What Should I Expect In the Wilderness and Remote First Aid Course?

The American Red Cross Wilderness First Aid course is a hands-on, scenario-based training designed to prepare you for medical emergencies in remote environments where professional help may be delayed. The course is typically 16 hours long and requires Adult CPR/AED certification as a prerequisite. You’ll learn how to assess patients using structured methods like the Initial and Secondary Assessments and SOAP notes, and you’ll practice recognizing and treating trauma such as wounds, bleeding, sprains, fractures, and spinal injuries. The course also covers medical emergencies including allergic reactions, cardiac issues, diabetic problems, hypothermia, hyperthermia, dehydration, and altitude illness. Environmental hazards like lightning, water incidents, and animal encounters are discussed as well.

A major component of the training involves improvisation—using gear like backpacks, clothing, or sleeping pads to create splints, bandages, and carries—reflecting the reality of backcountry situations. You’ll also learn how to make evacuation decisions, communicate in areas without cell service, and determine when to stay put or move a patient. Throughout the course, you’ll participate in realistic scenarios that simulate common wilderness emergencies, acting as both rescuer and patient to build practical skills under pressure. Participants should expect to spend time outdoors, often on the ground, and bring weather-appropriate clothing, water, and a notebook. Upon completion, you’ll earn a two-year American Red Cross Wilderness & Remote First Aid certification. The course is generally described as immersive, practical, and valuable for anyone who spends time hiking, backpacking, climbing, or leading outdoor groups.