When resources are limited, your training becomes your greatest asset.
The Austere Division of Nexus Training Group prepares healthcare providers, first responders, and outdoor professionals to deliver effective medical care in remote, resource-limited, and prolonged care environments. Our courses emphasize critical thinking, improvisation, and practical skills for managing patients when help is delayed and conventional resources are unavailable.
Built on real-world experience and evidence-based principles, our training equips students to adapt, overcome, and provide lifesaving care in the most challenging conditions.
Train beyond the ordinary. Be ready for anything, anywhere.


The Wilderness and Remote First Aid course is our foundational offering in austere medical preparedness. This program is specifically designed to equip participants with the skills to recognize, assess, and manage medical emergencies in situations where professional care may be delayed or unavailable. This intensive 8-hour course provides practical skills and decision-making strategies for responding to injuries and illnesses in wilderness, rural, and other remote environments. Students will learn to conduct patient assessments, manage life-threatening emergencies, control bleeding, treat environmental injuries, stabilize fractures and musculoskeletal injuries, and care for common medical conditions often encountered in remote settings. The curriculum emphasizes improvisation, resource management, prolonged patient care, evacuation considerations, and adapting treatment plans when access to emergency medical services is limited, making it an essential component of wilderness medical training.

The Austere Medical Preparedness (AMPrep) course equips students with the skills needed to assess, stabilize, and manage medical emergencies when access to hospitals, EMS systems, or definitive care is delayed or unavailable. This course draws upon principles from Prolonged Field Care (PFC), Wilderness Medicine, Tactical Emergency Casualty Care (TECC), Tactical Combat Casualty Care (TCCC), Disaster Medicine, and Special Operations medical doctrine, emphasizing practical decision-making in resource-limited environments. As part of this wilderness medical training, students will learn systematic patient assessment, prolonged casualty management, environmental medicine, disaster response principles, improvised medical solutions, evacuation planning, and patient monitoring when conventional resources are scarce. The program places a strong emphasis on maintaining patient survivability during extended care scenarios while effectively managing limited equipment, personnel, and environmental challenges, aligning with the core tenets of austere medical preparedness and remote first aid courses.

The Austere Medical Provider (AMP) course is an advanced medical program focused on austere medical preparedness, equipping healthcare professionals to deliver definitive and prolonged patient care when evacuation is delayed, communications are degraded, resources are scarce, and access to hospitals may be measured in days rather than hours. By integrating principles from Prolonged Field Care (PFC), Prolonged Casualty Care (PCC), Wilderness Medicine, Special Operations medicine, Expeditionary Medicine, Disaster Medicine, and Remote Healthcare, this course teaches providers how to adapt conventional medical protocols to austere environments where the typical assumptions of EMS and hospital-based care no longer apply. Students will gain skills in advanced patient assessment, prolonged monitoring, extended trauma and medical management, and austere pharmacology. Additionally, the curriculum covers telemedicine integration, resource conservation, improvisation, casualty evacuation planning, and continuity of care strategies, making it a critical component of wilderness medical training and remote first aid courses.
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