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Recommended reading · Water, sanitation & health

NOLS Wilderness Medicine

by Tod Schimelpfenig · 7th Edition

Series 4.34+ across 260+ ratings · Wilderness Medical Society endorsed · Official NOLS course textbook

The field medicine guide for leaders — how to assess, treat, and stabilize when professional care is hours away.

Field medicine Wilderness first aid Evacuation decisions

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About this book

The middle ground between the textbook and the household guide.

The three Health books on this shelf occupy different positions in the same landscape. Medicine for the Outdoors is the comprehensive reference for anyone who wants depth — written by a physician, covering virtually every clinical scenario. The Survival Medicine Handbook is written for the household when professional care genuinely isn’t coming. NOLS Wilderness Medicine occupies the middle: it’s the guide for someone who needs to make competent decisions in the field — how to assess a patient, what to treat immediately, what to stabilize and monitor, and when and how to arrange evacuation.

That middle position is exactly what most prepared households actually need. A serious injury or medical emergency rarely happens somewhere that immediate 911 response is guaranteed. Knowing how to do a proper patient assessment, manage a spinal injury correctly, recognize shock, treat environmental emergencies (heat, cold, altitude, water), and communicate clearly with incoming EMS is practical preparedness — not wilderness recreation. Tod Schimelpfenig has been NOLS’s wilderness medicine curriculum director since 1973. This book is the official course textbook for NOLS and the Wilderness Medicine Institute. It is not a supplement to their training; it is the training.

The 7th edition (July 2021, Stackpole Books/Simon & Schuster) covers all the fundamentals plus chapters on judgment and decision-making under pressure, mental health in emergencies, and the legal framework for lay responders. 392 pages, updated to current medical recommendations throughout.

Level

Skill builder — field assessment and treatment decisions

Best for

Field medicine · Wilderness first aid

Format

392 pages · Stackpole Books · 7th edition 2021

What people are saying

The reference that wilderness medicine professionals actually use.

Wilderness Medical Society

“One of the finest first aid books I’ve seen.”

Mel Otten, MD, Wilderness Medical Society. Published in NOLS Wilderness Medicine, 6th and 7th editions.

The gist — summarized

The NOLS series has carried a consistent 4.34 Goodreads average across hundreds of ratings spanning four editions — the kind of stability that means readers across years and skill levels keep finding it useful. The 7th edition (2021) has fewer reviews simply because it’s newer. Readers consistently describe the same strengths: the patient assessment system is clear and repeatable under stress, the environmental emergencies section is excellent (heat, cold, altitude, water, poisonous plants and animals), and the judgment chapters distinguish this from books that only cover technical skills. Two things are regularly noted by experienced first responders who pick it up: the guidance on spinal injury management reflects updated consensus that differs from older training, and the water treatment section is more current than most wilderness medicine references.

One honest calibration: this is a field medicine guide, not a clinical reference. It won’t replace formal WFA, WFR, or WEMT certification — and it says so. It is the course textbook, and the best preparation for taking those courses, or the best between-course reference for maintaining what you learned.

An AI-assisted summary of reader feedback for the NOLS Wilderness Medicine series. 7th edition (2021) has thin Goodreads count; summary draws on 6th edition reception (4.34/266). Last reviewed May 2026.

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