EMT Training

It’s been my experience that emergency medical personnel — including Emergency Medical Technicians (EMTs) — tend to be much better at caring for others than for themselves. That’s generally the result of long shifts, life-or-death situations, and consistently helping people who are suffering the worst day of their lives. It’s going to take a toll. 

To compound the problem, those who work in emergency medicine often neglect their own health and fitness. They forgo exercise, reach for junk food because it’s often handier. Or they begin to seek out various substances to get through the day. These might include energy drinks during their shift so they can remain alert. Or maybe a drink or three when they’re off the clock to calm their nerves and help them sleep. 

Eventually, this unhealthy lifestyle catches up to them, negatively impacting their mood, energy, intimacy, and more.

The multi-billion dollar a year health and fitness industry offers little in the way of relief for those in our field. And often overlooked is the overworked and stressed-out Emergency Medical Systems (EMS) shift worker.

If you’re a member of that demographic or you’re considering an EMT training and certification program like our Standard EMT, Hybrid EMT, or Wilderness EMT, don’t wait around in the hopes of that industry or even your own EMS unit will be reaching out to you. Make this your wake-up call. Now is the time to start focusing on your own health and fitness. 

Remember the lesson you’re taught when you board an airplane — put your oxygen mask on first before helping anyone seated next to you with theirs. In the same way, you need to focus on your own health first in order to be healthy and fit enough to assist others when they’re experiencing a medical emergency. And continue that health regimen so you are healthy enough to make a lasting career in emergency medicine.

In this post, I provide practical advice on how to restore and maintain your own physical and mental health and fitness over the long haul.

Manage Stress

Stress kills. We are all well aware of its negative impact on health, but what we need to realize is that a great deal of our stress is self-inflicted. After all, we’re the only ones who can (more…)

In the world of emergency medical services (EMS), future EMTs and paramedics accept the reality that their immediate future includes hundreds of hours of lectures, extensive bookwork, and plenty of written tests. 

Each of these students has an objective in mind for taking EMT training courses, and their reasons are many. Some are looking to start careers in the EMS profession. Others plan to use their EMT certification as a stepping stone to medical school or physician assistant (PA) school. And there are those who are uncertain about what direction their future might take, so they’re exploring their options. 

Regardless of the reason why,  there are a number of things that simply can’t be “taught” in the classroom. Equally important as “book learning,” and perhaps more vital, is clinical and field experience. What is clinical experience? In the real world, clinical settings feature healthcare providers conducting actual exams and procedures on real patients. Physical examples might be a bustling hospital emergency department, a crowded local health clinic, or finding yourself hovering directly over an (more…)

It’s been more than a decade since the National Registry of Emergency Medical Technicians (NREMT) stopped using the certification designations EMT-B and EMT-Basic. 

The change from EMT-B to EMT was not just in title. It was accompanied by an expanded set of knowledge and skill expectations for emergency medical technicians (EMTs). There is nothing “basic” about what an EMT learns or the skills he or she can perform. And they’re certainly not “Ambulance Drivers.”

Most states have made the transition to the new title, but many emergency medical service (EMS) providers continue to refer to some EMTs as “Basics.” Maybe it’s out of ignorance, or just an antiquated habit, but we need that to stop. It’s much more than just an inaccurate designation — it’s misleading to the public and gives the wrong impression regarding care and capabilities.

Looking Back at EMT Designations

The early terminology came from a haphazard system of state-by-state naming conventions. The NREMT itself started out with an “EMT-Ambulance” or “EMT-A,” later adding an “EMT-Non-Ambulance” designation. As a result of this confusing (more…)

Just obtaining an Emergency Medical Technician (EMT) license opens a world of career possibilities both inside and out of the medical field. Sure, you have to put in the effort, but the opportunities are as diverse as our EMT students here at The National Center for Outdoor & Adventure Education (NCOAE).

Fact is, we receive applications from students from all walks and stages of life, who successfully complete our EMT training program and go on to use that EMT training for a variety of opportunities. Some become full- or part-time EMTs, others use this outstanding training and education as a steppingstone for medical or nursing school. And then there are the outdoor enthusiasts who use this EMT training to become Ski Patrollers or members of Search and Rescue crews, or to add an additional layer of medical expertise when guiding groups on mountaineering and backcountry expeditions.

Maybe you’ve been an EMT for a while and are looking for a change, Or maybe you’re thinking about obtaining your EMT certification and then consider your options. While the most popular career trajectory for EMTs is to become a Paramedic, there are a number of jobs that you can obtain with just an EMT certification, keeping mind that some may require additional training. 

Here are eight such opportunities: (more…)

A few years ago, we ran a three-part series on slogans, slang, and terminology as it applies to a trio of human-powered outdoor recreational activities. If you recall, we started out with some “gnarly” surfing terms, then we “tied in” to a conversation about climbing, finally pulling a “wet exit” on the language of paddling.

You can review these three articles using the links below: 

• From Sept. 20, 2020: Surfing Terminology and Slang: You Can’t Play BINGO Without the Lingo
• From Oct. 10, 2020: On Belay — Climbing Terminology and Slang
• From Oct. 30, 2020: Paddling Terminology and Slang: Nobody Says ‘Up a River Without an Oar’

There was quite a bit of word whimsy in those articles, and we made sure to remind readers that successfully lassoing the linguistics of a particular activity was no guarantee you were mastering that particular sport professionally. 

