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Where there is no paramedic


Aaron Orkin from the Northern Ontario School of Medicine and colleagues describe their collaboration that developed, delivered, and studied a community-based first response training program in a remote indigenous community in northern Canada.


Funding: No specific funding was received for writing this article. The program described in this article received funding from the Institute of Aboriginal People's Health of the Canadian Institutes of Health Research ( and the Northern Ontario Academic Medical Association ( The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Competing Interests: AO, DV and SS have worked for Wilderness Medical Associates International, a wilderness medicine education organization. MW is director of Wilderness Medical Associates International. This organization was not involved in the research submitted as part of this manuscript but does provide medical training to laypersons in remote/wilderness contexts. All other authors have declared that no competing interests exist.

Citation: Orkin A, VanderBurgh D, Born K, Webster M, Strickland S, et al. (2012) Where There Is No Paramedic: The Sachigo Lake Wilderness Emergency Response Education Initiative. PLoS Med 9(10): e1001322. doi:10.1371/journal.pmed.1001322


Aaron Orkin
Division of Clinical Sciences, Northern Ontario School of Medicine
Thunder Bay, Canada

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