BTE brings you Advanced Austere medical training. These courses are for practitioners in high stress environments seeking advanced training in M.A.R.C.H., high stress medical decisions, rapid pt. assessments, Situational Awareness, fight or flight and alternative rescue egress. We use a Crawl, Walk, Run and Look, Listen, Feel education delivery methods.. minimal lectures with maximum trauma lane and scenario time. We use sight, sound, scent and tactile realism in scenarios and trauma lanes to increase knowledge retention to recall when skills are needed in the field.
*our courses are not available to the general public, you must be part of a local, state, federal agency or a national/NATO contractor. BTE will occasionally train well organized public groups, please inquire.

Cadaver Lab
​march 13,14,15 San Antonio tx
*additional dates available upon request

Our cadaver lab is unique in every aspect. We are sharing our relationship with Centre for Emergency Health Services to present a 3 day lab covering Critical Care Skills and Trauma 360.

Critical Care Skills
Our unique, nationally recognized, Critical Care Skills program was specifically designed to target high value, low frequency emergent skills in the ultimate training environment. Our 2023 program is “procedurally based and anatomically centered” utilizing fresh and embalmed cadavers, mannequins and highly experienced faculty, all blended in a state of the art facility with you and your next critical patient in mind. This course promises a comprehensive hands on experience unlike anything you’ve ever been a part of in medicine. 

Trauma 360
Trauma is the leading cause of death for individuals up to 45 years of age, and the fourth leading cause of death for all ages. Several causes of traumatic death are preventable, which means that prompt recognition and treatment are vital to the patient’s survival. Trauma 360 is an engaging 8-hour course that is consistent with current, evidence-based best practices in prehospital trauma care. It explores and reviews assessment techniques and treatment strategies for the patient with life-threatening trauma, with a specific focus on those injuries that require immediate treatment in order to prevent untimely death. Topics discussed include: - Rapid assessment of the trauma patient - Pathophysiology, signs and symptoms, and prehospital treatment of: o Hemorrhage and shock o Head and face injury o Chest injury o Abdominal injury o Spinal injury o Musculoskeletal injury o Traumatic cardiac arrest - Trauma Alert activation criteria - Pain management - Antibiotic therapy - Tranexamic acid (TXA) - Whole blood administration The above content is appropriate for all levels of EMS provider. Participants will receive eight (8) hours of continuing education, which they can use for state or national EMS recertification. 24 hours of CE for this course.

 TECC

 We offer custom private TCCC and TECC for local, state, federal and private agencies. If your agency is seeking a higher level of training, please contact us.

wild land fire ​Agency crew trainings

Designed for type I and type II IA hand crews, helitack and Jumpers. This course teaches life saving first aid, patient packaging, patient extrication from remote locations, and how to incorporate a medical evaluation during an IWI. We offer 2 day trainings which include the certifications you need, CPR/AED, Basic First Aid, Advanced Stop The Bleed, Epi and BBP, and we come to your location. These are hands-on trainings, minimum classroom, maximum scenario time!

​hand tool vehicle extrication

This 8 hour course combines introduction with advanced extrication education and skills. The students will learn the art of extrication using hand tools with heavy emphasis on the first responder Jack, reciprocating Saws, Air Chisels and other basic hand tools.  The course will cover scene size up, Safety considerations, extrication plans, egress & access for rescuers, basic stabilization, auto extrication for the first half of the day. The second part of the day dives into Advanced stabilization using simple hand tools, advanced cribbing techniques, patient removal, car on it's side procedures, car upside down procedures, vehicle over-rides, heavy lifting and several advanced extrication techniques. 

​wilderness first responder (hybrid)
​online and 4 days in person June 10th-13th

Our Wilderness First Responder program far exceeds all other programs available. We have the perfect mix of medical, basic rescue training and survival for leaders in backcountry locations including outdoor educators, guides, military, professional search and rescue personnel, researchers, and those involved in disaster relief. The curriculum is extensive and demanding; it will challenge students' decision making skills and physical fitness. This course includes the essential principles and skills required to assess and manage medical problems, begin basic rescue operations, understand and implement navigation in a rescue operation, deal with aircraft during a rescue, and be proficient in multiple roles during a backcountry medical or rescue situation. This includes isolated and extreme environments for an extended period of time. This course is primarily taught in the backcountry and is extremely challenging, both physically and mentally. Attendees will be camping for the duration of the course. Be prepared for one nighttime operation. This course is has Rope Rescue and Swift Water rescue as bookends, all three courses can be combined to prepare you for austere rescue and medical work.

Prerequisite: ICS-100 certification is required. This is a free two hour course online with FEMA.

Certifications earned with this course:
Wilderness First Responder
Advanced Bleeding Control (M.A.R.C.H.)
Bloodborne Pathogens
​CPR/AED and High Performance CPR
​Emergency Oxygen use
Administration of Epinephrine Auto-Injectors

​Rope rescue

We are working with Crux Rescue to bring you the best rope rescue courses available... and we do it at Smith Rock! These dynamic courses will prepare you to be at the operations or technician level of rope rescue. Students will learn knots, anchor systems, belaying, ascending and descending ropes, mechanical advantage, patient packaging, and litter attending. This course will also teach how to safely navigate low-angle, over the bank rescue situations, and how to assist rescuers in high-angle environments. Our rope rescue is part of our open door trainings and you will train with the BTE rescue team.

​Swift water rescue 
March 29th-31st 2023

A must-take course for those working in or around moving water. Crux Rescue is working with us again to provide the best operations, technician, and advanced level swift water rescue courses. We will be camping on the McKenzine and Santiam Rivers for this EPOCH course. These courses teach the rescuer hazard recognition, shore and boat rescue techniques, hydrology, self-rescue, and rescue techniques for others. These courses meet NFPA standards outlined in NFPA 1670/1006. Our swift water rescue course is part of our open door trainings and you will train with the BTE rescue team.
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water resiliency (drown proofing)
Puerto Vallarta Mexico

Coming soon!

Rescue freediver (intro/advanced)
Puerto Vallarta Mexico

Coming soon!

rescue diver
​Puerto Vallarta Mexico

Coming soon!

Rescue diver/freediver 
​Puerto Vallarta Mexico

Coming soon!
*Special operating groups only

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