Medicine in Remote Areas (MIRA)

Duration: 3 days

From: £750 (+VAT)


The MIRA course has been designed to provide personnel who already have experience in prehospital care, the added skills and knowledge to be able to deal with casualties in remote and challenging environments. The course focuses on stabilisation of the casualty, through to the skills required for prolonged field care until the arrival of the emergency services.


The MIRA course is ideal for medical professionals who work in or want to work within remotes areas as a tier 1 remote medic.

The content for this course is comprehensive and covers the following:


  • Clinical scope of practice
  • Preparations and role of medical officer
  • Triage and crisis management
  • Patient assessment and diagnosis
  • Airway management (i-gel, LMA, and surgical airway)
  • Chest decompression
  • Chest and abdominal trauma
  • Shock, hemorrhage control (tourniquets, celox) and fluids with lethal triad
  • Fracture management and various splints (KTD, SAM splints & collar)
  • Skin issues and closure techniques
  • Minor injuries
  • Medical emergencies overview
  • Minor limb and back issues
  • Extremes of weathers
  • Altitude and mountain medicine awareness
  • Drugs and pharmacology issues
  • Prolonged patient care
  • RTC extrication (KED & spine board
  • Chemicals
  • Bites & stings (snake bites, scorpion, spiders)


Students are required to successfully pass the following assessments:


  • Written assessment
  • Practical assessments

Students must have previous medical experience before commencing this course. As a minimum learners need to have a valid First Person on Scene (FPOS) or First Response Emergency Care (FREC) certificate or demonstrate equivalence.

Students who successfully complete both theory and practical assessments will be issued Royal College of Surgeons of Edinburgh (RCS) approved Medicine in Remote Areas (MIRA) certificate which is valid for 3 years.

If you require more information about this course please email us on [email protected] or call us on 0800 689 1199.

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