Remote and Austere Medical Skills Course

The RAMS is a five day course providing medical skills and didactic learning for the deployed and operational medical practitioner. It continues from where the TTEMS course left off. In order to attend the RAMS course, delegates need to have taken the TTEMS or have similar training from life experience or from other training providers.

The aim of the Remote and Austere Medical Skills (RAMS) Course is to provide innovative and expert medical skills for the operational, deployed and offshore practitioners to become better and more proficient in their professional career.

The RAMS course is approved through the Wilderness Medical Society for up to 34 credits towards the

Fellowship of the Academy of Wilderness Medicine

The FAWM is an academic award available to all medical professionals. More information is available on the FAWM website. 

This course has been used by NREMT Paramedics to meet CME requirements for recertification.

RAMS Course Content

  • Blood Analysis: Acid-Base and CBC
  • Field Medicine
  • Austere Laboratory
  • Intro to Microscopy
  • Smartphone for Laboratory Diagnosis
  • Sepsis in Remote Environments
  • Acupuncture
  • Field Escharotomy
  • Buddy Transfusion Lab
  • Operational Burns
  • Disaster Management, Refugees and IDPs
  • Nerve Blocks
  • Procedural Sedation
  • Dental Anaesthesia
  • Casting of the Wrist and Ankle
  • Introduction to Ultrasound
  • Ventilator Theory and Lab
  • Advanced Suturing
  • Austere Critical Care
  • Clinical Case Studies
  • Human Cadaver training for the Tanzanian based courses

RAMS Course Details

Duration: 5 days

Cost: €850

Not including accommodation

30 Nov to 4 Dec, 2020

Location: Malta


Tactical Paramedic board certification exam

Currently registered paramedics, pre-hospital nurses and medical doctors can arrange to sit the US board certification exam to become a Tactical Paramedic. The exam is offered at the beginning of the RAMS course.

Live Casualty Simulations

The RAMS course includes hands on experience with live casualty scenarios with special effects makeup. 

Prolonged Field Care

The College of Remote and Offshore Medicine incorporates PFC scenarios during this course. Delegates will be required to assess, manage and monitor their casualties for extended periods of time under resource poor environments.

Learn from the best

All of our instructors are currently working as healthcare professionals. We have former Special Forces medics, Navy SEAL medics, Special Air Service medics as well as medical doctors with military and expedition experience.

We are passionate about training.​