For mountain bikers + trail & ultra runners

Trail & Backcountry First Aid For MTB & Trail Runners

Self-Paced Online Study • Innovative Hands-On Practice • Bonus Regional Course


30-Day Hassle-Free Money-Back Guarantee


Life's too short not to go big.

~ Josh Bender, Mountain Bike Hall of Fame

Everyone on the trail has stories.

The busted ankle five miles from the car—where you also left your cell phone.

The downhill crash over a massive drop that definitely 100% wasn't there last time.

The rattler that bit you mid-jump. And on and on.

Learn how to take stock of common MTB and trail running injuries, improvise treatment from whatever's handy, and make an informed decision about whether it's OK to keep going or get outside help.

This course is for anyone who:

Wants to be ready for everything from sprains, fractures and blood to snakes, bears and feral hogs.

Plus hypothermia and heat stroke.

And the occasional face plant over a tree root.

You'll get all that—and fewer worried looks every time you head out.

Two years of course access • Two-year certification

What You'll Learn

Via self-paced online lectures, interactive video scenarios, medical case assignments, knowledge checks & quizzes

Injury assessment & basic life support
Injury assessment and life support

MARCH & SAMPLE patient assessment protocols; breathing, circulatory & nervous system assessment; spinal stabilization; basic CPR & Heimlich maneuver training

Common outdoor medical problems
Common outdoor medical problems

Treating & stabilizing impalements, broken bones, finger amputations, muscle injuries, bleeding, wounds, cold injuries, heat illness, lightning and altitude ilness & more

Terrain, temperature & weather hazards
Terrain, temperature and weather hazards

Heat & cold related injuries; wildfires, lightning & burns; floods, tides & drowning; avalanches & earthquakes; acute mountain & altitude sickness (AMS, HACE, HAPE)

Wildlife attacks & treating injuries
Wildlife attacks and treating injuries

Dealing with grizzlies, black bears, mountain lions; snakes & scorpions; other venomous animal & insect bites, stings, rabies prevention & communicable & waterborne diseases

Basic outdoor survival skills
Terrain, temperature & weather haards

Route, logistics & supplies planning; avoiding getting lost, signaling for rescue; finding and treating water for safe drinking, maximizing chances of being found alive

Learn to improvise medical care
with everyday items

Demonstrate skills like splinting, tourniquets and neck braces on volunteer "patients" via video and photo submissions.

Get personalized feedback from our medical faculty on each and every assignment.

Natalie practical skills demo

Skills training on basic CPR, tourniquets, neck braces, splints, compression bandages, Epipens & more

Practice your new skills at home or at work using yourself, family, friends or coworkers as patients

Improvise medical care with everyday items

Learn to treat injuries & save lives using everyday items to improvise splints, tourniquets & more

Includes bonus Regional Wilderness Medicine Course

Tents overlooking mountain lake
Mountain West


Wildlife, hazards & rescue calls for the Rocky Mountains, Mesa Verde, Black Canyon, Lake Powell, Zion National Park, Yellowstone, Lake Tahoe, Big Sky, Glacier, Denali, Katmai National Parks & more

Appalachian Trail


Wildlife, hazards & rescue calls for the AT, Adirondacks, Acadia, L. Champlain, Moosehead, Cape Cod NS, Blackstone, L. Winnipesaukee, Boston Harbor Islands & more

Pacific West


Wildlife, hazards & rescue calls for Yosemite, Sequoia, Kings Canyon National Park, Crater Lake, Mount Hood, Olympic National Park, Mount Rainier, Denali National Park, Hawai'i Volcanoes National Park & more

Rocky peaks and desert in Southwest U.S.


Wildlife, hazards & rescue calls for Grand Canyon National Park, Lake Powell, White Sands National Park, Big Bend National Park, Lake Travis, Guadalupe Mountains National Park & US desert backcountry

Black Hills in the Dakotas
Midwest Plains


Wildlife, hazards & rescue calls for the Badlands, Black Hills, Mount Rushmore, Ozarks, Theodore Roosevelt National Park, Mark Twain National Forest & more.

Foggy forested valleys in Eastern U.S. mountains


Wildlife, hazards & rescue calls for the Appalachian Trail, Blue Ridge Mountains, Smoky Mountains, Chesapeake Bay, US eastern coastline & more

Great Lakes
Great Lakes


Wildlife, hazards & rescue calls for the Great Lakes, Boundary Waters, Sleeping Bear Dunes, Isle Royale National Park, Indiana Dunes National Park & more



Wildlife, hazards & rescue calls for Everglades, Bogue Chitto, Kisatchie NF, Little R. Canyon, Dry Tortugas,  Natchez Tr., Chattahoochee R., Gulf Coast & more

Includes Widely Accepted Two-Year Certification


Accepted by National Park Service, USDA Forest Service, National Assn for Search & Rescue, ACA/PaddleSports (American Canoe), mountain rescue teams, ski/beach patrol, SAR teams, local Sierra Club chapters, guide & expedition businesses & many others

NOTE: As a matter of policy, federal & state agencies do not endorse specific wilderness medicine schools or programs.

