Learning Wilderness First Aid for emergency response

For some years now, I’ve been looking to get trained in administering First Aid. Not knowing the basics of handling injuries and attending to emergencies has been haunting me every time I step outdoors. In the last week, GHAC had organised a wilderness first aid training that not only covered regular first aid, but also had extensive coverage of wilderness scenarios and handling of outdoor exigencies. Naturally, I jumped at this opportunity. 

To make it doubly sweet, this workshop was conducted by outdoor professionals from the Hanifl centre, a part of the WoodStock school in Mussoorie, one of the oldest schools in India. During the training, I came to know that the curriculum was conceived by Aerie Backcountry Medicine, a reknown outdoor institute in the US and hence the training culminated with a WFA certification valid for 2 years.

Instructor enacting grievous injury with an impaled chest 

It was a good 3 day training attended by 20 people, most of them outdoor enthusiasts. Thankfully the curriculum wasn’t an all-classroom training, given the hazards of putting participants to sleep with the kind of topics being covered. Instead, it was modelled as a workshop with ample scenarios thrown in and participants asked to react to them first-hand using the concept being learnt. With ample variations of scenarios and unexpected surprises such as instructors showing up with life-like injuries and fake (but profusely flowing) blood, the participants were kept guessing, and hence alert. 

For instance, sample this: there was a scenario of lightning strike in outdoors where a dozen of us were enacting the role of victims - some with minor or major injuries, a few acting disoriented due to the shock and some lying lifeless (with no major asks in emoting!). Rest of the participants were designated as passers-by who had to take up the role of turning saviours and provide first-aid. The key aspects involved taking control of the situation, prioritising the victims that had to be attended to, and finally administering the appropriate first aid for each type of injury. 

Throughout the workshop, the ground rules of first-aid were repeated ample times to drill them firmly into the minds. The outdoor instruction and scenarios covered all common issues faced in treks and expeditions, including prominent ones like heat or cold injuries, altitude sickness, fractures & sprains, stings and bites. Useful tips in first-aid and evacuation were covered such as making splints and litters creatively using non-standard stuff such as trek backpacks, tarps and sleeping bags.

The training culminated with the all-important CPR (Cardio Pulmonary Resuscitation), the technique of reviving people who are rendered supposedly lifeless and ‘clinically dead’. Thankfully, this is a technique repeatedly popularised in movies, but we learnt that the reel demonstrations are far from perfect. There are documented examples of rescues done right using this technique, such as this one shown from the Bondi Beach rescue where a surfer was revived after atleast 30 minutes of being considered dead. The usage of an IED (Defibrillator) was also demonstrated, and the 4-hour training on CPR involved several runs of perfecting the order and rhythm, though strangely to sync with the beats of the song ‘Another one bites the dust’ by Queen.

Overall, it was a great training and one that I’d highly recommend to everyone. Wilderness is technically defined as any place that is one hour away from medical help, and hence most places in India comfortably fall into this category. As the age old saying goes, its better to be safe than be sorry.