River Rescue, CME, and DiMM
Maintenance of Certification Expedition

Dinosaur National Monument

Intended primarily for DiMM Graduates & Candidates
Non-DiMM can register on a space-available basis (contact Teri)

August 15 - 22, 2017



The DiMM Maintenance of Certification 2017 River Rescue Expedition provides a unique learning opportunity to focus on the medical issues and science of managing patients in a river and desert environment. Spend five nights at desert river camps and six days travelling on the Green River through the Gates of Lodore, Split Mountain, Echo Park and Section A in Dinosaur National Monument. Didactic medical training will be combined with paddling skills, swiftwater rescue and raft-supported desert river living to provide the ideal well-rounded river medical, rescue and travel educational opportunity.


The course starts in Vernal, UT on the evening of August 15 and finishes in Vernal late in the evening of August 21. Participants do not need to have previous river travel experience. Our first day on the Green River we’ll do a day run, learning about hydrology, practicing basic boat handling skills, swimming and swiftwater rescue fundamentals. The next day we launch for five days on Lodore, Whirlpool and Split Mountain Canyons. River travel, rescue training and wilderness medicine will fill our days, while riverside desert camps provide our home for the nights.

Eight hours of CME will be taught by DiMM Board Member Dr. Jenn Dow. This training will reflect expert opinion, clinical practice guidelines, and the most current research updates on topics pertinent to providing medical care in the desert river and swiftwater rescue environments. Topics will include injury patterns associated with the river environment; medical problems in the wilderness; hypothermia and immersion injury; drowning; spinal injury in the river environment; bites, stings, envenomation and water pathogens; and heat illness. This curriculum is designed to provide valuable education to wilderness medicine research scientists, clinicians and medical directors of wilderness medicine organizations. Pathophysiology, recognition and treatment of medical problems commonly encountered in mountain medicine environments will be the focus.

River travel and rescue curriculum will be facilitated by Remote Rescue Training Instructors. Travel will be by a combination of paddle rafts and inflatable kayaks, with support from oar rigs. Participants will be involved in every step of river travel- maneuvering their own craft down the river, scouting rapids and managing safety on the water. Rescue curriculum will adapt and apply skills from the DiMM in a new environment- rope rescue systems, accces and egress, rescuer safety and command and control issues in this dynamic, exciting environment.

DiMM graduates can expect to have an exciting adventure exploring the wonders of desert river travel in one of America’s classic multi-day river canyons, while practicing rescue skills and learning the most current wilderness medicine and gaining the experience to continue to developing as a wilderness medicine and rescue professional.

River support and guiding will be provided by OARS.
Detailed Schedule

8/15 - Tuesday Meet at hotel in Vernal, UT. Course starts at 6PM for dinner, course overview, equipment prep, etc. Dinner and hotel in Vernal.
8/16 - Wednesday Day river trip on the way to the put-in. Camp in Dinosaur NM at Gates of Lodore put-in.
8/17 - Thursday Launch on Gates of Lodore.
(It is only possible to get a 4-day permit for this section ahead of time. Four-day permit is secured and will ask NPS for an extension but cannot do so until 1 month before launch. We are confident, but not certain, that we will be able to turn the permit into a 5-day trip. If the NPS denies this request we will camp near the take out and do a day run on Monday the 21st.)
8/21 - Monday Take out in the afternoon and return to Vernal. Hotel and dinner in town. Course ends after dinner.
8/22 - Tuesday Travel home.


Recommended Lodging

Best Western Dinosaur Inn, 251 E Main Street, Vernal, UT 435-789-2660 (preferred)
Landmark Inn, 301 E 100 S., Vernal, UT 888-738-1800


Jennifer Dow, MD, FACEP, FAWM
Medical Director - National Park Service: Alaska Region; Director - Alaska Regional Hospital Emergency Department



The Wilderness Medical Society (WMS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The WMS designates this educational activity for a maximum of 8 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity.

Injury patterns of river environment, medical problems in the wilderness, hypothermia and immersion injury, drowning, spinal injury, bites, stings, envenomations, water pathogens, heat illness.


  1. provide educational material that fulfills the DiMM core curriculum 
  2. provide education of value to scientists involved in research in mountain medicine
  3. provide education of value to clinicians who care for the medical needs of mountain medicine patients
  4. provide education of interest to the medical directors of mountain medicine organizations
  5. educate participants in the pathophysiology, recognition, and treatment of a variety of medical problems commonly encountered in the mountain medicine environments and settings remote from hospital or definitive care

Target Audience:
The target audience for this course is DiMM graduates seeking to refresh and further educate themselves on mountain medicine.  This includes emergency physicians, family physicians, and other physicians and medical providers who have an interest in providing medical care in “remote” environments such as wilderness settings or in developing countries. Physicians counseling their patients traveling to remote areas will benefit from the material in this course.

Physician Assistants:
The American Academy of Physician Assistants accepts Category 1 CME approval from organizations accredited by the ACCME.

Other Professionals:
Check with your governing entity to determine usefulness of AMA PRA Category 1 Credits™.

Academy of Wilderness Medicine:
Fellowship in the Academy of Wilderness Medicine (FAWM™) is designed for individuals who want to be acknowledged for their professional achievement in Wilderness Medicine and validate their training for their patients and clients.

FACULTY DISCLOSURE:  It is the policy of the Wilderness Medical Society to ensure balance, independence, objectivity and scientific rigor.  All faculty members are required to disclose any real or apparent conflict of interest related to the content of their presentation. Accordingly, the Wilderness Medical Society has determined there are no conflicts to report associated with this conference.





includes dinner on first and last night as well as all food while on the river.


Sorry, no refund will be available unless the course is cancelled by WMS.


After you've registered, we'll need to get several things from you:

  • Emergency Contact Information
  • Travel Itinerary
  • Adventure Medical Review Form
  • A copy of your passport (if applicable)
  • Evidence of Evacuation and Medical insurance coverage
  • Evidence of trip interruption/cancellation insurance
  • Release of Liability

Use THIS LINK to upload required documents, or scan/email to teri@wms.org, or fax to 801-990-4601.