Paramedic Emergency Medicine Degree

Course Number Course Title CL LAB CR
Fall Semester
  BIOL 195C Anatomy and Physiology I 3 2 4
  ENGL 101C English Composition 4 0 4
# PEM 117C Physical Assessment 2 0 2
# PEM 142C Cardiology I 2 0 2
# PEM 150C Advanced Trauma 2 0 2
# PEM 161C Integration Lab I 0 4 1
Spring Semester
  BIOL 196C Anatomy and Physiology II 3 2 4
  MATH 120C Quantitative Reasoning or higher level math course 4 0 4
# PEM 111C Paramedic Procedures 1 3 2
# PEM 126C Pharmacology 3 0 3
# PEM 135C Medical Emergencies 2 0 2
# PEM 162C Integration Lab II 0 4 1
# PEM 244C Advanced Cardiology 2 0 2
Summer Semester
# PEM 190C Introduction to Clinical Environment 1 0 1
# PEM 194C Hospital Clinical* 0 18 5
  PEM 290C Field Clinic Primer** 0 6 2
Fall Semester
  BIOL 222C Pathophysiology 3 0 3
# PEM 163C Integration Lab III 0 4 1
# PEM 201C Special Populations 2 0 2
# PEM 292C 12 Lead EKG Interpretation/Difficult Airway Seminar 2 0 2
# PEM 296C Field Clinical I 0 9 3
  PSYC 105C Introduction to Psychology 3 0 3
Spring Semester
  ENGL 120C Communications 3 0 3
# PEM 164C Integration Lab IV 0 4 1
# PEM 210C Field Operations 2 0 2
# PEM 278C Advanced Paramedic Practice 2 0 2
# PEM 297C Field Clinical II 0 7 2
# PEM 298C Field Clinical III 0 2 1
  XX xxxC Humanities/Fine Arts/
Foreign Language Elective
3 0 3
# Indicates major field courses.
* All students enrolled in a clinical course will be charged a $500 per semester clinical surcharge. The following course carries this charge: PEM 194C.
** Optional, unless faculty determines student is in need of additional time in field clinic.  Not included in total credits.

CL - Number of lecture/classroom hours per week for the course
LAB - Number of simulation laboratory, laboratory or clinical hours per week for the course
CR - Number of credit hours for the course

Curriculum for students entering program in 2019-20.

Great Reasons to Choose NHTI's Paramedic Program!

Program Quality

  • 67 credit degree in Paramedic Emergency Medicine
  • Accredited by the Commission on Accreditation of Allied Health Education Programs ( upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP)
  • Program longevity and reputation
  • Outstanding National Registry exam results
  • On-site clinical supervision and advocacy during the hospital-clinic experience
  • Arranged field-clinic with a one-to-one ratio of student to preceptor
  • Dedicated lab/classroom facility and equipment
  • Active advisory committee composed of industry leaders in EMS
  • New ambulance simulator with state-of-the-art training equipment and mannequins
  • Graduate pride and success – more than 500 alumni, many of whom have gone beyond "life in the streets" to clinical, administrative, and medical positions all over New England and beyond

Program Faculty

  • Medical Director is active with on-campus interactions with students including: observing lectures and labs, acting as a guest lecture during lecture courses, providing supplemental training to students (such as PIFT and RSI), performing practical laboratory examinations, assisting in the critiquing of student oral presentations, evaluating students during oral boards
  • Full-time faculty have Master's Degrees in the field of education and each have over 15 years of field experience in paramedicine and nursing
  • Outstanding, long-term adjunct faculty who teach classes and labs in their areas of proven expertise
  • All faculty are currently working as healthcare providers


  • Rigorous sequential curriculum which exceeds the national standards
  • Lecture and laboratory are paired so as to allow for hands-on practice of the weekly topics
  • Comprehensive courses in both Anatomy & Physiology and Pathophysiology
  • Progressive clinical track for both hospital and field experience

The degree of Associate in Science with a major in Paramedic Emergency Medicine is awarded upon successful completion of the program.

