Wilderness EMT (WEMT 3+1 Format)

Landmark Learning is an authorized Teaching Institute for the NC Office of EMS. Landmark currently has a 99.9% end of course pass rate, with nearly 99% of our students passing the National Registry exam on their first attempt. The first three weeks of the experience is focused on EMT training, with an immersion into urban care. You will complete mandatory clinical time on an ambulance and/or in an emergency room setting, and be eligible for both the NC OEMS exam and the NREMT exam at course end. At the end of the EMT experience, tack on the NOLS Wilderness Upgrade for Medical Professionals to receive your WEMT certification. Landmark is the only place where you can receive your WEMT training in this unique format.

This intensive course combines wilderness medicine with urban medical care practices into a single month-long program that includes clinical rotations helping to provide care for real patients. After four weeks of classroom education, practical skills, scenarios and full-scale mock rescues, you will be ready to handle medical emergencies, in the wilderness or right in town.

Learning takes place both in the classroom and in outdoor settings regardless of weather conditions. Come prepared for wet, muddy, cold or hot environments.

Be sure to review the EMT Intensive Course Overview page and the NOLS Wilderness Upgrade for Medical Professionals Course Overview page for all details relating to this combined course experience.

Course Length: 
3 weeks EMT Intensive training + 1 week NOLS Wilderness Upgrade for Medical Professionals training

Minimum age 17 years on or before the last day of the EMT Intensive course.

  • Proof of Age/Picture ID
  • High school diploma or GED (college transcripts do not count)
  • No felony convictions and no driving violations
  • MedWest Clinical Orientation
  • Background Check (https://mednet.quickapp.pro/)
  • 10-Panel Drug Screen - (TBD)
  • Childhood vaccionation record, including Hep B
  • TB test within 6 months of the course start date. If positive, a negative chest screen is also required.
  • Flu vaccine for January and October courses.

*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. Students who are not taking the NC exam may still attend the EMT Intensive program. Alternative clinical arrangements will be made so students can successfully complete the course.

Your text will be shipped 30 days prior to the course start date ONLY if ALL prerequisites and full course payment are met.

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 written exams are available at different sites and dates across the state. Out-of-state students often return for the exam opportunity, as testing sites close their rosters 2 weeks prior to the exam date in order to perform additional background checks. The NC written exam must be completed within 3 months of the last day of your EMT Intensive course.
  • NREMT written exams are available in most major cities across the country, through PearsonVue. 
  • Exam details are available at your course, and post-course support is available for 1 year until you finish your testing.
  • ASHI Basic Life Support

NREMT, ASHI, and NOLS certifications are current for two years. NC certification is current for 4 years.

The WEMT is eligible for 3 credit hours through Western Carolina University. Check out the reciprocal agreement and process at WCU's Partnership page.

Topics include:

  • Introduction to Emergency Care & Training
  • Medical Legal Issues
  • Patient Assessment System
  • Documentation
  • Airway Obstruction & Respiratory Arrest
  • O2 Therapy
  • Bleeding & Shock
  • CPR
  • CPR Considerations for the Remote Environment
  • Chest Trauma
  • Common Wilderness Medical Problems
  • Central Nervous System
  • Lifting and Moving
  • C-Collars
  • Back Board and KED Board
  • Litter Packaging
  • Backcountry Spinal Assessment
  • Head Injuries
  • Soft Tissue Injuries
  • Wilderness Wound Management
  • Athletic Injuries
  • Fracture Management
  • Traction Splints
  • Dislocations
  • Cold Injuries
  • Heat & Hydration Illnesses
  • Cardiac, Respiratory and Neurological Emergencies
  • Diabetes
  • Abdominal Emergencies
  • Poisoning
  • Triage
  • Multiple Casualty Incidents
  • Incident Command System
  • Leadership, Teamwork & Communication
  • Medical Decision-making
  • Disturbances of Behavior
  • Alcohol & Drug Emergencies
  • Communicable Disease
  • Lightning
  • North American Bites & Stings
  • Allergies and Anaphylaxis
  • Altitude Illness
  • Submersion
  • Cold Water Immersion
  • SCUBA Diving Injuries
  • Geriatrics
  • Emergency Childbirth
  • Infants and Children
  • Urinary and Reproductive System Issues
  • Search and Rescue
  • Emergency Contingency Plans & Team Preparedness
  • Litter Improvisation
  • Long Term Patient Care
  • Ambulance Operations
  • Radio Communication Skills
  • Critical Incident Stress
  • Hazardous Materials
  • Wilderness Drug and First Aid Kits
  • Practical Skills Exam

Be sure to visit the EMT Intensive Course Overview page for full details regarding your 3-week EMT experience and preparedness for clinicals.

We will try to be outdoors as much as possible, regardless of the weather. Please dress appropriately for the weather, and to be comfortable both in and outdoors at any time during your course.

*Required: (These items should be packed and ready to go for mock rescues throughout class times, and at any moment.)

  • Day pack or similar size pack, lined and waterproof, filled with:
  • A watch, preferably with a sweeping second hand, but digital is adequate.
  • 2 water bottles
  • Backcountry clothing – appropriate to season and climate, (think layers and staying dry)
  • 1 set of clothing (shirt and pants) that can be completely destroyed with stage makeup and shears.
  • 1 warm hat/toboggan
  • Gloves
  • Rain gear, including rain pants
  • Synthetic tops and bottoms – long underwear
  • Hiking boots / hiking socks
  • Synthetic jacket/top (Polartec or comparable, wool OK)
  • Head lamp/flashlight
  • Notebook/writing utensils
  • Camp chair, ensolite pad, thermarest, or similar
  • Bandanas, p-cord, ties, straps, or anything else that can be used for attachment (the more the better)

In additon: If you participate in gear intensive activities (paddling, climbing, etc.) feel free to bring your gear / what you would normally have with you. The more you practice with what you would actually have on hand, the better your patient care in an actual emergency.

Optional: (Consider acquiring these items over time.)

  • Bivy kit - Stuff sack containing:
  • Warm hat, additional
  • 2 garbage bags
  • Whistle
  • Plumber’s candles / candle lantern
  • Lighters/waterproof matches
  • Metal water cup
  • 60’ p-cord/nylon cordage
  • 10’x10’ plastic sheeting
  • Compass
  • Extra wool socks

The NOLS Wilderness EMT (3+1) is a combined course experience. The first "3" weeks of training is our NCOEMS EMT Intensive course, urban standards only - it is the eligibility training for state and national exam standards of EMT. The final "1" week is the NOLS Wilderness Upgrade for Medical Professionals. Take your EMT training to the next level with this course addition, to earn your NOLS WEMT.

Roughly half of each class comes as current WFR students, taking the EMT Intensive to upgrade to WEMT. The other half of the students stay through the WUMP, eligible for the training because of the EMT course. Students who are current medical professionals (MDs, RNs, Paramedics, Physical Therapists, etc) attend to compliment the student body and earn continuing education. The mixing of students and their various backgrounds creates a very rich experience for all attending.

Be sure to review the EMT Intensive Course Overview page and the NOLS Wilderness Upgrade for Medical Professionals Course Overview page for all details relating to this combined course experience.



Cullowhee, North Carolina

Sat, 2018-01-06 to Fri, 2018-02-02

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Cullowhee, North Carolina

Sat, 2018-05-19 to Fri, 2018-06-15

Course Details

Cullowhee, North Carolina

Sat, 2018-07-14 to Fri, 2018-08-10

Course Details

Cullowhee, North Carolina

Sat, 2018-10-06 to Fri, 2018-11-02

Course Details