Customer Reviews

Appalachian Mountains

Frank W. | WFR & EMT

I'm very satisfied with the high quality of instruction at a more than fair price. I have taken the NOLS WFR course in the past, and the only thing I miss is the camaraderie of the in-person class. Other than that, I am happy to get good instruction. I'll spend the money I saved on actually being in the wilderness.

Blue Ridge Mountains

Brittany B. | WFA

This course was just what I needed! I was nervous about submitting a video of me performing the skills but I actually enjoyed it. I feel more confident in my abilities to help others in a wilderness situation. Thank you!

Glenn T. | WFA

This was very thorough. I've had in-person first aid several times and this has a lot more information. I especially like the aspect of improvising materials for splints, etc., as this is probably what you're going to have to do in the backcountry.

Forested creek with rays of sunlight

Amy A. | WFA

The course was very detailed and informative. The scenarios were realistic and challenging. I feel better prepared to deal with medical and environmental challenges in the wilderness.

Great Lakes sunrise

Patrick H. | WFA & WFR

Very practical, well-run course. I appreciated the learning vs mere testing approach. I've already used some of the skills.

Key West tides, beach and clouds

Marie L. | WFA

Extremely rewarding course. I've learned more than I have in previous WFA courses run by the Red Cross. What made this better for me is the ability to review the material until I could learn it. Having to do the hands-on assessment [videos/photos] really ingrained a muscle/mental memory that cannot be duplicated in an in-person class. There is not enough time during the in-person classes for everyone to have the hands-on experience. Thank you so much.

Sunny desert landscape with tree

Helen B. | WFA

Really enjoyed! At first I was hesitant to do an online course, unsure if I would learn all the necessary skills for WFA. However, after having to demonstrate my skills and receiving thorough feedback, I feel very prepared. Thank you so much!

Tennessee Natchez Trace forest and creek in Southern US

Raquel D. | WFA

Really well set-up course. The ability to do it at your own pace is fantastic. Very informative videos & presentations. The skills demonstrations are concise but detailed. Getting to practice the skills and get feedback on them is also a great way to make sure you're actually prepared to do them. The medical scenarios were varied and interesting and gave good practice at analyzing and deciding how to handle a situation.

The Everglades in southern Florida

David R. | WFA

A lot of information was provided in this course, some information that was never touched on in my NOLS class. Overall, informative and easy to navigate.

Columbia River Gorge

Gary H. | WFA

Very well done. I happened to have spent my career in trauma and emergency services and now as a trauma program consultant. I learned a lot I didn't know when it comes to wilderness medicine. I spend my free time in the mountains and backcountry fly fishing, camping, kayaking, hiking, snowshoeing...In the Emergency Department we have a controlled environment and supplies on hand. In the field—mountains, backcountry, wherever—you're at the mercy of what is on hand and your experience. This course will give you the experience and skills you need to be prepared and have the best outcomes possible. It's extremely affordable, well written and well done.

Malaysia's Mount Kinabalu mountain at sunset

Delaney H. | WFA

Incredible resource! I often work outdoors far from hospitals, the general public and cell phone service with a small team of people. This is so much more useful than OSHA training and even general first aid courses. Thank you for providing these lessons!

Haleakala volcano in Hawaii

Gio C. | WFA

"I was very hesitant at first because my initial thought was: "This is too good to be true!" BUT, it actually is and I must say that I am very pleasantly surprised. Dr. Bonthius covers a great deal of scenarios very effective and thoroughly. I reside in Las Vegas, NV and wilderness courses here are offered only during the Spring and late Fall. I was about to travel out of state, pay room and board as well as pay close to 10 times the amount of this course. This is truly a time saver and money saver. I would HIGHLY recommend this!!! If you're having second thoughts, don't—this is the best decision you'll ever make for a course for Wilderness First Aid training."

Cactuses and desert near Cabo San Lucas

Sabrina W. | WFR

Loved the course, more than the in-person one I did two years go. Mainly because I could go at my own pace and really digest the information and internalize it rather than overwhelm and cram in a shorter period of time. The videos, lectures and podcasts were great and drove the topics home.

