NHTI’s Paramedic Emergency Medicine Program is the only one of its kind in N.H. and has been educating paramedic students since 1977. The program has small classes taught by degreed-instructors, current equipment, and a full-sized ambulance simulator. It combines paramedic courses, general education requirements, specialty certifications, and diverse hospital and pre-hospital experiences. Students have opportunities to work with some of New England’s finest hospital and prehospital affiliates. This degree program offers:

  • Rigorous curriculum that exceeds the national standards
  • Paired lectures and labs to allow for hands-on practice of the weekly topics
  • Comprehensive courses in anatomy and physiology and pathophysiology
  • In-depth cardiology education, which includes BLS, ACLS, and PALS certifications
  • Progressive clinical track for hospital and field experience
  • Updated Gaumard and Laerdal simulation mannequins (adult and pediatric)
  • Physio-Control LIFEPAK 15 and iSimulateALSi monitors and Glide Scope Go video laryngoscopes

Upon successful completion of all freshmen courses and their hospital clinic, students may test for the AEMT; the NHTI program pass rate is 100%.

Curriculum Abbreviations

  • 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

First Year

Fall Semester
BIOL 195CAnatomy and Physiology I324
ENGL 101CEnglish Composition404
PEM 117CPhysical Assessment1202
PEM 142CCardiology I1202
PEM 150CAdvanced Trauma1202
PEM 161CIntegration Lab I1042
Spring Semester    
BIOL 196CAnatomy and Physiology II324
MATH 120CQuantitative Reasoning or higher-level math course404
PEM 111CParamedic Procedures1132
PEM 126CPharmacology1303
PEM 135CMedical Emergencies1202
PEM 162CIntegration Lab II1042
PEM 244CAdvanced Cardiology1202
Summer Semester    
PEM 190CIntroduction to Clinical Environment1101
PEM 194CHospital Clinical1,20185
PEM 290CField Clinic Primer3062

Second Year

BIOL 222CPathophysiology303
PEM 163CIntegration Lab III042
PEM 201CSpecial Populations202
PEM 292C12 Lead EKG Interpretation/Difficult Airway Seminar202
PEM 296CField Clinical I093
PSYC 105CIntroduction to Psychology303
Spring Semester
ENGL 120C/COMM 120CCommunications303
PEM 164CIntegration Lab IV042
PEM 210CField Operations202
PEM 278CAdvanced Paramedic Practice202
PEM 297CField Clinical II073
PEM 298CField Clinical III021
XX xxxCHumanities/Fine Arts/Language elective303
Total Credits72

1Indicates major field courses.  

2All students enrolled in a clinical course will be charged a $500 per semester clinical surcharge. The following course carries this charge: PEM 194C.

3Optional, unless faculty determines student is in need of additional time in field clinic.  Not included in total credits

  • Be at least 18 years old and hold a valid driver’s license
  • High school-level (or higher) courses in lab-based Biology and Chemistry completed with a C or higher or college-level Anatomy and Physiology I and II with with labs with a C or higher
  • High school-level (or higher) Algebra I, completed with a C or higher
  • Current National Registry or State EMT/AEMT certification
  • Current CPR certification
  • Letter of recommendation from EMS supervisor
  • Documentation of experience as an ambulance-based EMT/AEMT to include at least 100 patient contacts and 25 team-leads; download the Field Experience Verification form here.
  • Interview with department chair of Paramedic Emergency Medicine

Students who wish to enter this degree program and are enrolled in another NHTI program must complete and submit the Change of Program form and submit it to the Admissions office at NHTIadmissions@ccsnh.edu.

The program’s emphasis is 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.

Those considering paramedic education should take the associate degree. For many, it provides 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. Our graduates have a 100% pass rate for NREMT written and practical exams as well as 100% job placement after graduation.

