Designed and taught by river industry professionals to specifically cover major injuries, life threatening situations, illnesses and evacuation when in the remote river environment.

Suitable for any river user at any level of expertise including those working towards BCU & IRF schemes. This course far exceeds any other water based outdoor first aid on the market for its relevance to the river.

Used by 100's of professional guides from all over the world. Check our testimonials.

  • Kayakers
  • Canoeists
  • Raft Guides
  • Trip Leaders
  • Canoe & Kayak Clubs
  • Himalayan Expedition Rafting Companies



Day one will be at the classroom focusing on lifesaving skills & getting hands-on with the basics. Your instructor will demonstrate practically and there will be plenty of moving and doing. There are short presentations to introduce the modules, don’t worry, there is no PowerPoint!

Day two will be in and around a section of river, you will be practicing in river gear.
Your instructors will set a series of role playing scenarios out on the river. Using all your skills and awareness you will see each scenario through to its conclusion.




A completely unique first aid course - there is nothing else on the market like this. We are operated by decades long international river guides, this is our main area of expertise.

Successful candidates will receive an accredited first aid certificate & ID card valid for a period of three years.

Leave with boosted first aid skills and awareness in dealing with first aid incidents out on the river. Protect your friends and yourself.

This meets government guidelines and required learning hours.

Our certificates are accepted by all major NGB's in the UK .You can use it at your non-river workplace too and is fine for the appointed first aider role.



What is required to manage a remote situation where a casualty is bleeding, ill, unconscious, injured or not breathing. We cover the following:

  • Environment and Exposure mitigation
  • Primary & Secondary Survey
  • Injuries & Bleed Sweeping
  • C.P.R
  • Drowning
  • Heat related emergencies
  • Spine & Neck Injuries
  • Decision Making
  • Evacuation planning
  • Transporting a casualty in the river environment
  • Expedition Illness
  • First Aid Kit - What to take
  • And many more...

Bring a pen! Practical clothes to move around in both indoors & outdoors.

We require bringing a full set of river kit appropriate for being in and around the water.

Your PPE should include:

Bouyancy aid for river use
Good water shoes
Throwbag (optional)
Drysuit / Splash Top
or 5mm wetsuit

Boats are optional.

Dry clothes

If you need, we can organise drysuit hire for a nominal fee if you require one.


There is a cafe on site serving excellent homemade food, great cake & warm drinks.

Location & Prices

Book your course

Location: HWB BALA

Coming from far away?

Check out Tyn-Cornel campsite. It's the perfect spot to park a tent, van or 'glamp' when attending a course.

Be sure to tell them you're with Mountain River Crag to receive a discount!


Upcoming course dates:

We are finished with our 2019 Autumn season! 2020 Course dates to be announced shortly. Contact us in the meantime if you're a group of 4 or more.

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Outdoor First Aid