Any student considering paramedic education today should consider the associate degree. For many, the degree provides for competitive entry into the job market, a stronger advantage for career advancement, and the potential for academic advancement with the ability to transfer course credits to a four-year college.

NHTI's Paramedic Emergency Medicine Program combines a unique blend of paramedic courses, general education requirements, specialty certifications and diverse hospital and pre-hospital experiences. NHTI students have opportunities to work with some of New England's finest hospital and pre-hospital affiliates.

Program emphasis is placed on the development of paramedic knowledge and theory, practical skills application and the development of professional behaviors required of the entry level paramedic. The development of leadership skills, individual professional growth, and academic excellence are integral parts of the program.

Graduating students receive an Associate in Science with a major in Paramedic Emergency Medicine and are then eligible to sit for the National Registry Paramedic exam as well as for exams in other states. Graduates of the NHTI Paramedic Emergency Medicine program have had great success transferring to other institutions in the pursuit of degrees in nursing, respiratory therapy, physician’s assistant, and even MD.

Explore Career Options




Transfer Information

Specific Admission Requirements

  1. High school level courses in Biology and Chemistry (with labs) completed with grades of “C” or higher; if college level Anatomy & Physiology I and II are complete with grades of “C” or higher in each, then the Biology and Chemistry pre-admission requirements will be waived.
  2. Algebra I completed with a grade of “C” or higher or NHTI's MATH 092C with a grade of “C” or higher;
  3. Submit copy of National Registry or State EMT;
  4. Submit copy of current BCLS/CPR card;
  5. Letter of recommendation from EMS supervisor;
  6. Submit documentation of at least 100 completed field calls using Option 1 or Option 2. These requirements are designed to verify that you have had sufficient BLS experience and that you have served as the Team Leader prior to the start of your program. (Instructions for completing the verification documents are available here in PDF or you may contact the Admissions Office or Paramedic Department for more information.)
    1. OPTION 1: Please have your EMS officer complete the verification letter;
    2. OPTION 2: You must complete 100 calls (that have patient contact). Of the 100 calls you must complete 25 of the required forms attesting to your serving as the Team Leader. For each team leader role also complete the Run Report Form;
  7. A personal interview with the Department Admissions Committee;
  8. Must be 18 years of age or older.

Please Note: Students who wish to enter the Paramedic Emergency Medicine program and are currently enrolled in another NHTI program must complete and submit the Change of Program form.

Internship/Clinical Considerations

NHTI has developed excellent practicum opportunities for our students to foster hands-on learning while simultaneously receiving credit. Nonetheless, the college's first priority must be to ensure that patients/clients/children/families are not placed in jeopardy by students during learning experiences. Therefore, students in internship, externship, practicum, service learning, and clinical experiences must demonstrate sufficient emotional stability to withstand the stresses, uncertainties and changing circumstances that characterize patient/client/child/family responsibilities. Furthermore, the student is expected to have the emotional stability required to exercise sound judgment, accept direction and guidance from a supervisor or faculty member, and establish rapport and maintain sensitive interpersonal relationships and confidentiality with employees, customers, and/or patients/clients/children and their families.

For a complete listing of immunizations and clinical clearance requirements, please see the health requirements for Allied Health students.

Technical/Physical Standards

Paramedic Emergency Medicine Program students must have sufficient strength and motor coordination required to perform the following physical activities: standing and walking for sustained periods of time; driving an ambulance and/or rescue unit under emergency conditions; frequent reaching and manual dexterity in handling equipment often in confined spaces; frequently transporting, moving, lifting, and transferring patients of various sizes to and from a stretcher and other patient transport devices.

Health Requirements

Annual TB testing; Hepatitis B vaccine; personal health insurance; completed health physical (all students are sent NHTI health forms upon acceptance, which must be completed prior to the start of classes); drug screening; and NHTI liability insurance.