Clinical rotations include high-volume, fire-based, hospital-based, and private ambulance services. Students who complete this program can enter into the following professions (not an inclusive list):

  • Ambulance-based paramedicine (private, public, and/or volunteer services)
  • Hospital-based paramedicine (typically in the emergency department setting) and urgent care facilities
  • Mobile integrated healthcare/community paramedicine
  • Cruise ships, oil rigs, entertainment venues (sports, movie/TV sets, concerts)

The NHTI Paramedic Emergency Medicine 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

To contact CoAEMSP:

8301 Lakeview Parkway
Suite 111-312
Rowlett, TX 75088
Phone: 214-703-8445
Fax: 214-703-8992

Students in this program 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; and frequently transporting, moving, lifting, and transferring patients of various sizes to and from a stretcher and other patient transport devices.


  • Annual TB testing; Hepatitis B vaccine; personal health insurance; completed health physical; drug screening; and NHTI liability insurance
  • Never been convicted of a felony (may interfere with National Registry eligibility)
  • Sufficient eyesight to observe patients, manipulate equipment, and interpret data
  • Visual acuity sufficient to work with data, figures, and computer terminals and make equipment inspections
  • Sufficient hearing to assess patient needs and to understand instructions
  • Sufficient written and oral skills to communicate needs promptly and effectively and to interact with
    patients, physicians, peers, and medical and 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 to cope with personal stresses in a way that does not adversely affect performance

Students that do not meet entrance requirements may need an alternate plan for the scheduling of their courses.

Students enrolled at NHTI often take non-major courses, easing the class load when admitted to the Paramedic Emergency Medicine Program. The core classes for this degree program are only offered during the day. Because of the sequential nature of the course work, these core classes are only available to those who have been accepted into the program.

Hospital Clinic Sites: During the freshmen-year clinic, students spend at least 224 hours working in multiple
settings within the hospital. Each clinical site is provided with program-faculty supervision and advocacy.

  • Concord Hospital, Concord, N.H.
  • Dartmouth-Hitchcock Medical Center, Lebanon, N.H.
  • Southern New Hampshire Medical Center, Nashua, N.H.

ALS Field Clinic Sites: During senior-year field clinics, students spend 320 hours working with an Advanced Life Support ambulance service. Each student is assigned a paramedic preceptor for the duration of the experience.

  • American Medical Response (AMR), Manchester/Nashua, N.H.
  • Cataldo Ambulance Service, Somerville, Mass.
  • Concord Fire Department, Concord, N.H.
  • Derry Fire Department, Derry, N.H.
  • Greater Lowell EMS, Lowell, Mass.
  • Fallon Ambulance, Quincy, Mass.
  • Frisbie Memorial Hospital EMS, Rochester, N.H.
  • Lawrence General Hospital ALS, Lawrence, Mass.
  • Portland Fire Department, Portland, Maine
  • Salem Fire Department, Salem, N.H.


On which days do classes meet?

  • Freshman Fall: Paramedic classes are all day Tuesday (8 a.m.-5 p.m.) and Wednesday (9-11 a.m.). If you need A&P I, it is typically taken Wednesday 12-5 p.m.
  • Freshman Spring: Paramedic classes are all day Tuesday (8 a.m.-4 p.m.) and Thursday (8 a.m.-6 p.m.). If you need A&P II, it is typically taken Wednesday 12-5 p.m.
  • Hospital Clinic runs mid-May through the end of June and is Monday through Friday. Shift length varies depending on rotation with most being 7 a.m.-3 p.m. but others being as long as 7 a.m.-7 p.m.
  • Senior Year: Paramedic classes are Wednesday 9 a.m.-6 p.m. and approximately one day of field clinic (ambulance ride time) per week.
  • There are other non-major classes that are required. Many of these can be taken in an online format.

Can I can take any classes before starting the program?

Yes. Any of the non-major classes may be taken prior to being accepted into the program. It is highly recommended (though not required) that incoming students take Anatomy and Physiology prior to beginning the program.

How long is the program and when does it start?

The program is 5 semesters (approximately 18 months) in duration and starts with the fall semester. Classes and clinics occur over:

  • Two fall semesters (late-August through mid-December)
  • Two spring semesters (January through mid-May)
  • One summer semester (mid-May through June)

Are online classes available?

No program courses are available online. However, non-major courses (required by the associate degree) can be taken online.

Can I be in the program as a part-time student?              

No, unfortunately a part-time option is not available.

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