Initial AEMT Online Hybrid Course
Course Overview
The Initial AEMT Hybrid Course from North American Rescue Training and Education (NAR-T) is a 253-hour Advanced Emergency Medical Technician training program for current EMTs who are ready to advance their EMS education and patient care skills.
This Hybrid Online AEMT Course combines approximately 197 hours of online education with a required 6-day in-person AEMT Skills Week.
Students complete online coursework before attending hands-on training, clinical rotations, skills competency testing, and the NAR-T AEMT Psychomotor Exam.
What You'll Learn
The Initial AEMT Course builds on the knowledge and skills you developed as an EMT.
Students learn to complete advanced patient assessments, recognize serious illness and injury, perform AEMT-level interventions, establish vascular access, administer approved medications, and make sound patient care decisions.
- Advanced patient assessment
- Airway and respiratory emergencies
- Vascular access
- Medication administration
- Shock and resuscitation
- Cardiac emergencies
- Neurologic emergencies
- Medical emergencies
- Trauma care
- Pediatric and obstetric emergencies
- Clinical judgment
- Team communication
- Patient stabilization
- Treatment and transport decisions
Who This Course is For
- Medical directors, clinical supervisors, and program administrators overseeing blood product transfusion standards
- Paramedics, RNs, Critical Care/Transport clinicians (ground or air), Flight Paramedics and Flight Nurses, Tactical and Offshore medics, Military corpsmen, DoD/USAR teams, and disaster response providers administering blood products in the field.
- Teams supporting compliance, documentation, QA, and program sustainability
What Problem this Course Solves
- Standardizes prehospital transfusion and field transfusion workflows
- Improves readiness, monitoring, traceability, and reaction response during blood product transfusion
- Bridges evidence-based practice for safety, EMS whole blood and blood product administration and operations
What You'll Walk Away With
- A repeatable operational workflow to build or improve a blood program
- Practical skills and scenario experience you can apply immediately
- Tools for patient selection, timing, monitoring, and documentation
- CAPCE CE documentation
Training Format
- Lecture 75% | Skills 15% | Scenarios 10%
- Small-group coaching from leading experts at THOR, case discussion, and structured debrief
- Realistic workflows for storage, administration, monitoring, and complication management
Logistics (3 Full Days of Training
- Time: 8:00 AM – 5:00 PM (full training days)
- Dress Code: Professional, comfortable clothing; closed-toe shoes required. Scenarios will include simulated blood.
- Food/Drinks: Bring your own. Water stations are available. Coffee/tea provided. Fridge + microwave on-site. Food truck available at lunch.
- Materials: No pre-course work required. Bring pen/paper; laptop optional. Materials provided on-site.
- Other: ADA accessible. Parking available. Photo ID is required at check-in. Travel/lodging not included.
Course Objectives
- Apply evidence-based Damage Control Resuscitation (DCR) principles to identify patients in hemorrhagic shock who may benefit from early blood-forward resuscitation during prehospital trauma care and trauma resuscitation.
- Demonstrate safe blood administration EMS workflow steps for prehospital transfusion and field transfusion, including preparation, initiation, monitoring, reassessment, and documentation in accordance with established transfusion protocols.
- Maintain operational readiness and patient safety by verifying blood product handling requirements and applying cold chain and traceability practices relevant to blood product and blood product transfusion, including considerations for low-titer O whole blood (LTOWB).
- Recognize and manage suspected transfusion-related complications by identifying early warning signs, initiating immediate response actions, and documenting events to support quality assurance and medical oversight.
- Describe the program-level elements required to implement and sustain a compliant, high-reliability prehospital blood program, including governance, documentation, quality assurance processes, and key AABB and FDA compliance considerations.
