 Additionally, many top tier emergency physicians and surgeons are active in the field.Many organizations offer training in wilderness emergency care to lay people, which may include techniques that go beyond urban first aid or EMT training, such as reducing dislocations.The National Ski Patrol (www.nsp.org), a volunteer organization with a congressional charter, has an 80-hour course to train patrollers, Outdoor Emergency Care, which meets the standards for an EMT (Emergency Medical Technician) course.