Advanced Medical Life Support (AMLS)

amlsCourse is the first EMS education program that fully addresses how to best assess and manage the most common medical crises in patients, offering a “think outside the box” methodology.  It is for all levels of practitioners with a strong commitment to patient care, including emergency medical technicians, paramedics, nurses, nurse practitioners, physician assistants, nurse anesthetists and physicians.

The course emphasizes the use of scene size-up, history, interactive group discussion on potential treatment strategies, and physical exam to systematically rule out and consider possibilities and probabilities in treating patients’ medical crises. The course offers an initial assessment-based approach that progresses to a diagnostic-based approach to quickly develop the best treatment plan.

AMLS is a sixteen-hour, two-day program that consists of interactive lectures, teaching and evaluation stations. The interactive/case based lectures include the following topics: altered mental status and neurologic disorders, respiratory dysfunction, shock, chest discomfort, endocrine, metabolic and environmental disorders, abdominal discomfort, infectious disease, and toxicologic emergencies, hazardous materials and weapons of mass destruction. Teaching stations follow the associated lectures each day. 

AMLS is endorsed by the National Association of EMS Physicians (NAEMSP). It is accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) and is recognized by the National Registry of EMTs (NREMT). Students who successfully complete the AMLS course will receive a certificate of completion that is valid for four years. 

Prehospital Trauma Life Support (PHTLS)

phtlsRecognized around the world as the leading continuing education program for prehospital emergency trauma care. The mission of PHTLS is to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care through global education.  PHTLS is developed by NAEMT in cooperation with the American College of Surgeons’ Committee on Trauma. The Committee provides the medical direction and content oversight for the PHTLS program. 

PHTLS courses improve the quality of trauma care in your area and decrease mortality. The program is based on a prehospital trauma care philosophy, stressing the treatment of the multi-system trauma patient as a unique entity with specific needs. This may require an approach to the trauma patient that varies from traditional treatment modalities. PHTLS promotes critical thinking as the foundation for providing quality care. It is based on the belief that, given a good fund of knowledge and key principles, EMS practitioners are capable of making reasoned decisions regarding patient care. The PHTLS course is continuously updated and revised to keep up with the advances in the field, ATLS Guidelines and feedback from PHTLS participants.
Although PHTLS originated in the United States, it has evolved and now serves as an international education program available to EMS providers in countries around the world.

Tactical Combat Casualty Care (TCCC)

tcccIntroduces evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield. NAEMT conducts TCCC courses under the auspices of its PHTLS program, the recognized world leader in prehospital trauma education.

NAEMT’s TCCC courses use the PHTLS Military textbook and are fully compliant with the Department of Defense’s Committee on Tactical Combat Casualty Care (CoTCCC) guidelines. It is the only TCCC course endorsed by the American College of Surgeons.

The TCCC-MP (TCCC for Medical Personnel) course is designed for combat EMS/military personnel, including medics, corpsmen, and pararescue personnel deploying in support of combat operations. NAEMT also offers Tactical Emergency Casualty Care (TECC) for civilian tactical EMS.

The TCCC-AC (TCCC for All Combatants) course is designed for non-medical military personnel and includes first responder skills appropriate for soldiers, sailors, airmen and marines.

NAEMT’s TCCC courses are taught by a global network of experienced, well trained instructors. To support course sites, instructors and students, NAEMT maintains a network of tactical affiliate faculty both in the U.S. and internationally, and staff at its Headquarters Office. Course administration is streamlined and cost-effective.

Access the TCCC Guidelines,curricula developed by the Joint Trauma System, and reference materials below: 

  • TCCC-MP: 2 day TCCC course for Medical Personnel 
  • TCCC-AC: 1 day TCCC course for All Combatants 

NAEMT’s TCCC course is accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) and recognized by the National Registry of EMTs (NREMT).PHTLS courses improve the quality of trauma care in your area and decrease mortality. The program is based on a prehospital trauma care philosophy, stressing the treatment of the multi-system trauma patient as a unique entity with specific needs. This may require an approach to the trauma patient that varies from traditional treatment modalities. PHTLS promotes critical thinking as the foundation for providing quality care. It is based on the belief that, given a good fund of knowledge and key principles, EMS practitioners are capable of making reasoned decisions regarding patient care. The PHTLS course is continuously updated and revised to keep up with the advances in the field, ATLS Guidelines and feedback from PHTLS participants.

