instructor, another a volunteer SAR guy, a couple that worked with at-risk kids, etc.

The focus of this course is on emergency care in the wilderness, defined as being more than an hour from help and with limited resources. I thought that might have some application to the high risk environment. The classes were taught by the lecture method, usually followed by scenarios outside. The instructors were good and clearly knew their stuff. The material was straight out of the Brady EMT textbook, along with the "wilderness" angle from the institutional knowledge of the school and it's instructors. There were two practical application sessions, one at the local EMS service and the other at the local hospital. The hospital was interesting, the staff was great and you got plenty of chances to take vitals and help out with initial interviews and that kind of thing. The EMS one was a complete waste of time, I sat there for two hours and watched "Paramedics" on Discovery, I shit you not.

One problem I had was that they got wrapped around the axle about the "wilderness" angle. The first three weeks of the course were devoted to it, and the last week to urban EMS. In my opinion, it should have been the other way around, with a good grounding in the EMT stuff before moving on to the outback. Really, it was not that complicated, basically keep them warm and improvised spinal immobilizations and traction devices. There were a few other things and a day devoted to expedition medicine, but I felt it could have been done in less time. Even though the course was called "Wilderness EMT", I felt like we crammed the urban portion.

As for the length of the course, it was very convenient to get EMT certified in a month, but that came after tons of reading. In the beginning it was 40-50 pages a night. It was a whole lot of info to take in that quickly, and it's already slipping away. I am currently waiting on getting a state license so I can work in the field before heading back down range,
because otherwise I'll be stuck with no real hands on experience and rapidly eroding schoolbook knowledge.


Overall, I felt this course was worth taking because I wanted a grounding in emergency medicine, and I was able to get certified by the National Registry at the end of it. But I really didn't learn anything more than I already knew about the things I really wanted to learn, like gunshot wounds and blast injuries. Because this was a basic EMT course, the scope of practice didn't allow for things like chest tubes, needle decompressions, advanced airways, IV therapy, etc. I might have been better served by taking a course that covered this material, but I don't know of any that would result in certification.

I'd reccommend SOLO to anyone looking to get a quick EMT cert in a cool location, but I'd have to say it has only minimal application to working in a hostile environment, and is definitely only the very beginning of a medic's education. If you're headed down range, you might be better off taking a course that focuses on the HRE angle, without all the civilian stuff like pediatrics and the wilderness angle.

IMUA
4 August 2006, 10:36
Thanks, Bro. Outstanding AAR...appreciate the info.
Stay safe and cheers...

Kato

CombatWombat
4 August 2006, 14:12
I'm a SOLO grad from 1999, same course as Massgrunt. Thought I'd drop my two cents as well on the place.

Before I go any further, I have to mention the food. It's outstanding and included in the tuition. They have a full time chef at the school and he doesn't fuck around.

Roger that. I'm glad that hasn't changed. I had to double the amount of PT I normally do just to keep from becoming a balloon after eating too much.

The EMS one was a complete waste of time, I sat there for two hours and watched "Paramedics" on Discovery, I shit you not.

The EMS ridealong is a total crapshoot. Some guys got hosed like Massgrunt and some guys, like me, got lucky and were around when some guy decided to fall off of Cathedral Ledge. Conway ain't the most happening town for trauma.

One problem I had was that they got wrapped around the axle about the "wilderness" angle. The first three weeks of the course were devoted to it, and the last week to urban EMS. In my opinion, it should have been the other way around, with a good grounding in the EMT stuff before moving on to the outback.

That's a change from when I went. It used to be 2 weeks woods, 2 weeks street. That's not so good and I have to agree with you. The wilderness stuff is really just about thinking differently about how to care for a guy long term and how to make do with minimal stuff. I've never had to make a traction splint out of a canteen cup and a stick, but I think it's cool that I can. Not very useful, though. The Wilderness portion is much more useful for a guy coming from a non-military background who isn't too used to operating in an austere environment.

As for the length of the course, it was very convenient to get EMT certified in a month, but that came after tons of reading. In the beginning it was 40-50 pages a night. It was a whole lot of info to take in that quickly, and it's already slipping away.

I had the same problem until I managed to get a gig working as a tech in a Level 1 trauma center. Practice is much more important than booking it, for sure. I did find, however, that I was much more prepared than a lot of the guys who took a more traditional class. SOLO was pretty good at getting you to think about underlying causes before treatment rather than the knee jerk 'if this, do that' kind of training that you can get in EMS.

SOLO is really aimed at students who are going to have careers or the like in outdoorsy environments. It has quite the reputation in the NOLS, Outward Bound, etc. groups and is seen as a good way to really make yourself marketable for a gig with those types of groups. Back in '99 they had a pretty good relationship with the military and I recall supporting a pretty neat exercise they were running for some PJs doing high angle rescue training. I can't say how that's changed in the GWOT era.

SOLO gave me a great foundation, but Massgrunt is right in pointing out that you get a lot of book and not a lot of hands on in a compressed course. I didn't get really good at EMS work until I finished up my EMT-I course and started working 20-30 hours a week on an ALS rig while I finished up college. The knowledge and, more importantly, the experience I got from that job came in very handy in IZ when we had more casualties than medics.

IMUA
5 August 2006, 15:08
Now that you have gotten your EMT cert you wanted and are still interested in actually learning those critical skills you were after in the first place, I strongly suggest you consider the Deployment Medicine Operator's Course. Its 4 days long (3 days of didactic and hands on labs and 1 day of "live tissue" FTX complete with a ballistic wounding evolution) and is designed for the "non-medical operator/shooter type", but serves as a most excellent
sustainment for medics as well. Its a bit spendy, but is the HEAT!
Cheers...

Kato

24/7
7 August 2006, 17:05
Thanks for the AAR Massgrunt.

Wilderness medicine requires some imaginative twists on the basics.

I'm about to teach some kids basic first aid and very, very basic wilderness skills while they are out on a 3 day camping trip...it'll all be very common since stuff for those who have spent any time in the woods under a ruck.

The guy organizing the event gave me an overview of his planned activities and asked me to work something in, a mix of little classroom and hands on skills. I said sure.

I did a basic risk assessment of the activities, water requirements for a long walk in the woods based on the expected temperatures....Africa hot. Also offered up some suggestions for a medical plan should one of the kids have a heat related issue, snake bite etc… All basic stuff in my opinion.

I was a little taken back because it appeared that none of the leadership had concidered medical contingencies in their plan.

The only reason that I'm bringing this up is to suggest/warn parents that they need to get involved and ask questions to those who you're trusting your kids to. In this instance everything sounded good but the leadership didn't have the background that allowed them to consider important medical contingencies, possibly life saving contingencies.

My plan it to teach the kids some stuff that they can have fun with and I hope be applicable for the future but also heighten the awareness of the adults and get them to understand that they can't take the wilderness for granted, especially when they have other peoples kids.