DiMM Recertification Course
Advanced Cliff and Crag Rope Rescue

October 21 - 27, 2018
Donner Pass, CA



The Fall 2018 WMS- DiMM Recertification Course: Advanced Cliff and Crag Rope Rescue provides a unique hands-on learning opportunity focused on the medical issues and science of managing patients during technical rescue in the mountain environment. Didactic medical training will be combined with hands-on practice and case scenarios to provide the participant with the ideal training and educational opportunity. This course is designed for people who have completed the WMS DiMM and are looking to continue to improve mountain medicine and technical rescue proficiency and to recertify their DiMM. The WMS-DiMM Recertification Course fulfills all the requirements for 5-year maintenance of diplomate status.

Eight hours of CME will be taught by DiMM Course Director Dr. Jennifer Dow. This training will reflect expert opinion, clinical practice guidelines and current research updates from peer-reviewed medical literature on topics pertinent to providing medical care in mountain environments and during technical rescue.

Topics will include:

  • Common Injuries associated with activities in the vertical environment
  • Medical problems in the wilderness
  • Hypothermia
  • Suspension trauma
  • Spinal injury (2 hours)
  • Bites, stings, envenomation and water pathogens
  • Heat illness and dehydration

This curriculum is designed to provide valuable education to mountain medicine research scientists, clinicians and medical directors of mountain medicine organizations. Pathophysiology, recognition and treatment of medical problems commonly encountered in mountain medicine environments will be the focus.

The rescue curriculum is designed for participants who already have a solid foundation in technical rope rescue and are capable of managing personal safety in an exposed cliff environment in varied conditions. Utilizing the foundational skills that rescuers bring to the course we will provide challenges to access, stabilize and transport patients in especially challenging locations and with limited resources. Rescue solutions will include highlines and offsets, as well as continuing to develop application skills with simpler solutions to gain efficiency and reduce resources needed. Skills will follow the progression teach, demo, practice, coach and observe to encourage thorough understanding, purpose and function. Systems are informed by scientific research, industry standards and expert opinion. Remote Rescue Training instructor and DiMM Technical and Rescue Director Andy Rich will facilitate the rescue curriculum along with RRT Lead Instructor, Andy Anderson.

The Clair Tappaan Lodge on historic Donner Pass will provide us quick access to excellent training grounds, as well as beautiful rustic accommodations and a full meal plan for 6 nights. Transportation from/to the Reno airport may be provided on the afternoon of October 21 and in the morning of October 27.

DiMM graduates can expect to have a good time refining rescue skills, learning the most current mountain medicine practices and building relationships with like-minded professionals.


Medical Director - National Park Service: Alaska Region; Director - Alaska Regional Hospital Emergency Department




The WMS has arranged for ground transportation from the Reno airport to the Clair Tappan Lodge, one of the participants will need to drive- please contact Teri if you are willing to take this on. The shuttle will depart Reno at 3 PM on Sunday, so your flight must arrive in Reno before 2:30 PM on Sunday, October 21st.  Return shuttle will depart Clair Tappan Lodge at 9:00 AM, so plan your return flight appropriately. We recommend your domestic flight depart Reno no earlier than 12:30 PM, Saturday, October 27th.

If you prefer to drive yourself to the Clair Tappan Lodge, please plan to arrive by 5:30 PM on Sunday, October 21st, and plan for the course to end late in the evening on Friday, the night before course end date.

Clair Tappan Lodge
19940 Donner Pass Rd
Norden, CA  95724


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.


  • Describe the unique injury patterns associated with high angle and vertical activities
  • Describe how chronic medical conditions may adversely impact the participant in vertical activities
  • Understand and anticipate the forces of the human body is subjected to during climbing falls
  • Describe and discuss the presence of environmental threats, including insect and animal induced illness as well as environmental trauma.

Target Audience:

Physicians and other Medical Care Providers who have an interest in providing medical care in “remote” environments such as wilderness settings or in developing countries are encouraged to attend. Physicians counseling their patients traveling to remote areas will benefit as well.

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™.


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.










 50% refund prior to 60 days before session. No refund within 60 days.


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

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

REQUIRED GEAR LIST (coming soon)