RAMM Course

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Our Remote Environment Medical Training course is a 7 day advanced level course which is designed to expand the suite of skills and knowledge available to those who already have training in the field of Pre-Hospital Care.

The course was developed in association with Senior Clinical Lecturers in Paramedic Science at Birmingham City University as well as expedition Doctors.

The course is suitable for Doctors, Paramedics, EMT’S, Nurses, Expedition Leaders, Close Protection Medics and those providing medical support for the exploration (oil, gas and mineral) sectors and media medical cover as well as those operating independently in remote and hostile environments.

Prerequisites apply - students are required to have an in-date First Person on Scene qualification or other advanced first aid certificate to attend this course. The course includes numerous case studies, indoor and outdoor (including night time) scenarios.

These scenarios include everyday incidents and also those likely to be encountered in wilderness, remote/hostile environments.

The final day includes the American Association of Orthopaedic Surgeon’s certified “Assessment and Treatment of Trauma” qualification.

The course requires pre reading. Two manuals are provided, a Royal College of Surgeon’s (Edin) manual and our own R.A.M.M™ manual as well as online materials.


  • Initial assessment of pre-course reading
  • Scene assessment and initial triage methodology/ risk assessment
  • Airway assessment : Supraglottic airway devices/ Bag Valve Mask use/suction
  • Consent


  • History taking for respiratory system
  • Review anatomy/physiology of respiratory system
  • Respiratory system assessment (auscultation/percussion (IPPA – inspect, percuss, palpate, Auscultate)
  • Respiratory system common complaints
  • Respiratory system traumatic injuries
  • Drug interventions for respiratory system


  • History taking for cardiovascular system
  • CVS assessment
  • A/P review for CVS
  • Use of NIPB assessment and interpretation
  • Capillary Refill Test and Pulse
  • Common CVS complaints /assessment and treatment/ common drug interventions
  • Catastrophic haemorrhage/ tourniquets and haemostatic dressings
  • IV/ cannulation/fluid replacement
  • Legal consideration, Hazards and risks of IV/
  • IO fluids
  • IO use of the FAST 1, EZIO/ cooke needle
  • Burns and scalds


  • History taking for Nervous system
  • A/P review for nervous system
  • Nervous system assessment
  • Common NS complaints, assessment and treatment/drug intervention
  • ENT assessment, complaints and treatments
  • Traumatic head injury – assessment and treatment rationale
  • Toxins and poisons
  • Spinal injury management/Road Traffic Collision/rapid vehicle extrication drills


  • History taking for Muscoloskeletal system
  • A/P review for MS system
  • MS system assessment/Percussion
  • Common MS complaints, assessment and treatment/drug intervention
  • Traction splints/ POP back-slabs/immobilisation
  • History taking for GI/GU system
  • A/P review for Gi/GU system
  • Gastro Intestinal/Genitourinary system assessment/Percussion
  • Common Gi/GU complaints, assessment and treatment/drug intervention/ antibiotics/pain relief/urinalysis
  • Diabetes – assessment/recognition and management
  • Wound closure / glue, suture, staple
  • Dermatology – rashes, bites and stings Injections
  • Medications - use, contraindications and legal issues


  • Pre-mission planning/intelligence
  • Bugs and creepy crawlies, bites, stings,treatment
  • Telemedicine
  • People factors and critical incident debriefing


  • Assessment and Treatment of Trauma course
  • - American Association of Orthopaedic Surgeons
    This is an non-residential course
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