Standard ‘Intensive’ EMT

A fully in person, 21-day intensive EMT training that satisfies eligibility requirements for the National Registry and State EMT certification exams.

Questions? Call NCOAE Support (910) 399-8090


The National Center for Outdoor & Adventure Education (NCOAE) is approved by the State of North Carolina and credentialed through the North Carolina Office of Emergency Medical Services to offer this fully in person, 21-day ‘intensive’ EMT training. The training satisfies eligibility requirements for the National Registry and State EMT certification.

Successful completion of this training includes the awarding of the following certifications and certificates of completion:

  • EMT certificate of completion
  • Traffic Incident Management (TIM) certification
  • Coaching the Emergency Vehicle Operator (CEVO) certificate of completion
  • American Heart Association (AHA) Basic Life Support (BLS) certificate
  • FEMA IS0100.c: An Introduction to the Incident Command System certificate of completion
  • FEMA IS0200.c: Basic Incident Command System for Initial Response certificate of completion
  • FEMA IS0700.b: Introduction to the National Incident Management System certificate of completion
  • FEMA IS0800.c: National Response Framework Introduction certificate of completion
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21 days

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Course Information

Adventure First

NCOAE’s certified EMS instructors are among the best in the industry, including EMT-Paramedics, firefighters, military operations specialists, and experts in critical care management. They provide expert instruction and individualized training to ensure your EMT training meets and exceeds the high expectations for all NCOAE courses.

Throughout this 21-day hybrid intensive and basic EMT wilderness training course you’ll take challenges head on, developing the skills such as medical first-aid, first responder, search and rescue, survival and outdoor education. Experience the North Carolina wilderness first-hand through this EMT training program that excels at promoting leadership traits that will last a lifetime.

NCOAE’s team of remote rescue professionals designed this accelerated EMT training course. The curriculum is comprehensive, efficient, and satisfies eligibility requirements for the National Registry, State and EMT certification. Classes meet all day Monday through Sunday for 192 didactic hours, with an additional 48 hours of clinical and field practice.


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  • Duration: 21 days
  • Minimum Age: 18
  • Tuition: $2,490.00
  • Credit Hours: 2

Education Always

  • All students who successfully complete this course will receive a certificate of completion, allowing those students to sit for the NREMT and state exams.
  • Students receive the following certifications: American Heart Association BLS Health Care Provider CPR; Coaching of the Emergency Vehicle Operator; and Traffic Incident Management Training certification.
  • Course topics will include, but are not limited to: patient assessment, body systems, medical emergencies, trauma, medication administration, automatic defibrillation, environmental medicine, and toxins.
  • Itinerary
  • FAQs
  • Credits
  • Outcomes
  • Downloads
  • Reviews

Itinerary Highlights

  • The NCOAE-Emergency Medical Technician Student Manual was designed and published specifically to follow the progression of the accelerated EMT training course and written to meet the requirements of the National Registry.
  • This course meets all requirements of the National Highway Traffic Safety Administration (NHTSA) Emergency Medical Technician curriculum, AND the State of North Carolina EMT curriculum.
  • Students will participate in at four (4) 12-hour shifts on the back of an ambulance, including emergent and non-emergent calls.
  • The on site component of this training takes place at the NCOAE campus. You’ll have housing options including living with fellow students in a “tent city” environment, complete with bed, shower, kitchenette, wi-fi, and 24-hour access to an on-site classroom. Or, if you choose, you are welcome to bring your own tent or hammock to use nearly anywhere on our 17-acre facility.


