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Course Details

Tropical, Travel and Expedition Medical Skills Course (TTEMS)

This five day course provides medical skills and didactic learning for the deployed and operational medical practitioner.

Course Description

Click here for up to date information about the course.

The aim of the Tropical, Travel & Expedition Medical Skills (TTEMS) Course is to provide innovative and expert medical skills for the operational, deployed and offshore practitioners to become better and more proficient in their professional career.


Online TrainingIntro to Tropical Medicine

Prior to arrival for the five day classroom training each student will have access to 40 guided online learning hours. This includes videos, powerpoint lectures and downloadable handouts covering the topics taught during the classroom training.


Classroom Training

The TTEMS course will expand on the topics covered during the online learning. It will be hands on with scenario based patient assessments and casualty simulation with Hollywood trained special effects artists. The course is based in the stunning Pretty Bay beach on the southern coast of Malta. The course will be both lecture and hands on. Merit Training faculty aims to present these operational skills in a logical and progressive manner culminating in scenario based training with realistic moulage using Hollywood trained special effects artists with live casualty simulation.

Day One:
Course Overview
Intro to Tropical and Expedition Medicine
Remote and Offshore Medical Planning
History Taking for the Remote Practitioner
Head and EENT Emergencies
Feet and Skin Issues
Dental Emergencies
Medical Emergencies: The six main medical problems in remote areas

Day Two:
Orthopaedic Injuries Assessment and Management
Critical Care and Aviation Medicine
Acid-Base theory, ABGs and lab values
Respiratory Emergenciestwo altimeters
Abdo and GI Emergencies

Day Three:
Dive Medicine
Advanced Pharmacology: Analgesics & Antibiotics
Genitourinary Issues and sexual health
Environmental Issues
Snakebites, Stings and Wee Beasties

Expedition Health & Hygiene
Joint Reductions
Expedition/Remote Site Medical Kits
Long Term Wound Care, Steri Strips and Suturing

Day Four and Five:
Intro to Tropical Medicine and Entrance Exammicroscopes
Emerging Infectious Diseases
Infectious Skin Diseases
Influenza, Ebola & Avian Flu
Tropical Water Supply & Sanitation
Top 10 Tropical Diseases and treatments

Diarrhoea & the Management of Acute Dehydration
Tropical Pharmacology
Lab Diagnosis for Tropical Diseases
Tropical Medicine Cases
Exam Review
TTEMS Certificate Exam



The TTEMS course is accredited by the College of Remote and Offshore Medicine and the Wilderness Medical Society for up to 29.75 hours of continuing medical education. These hours can also be used to meet some of the requirements for the Fellowship for the Academy of Wilderness Medicine (FAWM).

Click here to see what FAWM credit you get for this course.



Duration of Course Online

40 hours

Duration of Course Classroom

40 hours


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Registered Medical Practitioner

Upcoming Dates

More information can be found by clicking here.

March and November of each year