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Austere Medicine – November 2018

The Austere Medicine program is an introduction to the most vital aspects of medicine in a post-disaster or austere environment and integrates western emergency medicine, sports medicine, wilderness first aid and botanical (herbal) medicine.  The course begins with over 30 hours of online material (available 60 days before the on-campus portion) that is required preparatory material for all students. This course is taught by Dr. Steve Pehrson, M.D., and Sam Coffman.

The online topics include:

  • Fluid balance and resuscitation
  • Shock
  • Surgical wound management
  • Pharmaceuticals for austere and post-disaster environments
  • Introduction to botanical medicine
  • Botanical medicine making
  • Basic botanical materia medica
  • Wound healing and infection management (botanical medicine emphasis)
  • Essential trauma and medical gear
  • Essential botanical medicine
  • Introduction to the physical exam
  • Introduction to musculoskeletal testing and field procedures (sprains, strains, fractures)
  • Wilderness First Aid
  • Clinic planning, setup and management in post-disaster and austere environments

The on-campus portion of the Austere Medicine I program runs for 5 information- and action-packed days and picks up where the online portion leaves off.

These 5 days start by putting hands-on practice at the forefront wherever possible.  Taking the online, didactic information to the next level and introducing physical techniques is the primary goal.  Subjects during the on-campus, 5-day intensive include:

  • Minor Surgery (e.g. suturing techniques, vascular and connective tissue repair, wound debridement, much more)
  • Local anesthesia
  • Field autoclave methods
  • IV and IO placement, blood replacement techniques
  • Complex wound management
  • Chest injuries and surgical management
  • Abdominal injuries
  • Cardiac injuries
  • Airway management
  • Musculoskeletal exams, taping and stabilization methods
  • Botanical medicine making in the field
  • Wound and infection management with botanical medicine
  • Wilderness First Aid
  • Acute infectious disease management with botanical medicine
  • Chronic illness & botanical medicine when pharmaceutical medicine is not available
  • Trauma care and clinic setup and management
  • Tactical and security considerations
  • Putting it all together:  Scenario-based training

Certifications:  ECSI Advanced Wilderness First Aid

Dates: November 7-11th, 2018.

LODGING: camping is free to any enrolled student, at our 50-acre campus.  There are also hotels within a 10-minute drive of the campus in the 78260 zip code.

Tuition: Early Bird Tuition is available for $635 until August 15th, 2018.

Regular Tuition is $795.


For a cash discount, we accept checks and money orders. For information, just send us an email here:

You can review our tuition policies here:

To pay with Venmo, E-invoice, check or money order, please contact us here:


Dates: This is a 4 week online course beginning on January 30th, 2023.

All course materials can be downloaded for personal future reference and use.

*Shipping of the poster is included for free with course tuition within the US. A digital copy will be provided to students outside of the US.

The online classroom access will close 4 weeks after the last week of class. Access will close on March 31st, 2023.

Registration closes on February 13th, 2023.

Course Hours: 16 contact hours for Physiology and Plant Science as well as Austere Medicine.


If you are located outside of the US, you will receive a digital copy of the poster that is being mailed out to students that you can have printed!

Early Bird Tuition: $70, available until 1/1/23 (Online processing fees apply.)

Early Bird Venmo/Check/Money Order/E-invoice Discount: $70 until 1/1/23 (No processing fees)


Regular Tuition: $90 (Processing fees apply)

Venmo/Check/E-invoice/Money Order Discount: $90 (No processing fees)

This is a 4-week online course that can be taken anywhere that you have an internet connection. You do not need to be in our area to participate.