Although PHTLS originated in the United States, it has evolved and now serves as an international education program available to EMS providers in countries around the world.

Tactical Emergency Casualty Care (TECC)

teccDeveloped by NAEMT’s Prehospital Trauma Life Support (PHTLS) Committee, the TECC program is based on the guidelines from the Committee on Tactical Emergency Casualty Care (Co-TECC) and the Tactical Combat Casualty Care (TCCC) program. TECC uses lessons learned from our military and applies them to the civilian world of tactical medicine.

This 16-hour course covers topics designed to decrease preventable death in the tactical situation.  Topics include: Hemorrhage control; surgical airway control and needle decompression; strategies for treating wounded responders in threatening environments; caring for pediatric patients; and techniques for dragging and carrying victims to safety.

At the core of the TECC program are three distinct phases that have been well-proven by TCCC-trained personnel in the war against terrorism in Iraq and Afghanistan. The phases are as follows: 

  • Direct Threat Care
  • Care that is rendered while under attack or in adverse conditions.
  • Indirect Threat Care
  • Care that is rendered while the threat has been suppressed, but may resurface at any point.
  • Evacuation
  • Care that is rendered while the casualty is being evacuated from the incident site. 

TECC focuses on the medicine during these phases of care and provides guidelines for managing trauma in the civilian tactical or hazardous environment. While TECC has a tactical slant, it takes an all-hazards approach to providing care outside the normal operating conditions of most EMS agencies, such as responding to a mass casualty or active shooter event.

Emergency Pediatric Care (EPC)

epcFocuses on the care of sick and injured children, addressing a full spectrum of emergency illnesses, injuries and scenarios that an EMS practitioner might encounter. The course provides an in-depth understanding of the pathophysiology of the most common pediatric emergency issues, and stresses critical thinking skills to help practitioners make the best decisions for their patients.

EPC uses the Pediatric Assessment Triangle (PAT) as a tool to help EMS practitioners rapidly and accurately assess pediatric patients and incorporates family centered care throughout all scenarios. Training encompasses lectures, hands-on skills practice and small group critical thinking discussions.

Topics include: understanding kids; airway, breathing and oxygenation; cardiac emergencies; child abuse and neglect; common medical emergencies; the importance of family; hypoperfusion and shock; newborn resuscitation; pediatric trauma; and special health care needs.

EPC is for all emergency medical technicians and paramedics committed to providing quality care for pediatric patients. Flexible course formats fit the continuing education needs of all EMS practitioners: traditional two-day face-to-face Provider Course, an accelerated two-day Provider-Instructor Course, and a Hybrid Course that combines eight hours of online training followed by one day of on-site interactive stations. This modular course format can fulfill the pediatric clinical and educational needs of an EMS agency while minimizing budgetary and logistical impacts.

Law Enforcement and First Response Tactical Casualty Care (LEFR-TCC)

Continuing education offered through NAEMT’s PHTLS program. This new course was developed in collaboration with the Denver Health Department of EMS Education and the Denver Police Department Metro/SWAT unit, and NAEMT’s PreHospital Trauma Life Support (PHTLS) Committee. It teaches public safety first responders (police, law enforcement officers, firefighters, and other first responders) the basic medical care interventions that will help save an injured responder’s life until EMS practitioners can safely enter a tactical scene. 


The course combines the principles of PHTLS and Tactical Combat Casualty Care (TCCC), with the training provided to military medics by all branches of our Armed Services. It is consistent with the Tactical Emergency Casualty Care (TECC) guidelines, and meets the recommendations of the Hartford Consensus Document on Improving Survival from Active Shooter Events.


Course participants will learn life-saving medical actions such as bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breathe. 


