Please Note: Our Standard 19-day 'Intensive' EMT Training is now offered in a 21-day format. Please click here for the 21-day in-person training. We also now offer a Hybrid 'Intensive' 21-Day EMT Training which allows you to participate in the first 11 days of the course online using our live instructor-led learning platform, followed by 10 days of in-person training. Please click here for the Hybrid 'Intensive' 21-Day EMT Training

Hybrid ‘Intensive’ EMT

A Hybrid 19-day 'Intensive' EMT initial certification course that satisfies eligibility requirements for National Registry and State EMT certification. Course includes 12-days of online, virtual, live training and 7-days of hands-on, on-site training.

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 Hybrid 19-day virtual, instructor led EMT training.

The training satisfies eligibility requirements for the National Registry and State EMT certification. NCOAE offers this efficient and effective EMT training, taught by our professional instructors online and at our campus in Wilmington, North Carolina.

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Course Information

Adventure First

Gain the skills necessary to become a certified Emergency Medical Technician (EMT).

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

NCOAE’s team of remote rescue professionals designed this accelerated, Hybrid EMT training course. The curriculum is comprehensive, efficient, and satisfies eligibility requirements for the National Registry and State EMT certification. Classes meet online for 12 consecutive days, for 110 hours of didactic, classroom training. Then, the class meets in person for 7 days, for an additional 56 hours of hands-on training, as well as 24 hours of clinical and field practice. This Hybrid model allow our instructor to provide an additional 12 hours of didactic instruction and 2 days of practical sessions, when compared to the traditional in-person model.

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  • Duration: 19 days
  • Minimum Age: 18
  • Tuition: $2,150.00
  • 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 American Heart Association BLS Health Care Provider CPR certification, valid for two years.
  • Course topics include: patient assessment, body systems, medical emergencies, trauma, medication administration, automatic defibrillation, environmental medicine, and toxins.

Is the Hybrid ‘Intensive’ 19-day online-virtual-live EMT training not for you? Check out our fully in person ‘Intensive’ 19-day EMT Training.

  • Itinerary
  • FAQs
  • Credits
  • Outcomes
  • Downloads
  • Reviews

Itinerary Highlights

  • The NCOAE Emergency Medical Technician hybrid course curriculum 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 (EMT) curriculum, AND the State of North Carolina EMT curriculum.
  • The first 12 days of the course will take place online, through our virtual, live learning platform.
  • Then, the next 7 days of the course take place at the NCOAE campus and feature a hands-on, on-site skills component.  You’ll have housing options including living with fellow students in a rustic cabin, complete with bed or a tent-site.  All students have access to our restrooms, shower facilities, 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 just minutes from the beach!


Virtual, Instructor Led Training (12 days)

  • Day 1: EMS Systems, Workforce Safety and Wellness; Medical, Legal, and Ethics; Professionalism
  • Day 2: Medical Terminology, The Human Body, to include anatomy, body systems, physiology & pathophysiology, nervous system, cardiovascular and respiratory system; Lifespan Development; and Lifting & Moving Patients
  • Day 3: Quiz 1, Patient Assessment, Airway Management, Principles of Pharmacology
  • Day 4: Shock, Medical Overview, Respiratory Emergencies, Cardiovascular Emergencies
  • Day 5: Quiz 2, Neurological Emergencies, Gastrointestinal and Urologic Emergencies, Endocrine and Hematologic Emergencies, Immunologic Emergencies
  • Day 6: Toxicology, Psychiatric Emergencies, Gynecologic Emergencies, AHA CPR
  • Day 7: FEMA, HazMat Awareness, and Blood-borne Pathogen Training and Certification
  • Day 8: Quiz 3, Trauma Overview, Bleeding, Soft-tissue Injuries, Face and Neck Injuries, Head and Spine Injuries
  • Day 9:   Chest Injuries, Abdominal and GU Injuries, Orthopedic Injuries, Environmental Emergencies
  • Day 10: Quiz 4, Gynecologic Emergencies, Obstetric and Neonatal Care, Pediatric Emergencies, Geriatric Emergencies, Patients with Special Challenges.
  • Day 11: Transport Operations, Vehicle Extrication and Special Rescue, Incident Management/Triage, Terrorism Response and Disaster Management, Team Approach to Healthcare.
  • Day 12: Final Written Exam, Skills Prep

