Medical Training

A Core Preparedness Skill—Not an Optional Extra

This article references parts of the story in my fiction books, The Meadow Protocol (book 1) and The Brush (part 2), part of The Continuity Chronicles series. Available in my store for signed paperback and hard copies or from Amazon to include Kindle and Audible.

In any disaster, grid failure, or prolonged emergency, medical response becomes the limiting factor. Security, food, and logistics matter—but the first irreversible losses usually come from treatable injuries handled too late or handled incorrectly.

From a Mutual Assistance Group (MAG) perspective, medical training is not an individual hobby or a single-role specialty. It is group doctrine.

When outside help is delayed, unavailable, or unsafe to access, the MAG must be capable of self-rescue, stabilization, and decision-making under medical stress. That requires shared baseline skills, clear expectations, and designated higher-skill providers.

MAG Medical Doctrine: Everyone Has a Role

A MAG cannot function if medical knowledge is concentrated in one person. Injury, fatigue, or separation will eventually remove that individual from the equation.

Doctrine principle:

Everyone must have basic medical capability. Some must have advanced capability.

Baseline Expectation: Everyone

Every MAG member should be able to:

  • Perform a primary assessment and stop preventable death
  • Control bleeding, manage airway issues, and treat shock
  • Conduct a basic secondary assessment
  • Communicate patient status clearly
  • Assist higher-skill providers without becoming a liability

This baseline aligns closely with TCCC-style priorities (often referred to informally as “combat medic basics,” without implying military scope or equipment). The goal is not advanced care—it is buying time and preventing deterioration.

➡️ Jump: MARCH Assessment page as required baseline knowledge for every MAG participant.

Advanced Capability: Designated Medical Assets

While everyone must have basic skills, a MAG also needs members with higher medical training who can:

  • Manage complex trauma over time
  • Recognize subtle deterioration
  • Make informed stay-or-go medical decisions
  • Coordinate care when evacuation is delayed

These individuals function as medical leads, not lone saviors. Their effectiveness depends on the baseline competence of the rest of the group.

Examples of Higher-Level Training (Non-Exhaustive) – see more below

  • Advanced First Aid
  • Wilderness First Aid (WFA)
  • Wilderness First Responder (WFR)
  • Emergency Medical Technician (EMT-B)
  • Tactical Emergency Casualty Care (civilian-accessible variants)

➡️ Jump:

Structured Assessment Prevents Medical Chaos

Untrained responders rely on instinct. Trained responders rely on structure.

In a MAG environment—especially under stress—structure prevents:

  • Tunnel vision
  • Missed injuries
  • Conflicting decisions
  • Emotional escalation

The assessment frameworks exist to enforce discipline over improvisation:

  • MARCH – Immediate life threats
  • DCAP-BTLS – Systematic injury identification
  • SAMPLE + OPQRST – Decision-supporting history

Medical training teaches when to move forward, when to reassess, and when to stop doing harm by “doing something.”

Stay or Go Is a Medical Decision First

One of the most dangerous failures in preparedness is treating evacuation as a purely tactical choice. Movement can kill a patient as easily as inaction.

Trained medical leads help MAGs evaluate:

  • Patient stability over time
  • Risks of movement vs delay
  • Availability and reliability of outside care
  • Impact on group security and manpower

This decision must be informed, deliberate, and documented—not rushed or emotionally driven.

➡️ Jump: Stay or Go decision page.

Documentation Is Part of Care, Not Paperwork

In high-stress environments, memory degrades quickly. Documentation preserves continuity and accountability.

Even simple notes—time, findings, interventions, changes—allow:

  • Better handoff if care is transferred
  • Trend recognition
  • Reduced duplication or error
  • Protection of decision-makers

MAGs that document perform better over time. This is operational discipline, not bureaucracy.

➡️ Jump: Medical Documentation page.

Seeking Training: A Realistic Progression

Medical training must be sustainable, retainable, and repeatable. Chasing credentials beyond practical limits often results in skill decay and wasted effort.

A realistic progression for most people looks like this:

  1. Bleeding Control (Stop the Bleed)
  2. Basic First Aid / CPR / Bleeding Control
  3. Advanced First Aid
  4. Wilderness First Aid (WFA)
  5. First Responder (FR)
  6. Wilderness First Responder (WFR)
  7. Emergency Medical Technician (EMT-B)
  8. Wilderness Emergency Medical Technician (WEMT)

For most MAG members, EMT-B/WEMT is the upper practical limit. Beyond that, time commitment, cost, certification maintenance, legal constraints, and skill retention become prohibitive unless medicine is already part of their profession.

