Drawing from my experiences as a scout leader (yes, ‘Be Prepared’ runs deep!), a trauma nurse in the fast-paced world of operating theatres, and my years as a first aid trainer, we’re diving into the world of Remote First Aid in this series. Remote first aid isn’t your typical “grab the kit and go” situation—it’s about navigating unpredictable environments where the stakes are high, and help could be hours, if not days, away.
One of my former (ex-military) colleagues had a saying that stuck with me: the 7Ps—“Prior Proper Planning Prevents P*** Poor Performance.” This mantra was drilled into us in the operating theatre, where every second counts. He was meticulous in ensuring we were prepared for any trauma that came our way, and it’s a principle I carry into everything I teach about first aid. Even James Baker, Chief of Staff for President George H.W. Bush gave credit to his grandfather for a similar version—the 5Ps: “Proper Preparation Prevents Poor Performance.”
No matter the number of Ps, the message is the same: preparation is everything. When it comes to remote first aid, this couldn’t be more applicable. So, how do you prepare for the unexpected when you’re miles away from help? That’s what we’re going to explore in this series. Stick with me, and you’ll be ready for anything!
Expect the Unexpected: The Reality of Wilderness First Aid
When you’re exploring Australia’s vast and rugged wilderness, first aid isn’t just a nice-to-have skill—it’s a lifeline. Whether you’re trekking through the tropical rainforests, tackling the outback’s heat, or enjoying a peaceful alpine retreat, remote first aid is all about preparation, quick thinking, and resourcefulness.
Wilderness First Aid Kit Essentials: What You Should Always Pack
You’ve got your tent, your hiking boots, and your map. But your wilderness first aid kit? That should be as essential as water on your packing list.
1. The Basics
First up, let’s talk about the basics. Bandages, disposable gloves, gauze, antiseptic wipes, band-aids, scissors, instant cold packs and adhesive tape should be the foundation of any first aid kit. These are the no-brainers—stuff you’ll need for cuts, scrapes, and minor injuries.
If you’ve forgotten these essentials, you’re already testing the limits of “being prepared”! A good general rule? Always pack more than you think you’ll need. The bush isn’t forgiving when you run out of band-aids after the first blister.
2. Medications
Pain relief like paracetamol or ibuprofen is a must for pain management or inflammation. Antihistamines are equally important—especially in Australia, where insect bites and allergic reactions can be common.
And don’t forget the antiseptic cream for small cuts and wounds to avoid infection—because the last thing you want in the middle of nowhere is an infected scratch that’s gone from “annoying” to “seriously bad.”
Special mention goes to snakebite bandages. In Australia, the risk of snakebites is real, so it’s essential to know how to treat a bite properly (hint: no, you don’t suck out the venom). I’ve written a previous article about this, you can find it here
Finally, pack some water purification tablets. When clean drinking water is scarce, these will be your best mates.
3. Tools of the Trade
You should have the right tools for the job, and we’re not talking about a Swiss Army knife to open tins. You’ll need tweezers for those pesky splinters, a thermometer to check for fevers, and a multi-tool for the odd jobs you never thought you’d need.
A space blanket is also a great addition. It’s lightweight but effective for preventing hypothermia during those chilly outback nights or in the alpine regions. Toss in some duct tape for good measure—there’s almost nothing it can’t fix, from makeshift bandages to repairing broken gear. Add in a couple of SAM splints, and you’ll be well on your way to being prepared for the bush.
4. Emergency Items
A well-prepared adventurer always has a few emergency items on hand, just in case. Waterproof matches, a whistle, and a signal mirror could be life-saving if you need to draw attention to your location. Flares or smoke signals are crucial when visibility is low, like during bushfires or in remote coastal areas.
These are the “get me out of here” essentials—because when you’re stranded in the bush, mobile reception may be patchy at best, or non-existent at worst.
Pre-Departure Safety Checks: Get Your Gear in Order
Before heading into the wild, a thorough pre-departure check is a must. Nothing spells disaster quite like equipment failure in the middle of nowhere.
1. Serviceability and Equipment Checks
Always inspect your first aid kit before departing. Ensure the bandages are fresh, medications are in date, and that nothing important is missing. Check your communication devices, whether that’s a satellite phone or a personal locator beacon (PLB), and ensure they’re fully charged.
And while you’re at it, check your hiking boots, tent, and stove—because even the smallest gear failure can turn a comfortable adventure into a survival situation.
2. Route Planning and Communication
Always let someone know your planned route and when you expect to return. Pre-load any maps onto your GPS, and carry a hard copy as a backup in case of technical failures. As an extra precaution, pack extra batteries or a power bank to keep those essential gadgets running.
Being prepared isn’t just about having the right kit—it’s about making sure everything works when you need it most.
Improvisation: When Your First Aid Kit Falls Short
No matter how well-prepared you are, sometimes your first aid kit falls short, and you have to get creative. When you’re miles from help, improvisation can save the day.
