Our pre-hospital trauma course is a one-day course that, like other SEMILLA courses, features morning lectures and afternoon skill stations. The 2017 course was held in Managua and attended by members of the Nicaraguan Red Cross, various Nicaraguan Volunteer Fire Departments, and members of the National Police. Lecture topics included primary and secondary survey, airway, breathing, circulation, hemorrhage/shock, and neurological and spinal injuries. The SEMILLA pre-hospital trauma course is designed to help our participants put the knowledge from the didactic portion of the course into practice by providing hands-on skill stations. These skill stations covered techniques ranging from management of the airway, bag valve mask ventilation, hemorrhage control, splinting, and proper spine immobilization.