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1.1 This guide covers minimum training standards for first responders who may care for sick or injured persons in the specialized pre-hospital situations of the wilderness, delayed, or prolonged transport settings, including catastrophic disasters.

1.2 This guide establishes supplemental or continuing education programs that will be taught to individuals trained to the first responder level by an appropriate authority.

1.3 This guide does not provide training to be used, ordinarily, in the traditional EMS or ambulance transportation environments.

1.4 Included in this guide is a standard for the evaluation of the knowledge and skills defined within this guide.

1.5 Successful completion of a course based on this guide neither constitutes nor implies certification or licensure.

1.6 This guide does not establish medical protocols, nor does it authorize invasive procedures without specific authorization and medical control.

1.7 The values stated in inch-pound units are to be regarded as standard. No other units of measurement are included in this standard.

1.8 Operating within the framework of this guide may expose personnel to hazardous materials or environments, procedures, and equipment or all of these.

1.9 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

4.1 Individuals will be initially or concurrently trained in accordance with U.S. D.O.T. Course Guide for First Responders⁴ and Guide F1453.

4.2 This guide does not suggest a particular training sequence.

4.3 This guide may be used by individuals developing training programs for non-traditional EMS environments.

4.4 This guide acknowledges the need to provide additional specific training for first responders who will practice in the wilderness, delayed or prolonged transport settings.

4.5 Individuals responsible for training first responders should identify those who will practice in the wilderness, delayed or prolonged transport settings and must ensure that such personnel are competent in all skills needed for the unique settings.