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Granite cliffs above a forested mountain valley

Mountain Training Network

Our work.
Our principles.

Wilderness medicine education built on collaboration, continual learning, and responsibility to the patients our students may care for.

The people and purpose behind MTN

Collaboration · Progress · Patient careAbout MTN

01 · Collaboration

We are stronger together.

Mountain Training Network develops wilderness medicine curricula, educational resources, and practical training for people who work, lead, and explore where medical help may be delayed. Our work is grounded in a commitment to better education, stronger collaboration, and clear standards.

We believe wilderness medicine moves forward when schools, instructors, and responding agencies communicate openly and learn from one another. Shared knowledge, constructive feedback, and collaboration across organizations help us examine our assumptions and improve what we teach. We want that same spirit reflected in the field, where guides, land managers, search and rescue teams, fire personnel, and EMS may need to work together.

Through MTN’s instructor network, we share educational resources, support instructor development, and collaborate with training organizations and field professionals. Our expert contributors include emergency department physicians, fire chiefs, and U.S. Army medical instructors, bringing perspectives from clinical care, emergency leadership, and medical education.

An instructor leads an outdoor lesson while holding an MTN manual beside a whiteboard under an MTN canopy.
Instructors bring the curriculum into the field.

Collaboration also shapes our specialized training. Vertical Medicine connects wilderness patient care with improvised climbing rescue. We also collaborate with Tracks of Her Own to offer courses for women, taught by women. Custom programs give teams opportunities to practice within the environments and responsibilities they know.

MTN participants work together to lift an improvised litter during an outdoor rescue exercise.
Patient care, teamwork, and improvised rescue.
Two helmeted climbers practice assisted partner rescue while suspended on ropes against a granite wall.
Vertical Medicine brings patient care and climbing rescue together.
Grassy sea cliffs above the ocean

02 · Progress

Dogma is the enemy of progress.

At MTN, we are driven by a ruthless pursuit of the best possible medical guidance, the most effective teaching methods, and the highest quality patient care outcomes in the field. That means questioning assumptions, welcoming scrutiny, and changing what we teach and how we teach it when evidence and experience point to a better approach.

Our Wilderness First Aid and Wilderness First Responder curricula draw on Wilderness Medical Society guidance and align with Wilderness Medicine Education Collaborative certification standards. We use shared knowledge, constructive feedback, and scrutiny to keep examining our assumptions and improving our educational resources.

An instructor demonstrates an assessment beside a whiteboard under an MTN canopy.
Instruction, discussion, and demonstration.

WMS affiliation

MTN is a Wilderness Medical Society affiliate. Our curricula draw on WMS clinical guidance.

WMS affiliate directory ↗

WMEC standards

Our Wilderness First Aid and Wilderness First Responder curricula align with WMEC certification standards.

Explore the standards ↗
Rocky mountain trail overlooking a forested alpine valley

03 · Responsibility

Patients deserve our best.

Students deserve qualified instructors, clear learning objectives, meaningful practice, and honest assessment. The responsibility also extends to the patients they may eventually care for. We advocate for clearly stated, consistently applied expectations for wilderness medicine education, with attention to instructor preparation, curriculum quality, practical competence, and communication.

Curriculum development is central to that responsibility. We create textbooks, field guides, instructor manuals, lesson plans, scenarios, and assessments to support clear instruction, meaningful practice, and honest evaluation.

A person in an MTN visor handles bandaging supplies beside skis in a snowy mountain setting.
Skills practice in winter conditions.

That commitment continues after a course ends through the MTN Field Guide, our free educational companion with offline references, assessment prompts, practice activities, and field tools. Its core content works without an account or internet connection, keeping useful resources accessible when students want to review, practice, or prepare.

We want MTN to contribute to a wilderness medicine community that exchanges knowledge, welcomes scrutiny, and keeps improving. Students—and the patients who may depend on them—deserve that commitment.

A participant practices with a squeeze bottle during an outdoor MTN training activity.
Time to practice and learn by doing.
An MTN instructor demonstrates a skill beside a torso training manikin under an MTN canopy at an outdoor community event.
Sharing practical skills with the community.
Red desert mesas beneath a cloudy sky

The founderAbout Ryan Armstrong

I’m Ryan Armstrong, the founder of the Mountain Training Network. I teach people to care for others when help may be hours away.

My path here has included work as a guide, outdoor educator, volunteer ranger, facilitator, EMT, and emergency department technician. I’ve led trips in Yosemite, guided rivers, taught environmental science, and helped people work through unfamiliar challenges. I’m an American Canoe Association Level 5 Advanced Swiftwater Rescue Instructor. My ADHD apparently interpreted “choose a path” as “explore the entire trail system.”

Those experiences, along with my degree in recreation administration, shaped how I teach. People bring different experiences, ask different questions, and need opportunities to make sense of a skill through practice. I want my classes to give them room to do that.