- 253 total program hours
- Approximately 197 online hours
- 6-day in-person Skills Week
- 32 hours hands-on training and testing
- 24 hours clinical and EMS experience
- Online coursework available 24/7
- Scenario-based patient care training
- Hands-on AEMT skills practice
- NAR-T AEMT Psychomotor Exam
- Practical competency testing
- National Registry AEMT exam preparation
- Greer, SC and Las Vegas, NV
- Complete in as little as 120 days
- Maximum completion time: one year
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Approved AEMT Training
North American Rescue Training and Education is an approved EMS training provider through the Southern Nevada Health District (SNHD) and the South Carolina Department of Public Health (DPH). The Initial AEMT Hybrid Course combines Advanced EMT education, hands-on skills, clinical experience, and competency testing to prepare students for entry-level AEMT practice and the National Registry AEMT Certification Examination. -
Flexible Hybrid AEMT Training
Complete the academic portion of your Initial AEMT training online, then attend a required 6-day in-person Skills Week for hands-on training, clinical experience, skills testing, and the NAR-T AEMT Psychomotor Exam. Online coursework can be accessed from a computer, tablet, or smartphone, giving working EMS providers greater flexibility. -
Engaging Online AEMT Education
This Hybrid Online AEMT Course uses interactive lessons, skills videos, case studies, virtual patient encounters, quizzes, exams, study resources, and instructor support to help students understand and apply Advanced EMT concepts. Students then apply that knowledge during hands-on training and real-world clinical experiences.
Students complete approximately 197 hours of online education before attending Skills Week
- Advanced EMT lessons and lectures
- Electronic textbook
- Skills demonstrations and drills
- Chapter quizzes and assessments
- Case studies
- Virtual instructor lectures
- Flashcards and study tools
- Virtual EMS ride-alongs
- Patient care simulations
- AEMT skills videos
- Clinical and safety education
- Pre-arrival Skills Week training
- National Registry exam preparation
Students attend Skills Week in Greer, South Carolina, or Las Vegas, Nevada.
- Patient assessment
- Airway management
- Vascular access
- Medication administration
- Medical emergencies
- Trauma emergencies
- Shock and resuscitation
- Patient stabilization
- Team-based care
- Clinical decisions
- Treatment and transport
- Integrated scenarios
Students must successfully complete the NAR-T AEMT Psychomotor Exam and required skills testing during their in-person Skills Week.
- Patient assessment
- Airway and ventilation
- Vascular access
- Medication administration
- Medical patient care
- Trauma patient care
- Clinical decision-making
- Team communication
- Integrated scenarios
The program includes 24 hours of required clinical experience, consisting of two 12-hour clinical or EMS rotations.
- Patient assessments
- Medication administration
- Vascular access
- Airway management
- Documentation
- EMS operations
- Team communication
- Treatment and transport
About the Course
Prehospital blood programs are expanding across EMS, critical care transport, and hospital-based response teams. The challenge is that many agencies still need a clear and safe process for prehospital blood administration, field transfusion, documentation, quality improvement, and team-based decision-making during high-risk trauma calls. The Advanced Damage Control Resuscitation and Prehospital Transfusion (ADaPT) course helps close that gap by teaching practical, evidence-based concepts in Damage Control Resuscitation (DCR), hemorrhagic shock, trauma resuscitation, whole blood, blood products, and EMS blood program readiness.
Co-developed by North American Rescue Training and Education (NAR-T) and the Trauma Hemostasis and Oxygenation Research Network (THOR), this immersive three-day course gives paramedics, nurses, critical care teams, EMS leaders, and prehospital clinicians the opportunity to learn from THOR’s leading experts in Damage Control Resuscitation and prehospital transfusion education. Students will connect the science of blood-forward resuscitation with real-world EMS practice through lectures, hands-on skills, case-based learning, and simulation training.
ADaPT also focuses on the systems needed to support safe and reliable blood operations. Students will review key workflow and compliance topics, including blood product administration in EMS, transfusion protocols, documentation, quality assurance, operational readiness, and important AABB and FDA compliance basics. The course also discusses product considerations such as low-titer O whole blood (LTOWB) when allowed by local protocol. By the end of the course, students will have a stronger understanding of how Damage Control Resuscitation supports early hemorrhage control, safer transfusion practices, and better care for critically injured patients in the prehospital setting.