  • Additional Course Assignments: FEMA, HazMat Awareness, Blood-borne Pathogen, TIMS, and AHA CPR Training and Certification
  • Day 1: EMS systems / workforce safety and wellness, medical, legal, professionalism and ethics.
  • Day 2: The human body, to include anatomy, body systems, physiology & pathophysiology, and nervous system, cardiovascular and respiratory system; Lifting and moving.
  • Day 3: Quiz 1, Airway management and Patient Assessment System; Scene Size Up, Primary, Secondary, Detailed Physical/Focused, Re-Assessment.
  • Day 4: Principles of Pharmacology, Shock, AHA CPR Training and Certification, Skills.
  • Day 5: Quiz 2,  Respiratory Emergencies, Cardiovascular Emergencies, Skills.
  • Day 6: Gastrointestinal and Urologic Emergencies, and Medical/Neurological Emergencies, Medical/ Endocrine and Hematologic Emergencies, Skills,
  • Day 7: Quiz 3, CEVO4 Ambulance Driving skills.
  • Day 8: Toxicology, Psychiatric Emergencies, Skills.
  • Day 9:   Gynecologic Emergencies, Obstetric and Pediatric Emergencies, Skills.
  • Day 10: Special populations, Skills.
  • Day 11: Quiz 4, Trauma Overview/Bleeding, Soft-tissue Injuries, Face and neck Injuries, Head and Spine Injuries, Chest Injuries, Orthopedics and splinting, Skills.
  • Day 12: Trauma Assessment, Triage, Skills.
  • Day 13: Quiz 5, Environmental Emergencies, Triage, Mass Casualty Incident, Skills
  • Day 14: Transportation operations, Terrorism response, Team approach, Skills
  • Day 15: Final Exam, Scope of Practice Review
  • Day 16: Scope of Practice/Psychomotor Evaluation
  • Day 17: Clinicals/ Study/ personal downtime
  • Day 18: Clinicals/ Study/ personal downtime
  • Day 19: Clinicals/ Study/ personal downtime
  • Day 20: Clinicals/ Study/ personal downtime
  • Day 21: Testing Review, credential maintenance, Celebrate!

Watch a Recent Standard EMT Course in Action

Will I complete the National Registry (NREMT) Exam before leaving NCOAE?

No. EMS educational institutes across the country are not legally permitted to administer this exam. Upon successful completion of your EMT training, you will request Authorization To Test (ATT) from your NREMT profile page (NCOAE will help you establish this during your training with us). From here, you will schedule your NREMT exam at a Pearson VUE testing center near you.

Does tuition cover the cost of the NREMT Exam?

No. Not everyone decides to take the NREMT exam, therefore it is not included in the cost of tuition.

When do we sign up for clinicals?

You will be assigned a clinical ride-along site and time during the first week of class.

What pre-requisites do I need to have to attend this training?

Pre-requisites – Students must:

  • Be a minimum of 18 years of age
  • Have a High School Diploma or GED
  • Have current documentation of vaccination from (MMR) Mumps, Measles and Rubella, (HBV) Hepatitis B, and Tuberculosis (PPD) screen in last year. Students who started the HBV series meet the requirements.
  • Have no criminal record of felony charges
  • Complete a 12-panel or greater urinalysis drug screen
  • Have completed a background check with CastleBranch (see attached form and directions)


What is the average age of students?

On average between 18 and 30 – but we commonly have older students as well.

What kind of time off will we get during class?

Time off depends on your clinical schedule and your evening time management. Students generally have very little free time during our course.

Should I buy the workbook for the course text?

We recommend that you do although it is not required.

In the event that I do not pass my first NREMT exam attempts will the school assist me with resources and recommendation for retesting?

Yes, we monitor all test scores from our students and are happy to serve as a resource.

Who takes the EMT Intensive course?

The EMT certification is required by many rescue and law enforcement entities, lifeguards, ski patrol, athletic trainers, as well as recreational guides and of course ambulance medics. Many folks come to us for a strong foundation in EMS training before they go on to advanced training. Most of our students take the EMT Intensive in combination of the Wilderness upgrade for EMT’s to support oversees travel expeditions or recreational employment stateside.

If I have a current WFR certification, does this training upgrade me to a WEMT?

It depends. If you have successfully completed one of our WFR courses and your certification has not yet expired, then yes; you will automatically upgrade to a WEMT until the original WFR certification expires. Your wilderness upgrade (WEMT) expiration date is the same as your original WFR certification expiration date.

If you received your WFR certification from another provider, you will need to contact that provider after completing your EMT-B course and provide them with proof of successful completion of the EMT course. That provider will determine whether or not you may be upgraded to a WEMT.

Are financial scholarships available for the EMT course?

No, not at this time.

Is college credit available for this course?

Yes. It is common for students enrolled in other universities to submit paperwork to the completed by our administration to receive appropriate credit.

What is the cost for the Intensive EMT?

At our 17-acre campus in Southeastern North Carolina (about 1 mile from the beach), the cost of tuition is $2,150.00 (plus an optional $290.00 for course housing if students plan to live on campus). At other collaborative sites prices may vary slightly.

Are meals included in the cost of tuition?

No. A grocery store, several coffee shops, fast-food, and casual dining options are within walking distance from our campus. We provide both refrigerated and dry food storage space as well as some utensils, a coffee maker, hotplate, microwave, and toaster oven for students to prepare meals on site.

What are my housing options at the base?