Upon completion of the course participants will:

  • Understand the rationale for immediate steps for hemorrhage control (including external hemorrhage control, direct pressure and wound packing, early use of tourniquet for severe hemorrhage, internal hemorrhage control by rapid evacuation, and transportation to major hospital/trauma center.
  • Demonstrate the appropriate application of a tourniquet to the arm and leg.  
  • Describe the progressive strategy for controlling hemorrhage.
  • Describe appropriate airway control techniques and devices.
  • Demonstrate the correct application of a topical hemostatic dressing (combat gauze).
  • Recognize the tactically relevant indicators of shock.

Bleeding Control for the Injured (B-Con)

bconDeveloped by NAEMT’s PHTLS Committee with leadership provided by Dr. Peter Pons and Dr. Norman McSwain.

The course was developed in response to efforts by the U.S. Departments of Homeland Security and Health and Human Services to increase collaboration between law enforcement, the fire service and EMS in responding to active shooter/IED/mass casualty events. B-Con is consistent with the recommendations of the Hartford Consensus on Improving Survival from Active Shooter Events. The Hartford Consensus recommends that an integrated active shooter response should include the critical actions contained in the acronym THREAT:

    1. Threat 
    2. Hemorrhage control 
    3. Rapid Extrication to safety
    4. Assessment by medical providers
    5. Transport to definitive care

The Hartford Consensus Group recommends that the response to a traumatic incident, whether involving an active shooter or some other cause of injury, in fact begins with bystander response. It is with this in mind that the B-Con course was developed and is now being offered.

This new 2 ½ hour course teaches participants the basic life-saving medical interventions, including bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breathe. The course is designed for NON tactical law enforcement officers, firefighters, security personnel, teachers and other civilians requiring this basic training. Course materials include a PowerPoint presentation and instructor notes, instructor’s guide, and skill station guide.

A separate, additional PowerPoint module is included in the course materials specifically for law enforcement participants.  This module provides an orientation to the content of the Hartford Consensus and the changing approach to active shooter and other complex and hazardous responses.

At the completion of the course, participants will be able to:

  • Explain the rationale for early use of a tourniquet for life-threatening extremity bleeding.
  • Demonstrate the appropriate application of a tourniquet to the arm and leg.
  • Describe the progressive strategy for controlling hemorrhage.
  • Describe appropriate airway control techniques and devices.

Demonstrate the correct application of a topical hemostatic dressing (combat gauze).

EMS Safety

untitled-7Aims to promote a culture of EMS safety and help reduce the number and intensity of injuries incurred by EMS practitioners in carrying out their work. The course increases the practitioners’ awareness and understanding of EMS safety standards and practices and develops their ability to effectively implement them. EMS Safety is the first national and most comprehensive education program of its kind that teaches techniques on how to best achieve safety on the job.

The curriculum covers crew resource management, emergency vehicle safety, responsibilities in scene operations, patient handling, patient, practitioner and bystander safety, and personal health. It offers an overview of current issues surrounding safety in EMS, presents and discusses case studies, builds risk assessment and decision-making skills and provides an opportunity for participants to relate their own experiences with EMS safety issues.

EMS Safety is for all EMS practitioners, other medical professionals providing prehospital patient care, EMS supervisors and administrators concerned with safety. All NAEMT continuing education courses are accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS). They also are recognized for recertification requirements by the National Registry of Emergency Medical Technicians (NREMT). Completion of the EMS Safety course provides 8 hours of CECBEMS credit.
We will post updates and changes that occur between editions of the EMS Safety Course. Any errors that are found in the materials will be addressed in the 1st Edition Errata.

Geriatric EMS

The Geriatric Education for Emergency Medical Services (GEMS) program trains emergency and mobile healthcare practitioners to deliver state-of-the-art care to geriatric patients. The second edition of this highly acclaimed program addresses the geriatric-specific topics and competency statements in the National EMS Education Standards. 


Recognizing the critical importance of Geriatric EMS education to quality patient care, the committee wanted to offer a course framework with flexibility to meet the needs of all EMS practitioners. The 8-hour GEMS Core Course is designed for a combined BLS/ALS classroom for all EMS students and can be offered on its own, or in conjunction with a second one-day “advanced” scenario-based course 

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