EMT Intensive

If you're looking for a rapid, informative and thorough way to complete the 240-hour curriculum the State of North Carolina requires to become an Emergency Medical Technician, you are looking for the Hybrid EMT Intensive with a 100% pass rate in 2021.
Register Now

NOLS Wilderness Medicine Communicable Disease Disclosure (English)

Earn your credentials in the premiere EMT Intensive course.

Landmark Learning is the leading private teaching institution approved by the N.C. Office of Emergency Medical Services to teach the EMT curriculum – and the top provider to offer it in this intensive format.

The EMT Intensive includes online prerequisite hours, prior to arrival onsite at our Upstream Campus. Then students are prepared for an active 3 weeks of intensive training. Instructors will demonstrate and students will practice curriculum skills, practice and use EMT equipment, participate in practical scenarios, prepare for course end written and practical testing and attend field experiences on ambulances, in long-term patient care facilities, and at hospital emergency departments.

Upgrading to WEMT? If you also attend the NOLS Wilderness Upgrade for Medical Professionals immediately following the EMT Intensive, be sure to visit the NOLS Wilderness Emergency Medical Technician (EMT plus WUMP) page for details and to prepare for your wilderness training.

Course Outline

EMT-Intensive-July-2024-Course-Schedule – Clinical Prerequisites are DUE July 5.

Text book is Brady, “Emergency Care”, 14th Edition


Packing List

EMT Class Gear Lists

Course costs include:

  • Experienced Faculty
  • Landmark Learning is an accredited EMS school recognized by the North Carolina Office of Emergency Medical Services (NCOEMS)
  • Maximum of 18 students; excellent instructor to student ratio
  • Access to our CANVAS self-study online platform
  • HSI Basic Life Support 2-year certification
  • Field experience uniform shirt
  • Field experience malpractice insurance
  • All course equipment is provided for student use
  • Access to all course equipment after class hours for study and practice
  • Up to 48 hours of field experience on ambulances, clinics, and emergency rooms
  • Online quizzes and examinations for material highlights and retention
  • Final written examination in-person
  • Learn additional advanced life support assist skills that increase your abilities
  • Upon completion, opportunity to participate in NOLS Wilderness Upgrade for Medical Professionals.
  • Many of our students go on to excel in EMT-Paramedic programs

Course costs do not include:

  • Lodging or camping on site – it is available for an additional fee
  • Fees for background checks
  • Prerequisite vaccines, or blood titers to prove vaccination if records cannot be found
  • Fee for 10-Panel Drug Screening
  • Fee for providing proof of High School graduation
  • NREMT or NCOEMS exam fees
  • Course textbook: Brady, “Emergency Care” 14th Edition
    Students will purchase this text on their own. Find used copies online. Purchase a new text or electronic copy direct from Pearson.

General Information

Course Length

240 hours


Prerequisites are due before your course starts. They are required by clinical sites in order to schedule your field experiences. You may still complete the course without field experience, but will not be eligible to test for NREMT or NCOEMS certification.

Course Prerequisites:

  • NCOEMS-Candidate-Handbook_11052023_DHSR: Page 2
  • Proof of Age: Driver’s License, State ID, Passport, or Birth Certificate
  • High School Diploma or equivalent: high school transcript, college transcript with high school graduation date, or letter/email from your high school stating your graduation date

Clinical Prerequisites: EMT Clinical Prerequisites Jul24

  • NC Criminal Background Check required: https://mednet.quickapp.pro/positions
  • 10-Panel Drug Screen: https://requestatest.com/drug-test-10-panel-urine-with-expanded-opiates-testing
  • 48 hours of Clinical Experience is required to be eligible for course end certification exams, and our clinical sites require:
    • Childhood vaccination record (MMR, Pertussis/Tdap, Varicella, Hep B series or exemption form)
    • Quanteferon, T Spot,  or 2 TB Skin Tests (within 1 year of your course end date)
    • Flu vaccine or exemption form (October 1 thru March 31)
    • COVID vaccination card or exemption request form
  • Clinical Orientation (find in your ACTIVE account)
  • Code of Conduct (find in your ACTIVE account)

*International students: Students who wish to take the NC written exam must be admitted on a J-1 Visa in order to accommodate background checks. 

Certifications Received

  • Certificate of Completion – EMT Intensive
  • Eligibility for NREMT and NC certification exams – Exams will take place on your own time, after the course is complete.
    • NC computer-based testing is available through Meazure Learning in most states.
      NCOEMS Meazure Exam Pathway
    • The NC written exam must be completed within 90 days of the last day of your EMT Intensive course. NCOEMS Candidate Handbook
    • NREMT written exams are available in most major cities across the country, through PearsonVue. NREMT exam-pathway
    • The NREMT exam must be completed within 24 months of your initial training course.
    • Exam details are available at your course, and post-course support is available for 1 year until you finish your testing.
  • HSI Basic Life Support (CPR)

Course Length

This is an initial training course; there is no continuing education credit available.