Students may bring their own tent, or stay in one of our ‘rustic’ cabins. There is no power in the cabins and each one sleeps four students. The same price of $290.00 applies regardless of whether or not the student wishes to camp or stay in a cabin. The housing option includes shower access, pavilion for cooking and kitchen cleanup area and trash removal. Please let us know what your preference is when you register.

What are my options if I stay off campus?

Contact our office and we can recommend hotels and campgrounds close by.

Academic Credit

Your work during our EMT Training may be eligible for college-level credits through Keystone College:

  • PHED 1125 F2F 001 — 1st Aid/Safety: 2 credits

Training Outcomes

The course is intensive, but we make time for fun along with the fundamentals. Upon successful course completion of this 240-hour course, students will take the written and practical exams. The NREMT license remains valid for two years.

The EMT certification is required by many rescue and law enforcement entities, lifeguards, ski patrol, athletic trainers, as well as recreational guides and ambulance medics.

I’d like to take just a moment to let everyone from the NCOAE family know I truly appreciate the time I spent training at your North Carolina facilities. Everyone there was amazing.

When I enrolled in the “Intensive” EMT-Basic training course May (2018), I was thinking it would be a good way to connect with my grandfather, a man who served in WWII as a medic and for whom I was named. When I arrived on your campus, my intent was to enjoy a relaxing vacation with some schooling thrown in. However, tossed into that mix were a great many sleepless nights and the constant stress over making good grades.

I found the class to be interesting and exciting. The instructors delivered a large amount of information in a very short time, but they were always helpful and excelled at breaking down the information into digestible packets.

When I left The National Center for Outdoor & Adventure Education and returned to work, I found myself too busy to take my National Registry of Emergency Medical Technicians (NREMT) exam. There was too much going in my life to open my books and keep the information “fresh.” When I finally had the opportunity to register for my exam, the test date was set for four-and-a-half months after finishing the class in North Carolina. Without any time to review the information in depth, I resigned myself to the possibility that my test results might be less than stellar.

However, when the questions appeared on the screen on test day, I was pleasantly surprised to find that I could recall all the little bits of advice and information that I learned in the class. I am certain that the quality of both the class and instructors, and my overall experience at NCOAE made all the difference.

I would also like to note that I was cut off in my online NREMT exam immediately after I answered question 73. According to my professional contacts, I must have done exceptionally well.

I have nothing but the highest regard and recommendations for the classes, instructors, and the staff at NCOAE!

- William Devore

Upcoming Dates / Reserve Your Spot

Available Dates
March 01 — March 21, 2022
May 03 — May 23, 2022
June 06 — June 26, 2022
July 08 — July 28, 2022
November 02 — November 22, 2022


Student Reviews

The National Center for Outdoor and Adventure (NCOAE) EMT course is absolutely relevant to the Emergency Medical Service provider, the outdoor enthusiast, and those interested in being able to serve others in their greatest…

I participated in NCOAE’s EMT in April of 2019. I am now in my first year of medical school, and can positively attest that the concrete skills and knowledge I gained at NCOAE have already been instrumental to my success here.

During the first week, my cohort underwent basic life skills training. The thoroughness and quality of NCOAE’s instruction on this topic allowed me to assist my peers and confidently complete the related coursework with ease. I am grateful for the foundation in patient assessment and observation, which has helped me stay grounded while rapidly gaining new medical knowledge.

Lastly, and perhaps most importantly, I am grateful for the perspective I gained as a participant in NCOAE’s intensive program. The ride-along/emergency room time has helped me navigate further clinical experiences and appreciate the composition of the entire workforce in the field of patient care.

I highly recommend this course to anyone interested in pursing medicine.

At the age of 55, I decided I wanted to do something else with my life, something that I enjoyed doing. For me that is helping other people, having been in a local volunteer fire department for several years, I saw the need for additional EMT’s in our community.

I found out about NCOAE from a web search and contacted them to register for their Intensive EMT course. In a short time I received a call back from Mr. Zac Adair who asked me some information about myself and why I was interested in the class. This was on a Thursday and he told me to be in class the following Monday, that he would work me into his course.

From the start, Zac, his wife Celine and the entire NCOAE staff have been exceptionally helpful and more than willing to do everything possible to help me get through this class. Zac has a wonderful teaching staff consisting of Paramedics, Flight Medics, Advanced and Basic EMT’s, many of whom are alumni of NCOAE. Make no mistake about it, the course is very demanding and the hours are long, however if you apply yourself and give it your very best, you will complete this course successfully.

I encourage anyone seeking to obtain an EMT Certification to consider NCOAE, you will not be disappointed.