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Austere Medicine: Trauma – 2019

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. This is a five-day intensive course held at our San Antonio campus, preceded by a required 12-week online course and 3-day WFA. 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.

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:

The on-site lectures and hands-on practice include:

  • Minor Surgery (e.g. suturing techniques, vascular and connective tissue repair, wound debridement)
  • Local anesthesia
  • Infection management
  • Blood replacement techniques
  • Gunshot & complex wound management
  • Musculoskeletal exams
  • Dislocation reduction (shoulder, elbow, finger, hip)
  • Herbal preparations (tinctures, poultices, plasters, washes, oils, honey, prickly pear)
  • Plant ID, harvesting and use
  • Charcoal preparation & use
  • Autoclave methods
  • Clinic and trauma bay setup and management
  • Scenarios & round table discussions through long-term care

Certifications:  ECSI Advanced Wilderness First Aid


Dates: Ocober 21 – 25th, 2019.

Pre-requisites: 3-day WFA certification (or its equivalent)

Completion of the online 12-week Austere Medicine: Trauma online course with a passing grade.

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.

Wilderness First Aid Certification: 10/18/19 – 10/20/19.

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If you want to pay with a check or money order, just email us for mailing information!

Early Bird Tuition: Available for $525 until September 1st, 2019. (Online processing fees apply)

Check/Money Order Discount: $525 (No processing fees)

Cash Discount: $475


Regular Tuition: $600. (Online processing fees apply)

Check/Money Order Discount: $600 (No processing fees)

Cash Discount: $540


Austere Bundle: online + WFA = $500, available only until March 31st. (Online processing fees apply)

Austere Check/Money Order Discount: $500 (No processing fees)

Austere Cash Discount: $450

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Online + Austere 5-Day: $750 (saves $25) available only until March 31st. (Online processing fees apply)

Online + Austere Check/Money Order Discount: $750 (No processing fees)

Online + Austere Cash Dicsount: $675

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Online + Austere 5-Day + WFA Check/Money Order Discount: $1000 Available until March 31st. (Saves $50)


For information about paying with cash, checks, or money orders, 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.