My Wilderness EMT certification expires at the end of this month. I have to renew my EMT certifications in Vermont, New Hampshire, and with the National Registry by March. The state certifications run in sync with the National Registry. Providers recert every two years in March. My Wilderness EMT is also a two year cert, expiring on the 24 month anniversary of its issue. I completed WEMT (a course including EMT-Basic) in October of 2002, so I come up in October for the wilderness cert.

Recertification for the states and the National Registry is an arcane process. Due to the labyrinthine rules and requirements governing recertification that differ between the various organizations, I am not entirely sure of my actual requirements to renew yet. I know that I can not recert the same way I did last time. Last time I recertified, I was an EMT-Basic and only had a license in Vermont. Now I am an Intermediate with a license in both Vermont and New Hampshire.

Then, I was able to recertify my National Registry through completing a 24-hour Refresher Training Program (RTP) and compiling 36 hours of other continuing education. The wilderness add-on was another 8 hours of refresher and counted towards the continuing education.

This time, as far as I can tell, I have to complete the following items in time to send everything in to arrive by March 31;

– Complete 24 hours of New Hampshire protocol update transition
– Complete some other number of hours of New Hampshire protocol transition; this may be zero, twelve, or sixteen hours. I’ve heard rumors of each.
– Complete a 24 hour RTP that will apply to all three applications
– The National Registry requires that I amass 48 hours of other continuing education. Vermont wants 40. New Hampshire needs 48. Much of the continuing education time overlaps between the three agencies.
– Get my regional medical director (a doctor) to sign off on my application to New Hampshire
– Complete the New Hampshire EMS practical portion of the EMT-Intermediate exam. This is three or eight simulated scenarios designed to test Intermediate skills.

I think I have 24, maybe thirty hours of CE at present. Off-hand, I know I took a 16-hour Advanced Coronary Life Support class in the spring and that I’ve had a bunch of in-service time at my paid department.

I have no idea as to how much time I still need for any of the agencies. I’m pretty sure need to attend at least five days of class between now and March.

And that’s in addition to the last four days. I completed the 24 hour RTP and the 8 hour wilderness refresher between Saturday morning and today at SOLO, Stonehearth Open Learning Opportunities, in Conway, New Hampshire.

Saturday I was a little worn out, having worked at my paid department on Friday night. During my shift, we were toned out four times; the last two times were at 02:15 and 04:20. The four-twenty call was a transfer from the local hospital to the trauma center twenty-two miles away. I went right from the last call of the shift to the three hour drive to class.

The drive was okay, really. I went up over the Kangamagus Highway and went through early enough that the traffic was really quite easy. I hadn’t realized until this week that my class, initially scheduled some time ago, fell on Columbus Day weekend.

Class started at 0900 on the first morning. I was on time, though bleary.

Our instructor for the EMT refresher training program was Bill Kane, the Director of Education at SOLO. I was very happy; Bill was the instructor during my initial medical course; Wilderness First Responder, taken in June 1999. He is an excellent instructor and many of his statements from that initial class still resonate and direct me on scenes today. The things that he taught in that beginning class seven years ago still directly affect my patient care today. He is an engaging and entertaining teacher and I have had the pleasure and honor of having him as an instructor the majority of my times on campus.

My class had Bill Kane for the three days of the EMT RTP. Today, Bill Kane went on to orientate new WEMT and WFR classes. We had a different instructor for the so-called ‘Wild Day’; the wilderness add-on recertification day, today. We spent the morning in lecture and the other half of the day outside, mostly in scenarios.

I’m home again, now. It would seem that I need to find someplace that is offering Pre-Hospital Trauma Life Support (PHTLS) and Pediatric Education for the Pre-hospital Professional (PEPP). I’ve had each of these before but taking them again will add 32 hours of CE, usable in all three states. My boss at my paid squad has also said that when the date gets closer, we can look at my still outstanding requirements and that he will specifically target those needs.

Anyway, here are a few pictures. If you click on the picture, it will take you to a Flickr page. If you then click on the ‘All Sizes’
icon, it will take you to a larger version of the picture (the size I uploaded, but smaller than the actual original).

Main Building at SOLO

This is the main building at SOLO.

Front Door of Main Building at SOLO

This is the front door to the main building. It’s hand carved. The entire buliding is completely custom and designed and built by SOLO staff over the years.

Interior Main Building at SOLO

This is inside the main building.

SOLO - Bill Kane at the Board

Bill Kane teaches. If you look at the ‘original’ version, you can read the blackboard.

On Monday, class got out at 15:40, early. I drove up to Pinkham Notch and hiked west towards the summit of Mt. Washington. I made it to the headwall of Huntington Ravine where I decided I needed to turn back to avoid being caught above treeline after dark.

Waterfall off the Tuckerman Ravine Trail

This is some random waterfall just up from the AMC lodge.

On the Tuckerman Ravine Trail

This looking up the Tuckerman Ravine trail. And I do mean up.

This was my first time on the east side of the mountain without snow. The rocks, though found on the west side of the mountain, were a surprise since I was used to walking up on a smooth, if steep, snow path.

On the Huntington Ravine Trail

This is a brook running down Huntinton Ravine at a trail crossing.

Huntington Ravine Headwall

This is looking up Huntington Ravine from the Fan. This photo is from a camera pointing at least 45 degrees up. Odell’s, Pinnacle, and Central gullies, for you ice climbers.

Huntington Ravine Toward Pinkham Notch

Looking east down Huntington Ravine.

I covered five and a half miles in two hours and forty minutes. This is an average of 1.8 mph which includes a total elevation gain and loss of 2,034 feet each.

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