A couple of years ago, we had a terrible accident in the family.
We were out boating in Lake Washington, and had decided to break for lunch on shore. While trying to dock in choppy waters at a crowded marina, we came a little too close to side of the slip, and were about to bump into it.
My wife tried to push off against the slip, but was at an awkward angle. Her left hand got trapped between the slip and the overhead wakeboard tower of the boat, and in an instant, the torque from the impact ripped open her palm. I could describe it, or you could have a look at the photo I took of once she was safe in the ER (just in case some folks don't wanna see it, I've stuck the photo all the way towards the end of this post).
That was a bad, bad day for us. But if there was a silver lining, it would be that I had just completed a Wilderness First Responder (WFR) course a few months before because it helped me fight back panic and take the right steps to mitigate the injury, manage multiple stressors, and triage priority action items. The effort to staunch blood loss and prevent onset of shock on a rocky boat, care for freaked-out children, and coordinate on-shore emergency personal was highly stressful. While a lifetime of training for “Oh Shit” moments helped me keep my sanity, the WFR course was especially crucial in helping me keep my composure during a medical emergency.
For that, I thank my instructors, Rocco Altobelli, Nick Runions, and Lucca Criminale.
The WFR is a pretty intensive 8-day course that goes way beyond your basic first aid and CPR. The main difference here is that with WFR, the assumption is that you and the patient are isolated and can expect no immediate help. So the skills taught are not just more advanced (administering epinephrine, patient evacuation, using defibrillators, and more), but given that the philosophy is that of self-reliance, there were several high-stress search and rescue scenarios.
I really think that anyone who is a caregiver should consider taking a WFR course, even if you never go out on the water or into the wilderness. Think about it – during a civil emergency, such as a major earthquake, we cannot expect medical help as emergency services will be overwhelmed. Which means we would be isolated, even in an urban environment
If this is something you think you’d like to do, search “WFR”, or go to Wilderness Medical Associates’ site at www.wildmed.com. There are several different agencies offering these certifications, WildMed was just the one I took.

