‘Intensive’ EMT (Hybrid)

A 21-day Hybrid 'Intensive' EMT certification course that satisfies eligibility requirements for the National Registry and State EMT certification. This course includes 10-days of virtual instructor led training and 11-days of hands-on, practical skills 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 21-day virtual instructor led Hybrid EMT training.

The training satisfies eligibility requirements for the National Registry and State EMT certification. NCOAE offers this efficient and effective Hybrid EMT training, by combining both 10 days of virtual instructor led training with a 11 day practical skill sessions at our campus in Wilmington, North Carolina. Students will also complete 25-30 hours of pre-course training before beginning virtual instruction.

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

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 virtual 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.

This intensive hybrid EMT hands-on medical training course is designed specifically to teach and promote one’s capabilities in EMT, first-aid, first responder, survival, and outdoor education. You’ll be the heart of the North Carolina wilderness training for you EMT certification, along with developing lifelong leadership skills that will positively impact you for the rest of your life.

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 virtually for 10 consecutive days, which include 128 hours of didactic, classroom training. Then, the class meets in person for 11 days, for an additional 64 hours of hands-on training, as well as 48 hours of clinical and field practice. This course also requires students to complete 25-30 hours of pre-course trainings.

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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 (CEVO); 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.

Is the ‘Intensive’ 21-day virtual-lead Hybrid EMT training not for you? Check out our fully in-person ‘Intensive’ 21-day EMT Training.

  • Itinerary
  • FAQs
  • Credits
  • Outcomes
  • Downloads

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 curriculum, AND the State of North Carolina EMT curriculum.
  • The first 10 days of the course will take place online, through our virtual live learning platform.
  • Then, the next 11 days of the course take place at the NCOAE campus and feature a hands-on, on-site skills component.  All students have access to our restrooms, shower facilities, kitchenette, wi-fi, and 24-hour access to an on-site classroom. You’ll have housing options including living with fellow students in a rustic cabin, complete with bed or a tent-site.  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 (10 days)

  • Pre-Course Assignments: FEMA, HazMat Awareness, Blood-borne Pathogen, CEVO, TIMS, and AHA CPR Training and Certification, EMS Systems, Workforce Safety and Wellness; Medical, Legal, and Ethics; Professionalism
  • Day 1: 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 2: Quiz 1, Patient Assessment, Airway Management, Principles of Pharmacology
  • Day 3: Shock, Medical Overview, Respiratory Emergencies, Cardiovascular Emergencies
  • Day 4: Quiz 2, Neurological Emergencies, Gastrointestinal and Urologic Emergencies, Endocrine and Hematologic Emergencies, Immunologic Emergencies
  • Day 5: Toxicology, Psychiatric Emergencies, Gynecologic Emergencies
  • Day 6: Quiz 3, Trauma Overview, Bleeding, Soft-tissue Injuries, Face and Neck Injuries, Head and Spine Injuries
  • Day 7:   Chest Injuries, Abdominal and GU Injuries, Orthopedic Injuries, Environmental Emergencies
  • Day 8: Quiz 4, Gynecologic Emergencies, Obstetric and Neonatal Care, Pediatric Emergencies, Geriatric Emergencies, Patients with Special Challenges.
  • Day 9: Transport Operations, Vehicle Extrication and Special Rescue, Incident Management/Triage, Terrorism Response and Disaster Management, Team Approach to Healthcare
  • Day 10: Final Written Exam, Mass Casualties, Skills Prep

Practical Skills Training (11 days)

  • Day 11: Airway Skills Lab, CPR Skills, Pharmacology Review, Vital Sign Lab
  • Day 12: Intro to Patient Assessment System, Medical Patient Lab, Medical Emergencies
  • Day 13: Lifting and Moving Lab, Trauma Skills Lab, Trauma Patient Assessment
  • Day 14: CEVO Driving, Trauma & Medical Scenarios,
  • Day 15: Standard Patient Care Labs
  • Day 16: TSOPS
  • Day 17: Clinicals
  • Day 18: Clinicals
  • Day 19: Clinicals
  • Day 20: Clinicals
  • Day 21: Final Course Assignments, Debrief, Graduation & Celebrate!
What is the difference between this Hybrid 21-day Intensive EMT course and the standard 21-day Intensive EMT course listed on the website?

The first 10 days of the Hybrid course will take place online, through our virtual instructor led training. Then the next 11 days of the course take place at the NCOAE campus and feature a hands-on, practical skills component. All 21 days of standard 21-day EMT training take place fully in person at the NCOAE campus in Wilmington, NC.

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-B 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, Varicella, 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)
  • 25-30 hours of pre-course training


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 around 7 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 textbook?

You do not need the workbook for your course textbook but you do need the course textbook. Please check your reservation email once you are registered for our current required textbook.

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 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 21-day Hybrid 'Intensive' EMT course?

The cost of tuition is $2,450.00 (plus an optional $150.00 for housing for the 10 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). A lab fee/PPE fee of $40 is also included in the final course cost to cover all personal protective equipment needed for the practical skills portion.

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 $150.00 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. Housing is limited.

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 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 240-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.


Upcoming Dates / Reserve Your Spot

This 21-day Hybrid 'Intensive' EMT Training includes 10 days of Virtual Instructor Led Training and an 11 day in person practical session.

Available Dates
Online / Live: November 01 — November 10, 2021
Practical / Hands-on: November 13 — November 23, 2021
Online / Live: November 29 — December 08, 2021
Practical / Hands-on: December 11 — December 21, 2021
Online / Live: January 10 — January 19, 2022
Practical / Hands-on: January 23 — February 01, 2022
Online / Live: April 06 — April 15, 2022
Practical / Hands-on: April 19 — April 29, 2022
Online / Live: May 13 — May 22, 2022
Practical / Hands-on: May 25 — June 04, 2022
Online / Live: June 15 — June 24, 2022
Practical / Hands-on: June 27 — July 07, 2022
Online / Live: July 17 — July 26, 2022
Practical / Hands-on: July 29 — August 08, 2022
Online / Live: August 08 — August 17, 2022
Practical / Hands-on: August 20 — August 30, 2022


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 Hybrid course at NCOAE combines the best of all possible options and gives the student an ability to focus on areas that they need to, with greater attention and the right amount of support and guidance. In many ways it took what NCOAE does best and brought it right into my living room. It certainly gave me the confidence that I needed to learn the material with certainty in an uncertain time.

Everyone at NCOAE strived to create a Hybrid Class that was second to none. From the syllabus to the instructors, the online materials and resources to the final skills week the whole experience was amazing. I am so glad that I chose this program and got the training that I needed in a way that helped me reach my goals.

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.

NCOAE’s Hybrid Course allowed me to become a certified EMT both nationally and within the state of North Carolina.

You see, if it were not for the hybrid course, there was no way I was going to be able to accomplish my goal, to become an EMT to use that credential to become a volunteer as a member of the South Orange County Technical Rescue Team.

The hybrid system allowed me, a father of three small children and a partner in a company in Raleigh, to have the flexibility to take the coursework at home. A big help was that the instructors made themselves available to us outside classroom time, and were very approachable and showed such willingness to assist students. Then the intense, hands-on clinical work allowed me to put the coursework into action. The equipment available to us was high quality, and of good quantity. And working side by side with the other students and the same instructors made this course invaluable. It is amazing to me to think of all of the lives positively impacted by all of the NCOAE team.