Advanced EMT (Bridge)

NCOAE is the industry leader for providing emergency and rescue expertise, and our commitment to your career is evident in our ‘Intensive’ 23-Day Advanced EMT training (Bridge) (A-EMT).

Questions? Call NCOAE Support (910) 399-8090


The National Center for Outdoor & Adventure Education (NCOAE) is the industry leader for providing emergency and rescue expertise, and our commitment to your career is evident in our ‘Intensive’ 23-Day Advanced EMT (Bridge) training (A-EMT). This training gives you the skills to become the critical link from the scene to the emergency health care system. The A-EMT Program includes advanced skills focused on the acute management and transportation of critical and emergent patients through advanced life support techniques.

We know your time is valuable, which is why this training follows the guidelines set by the National Scope of Practice Model and is designed to help prepare individuals for licensure as an A-EMT. The objective of the A-EMT training is to take students from Basic to Advanced Life Support skills. NCOAE offers this professional and practical A-EMT training, taught by our experienced instructors on the NCOAE campus in Wilmington, North Carolina.

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23 days

Course Information

Adventure First

If you like providing medical and trauma assistance in settings from wilderness terrain to urban buildings, our A-EMT training is for you.

Pre-hospital emergency medicine is an always-changing environment and each day provides new challenges and unexpected emergency situations. If you like providing medical and trauma assistance in settings from wilderness terrain to urban buildings, our A-EMT training is for you. Training consists of classroom, laboratory and actual field experience.

During this 31-day hybrid EMT medical training course you’ll get a first-hand look from a beginners, intermediate and advanced perspective of the North Carolina wilderness. Our primary areas of focus center around a hands-on approach to medical first-aid, first responder, search and rescue, survival and outdoor education. This training provides you with the knowledge to earn an EMT wilderness certification, while promoting underlying themes of leadership that seamlessly translate into the professional world.

Experience counts in the world of emergency medicine. Our pre-requisites for this training exceed state and national course entry expectations by including that our students must show proof of 500 hours or 6 months consecutive work as an EMT-B.

A-EMTs function as part of a comprehensive EMS response, under medical oversight. This training provides an overview of the principles of including IV therapy, advanced cardio and advanced airway management, and several pharmacological interventions beyond the basic EMT level. Learners will apply critical thinking skills to ensuring the safety of a scene and a plan for safe patient care and transportation.

Successful completion of the program allows the graduate to take the National Registry of Emergency Medical Technicians A-EMT certification examination and apply for state credentials as an A-EMT. NCOAE is credentialed through the North Carolina office of Emergency Medical Services to conduct the A-EMT courses. The A-EMT training is the second level of emergency medicine training and a requirement on your path to becoming a paramedic. Classes meet all day Monday through Friday for the sate required 160 hours of didactic, lecture, and presentations, as well as 48 hours of ER clinicals, and 48 hours of ambulance ‘ride time’.

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 you’re A-EMT training meets and exceeds the high expectations for all NCOAE courses.

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  • Duration: 23 days
  • Minimum Age: 18
  • Tuition: $2,645.00
  • Credit Hours: 2

Education Always

  • A-EMTs must be certified as basic EMTs prior to seeking certification.
  • To complete A-EMT Training in North Carolina you must have college level Math and English.
  • The A-EMT upgrades the basic EMT training, including IV therapy, advance cardio and advanced airway management, and several pharmacological interventions beyond the basic EMT level.
  • Along with the classroom time, this A-EMT training requires clinical experiences, including the operating room, emergency department, other hospital units, and advanced life support ambulances. During these clinical hours, the A-EMT student must successfully demonstrate full practical knowledge of skills learned.
  • Upon completion of all classroom and practical skills hours, A-EMT students must successfully pass a standardized psychomotor and cognitive assessment before becoming eligible for certification.
  • Itinerary
  • FAQs
  • Credits
  • Outcomes
  • Downloads

Itinerary Highlights

  • Your A-EMT certification is designed to train you to provide patient care and transportation, augmenting prehospital critical care and providing rapid on-scene treatment.
  • A-EMTs are most usually employed in ambulance services, working in conjunction with EMTs and Paramedics. The A-EMT is authorized to provide advanced life support, which is beyond the scope of an EMT-Basic.
  • The text and lecture formats are designed for the students in a single course to achieve the goal of certification under the North Carolina Office of Emergency Medical Services and the National Registry of EMTs as an advanced level EMT.
  • This on site component of this training takes place at the NCOAE campus. You’ll have housing options including living with fellow students in a rustic cabin 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.


  • Day 1: Registration & Introductions, Quiz 1, Medical Overview, Pharmacology, and Patient Scenarios
  • Day 2: Review of Body System Specific Medical Emergencies, Toxicology, and Psychiatric, Scenarios
  • Day 3: Quiz 2, Shock, Vascular Access Skills & IM, IV, IO Administration
  • Day 4: Quiz 3,Cardiorespiratory Emergencies, Advanced Airways, Scenarios
  • Day 5: Clinicals/ED/EMS
  • Day 6: Clinicals/ED/EMS
  • Day 7: Clinicals/ED/EMS
  • Day 8: Quiz 4, Clinical Roundtable, Geriatrics, OB-GYN, Pediatrics, Scenarios
  • Day 9: Quiz 5, Soft-tissue trauma, NREMT Trauma Skills, Scenarios
  • Day 10: Orthopedic trauma, NREMT Splinting skills, Scenarios
  • Day 11: Clinicals/ED/EMS
  • Day 12: Clinicals/ED/EMS
  • Day 13: Clinicals/ED/EMS
  • Day 14: Study & Practice skills, Clinicals as needed
  • Day 15: Quiz 6, Clinical Roundtable, Review for NREMT Exam, Scenarios
  • Day 16:Skills review, Student created scenarios and activities
  • Day 17: Clinicals/ED/EMS
  • Day 18: Clinicals/ED/EMS
  • Day 19: Clinicals/ED/EMS
  • Day 20: Clinicals/ED/EMS
  • Day 21: Study & Practice skills, Clinicals as needed
  • Day 22: Clinical Roundtable, Final skills and clinical handbook check, TSOP Review, Final Exam Review
  • Day 23: Final Exam, TSOP Exam, Cleanup & Graduation
Will I complete the National Registry (NREMT) written exam before leaving NCOAE?

