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Intensive Care for Austere and Remote Environments

The College of Remote and Offshore Medicine Foundation offers our Critical Care course. This course focuses on the basic concepts, skills and principles required to assess and treat the critical casualty. The course covers haemodynamic monitoring, critical care monitoring, advanced concepts of shock, and the treatment of burns in remote environments and prepares the student for the American board certification as a Critical Care Paramedic.

This course is mainly scenario based. Be prepared for this module to be hands-on and challenging.

Online only option: On-demand, taken at your own pace (€75)

Click here to book the online eLearning module

The online module does not give WMS FAWM credit.


Classroom option:

Click here to book the classroom hands-on module.


Wilderness Medical Society: This course has been approved for Fellowship in the Academy of Wilderness Medicine (FAWM) credits through the Wilderness Medical Society. Actual credits awarded depend on personal credit needs and history.

College of Remote and Offshore Medicine Foundation: A certificate is issued for 40 CPD hours on completion of this course.


The IBSC exams for Flight Paramedics and Critical Care Paramedic can be booked through the IBSC website. These exams can be taken worldwide at any ProMetric testing centre. They can also be taken in your own home on your own computer. Click here to start the process.

We have learned in the last few courses that the chance of passing these exams increases when the exams are taken two or three weeks after taking this course. Therefore, we no longer offer the IBSC exams at the end of the classroom training.

We suggest that you arrange to take the course once you have taken a couple of weeks to review your classroom notes and the online review content.


MSc Austere Critical Care

   The College has a Master in Science in Austere Critical Care. This two-year programme covers advanced critical care concepts specifically needed for the advanced practitioner working in remote, austere and resource-poor environments.

Online Course Content

Part I Online:  Fundamentals of Ultrasound, Acid-Base Pathologies, Austere Clinical Laboratory Diagnosis, Advanced Prolonged Field Care, Aircraft Fundamentals, Safety and Survival, Trauma Management, Advanced ECGs, Introduction to Mechanical Ventilators, Fundamental Concepts of Haemodynamic Monitoring, Flight Physiology, Advanced Airway Management Techniques, Neurological Emergencies, The Critical Cardiac Patient, Respiratory Patient, Burn Patients, General Medical Patient and Environmental injuries.

Part II Classroom Training:

  • Introduction to Ultrasound
  • Blood Gas Analysis
  • Austere Clinical Laboratory Diagnosis
  • Prolonged Field Care Scenarios
  • Acute Burns Patient
  • Acute Septic Patient
  • Acute Blast Injuries
  • Acute Hypothermic Patient
  • Advanced ECGs
  • Introduction to Mechanical Ventilators
  • Fundamental Concepts of Haemodynamic Monitoring
  • Ultrasound-Guided Femoral and EJ Cannulation


Your instructors will be drawn from our faculty of critical care specialists. They include board-certified critical care consultants and critical care paramedics.