Altitude sickness

Lawrence T. | WFR

What a great opportunity it has been to receive training from current working ER doctors with a passion for Wilderness Medicine. I've certified in WFR probably 5 times and WFA countless times, in spite of familiarity with the material I still walked away better informed and better prepared than when I started. Easily the best value in emergency training for the layperson. The live sessions are an added bonus and not to be missed. Great program!

Extreme heat

John F. | WFA

Very informative and easy to follow. Our company does a lot of field work in the Mojave Desert, in remote areas including BLM wilderness, often without cell service. We bring a Garmin inReach, a first aid kit and off-road recovery equipment, but now we have the one important thing missing from our field tool kit, wilderness first aid training.

Hiker approaching peak of snowy mountains

Kathleen R. | WFR

"I had been given a last-minute directive to have WFR within a month or lose a seasonal job. I was about to pay MUCH more with the additional expense of lodging for a NOLS course when I found this course. It was engaging, stimulating, and appreciated being able to do it at home and at my own speed. Dr. Bonthius was attentive and answered my questions quickly. It was a great mix of online learning and the "personal" practical demonstration of skills."

Acadia National Park

Scott R. | WFR

The NOLS course was too much info, too fast. This course, being self-paced, was the ticket for me. Natalie was always available to help with questions, and the lectures were well organized. I filled out the study guide as I went through the lectures and used that during the exam. As an alternative to the much more expensive 8-day courses, I would highly recommend this online course.

Caryne E. | WFR

I was having trouble logging in and it was almost immediately addressed. As an ICU RN, SAR and mounted search and rescue volunteer, I found this stock full of information, and came away with many [clinical] pearls. Thank you!

Maddy P. | WFR

I appreciated the flexibility of doing it online and having videos and images to help with visualizing what I needed to do. I also was super impressed with the SOAP notes grading - I was expecting a week or more but my last few were graded in a day! I really enjoyed this class.

Utah's Red Mountains and desert in Pacific Northwest US

Benjamin P. | WFR

The flexibility of being able to do the course on my time over a period of several months if needed [worked well]. The feedback on SOAP notes and videos were always very helpful and insightful as to what I got right or wrong. Also it never took more than a day for me to get things graded!  All in all I was very pleased with this course. I've been needing to get my WFR certification for several years but finding a time when I could travel somewhere that offered it has always been an obstacle. This course was very helpful. Having to submit pictures, videos and SOAP notes makes sure you are absorbing the material. Would recommend to anyone looking to get WFR certified!

Wildfire and Firefighter

Kevin F. | WFR

The online curriculum was one of the biggest advantages of this course. I enrolled at the beginning of a slow fire season working for the Division of Forestry in Fairbanks, AK. Even when we got busy I was still able to log in and work at my pace. I really appreciated the unique feedback. Improvised medicine is a topic that's difficult to comprehend without actually performing these things or learning o nthe job. The real world scenarios challenged me and gave me insight to techniques I wasn't aware of. I spent a long time searching for a course like this. Since gaining my EMT I've wanted to take a class that [related to] austere environments. Not having to travel or spend potentially $800+ on a course made me delighted when I found out about Survival Med. Thank you!

Black Hills in the Dakotas

Keith F. | WFA

As usual, Student Support was very fast and my questions were answered thoroughly.

Pacific Coast - Rocks

Danielle Z. | WFR

I so appreciate the thoughtfulness and care with which your team replies every time. So many customer service interactions these days come across as cut-and-paste and inhuman, but you all keep surprising me with responses that are warm, engaged, and caring about both the medical side and the human side of this training.

Rocky Mountain National Park

Gillian G. | WFR

Wow, great customer support! Quick answer and so helpful. Above and beyond. The organization and most of all the STUDY GUIDE helped me get more out of this course than any continuing education I've done in this field. It kept me engaged and listening for answers and I'm certain that increased my retention. I also will always have it to reference and brush up. I'm certain this course will save lives and help patients. I'm better equipped to teach and serve having had this course. Very well put together. Very worth the time and money. Highly recommend.

Survival Med Faculty

Dr. Natalie Bonthius skiing
Natalie Bonthius, MD

Founder of Survival Med & Emergency & Survival Medicine Physician, UHS-Southern California

Dr. Carson Harper
Carson Harper, MD

Emergency Medicine Physician, UHS-Southern California

Dr. Richard Ingebretsen
Richard Ingebretsen, MD

Clinical Instructor & Wild Med U Program Director, University of Utah School of Medicine

Kevin Grange, Paramedic

Paramedic & Firefighter, Jackson Hole Fire & EMS and Grand Teton National Park

Dr. Robert Scanlon
Robert Scanlon, MD

Quadruple Board-Certified Critical Care, Pulmonology, Internal Medicine & Sleep Medicine Physician