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CPR

Understanding Wilderness CPR

By NCOAE Headquarters October 9, 2024

Wilderness Medicine

Imagine hiking with a small group of friends or family members in a dense, remote forest. You’re ascending a steep, rocky ravine, when suddenly a member of your group, a middle-aged man with a stout build, clutches his chest and collapses to the ground. Everyone rushes to his side, their voices rising in panic. They all reach for their phones to dial 911, but nobody can get a signal. The nearest medical facility is miles away.

NCOAE students listening to instructor during Wilderness CPR training

The only hope is that someone in the group is trained in cardiopulmonary resuscitation (CPR). Unfortunately, most CPR training is provided in the context of urban settings, including the workplace, community gathering spaces, and our homes. In a remote wilderness environment, responding to a cardio event requires additional skills along with mental calmness and agility — skills and abilities developed and practiced as part of Wilderness First Aid with CPR training.

What Is Wilderness CPR?

Wilderness CPR involves providing life-saving care in remote settings with limited access to medication, medical gear, and emergency medical services. The First Aid component covers everything from assessing situations and injuries/illnesses to treating common injuries, such as cuts, bruises, sprains, broken bones, head trauma, and spinal injuries. It also covers life-threatening conditions that are common in wilderness adventure scenarios, such as hypothermia and dehydration. 

The CPR component covers the process of delivering a combination of rescue breathing and chest compressions to help someone whose breathing or heartbeat has stopped.

Wilderness Care Challenges

Providing first aid and CPR in a remote wilderness environment, as compared to an urban setting, presents some unique challenges, such as the following: (more…)

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