Doctrine principle:

Depth matters more than titles. Retained skills beat expired certifications.

Seeking Training: A Realistic Progression (With Time Commitments)

Medical training must be sustainable, retainable, and repeatable. In preparedness and MAG contexts, chasing credentials beyond practical limits often results in skill decay, lapsed certifications, and wasted effort.

The goal is usable capability, not titles.

Below is a realistic progression for most people, with approximate training hours. Actual hours vary by provider, but these ranges reflect common civilian programs.

1. Bleeding Control (Stop the Bleed–type courses)

Approx. 2–4 hours

Bleeding control deserves to stand alone. It is one of the highest return-on-investment skills in emergency medicine.

Focus areas typically include:

  • Tourniquet use
  • Wound packing
  • Direct pressure
  • Rapid recognition of life-threatening hemorrhage

Doctrine note:
Every MAG member should have this training—no exceptions.

2. Basic First Aid / CPR / AED

Approx. 6–12 hours

This level covers the fundamentals most people associate with “first aid,” including:

  • CPR and AED use
  • Basic airway management
  • Medical emergencies (cardiac, diabetic, allergic reactions)
  • Minor trauma

This is the entry-level baseline, but by itself it is not sufficient for austere or disaster environments.

3. Advanced First Aid

Approx. 16–24 hours

Advanced First Aid expands beyond basics into:

  • More detailed patient assessment
  • Increased emphasis on trauma
  • Longer-term patient management
  • Decision-making when help is delayed

This level begins to bridge the gap between everyday emergencies and preparedness-focused care.

4. Wilderness First Aid (WFA)

Approx. 16–32 hours

WFA introduces care in environments where:

  • Evacuation is delayed
  • Resources are limited
  • Improvisation is required

Focus areas include:

  • Extended patient care
  • Environmental injuries
  • Evacuation considerations
  • Risk vs. benefit decision-making

This is often the first course that truly changes how people think about medical care in preparedness scenarios.

5. First Responder (FR)

Approx. 40–80 hours

First Responder training moves into:

  • Structured patient assessment
  • More comprehensive trauma care
  • Team-based response
  • Integration with EMS systems

In a MAG context, FR-level training is where members begin to function as designated medical assets, not just helpers.

6. Wilderness First Responder (WFR)

Approx. 70–80+ hours

WFR is widely considered the gold standard for non-EMS wilderness and austere care.

It emphasizes:

  • Prolonged field care
  • Ongoing reassessment
  • Detailed documentation
  • Medical decision-making when evacuation may take days

For many preparedness-minded individuals and MAG medical leads, WFR is the practical upper limit of training.

7. Emergency Medical Technician (EMT-B)

Approx. 120–180+ hours (often 1 semester or more)

EMT-B represents formal entry into the EMS system and includes:

  • In-depth anatomy and physiology
  • Advanced patient assessment
  • Medical and trauma protocols
  • Clinical and field hours

This level requires:

  • Significant time commitment
  • Certification testing
  • Ongoing recertification

Doctrine note:
EMT-B is valuable but not realistic for everyone. MAGs should not expect universal EMT-level training.

Wilderness EMT (WEMT): An Add-On, Not a Standalone

Important clarification:
Wilderness Emergency Medical Technician (WEMT) is not a replacement for EMT-B.

WEMT is typically:

  • An add-on or bridge course taken after (or concurrent with) EMT training
  • Focused on adapting EMT skills to wilderness and austere environments

It builds on EMT scope and knowledge—it does not substitute for it.

Because of cost, time, and maintenance requirements, WEMT is usually out of reach for most people unless medicine is already part of their profession.

Doctrine Reality Check

  • Everyone should have bleeding control and basic first aid skills
  • Most committed members can reach Advanced FA or WFA
  • Some should pursue FR or WFR as designated medical leads
  • Very few need EMT or WEMT-level training

Depth, repetition, and retention matter more than credentials.

Preparedness medical capability is about what you can still do correctly under stress, not what patch you once earned.

Medical Training as a Force Multiplier

Medical capability:

  • Preserves manpower
  • Reduces panic
  • Supports disciplined decision-making
  • Extends survivability when systems fail

In preparedness, medical training is not about heroics. It is about preventing avoidable loss and keeping the group functional when help is distant or nonexistent.

From Awareness to Capability

This page explains why medical training matters and how it fits into MAG doctrine. The linked pages explain how to apply it correctly, using structured assessments, informed decisions, and disciplined documentation.

➡️ Continue through the medical preparedness sections to build real capability before you are forced to rely on it.