In addition, the student must have:

Never been convicted of a felony (may interfere with National Registry eligibility); sufficient eyesight (correctable) to observe patients, manipulate equipment, and interpret data. Visual acuity (correctable) sufficient to work with analyzing data and figures, working with computer terminals, making visual inspections of equipment; sufficient hearing (correctable) to assess patient needs and to understand instructions; sufficient written and oral skills to communicate needs promptly and effectively, to express or exchange ideas and to interact with patients, physicians, peers and other ancillary medical personnel as well as other public service emergency personnel; ability to work with frequent interruptions and respond appropriately to unexpected situations. Ability to work with wide variations in workload and stress levels; mental health status to cope with personal stresses in a way that does not adversely affect performance, such as mood changes, lack of concentration, etc.

Students that do not meet entrance requirements may need an alternate plan to the scheduling of their courses. Those currently enrolled at NHTI often take non-major courses, easing the class-load when admitted to the Paramedic Emergency Medicine program. At this time the core-classes for this degree program are only offered during the day. Also, due to the sequential nature of the course work these core-classes are only available to those who have been accepted into the program.

Lab Classroom

The program lab classroom offers up-to-date equipment for the demonstration and practice of paramedic procedures. Adult and pediatric skills stations are set up with models for IV cannulation, endotracheal intubation, medication administration, chest decompression, intraosseous infusion, emergency defibrillation, cricothyrotomy, and emergency childbirth. ECG, breath sounds, and heart sound simulators offer students realistic practice in assessment. ECG monitors, 12-LEAD simulator and defibrillators give students hands on experience with manual and remote defibrillation, electrical cardioversion as well as emergency cardiac pacing. We have a new ambulance simulator with state-of-the-art equipment.

Clinical Affiliations

One of the most important elements of a paramedic program is the variety of clinical opportunities. Diversity and location of clinics are key. Experiences range from a variety of hospitals and high volume field sites being used by students. During hospital clinic, the student is provided with full-time in-house faculty supervision and advocacy. During field clinical, students have opportunities to ride with New England's finest and busiest field professionals. In addition, students will have the opportunity to work with skilled, dedicated, experienced and motivated prehospital preceptors.

Paramedic Emergency Medicine ALS Field Sites
Concord Fire Department, Concord, NH
Cataldo Ambulance Service, Somerville, MA
Derry Fire Department, Derry, NH
Frisbie Memorial Hospital, ALS, Rochester, NH
Lawrence General Hospital ALS, Lawrence, MA
Greater Lowell EMS
AMR - Manchester & Nashua, NH

Paramedic Emergency Medicine Hospital Clinic Sites
Concord Hospital, Concord, NH
Lowell General Hospital, Lowell, MA
Nashua Pediatrics, Nashua, NH
Southern New Hampshire Medical Center, Nashua, NH

Advanced Placement Policy
The Paramedic Emergency Medicine program does not award advanced placement.

CAAHEP Required Program Statistics for Candidates Considering Admission
  Graduation Year
Three Year
Five Year
2019 2018 2017 2016 2015
Enrollment 13 9 10 14 13 32 59
Graduates 10 6 8 11 9 24 44
Attrition 23.1% 33.3% 20.0% 21.4% 30.8% 25.5% 25.7%
Retention 76.9% 66.7% 80.0% 78.6% 69.2% 74.5% 74.3%
National Registry- Written
(% grads attempting)
100% 100% 100% 100% 100% 100% 100%
National Registry - Written
(% pass rate)
100% 100% 100% 100% 100% 100% 100%
National Registry - Practical
(% grads attempting)
100% 100% 100% 100% 100% 100% 100%
National Registry
Practical (% pass rate)
100% 100% 100% 100% 100% 100% 100%
Job Placement 100% 100% 100% 100% 100% 100% 100%

The NHTI Paramedic Emergency Medical Program is Accredited by the Commission on Accreditation of Allied Health Education Programs ( upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).

Commission on Accreditation of Allied Health Education Programs
1361 Park Street
Clearwater, FL 33756
(727) 210-2350
To contact CoAEMSP:
8301 Lakeview Parkway
Suite 111-312
Rowlett, TX 75088
Phone: (214) 703-8445
Fax: (214) 703-8992


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Keith Wilding
Paramedic Emergency Medicine Department Chair
(603) 271-6484 x4213

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31 College Drive
Concord, NH 03301
(603) 230-4011

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