Course Expectations

240 course hours –Preparation for:

  • Scope of Practice Exam for NCOEMS and NREMT (Practical Examination for EMT) This exam is held at Landmark Learning, at the end of your course.
  • Computer-based Testing for NREMT (2 year certification) Test dates may be chosen 24 hours after course completion at a number of on-line sites through Pearson Vue.
  • Computer-based Testing for NCOEMS (4 year certification)  Test dates may be chosen 24 hours after course completion through Scantron. The last eligible test date is 90 days after close of course.

Certification and Reciprocity:

  • States accept certifications from other states and the National Registry on an individual basis. Check with your state’s office of EMS to understand your reciprocity requirements.
  • By successfully passing the exams both for the state of North Carolina and the National Registry, students have doubled their opportunity to be granted direct reciprocity in their home state.
  • Access the web to check your state’s reciprocity for the NREMT at nremt.org.


100% attendance in the online course orientation, online instructor-led forums, and all lecture and practical sessions is mandatory. Being on time to class is also expected every day. Repeated tardies or absences are grounds for immediate dismissal. Tardiness or not appearing for a clinical rotation is grounds for dismissal as well.

Notebooks and Texts:

  • Emergency Care, 14th Edition, Brady
  • EMT Intensive Manual
  • You should also bring pens, pencils, and paper, and a connective internet device.


In order to evaluate your progress and eventual proficiency, appropriate tests and daily quizzes will be administered.

  • HSI Basic Life Support – 80%
  • NC EMT-B Mid-Term Exam – 80%
  • NC EMT-B Cumulative Final Exam – 80%
  • We can accommodate testing needs if we know prior to your arrival

Certification exams take place after successful completion of the EMT Intensive.

  • NC OEMS EMT Certification Exam – 70% 
  • National Registry EMT Certification Exam – 70%

Field Experience:

You must be a good EMT in order to be a decent WEMT, so in addition to class time EMT students are required to attend up to 48 hours observing in a field setting. Field sites include long-term care facilities, Emergency Departments, and on ambulances. All students must submit ALL prerequisites to take part in field opportunities.

Students are responsible for their own transportation to and from field sites. Drive time to field sites averages about thirty minutes. We have excellent relationships with several Ambulance Services and Emergency Rooms where past students have performed in a professional manner under the guidance of Paramedics, Nurses, and Doctors. These sites do not get paid or get additional benefits for allowing you the opportunity to learn there. In fact, some go above and beyond to give every opportunity to the student if they work well with their system and expectations.

Field experiences are a hit-or-miss opportunity; emergencies do not happen when planned, which requires EMS to be a dynamic profession. Some shifts are slow and students do no more than wash ambulances, change bed linens, and study. These are good opportunities to get in extra study time or to capitalize on your exposure to equipment and highly trained professionals who are not involved with immediate patient care. Most healthcare professionals are very open to helping students who take the initiative to ask pertinent questions, or to find out what equipment is what and how to use all of it. Other shifts are very busy with call after call or patient after patient. You may be called into assisting with CPR while Paramedics are getting medications and AEDs ready, or you may get to assess vital signs and lung sounds on sick or injured people. You may be asked to pull manual traction on fractures while doctors apply casts, or to observe in surgery. Everything you see will prepare you for the real picture of EMS and your new role in it.

Field experiences will be offered during the week and on the weekends, after class. You will not be required to stay longer than your shift. It is important to arrive on time and in the right clothing to conform to approved dress codes. When you arrive at our campus we will provide you with a uniform top that identifies you with Landmark Learning as an EMT student. Other acceptable clothing is as follows: a white t-shirt to wear under your top. If weather is cool bring your jacket or raingear. If you will be on an ambulance dress slacks, or nice dark pants navy or black in color, with belt (NO jeans, Carharts, shorts, or sweats). Shoes with decent traction; crocs or new cross trainers, (NO heels, hiking boots, or sandals) for ER. Hiking boots or similar for EMS. All clothing needs to be fresh, clean, and free of stains, frays, or tears. Your clinical preceptor will assess your appearance when you walk through their door and if you do not meet these minimum standards you may be asked to leave. A professional personal appearance is important when you are taking care of other people. In addition to the above dress code, personal hygiene is mandatory. All bodies must be clean and neat, freshly shaved (neat facial hair is acceptable), and free from odors and strong perfumes. Long hair must be pulled back, and body art or tattoos must be concealed. Some sites may require the removal of excess jewelry or non-traditional piercings.


Even when observing, there is always the possibility of contact with body fluids. Appropriate clothing and appearance helps reduce the risk of exposure. The latest infectious disease concerns and precautions will be explained by your instructor. Host sites require you to have completed, or at least begun, a Hepatitis B series before your program. You should also have received all childhood immunizations.

Due to the increase in tuberculosis, all healthcare workers should have PPD (TB) testing on a regular basis. As a requirement for observations, EMT students must provide proof of a PPD test within six months prior to the start of their course. We ask that you have the PPD testing completed and the Hepatitis B series at least begun before your arrival and that you bring proof for each from the attending doctor or clinic.

In fall and winter, a flu shot is also required. COVID vaccination is required at all clinical sites.