Tropical, Travel and Expedition Medical Skills Course

The College of Remote and Offshore Medicine Foundation offers our TTEMS course. It consists of online learning and one week of hands-on skills.

Tropical, Travel and Expedition Medical Skills focuses on wilderness, tropical, expedition, and travel medicine. The course is based on disease and non-battle injury (DNBI) research found in the review of recent expeditions and military deployments. It focuses on the top twenty injuries and ailments found in remote clinics worldwide as well as the top ten tropical disease killers. The module culminates with a prolonged field care exercise.

  • Online Content: On-demand, taken at your own pace (€75) 

Click here to book the online prep course.

  • Classroom Content:
    • 27 November to 1 December 2023, Pretty Bay, Malta (€950)

Click here to book the classroom course.

TTEMS Course

The first week of this programme covers the basics of tropical medicine, expedition medicine and healthcare practice in remote and austere environments. We include prolonged field care experience working on live casualties.

Advanced TTEMS Course

The optional second week of this programme covers the advanced topics in tropical medicine, expedition medicine and healthcare practice in remote and austere environments. This week includes an introduction to the use of Ultrasound for diagnostics of tropical diseases and in expedition medicine.



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.

This course is CAPCE accredited.



Click on the picture below to watch the YouTube video of the TTEMS course

T.T.E.M.S. Course Content

  • Remote and Offshore Planning
  • Head and EENT Emergencies
  • Feet and Skin Issues
  • Dental Emergencies
  • Orthopaedic Injuries
  • Critical Care and Aviation Medicine
  • Altitude Medicine
  • Dive Medicine
  • Analgesics and Antibiotics
  • Genitourinary and Sexual Health
  • Snakebites, Stings and Wee Beasties
  • Expedition Health and Hygiene
  • Joint Reductions
  • Long-term Wound Care
  • Steri-strips and suturing
  • Introduction to Tropical Medicine
  • Austere Clinical Laboratory
  • Emerging Infectious Diseases
  • Influenza, Ebola and Avian Flu
  • Infectious Skin Diseases
  • Tropical Water Supply and Sanitation
  • Top Ten Tropical Diseases
  • Diarrhoea and the Management of Acute Dehydration
  • Tropical Pharmacology
  • Tropical Medicine Case Studies



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 in resource-poor environments.


Live Casualty Simulations

The TTEMS course includes hands-on experience with live casualty scenarios with our special effects makeup artists. These professionals have worked on films such as Gladiator and World War Z.

You will need to have a set of clothes that you don’t mind getting a bit dirty and red.


Improvised Medicine

During the TTEMS courses, we include opportunities for delegates to learn how to make medical equipment and practice improvised medicine.

We are adamant that we must provide best practice, evidence-based medicine even whilst improvising.


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, and medical doctors with military and expedition experience.

We are passionate about training.