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ForwardMilitary Mountain Medicine Course
A detailed study of mountain and wilderness medicine that will enable the learner to develop expertise in this discipline. Designed for 18D/paramedic and higher-level providers. This will train providers to care for illness and injury in the mountain and wilderness austere environment. Taught at Camp Ethan Allan Vermont following completion of online pre-course material. This course provides core credit for the International Diploma in Mountain Medicine.
Target Audience
This activity provides continuing education for physicians, nurses, and physician assistants. A certificate of attendance is available for other attendees.
Learning Objectives
- Examine the equipment utilized in military mountaineering.
- Explain the presentation and treatment of foodborne illness.
- Review special considerations when traveling with controlled substances in medical kits.
- Discuss general nutrition and hydration concepts for austere environments.
- Integrate the layering approach, membrane-based weather protection technology, and the advantages and disadvantages of available fabrics when dressing for the mountains.
- Discuss patient assessment to include the Massive Hemorrhage, Airway, Respiration, Circulation, Hypothermia Prevention (MARCH) approach to life threats and the Acidosis, Alcohol, Epilepsy, Infection, Overdose, Uremia, Trauma, Tumor, Insulin, Psychosis, Stroke (AEIOU-TIPS) for altered mental status.
- Compare and contrast the clinical presentations of altitude-related illnesses, utilize treatments available for altitude-related illnesses, and summarize preventative techniques available for prophylaxis against altitude-related illnesses.
- Discuss the systemic changes (respiratory, renal, hypobaric hypoxia) related to altitude physiology.
- Identify the diagnosis, pathophysiology, prehospital and hospital treatment, and evacuation criteria for high-altitude cerebral edema (HAPE) and high-altitude pulmonary edema (HACE).
- Treat high altitude cough, pharyngitis, retinopathy, edema, and chronic mountain sickness.
- Identify the goals, types, and magnitude of benefit expected from hypoxic training.
- Recognize nonfreezing cold injuries to include the predisposing factors, pathophysiology, diagnosis, and treatment (thrombolytics and prostacyclin) for frostbites.
- Diagnose hypothermia, including physiological and clinical effects, treatment options, and prevention methods.
- Review the types, risk factors, causes of death, and myths of avalanches.
- Apply treatment, management, and prevention methods for animal, reptile, and spider/scorpion bites and stings.
- Identify long-term weather patterns, cloud types (and meanings), and weather prediction methods.
- Discuss the electromagnetic spectrum (EMR Spectrum) and the health effects of ultraviolet (UV A and B) techniques for exposure reduction, skin cancer identification, and photosensitivity reactions.
- Diagnose acute mountain sickness-based risk factors, options for treatment, and prophylaxis.
- Review organisms that are common causes of water contamination, methods of water treatment, and the advantages and disadvantages of each method.
- Diagnose heat injury and present options for prophylaxis and treatment.
- Examine the physics of lightning as well as the risk factors, medical problems, and ways to avoid being struck by lightning.
- Review drowning terminology, the physiology of drowning, initial approaches to the treatment of a drowning victim, and the prehospital and hospital care of a drowning victim.
- Diagnose eye conditions to include which eye conditions require evacuation and the options for treating ophthalmic conditions.
- Review the liabilities and legal considerations for providers while practicing in the wilderness.
- Identify important mountain ranges on each continent, the risks associated with those mountain ranges, and the international and national organizations involved in mountain medicine.
- Discuss the use and ethical implications of performance-enhancing medications at altitude and operational settings.
- Carry out orienteering and locate orienteering points on topographic maps utilizing a compass.
- Discuss the diagnosis and treatment of common austere medical conditions.
COL (Ret) Ian Wedmore, MD, FACEP, FAWM, FFSEM
Disclosure: DHA J-7 staff, planners, authors, faculty, and content reviewers for this educational activity have no relevant financial or non-financial relationships to disclose.
Available Credit
- 29.00 AAPA
DHA J-7 CEPO has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 29.00 hours of AAPA Category 1 CME credits. Approval is valid until Friday, August 1, 2025 - 11:59pm ET. PAs should only claim credit commensurate with the extent of their participation.
- 29.00 ACCME Non-Physician CME Credit
DHA, J-7, CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. ACCME Non-Physician CME Credit providers will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. ACCME Non-Physician CME Credit providers may receive a maximum of 29.00 hours for completing this Course activity.
- 29.00 AMA PRA Category 1 Credit™
DHA, J-7, CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
DHA, J-7, CEPO designated this Course for a maximum of 29.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 29.00 ANCC
DHA, J-7, CEPO is accredited by the Joint Accreditation/ Interprofessional Continuing Education (IPCE) to provide this Continuing Nursing Education Course for a maximum of 29.00 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.
- 29.00 Attendance
- 29.00 IPCE
In support of improving patient care, DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team. This activity was planned by and for the healthcare team, and learners will receive 29.00 Interprofessional Continuing Education (IPCE) credits for learning and change.
Requirements: CE/CME certificates are awarded to participants who fully complete the activity, successfully submit the evaluation survey, and pass the posttest. The deadline to claim credit is Aug 1, 2025.
Access Code: Some activities require an access code to register or claim credit. Please contact the organization providing the activity for the access code. The Continuing Education Program Office (CEPO) does not provide access codes.
Accommodations: Please contact the course instructor to inquire about accommodations. For additional technical support, email [email protected].