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Outdoor First Aid

Level 3 Outdoor First Aid (RQF)

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Accredited & Regulated by NUCO Training Duration: 2 Days (16 Hours) Certification Validity: 3 Years

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Course Overview

The Level 3 Outdoor First Aid qualification is designed for anyone who operates, instructs, or leads groups in remote, rural, or wilderness environments where emergency services may be delayed. This NUCO‑accredited and RQF‑regulated course provides the essential skills to manage incidents outdoors, treat injuries with limited resources, and make informed decisions during prolonged casualty care.

This qualification is ideal for outdoor instructors, expedition leaders, hill‑walkers, climbers, paddlesport coaches, forestry workers, and anyone responsible for safety in remote locations.

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Course Content

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Foundations of Outdoor First Aid

  • Roles and responsibilities of an outdoor first aider

  • Incident management in remote environments

  • Dynamic risk assessment and scene safety

  • Communication and emergency signalling in the outdoors

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Casualty Assessment

  • Primary and secondary surveys

  • Monitoring casualties over extended periods

  • Managing multiple casualties in remote terrain

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Airway, Breathing & Circulation

  • CPR for adults

  • Safe use of an AED in outdoor conditions

  • Managing choking

  • Recognising and treating shock

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Trauma & Injury Management

  • Major bleeding and wound care

  • Improvised bandaging and splinting

  • Fractures, sprains, strains, and dislocations

  • Head, neck, and spinal injuries

  • Chest injuries

  • Crush injuries and embedded objects

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Environmental & Outdoor-Specific Conditions

  • Hypothermia and cold‑related injuries

  • Heat exhaustion and heatstroke

  • Burns (thermal, chemical, electrical)

  • Bites and stings

  • Poisoning and exposure to harmful plants/substances

  • Water‑related incidents

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Medical Conditions

  • Seizures

  • Asthma and respiratory emergencies

  • Diabetes and hypoglycaemia

  • Anaphylaxis and adrenaline auto‑injectors

  • Stroke, heart attack, angina

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Prolonged Casualty Care

  • Managing casualties when help is delayed

  • Improvised shelter and protection

  • Monitoring and record‑keeping

  • Evacuation planning and decision‑making

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Outdoor Scenarios & Practical Assessments

  • Realistic outdoor simulations

  • Navigation to and from incident sites

  • Group management during emergencies

  • Final practical and knowledge assessments

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Assessment & Certification

Learners are assessed through:

  • Practical demonstrations

  • Outdoor scenario‑based activities

  • A short multiple‑choice theory test

Successful candidates receive the Level 3 Outdoor First Aid (RQF) certificate, accredited and regulated by NUCO, valid for 3 years.

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Who Is This Course For?

Perfect for:

  • Outdoor instructors and guides

  • Expedition leaders

  • Hill‑walkers, climbers, mountaineers

  • Paddlesport and adventure sport coaches

  • Forestry and land‑based workers

  • Anyone operating in remote or rural environments

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Why Train With Grit & Gauze Academy?

  • NUCO‑accredited, regulated training

  • Realistic outdoor scenarios and practical learning

  • Instructors with operational and wilderness medical experience

  • UK‑specific, terrain‑appropriate skills

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We are proud to support our Armed Forces - past, present and future.

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Grit and Gauze Academy is lead and supported by currently serving British Military personnel, veterans and reservists, offering the academy a wealth of discipline, knowledge and passion for the delivery of gold standard training.

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Accredited and Regulated by:

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© 2026 Grit and Gauze Academy. All rights reserved. ​

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