A Special Forces Battalion surgeon, University of Utah Medical School faculty member, Utah Emergency Physician of the Year, paramedic– the list goes on. This is Dr. Steve Pehrson, the man behind OnPoint Tactical’s Off-Grid Medicine course. The list of credentials might be as intimidating as it is impressive and could scare some potential students away. However, what isn’t mentioned in his biography and course description is that Dr. Steve Pehrson is this kind of cuddly-looking grandpa with a great sense of humor and surprising lack of the God-complex that seems to afflict some doctors.
When asked what he likes to do for fun he replied, “Teach this class.” It must be true because Steve starts at 8:00 to 8:30, and he’s usually still going strong 12 hours later. Then he’s ready to start again the next morning! And the students are, too.
Dr. Steve somehow provides simple explanations of complex anatomical and physiological processes and chemistry. (If I’d had him as a professor in college, I might have followed through with the original plan of studying medicine.) But familiarity with medicine is definitely not a prerequisite. In fact, in the two classes I have attended, there has only been one person in each class with any formal training in medicine. The rest have been regular people—student, pilot, wilderness guide, computer guy, homeschool mom, et cetera. And while Steve’s experience includes extensive time treating people all over the world during humanitarian missions, as well as treating weekend warriors in the emergency room, parents too will benefit greatly from this class. This is because in addition to everything else Steve is also a family physician.
Before class, Steve emails links to lectures and articles to be reviewed prior to the start of class. This advance class material allows more hands on time. He tailors each class to the students. It is slightly different each time based on what worked in previous classes and the desires of the students. This course is designed for people who want to be prepared for a time when there is no doctor or other medical care available to be able to handle broken bones, disease, serious wounds and blood loss, and other acute and chronic conditions, ranging from infants to the elderly. At the start of class, Steve provides a binder of copies of almost every slide used in his presentation with space for note-taking.
Doctor Steve is not actually teaching brain surgery. He does show what you can do to save a person’s life and quality of life by means of suturing, splinting, anesthesia, supply acquisition, and other skills. He tries to help students accept that there are going to be deaths because the technology we take for granted today will someday disappear. Sstudents are taught how to manage modern medical issues without modern technology, without resupply, and at the same time how to address the communicable diseases that most doctors have never even seen. And because modern medicine isn’t always going to be here, and neither is our pharmaceutical industry, Steve also shares his personal experiences with the use of herbal medicines or brings in other experts in that field.
The vast majority of that 1-2% of the population who prepares for TEOTWAWKI does so at the baby aspirin level. They may have some OTC meds and antibiotics, some sutures, and maybe a surgical kit. Dr. Steve educates you on how to use those tools in your surgical kit and what else you are going to want to have and be able to use, or available for someone else to use. Let’s face it. We know what’s coming, and baby aspirin ain’t gonna cut it.
The following is what I wrote in reply to a question posted in response to this review.


The OnPoint Tactical website (onpointtactical.com) does not provide a whole lot of detailed information on the course, unfortunately. You could try contacting them directly for your specific questions. I hesitate to post Dr. Steve’s email address here, but if you can get hold of him thru OnPoint Tactical, he is great about answering questions. I’ve emailed him countless times since the Denver class in February, and he always responds in great detail about the medical questions, proper procedures, dosages, sources for supplies, etc.
As to how often the class is offered, I know that Dr. Steve wants to hold many, many more. He knows what is coming, and there just aren’t going to be prepared doctors available for everyone who needs them, with all the necessary supplies. The problem has been a matter of how to best get the info out to people.
As far as experiences, where to begin….
–Maintaining medical records, how to take a proper patient history, asking exact questions. How did that bone fracture occur? Without x-rays, you need to be able to figure out exactly how that bone broke to set it properly
–How to tape a badly sprained ankle (and how to tell the difference between a sprain and a break without X-rays) so that the injured person can continue walking without crutches
–Different suture techniques and materials and their various uses–and when not to suture.
–Proper sterilization of tools and supplies–without an autoclave
–Moving patients
–People with conditions that modern technology manages today but who will die without our technology, sooner or later, and being able to accept that–and accept that their families will be angry if you make the decision not to treat and save precious resources for those who can be helped. Like burn patients–even a burn covering 10% of the body can be life-threatening. A burn covering 25-30%? That person will use up a heckuva lot of resources, and will die anyway. What are you going to do?
–Anesthesia–how to administer local anesthetics, how to obtain them (yes, you can legally purchase and possess lidocaine and epinephrine–and those two alone can be very, very beneficial)
–How to use OTC meds to be the equivalent of prescription strength meds
–Checking vitals
–Various medical bags, what he carries, what is pointless, how to package and pack supplies for ease of use, etc.
–Where to get supplies, especially reusable supplies
–Dehydration, and how to hydrate without an IV (because inserting an IV is a perishable skill, and it’s really hard even for trained personnel to put an IV into someone who is seriously dehydrated)
Unlike the attached picture suggests, this class is all indoors, other than the brief plant walk we took with the herbal medic Sam Coffman.
The herbal portion of the class covered two days. It covered the process of making herbal tinctures, the importance of understanding the herbs you use (do no harm), combining herbs to achieve the best results, herbal antibiotics.
Again, this is not first aid. It’s not EMT school. This is stuff most parents would love to know before having children (you know, like whether that cut requires a trip to the ER, whether that sprain is going to heal on its own, whether you can handle that shoulder dislocation yourself and avoid the ER altogether, etc.). It’s stuff every serious backpacker and homesteader should know–the stuff all of us really should know even if TEOTWAWKI never happens.
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