Wilderness Medicine Training
The Role of the Wilderness First Responder During Water Rescues
…It may surprise you to learn that drownings — along with heart attacks and falls — are among the leading causes of death for those who venture into the wilderness for recreation or education in the United States. Statistics show that there are nearly 4,000 fatal drownings each year in the United States, with a…
EMT Training
Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms
…A few years ago, we ran a three-part series on slogans, slang, and terminology as it applies to a trio of human-powered outdoor recreational activities. If you recall, we started out with some “gnarly” surfing terms, then we “tied in” to a conversation about climbing, finally pulling a “wet exit” on the language of paddling….
Erin Sasser
…A native of Wilmington, N.C., Erin Sasser is a seven-year veteran of the Novant-NewHanover emergency medical services team, and an EMT instructor at The NationalCenter for Outdoor & Adventure Education (NCOAE) since 2022. Erin joined NCOAE for the opportunity to teach emergency medicine to students fromall over the country. She is most interested in how…
Summer Camp
Benefits To Leadership-Based Summer Camp for Teens
…Outdoor and adventure-based summer camps for teens provide a life-enriching and world-changing experience for those who participate in them. These experiences, offered by accredited adventure-based experiential and outdoor education providers like The National Center for Outdoor & Adventure Education (NCOAE), offer a unique opportunity for teens to develop personal competencies in the following four areas,…
Emergency Medicine
Why Clinical Experience Matters in EMT Training
…In the world of emergency medical services (EMS), future EMTs and paramedics accept the reality that their immediate future includes hundreds of hours of lectures, extensive bookwork, and plenty of written tests. Each of these students has an objective in mind for taking EMT training courses, and their reasons are many. Some are looking to…
Wilderness Medicine
SOAP Notes Keep Wilderness Medicine Clean
…NCOAE‘s SOAP Notes can help you keep your emergency wilderness medical care thorough and organized, keep reading to learn more!…
Aly Topscher
Aly Topscher has been a field instructor at The National Center for Outdoor and Adventure Education (NCOAE) since 2021. Previously, she worked as a naturalist/outdoor educator for Naturalists at Large in Ventura, California. Before that, Aly was a rental technician at Big Bear Ski Resort at Big Bear Lake, CA. It was while working for…
Carrie Kraft
Carrie Kraft is a field instructor and rafting guide at The National Center for Outdoor & Adventure Education (NCOAE). With more than 15 years of experience of leading trips and guiding activities within the outdoor education sector of the outdoor industry, Carrie admits to having an enormous passion for sharing her love of wilderness with…
Wilderness Medicine
Evaluating Neurovascular Function in the Backcountry
…When it comes to emergency medicine — whether in an urban setting or the backcountry — swift and accurate assessments play a pivotal role in determining the severity and progression of an injury and deciding the best course of action. The decisions you make regarding treatment, evacuation, and transportation in cases of non-obvious threats to…
Emergency Medicine
EMT Health and Fitness: How to Stay Physically Strong and Mentally Sharp
…For EMT’s, caring for ourselves often comes second to caring for others. Here are a few tips to help you take better care of your physical and mental well-being….
Clifton Bannerman
With extensive field experience in emergency medical services, Clifton Bannerman serves as an EMT Instructor at The National Center for Outdoor & Adventure Education (NCOAE). Clifton, who was born and raised in Wilmington, North Carolina, brings a wealth of experience to his role. From working as a paramedic with Novant Health New Hanover Emergency Medical…
Paige Shogi
Paige Shogi is an EMT Instructor at The National Center for Outdoor & Adventure Education (NCOAE), where she a unique blend of medical and educational experience to the team.Hailing from Hickory, North Carolina, Paige is also full-time paramedic in New Hanover County, NC. She previously worked as an EMT in Hickory, NC, where she built…
Wilderness Medicine
Managing Fatalities in Wilderness
…In the safety and comfort of the modern world, we often forget that the natural world can be a dangerous, unforgiving, and uncaring place. For many of us who love wilderness and the backcountry, that’s large part of its attraction. We choose to explore areas where some fear to go, and we participate in activities…
Wilmington-based Outdoor And Adventure Education Center Earns Accreditation
By Staff Reports The National Center for Outdoor & Adventure Education (NCOAE) has been awarded full accreditation by Cognia, a nonprofit organization recognized globally for its commitment to continuous improvement and educational excellence, according to a news release. Based in Wilmington, NCOAE launched its first courses in Pisgah National Forest in 2009. The organization creates…
Emily Elkins
Emily Elkins is a Field Instructor at The National Center for Outdoor & Adventure Education (NCOAE) in Wilmington, North Carolina, where she brings over seven years of experience guiding and teaching in the outdoors. A certified interpretive guide, she is passionate about helping students connect more deeply with the natural world and themselves through immersive…
Raven Delhanty
Raven Delhanty is a backpacking guide at The National Center for Outdoor & Adventure Education (NCOAE) in Wilmington, North Carolina, where she brings a strong background in emergency medicine and expedition leadership to the backcountry programs she leads. With years of hands-on experience in remote wilderness settings, Raven is passionate about creating outdoor experiences that…
NCOAE Recommends
Photog Cites Loss of Touch with Nature: ‘We’re creating an illusion for ourselves’
…In a recent CNN article by Rebecca Cairns and London-based photographer Zed Nelson, the reader is invited to reflect on how we interact with nature, and how much of that “nature” is staged. Nelson’s project, The Anthropocene Illusion, takes viewers on a global journey to see the ways we simulate wild places and wildlife while…
Emergency Medicine
Basic Versus Advanced Airway Management: Keeping It Simple (at First)
…In the backcountry, where hospitals are likely many miles away and help isn’t “just around the corner,” airway management becomes a high-stakes priority. After all, the statistics are against the patient. Without an open, clear airway, that patient has a zero percent chance of survival. Whether it’s a fall, an allergic reaction, choking, or a…
Risk Management
Safety in the Backcountry: Deciding When to Bail on a Trip or Adventure
…“What matters most is how well you walk through the fire.” ~ Charles Bukowski When it comes to just about every worthwhile pursuit, the more you put into it, the more you get out. In the context of human-powered outdoor adventures, especially those that test your metal, that means pushing the limits and, for those…
Wilderness Medicine
Survival in Balance: Autonomic Nervous System Control in Wilderness Medicine
…In the wilderness, balance is the foundation of survival. A misstep on uneven terrain, poor pacing on a long trek, or exposure to extreme weather can quickly tip the scales from stability to crisis. Nature itself operates in balance: day and night regulate temperature, along with alternating periods of activity and rest; ecosystems rely on…


