 Stonehearth Open Learning Opportunities (SOLO, the world’s oldest continuously operating school of wilderness medicine), The Wilderness Medicine Institute of NOLS, Wilderness Medical Associates, the Wilderness Medicine Training Center, Aerie Backcountry Medicine, and Remote Medical International offer courses up to the Wilderness EMT level.The American Safety & Health Institute (www.ashinstitute.org) has a Wilderness Emergency Care program that offers a full range of courses including Wilderness First Aid, Wilderness First Responder, and Wilderness EMT Upgrade.Most outdoor organizations that take people into wilderness settings now require their trip leaders, guides or camp councilors to be certified in such a course.