1. Repurposing Everyday Items
Let’s face it: sometimes, you’re not going to have everything you need in a crisis. That’s when improvisation becomes your best mate.
Clothing can make for an excellent makeshift bandage or sling. A t-shirt wrapped around a sprained ankle or a scarf turned into a sling for a broken arm can keep injuries stable until proper help arrives.
Branches and sticks can be used to splint broken bones or create makeshift crutches. Combine them with some duct tape, and you’ve got yourself a sturdy splint!
Tarps or plastic sheeting can be used to protect wounds from dirt or rain, or even rigged up as an emergency shelter if you’re stuck for the night.
2. The Bush Engineer’s Guide to Improvised First Aid
One of the most versatile items in your kit is duct tape. You can use it to seal wounds, secure splints, or even reinforce clothing. Combine it with items like shirts, jackets, or blankets to improvise bandages or slings.
And don’t forget the esky! These aren’t just for keeping your drinks cold—depending on the type, they can double as heat packs if filled with warm water or to carry items.
The Australian Factor: Unique Risks in the Bush
Australia’s wilderness has its own unique challenges, from deadly wildlife to extreme temperatures. Here’s what you need to be prepared for:
1. Wildlife Encounters
If you spend enough time in the Australian bush, you might encounter a snake or two. If you do, knowing how to handle snakebites is essential. Apply a pressure immobilisation bandage to the affected limb and keep the victim as still as possible while waiting for help.
Spider bites are also a concern—know how to properly clean and dress a bite, and seek help quickly.
For coastal adventurers, box jellyfish stings are no joke. Pack vinegar and know how to treat marine stings immediately.
2. Environmental Hazards
Australia’s harsh sun can lead to sunburn and heatstroke if you’re not careful. Always carry sunscreen and plenty of water to stay hydrated. In colder regions, hypothermia is a real threat—layer up and use those space blankets if necessary.
Bushfires are another serious hazard. Make sure to stay updated on fire warnings, and if you encounter one, prioritise escape and then deal with any burn injuries once you’re safe.
Communication is Key: Signalling for Help
When the unexpected happens, and you need help, communication is critical. But in remote areas, your phone likely won’t cut it.
1. Emergency Devices
Invest in a satellite phone or a personal locator beacon (PLB) for emergencies. These devices can send your location to emergency services even when you’re off the grid.
2. Flares and Smoke Signals
In some cases, especially in areas prone to bushfires or when visibility is low, flares or creating smoke signals can make a huge difference in getting rescuers to you. Make sure you know how to use them properly, and always pack them just in case.
Transporting a Casualty: Getting Help When It’s Far Away
If someone in your group is seriously injured, getting them to help quickly and safely is a priority.
1. Improvised Transport
If a casualty can’t walk, you may need to carry or drag them to safety. Using strong branches or jackets, you can create a makeshift stretcher to transport the injured party. If you’re alone or don’t have enough people to carry the casualty, you may need to drag them using their clothes or blankets.
2. Aero-medical Evacuation
In more severe cases, you might need to call in an air ambulance for aero-medical evacuation. The Royal Flying Doctor Service or similar air rescue services play a crucial role in Australia’s remote areas. While the thought of a chopper ride might sound adventurous, this is the last place you want to find yourself—so plan accordingly and call for help early.
Practical Scenarios: Case Studies in Improvisation
Let’s break down a few real-life scenarios where improvisation and preparation save the day.
1. Broken Ankle on a Bushwalk
Using sticks and clothing to splint a broken ankle can provide much-needed stability until help arrives. Make use of what you have around you to keep the injured person comfortable.
2. Snakebite in the Outback
With proper training, using a pressure immobilisation bandage can prevent the venom from spreading. If you don’t have one, use any long, stretchy fabric to improvise—just make sure the pressure is right.
3. Dehydration on a Desert Hike
Managing dehydration in the desert can be tricky. Always carry extra water, but if supplies are running low, ration what you have carefully and seek shade to avoid further dehydration. If you’ve got any sugary snacks, they can help maintain energy levels while you wait for help. Improvised sunshades from tarps or even your clothes can help reduce heat exposure. Water purification tablets can also come in handy if you find a questionable water source—better to have slightly odd-tasting water than none at all!
Final Thoughts: Be Prepared for Anything
When you’re out in Australia’s wilderness, your first aid kit and your ability to improvise can make all the difference. Remember, no kit will ever have everything, so it’s essential to know how to use what you have creatively and efficiently. The bush doesn’t give second chances, so planning ahead and being adaptable are your best survival tools.
The right mindset—staying calm, thinking through problems, and using available resources—will help you get through almost any situation. And of course, the best way to be prepared is to take a course like My First Aid Course Brisbane’s Remote First Aid. (HLTAID013 Provide first aid in remote or isolated site). With our expert training, you’ll not only learn how to handle emergencies but how to plan, improvise, and execute life-saving first aid in Australia’s most remote areas.
So pack your kit, check your gear, and head into the wild with the confidence that you’re ready for whatever the bush throws your way.
