Something just hit me, I did a combat medic course in the military witch did serve me well at the time, but that was 20 years ago.... so have decided to do a refresher at the local teaching hospital it is a two week course that is classroom based and then 200 hours working in the emergency room, this is all followed by an exam and practical test. The way I look at it is as a very worthwhile expense that may save my life or the life of a loved one someday.