No. EMS educational institutes across the country are not legally permitted to administer the advanced exam. Upon successful completion of your A-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 written 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.

Will I complete the NREMT psychomotor exam evaluation during this course?

No. Currently, the National Registry requires a two-week waiting period upon successful completion your A-EMT training. To this end, you will be responsible for locating and scheduling an A-EMT psychomotor exam evaluation upon successful completion of your training.

When do we sign up for clinical and how much time is required for clinical?

You will be assigned a clinical ride-along site and time during the first week of class. You will be required to participate in 48 hours of clinicals in the ER and 48 hours of clinical ride along time on an ambulance to be completed with our partners throughout the state of North Carolina.

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 college level English and Math
  • 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)

In addition to the state mandated pre-requisites above, you will also need to provide: proof of EMT-B credentials and 500 hours or more of consecutive affiliation with EMS.

What is the average age of students?

On average between 22 and 38 – but we commonly have older students as well.

Will I have any free time during the Advanced EMT training?

Due to the intensity of this course, there will not be a lot of free time. You will be in class five days a week for presentations, lectures, and practical skills training, and your weekends will are reserved for you to complete your 96 hours of clinicals.

Will NCOAE provide me with extra resources if I fail the NREMT exam on my first attempt?

If you fail your first attempt of the NREMT exam, we recommend that you contact NCOAE and request resources and extra support to prepare you for your second attempt.

What is the difference between the basic EMT and the Advanced EMT (Intermediate) training?

The A-EMT training focuses on advanced life support, whereas the basic EMT focuses on basic life support. The A-EMT training emphasizes IV therapy, advanced cardio, and advanced pharmacology.

Who takes the A-EMT Intensive course?

Anyone who has successfully completed and is currently credentialed as a basic EMT, and anyone pursuing a career in advanced life support and emergency medicine.

Can I upgrade to a Wilderness EMT after completing this training?

Yes. Anyone who possesses an EMT-B or A-EMT certification is eligible to upgrade to a Wilderness EMT (W-EMT). To do so, you must successfully complete a W-EMT training in order to be eligible for the upgrade.

Are financial scholarships available for the A-EMT course?

No, not at this time.

Is college credit available for this course?

Yes. If you are currently enrolled in a college or university, you will need to contact your academic advisor and provide them with a syllabus to include: lab hours, practical skills hours, and classroom hours. Your academic advisor should be able to guide you through the process of obtaining credit hours for this course.

Are meals provided?

Food is not included. There are restaurants and supermarkets within walking distance from our campus. Students living on campus have access to both refrigerated and dry food storage space as well as the use of utensils, a coffee maker, hotplate, microwave, and toaster oven for students to prepare meals on-site.

What is it like to live on-campus?

Students may bring their own camping equipment, or choose to stay in one of our shared-space, ‘rustic’ cabins. The cabins have no power and each sleeps up to four students. The on-campus housing option charge applies regardless of whether or not students choose to camp or stay in a cabin. Housing includes outdoor shower access, use of the kitchenette, and trash/recycling removal. Please let us know what your housing preference is when you register.

What if I want to stay off campus?

NCOAE highly recommends that students stay on campus during the training. For one thing, it is likely the most economic option available. This helps students assimilate the high volume of information that they are receiving and promotes collaboration between classmates. However, if you would prefer to stay off campus, Wilmington has lots of great options for temporary housing. Contact our office and we can recommend hotels, motels, and campgrounds close by.

Does this class require me to be stuck with needles?

Yes. This class requires active participation of all students to practice sticking needles and being stuck with needles in pursuit of learning skills necessary for IV therapy.

Academic Credit

Your work during our A-EMT Training may be eligible for college-level credits through Keystone College or the college or university that you are currently attending:

  • 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. The text and lecture formats are designed for the students in a single course to achieve the goal of certification under the North Carolina Office of Emergency Medical Services and the National Registry of EMTs as an advanced level EMT.

After successful completion of the A-EMT training, students will have completed 160 hours of didactic presentation and lab as well as the required 96 hours of clinicals and ride times.

This ‘intensive’ NCOAE training provides students the opportunity to learn through theory and practical applications how to be professional EMT at an advanced level in caring for patients, families, and coworkers if the need arises. Students are prepared for a career in Advanced EMS through lecture, laboratory, and clinical experiences. Graduates from the A-EMT Program will receive a Certificate of Completion from NCOAE.


Upcoming Dates / Reserve Your Spot

Available Dates
February 02 — February 24, 2022
September 06 — September 28, 2022


Student Reviews

This was such a amazing course! It has advanced my career in so many ways. I recommend it to everyone who is wanting to take their skills to the next level.