Ryan Armstrong teaching with a whiteboard while seated on a mountain bike in the woods.
Teaching in the woods.

My medical background combines patient-care experience with extensive additional college coursework in anatomy, physiology, microbiology, chemistry, and pharmacology. I also completed a month-long medical language immersion program in Oaxaca, Mexico, broadening my perspective on communication in healthcare.

I teach continuing education for EMTs and paramedics.

Ryan Armstrong wearing a hard hat beside a fire engine at an industrial facility.
In an industrial setting.

I bring that science and experience into the classroom by helping students understand what’s happening in the body, why a particular approach makes sense, and how to adapt their thinking as a situation changes. We practice skills, work through scenarios, explain our decisions, and learn from feedback. Questions and mistakes are part of that process.

At MTN, I lead curriculum development, write textbooks and instructor resources, and collaborate with our expert contributor team. I’ve also helped create specialized courses such as Vertical Medicine, which brings wilderness patient care and improvised climbing rescue into the same training experience.

I care about what students have access to afterward. The free, offline MTN Field Guide gives them somewhere to return when they want to review a concept, practice an assessment, or prepare for their next trip. Useful education should stay within reach.

Ryan Armstrong explaining a topic with a whiteboard at an outdoor campsite.
Field teaching.

Through Capital City CPR, I also teach workplace first aid, CPR/AED, and bleeding control, including customized training for logging crews, refinery teams, and other workplaces. Free community STOP THE BLEED courses and collaborative efforts such as CPR-A-THON are another way we help more people get prepared.

Ryan Armstrong teaching CPR beside a practice manikin on the lawn outside the California State Capitol.
Community CPR education through Capital City CPR.

I care about where wilderness medicine education goes from here. I want more communication between schools, more collaboration across agencies, and clear expectations for the people teaching and issuing certifications. I believe we have a responsibility to share what we know, examine what we could do better, and help one another improve. That responsibility reaches beyond our classrooms to the students we teach, the teams they work with, and the patients who may one day depend on them.

A blue raft carrying helmeted paddlers through whitewater rapids.
On the river.
Erik Griffith, left, and Ryan Armstrong, right, in climbing equipment above Yosemite Valley.
Erik Griffith and Ryan Armstrong, creators of Vertical Medicine.
Granite cliffs above a forested mountain valley

About Mountain Training Network

Evidence-based wilderness medicine training with industry-leading instruction, hands-on practice and realistic scenarios.

Participants practice a patient assessment during a wooded trail scenario
Grassy sea cliffs above the ocean

Why MTN

Choosing a wilderness medicine course takes more than comparing prices and certificates. You need to know who teaches it, what you’ll practice, and how your skills will be assessed.

MTN is built for people who take training quality seriously. Our instructors explain the reasoning behind the skills, welcome questions, and combine current medical guidance with hands-on practice and feedback.

Our courses serve hikers, climbers, guides, rangers, coaches, and field teams. The goal is to help you assess a patient, provide care with the resources available, and make decisions when medical help is delayed.

Rocky mountain trail overlooking a forested alpine valley

What quality means in our courses


Wilderness medicine certifications have no single national accrediting body. Course names alone do not tell you how much practical instruction, assessment, or instructor experience a provider offers.


MTN’s WFA and WFR curricula align with WMEC certification standards and use current Wilderness Medical Society guidance. Medical professionals and outdoor educators teach patient assessment, care, communication, and evacuation planning through lessons, skills practice, and scenarios.


We explain course hours, completion requirements, instructor qualifications, and certification acceptance so you can compare providers and choose training for your role.

Our qualifications

WMS affiliation

MTN is a Wilderness Medical Society affiliate. Our curriculum uses WMS clinical guidance and current wilderness medicine research.

WMEC alignment

Our WFA and WFR curricula align with the Wilderness Medicine Education Collaborative’s certification standards and learning objectives.

EMS continuing education

Approved courses offer EMT and Paramedic CE through Capital City CPR LLC, provider 34-4980. Confirm the approved hours and eligibility for your session.

Organizations we’ve trained

Training delivered for California State Parks, USFS Wilderness Ranger Academy, PCTA, Ventana Wilderness Alliance, Mammoth Lakes Trails, Cachagua Fire Department, Chico State, Sacramento State, and other organizations throughout California.

Red desert mesas beneath a cloudy sky

Trusted
industry-wide

MTN is a licensed STOP THE BLEED® education provider through Capital City CPR LLC. New lead instructors need W-EMT qualifications; individually reviewed existing WFR instructors may teach WFA. See The Network for our standards.


Our 16-hour WFA meets NICA’s WFA requirement. MTN also offers NICA-accepted 8-hour First Aid. Coaches need a separate current CPR certification.


MTN confirms two-way reciprocity with NOLS for standard and hybrid WFR and in-person WFR recertification, subject to eligibility requirements.

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