Today we’re taking a more serious look at language, this time highlighting the terminology used by members of the Emergency Medical Service (EMS) community. That’s because one of our areas of focus here at The National Center for Outdoor & Adventure Education (NCOAE) is emergency medicine training and education. And whether you’re an EMS, medical professional, or wilderness first responder (WFR), these terms are most often employed when these professionals find themselves managing a medical emergency. 

First off, you might notice that most of these terms come in the form of acronyms, abbreviations, and initials, and the reason for that is to enable first responders to quickly communicate and react with each other and the patient in the field.

The source for these acronyms comes from the NCOAE Wilderness Medicine Field Guide (ISBN 978-0-578-87449-4). 

Here, we present them in alphabetical order: (more…)

Applicants to our nationally renowned EMT training courses often ask us if they can take
their new EMT credentials to the state where they live, and the answer is mostly yes.
The National Center for Outdoor and Adventure Education’s (NCOAE) campus is
located in North Carolina, where we offer 21-day “Intensive” EMT-Basic and 23-day
“Intensive” Advanced EMT training courses among others. Successful completion of
these courses authorize our graduates to take the National Registry of Emergency
Medical Technicians (NREMT) exam.

National Registry Certification examinations evaluate the competence of EMS
practitioners at a variety of levels, including Emergency Medical Responder (EMR),
Emergency Medical Technician (EMT), Advanced Emergency Medical Technician
(AEMT), and Paramedic.

NREMT credentials are either required for an initial license or accepted for legal
recognition or reciprocity in all 50 states and Puerto Rico. That makes it easier to
maintain

(more…)

If one of your goals is to apply to medical school and eventually become a doctor, here are a few of the hurdles you’ll need to jump through. First, you’ll need a four-year Bachelor of Science degree with a minimum 3.0 GPA, a passing score on the MCAT exam, and a few glowing letters of recommendation.

But how would you like to increase your odds of getting admitted and succeeding in med school? If so, you may also want to consider getting trained and certified as an emergency medical technician (EMT) and gaining some valuable experience in the field first.

According to a survey of 67 medical schools in the United States and Canada, 85 percent of those schools responded favorably to applicants with experience as EMTs or paramedics. That’s not exactly surprising. After all, EMTs have real-world experience in the medical field.

In this post, we highlight the advantages of obtaining EMT training and experience prior to applying for and enrolling in medical school.

Build Your Foundational Knowledge

EMT training helps to build your foundational knowledge in several medical disciplines, including the following: (more…)

Here at The National Center for Outdoor & Adventure Education (NCOAE), we’re known nationally and around the world for our consistency in producing highly impactful backcountry climbing, backpacking, kayaking and other outdoor adventures of an educational and team-focused nature. Our highly trained and experienced outdoor educators, field guides — along with our wilderness medicine and EMT instructors — present hands on training and guidance that vastly improve our students’ technical outdoor and wilderness medical skills.

That’s because all of our instructors and guides are experts at adapting to every scenario — whether that’s in a wilderness or urban setting, presenting each of our students and participants with endless opportunities to not only succeed, but to excel at whatever obstacle confronts them on the trail or in the medical training field guides.

To that end, our business currently finds itself in the same situation faced by every other educational organization on the planet: managing our affairs at a time when the virus named “SARS-CoV-2” and the disease it causes, coronavirus disease 2019 (COVID-19), is impacting every single aspect of the world economy. How we’re handling the problem is much like what we do on the trail. We’ve chosen to look at this uncertainty and chaos as an opportunity by seeking out the best solutions and maneuvering around and past what is undoubtedly nothing short of a global health catastrophe. In particular, we want you to know how we’re meeting the challenges with regard to our educational training and programming.

For example: (more…)

It’s pretty well known that we here at The National Center for Outdoor & Adventure Education (NCOAE) are experts when it comes to training our students how to respond to medical emergencies in remote or wilderness settings. Less known is the fact that we also educate anyone interested in training that satisfies the eligibility requirements for the National Registry of Emergency Medical Technicians.

As a result, we teach our students to recognize that medical emergencies can happen anywhere and at any time. And it’s how we respond to those emergencies that makes all the difference in the world.

Below are tips in six categories — including safety, recognition, requesting help, patient communication, and being prepared — when handling a medical emergency.

Safety. Don’t be afraid to help, but don’t become part of the emergency. Use extreme caution near roadways or in hazardous environments. Take a few extra seconds to stop traffic or put on your life jacket.   

Recognize that an emergency is happening. Whether you’re dealing with a friend or a stranger, if something seems wrong, ask if they are OK. When is something an “emergency?” 

• Breathing: When someone is having trouble breathing, always consider it an emergency.
• Circulation: Many conditions, including heart attacks, can cause the heart to have difficulty pumping blood and can be rapidly fatal. Don’t wait, assume.
• Significant traumatic injuries: Falling from high places or being hit by a car are obvious examples of events that can cause significant injury. However, even if the person involved seems OK at first, assume there are unseen internal injuries.
• Neurologic problems: Any time the brain does not seem to be functioning correctly — even if it’s only mild confusion. Or if someone can’t use/feel one or more of their extremities. These are all emergency situations.

Call for help. This may be as simple as (more…)