Practical Skills Training (7 days)

  • Day 13: Vital Signs Lab, Lifting and Moving Lab, General Equipment Overview and Bag Stocking, Airway Skills Lab
  • Day 14: Intro to Patient Assessment System, Medical Emergencies Review, Medical Patient Lab & Skills
  • Day 15: Clinicals
  • Day 16: Trauma Emergencies Review; Orthopedics, Wound Care, and Bleeding Lab
  • Day 17: Mass Casualty Incident and Triage; Trauma and Medical Patient Lab
  • Day 18: Clinicals
  • Day 19: TSOPS, Graduation, Celebrate!
What is the difference between this Hybrid 19-day Intensive EMT course and the other 19-day Intensive EMT course listed on the website?

The first 12 days of the Hybrid course will take place online, through our virtual, instructor led training platform. Then, the next 7 days of the course take place at the NCOAE campus and feature a hands-on, practical skills component. All 19 days of training in the other EMT course take place at the NCOAE campus.

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.

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.
  • Complete a 12-panel or greater urinalysis drug screen
  • Complete criminal history 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 the day’s schedule and your evening time management. There is a short break every hour and a 1 hour lunch break.  Expect to typically be in class from 4-6 hours a day, then spend several hours in the evenings studying and completing online material.  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 Hybrid 'Intensive' EMT 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.

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 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-B 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 Hybrid 'Intensive' EMT course?

The cost of tuition is $2,150.00 (plus an optional $105.00 for housing for the 7 day on-site portion, if students plan to live on campus at our 17-acre campus in Southeastern North Carolina, about 1 mile from the beach).

Are meals for the on-site portion of the course included in the cost of tuition?

No. A grocery store, coffee shop, and several 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 pots/pans, dishes, utensils, coffee makers, hotplates, microwaves, and toaster ovens for students to use to prepare meals on site.

What are my housing options at NCOAE's base, for the on-site portion of the course?

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 two to four students. The same price of $105.00 applies regardless of whether or not the student wishes to camp or stay in a cabin. The housing option includes shower access, pavilion for outdoor cooking, use of on site kitchenette, wifi, and 24/7 access to the classroom. Please let us know what your preference is when you register.

What are my housing options if I stay off campus, for the on-site portion of the course?

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

Academic Credit

Your work during our EMT-Basic Training may be eligible for college-level credits through your university or 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 190-hour course, students will take the written and practical exams. Students have up to 24 months after course completion to pass the NREMT exam.  Individual state requirements may vary.

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 would like to share my gratitude for the professionalism of the entire staff at NCOAE. From the moment I expressed my interest in the EMT Class, I was welcomed, encouraged and supported throughout the entire course.

Even though the curriculum was delivered virtually, it was taught by seasoned veterans in Emergency Healthcare, who brought the material to life by sharing their practical experiences.
The course was augmented by excellent supplemental study materials and virtual office hours when the instructors would answer any questions from that days classes or reviews.

- Stan Morris

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 19-Day “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 Devoe

Upcoming Dates / Reserve Your Spot

This Hybrid 19-day 'Intensive' EMT Training is only offered through NCOAE's online, virtual, live platform!


Student Reviews

The online course was comprehensive, interactive, and informative. The instructors were very knowledgeable, experienced in the field, available to us, and eager to answer questions. It was a great experience!

The National Center for Outdoor and Adventure (NCOAE) EMT Basic 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…

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 19 Day 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.