AEMT’s and Paramedics provide a higher level of patient care, including advanced airway techniques, a greater variety of medication treatments, and cardiac rhythm interpretation.  The advanced scope of practice of the AEMT and Paramedic requires a greater depth of understanding of anatomy, physiology, and pathophysiology.

The Advanced EMT Program consists of two semesters of coursework beyond EMT.  Those wishing to complete the entire Paramedic Curriculum complete two additional semesters.  All four semesters can be completed in 16 months.

Students who successfully complete all course requirements are eligible to take the National Registry of EMTs certification examination.  After becoming nationally registered as an AEMT or Paramedic, students are eligible to apply to the Texas Department of State Health Service for certification or licenses.

Course Content

The first semester of the AEMT Program consists of EMSP 1438 (Introduction to Advanced Practice), EMSP 2348 (Emergency Pharmacology), EMSP 1356 (Patient Assessment and Airway Management), and EMSP 1162 (Clinical). These courses provide students with the knowledge needed to master the assessment and management of the specific disease processes presented in the second and third semesters of the program. The classroom phase of instruction includes a journal club presentation to introduce students to medical literature as well as a community service project that focuses on community education and injury/illness prevention. The laboratory portion includes instruction in patient assessment, IV therapy, intraosseous infusion, medication administration, endotracheal intubation, surgical airways, needle thoracostomy, and nasogastric tube placement. Clinical experiences in the emergency department, operating room, and respiratory care department provide students with opportunities to develop and practice these skills.

Second semester coursework for the AEMT consists of EMSP 1355 (Trauma Management), EMSP 1263 (Clinical), and for those who want to continue to the paramedic level, EMSP 2544 (Cardiology).  The classroom portion of this semester develops students’ knowledge of traumatic emergencies and cardiac-related emergencies, and introduces students to ECG interpretation. Students also complete a research project that requires use of the medical literature to develop a deeper understanding of a student-selected disease process. The laboratory portion of this course focuses on applying assessment and management skills to the care of trauma and cardiac patients. Students learn how to perform defibrillation, cardioversion, and external pacing. Clinical experiences during the second semester include the emergency department, the operating room, and the mobile intensive care unit (MICU).  In the hospital, students demonstrate proficiency in IV therapy, nebulized drug administration, endotracheal incubation, and patient assessment.  In the MICU rotations students must demonstrate competence in field patient assessment, and must also demonstrate competence in BLS call management.  Students wishing to test at the Advanced EMT level must also complete an Emergency Department rotation and a clinical simulation exam with the Medical Director.

The Paramedic Program continues in the third semester with EMSP 2434 (Medical Emergencies), EMSP 2430 (Special Populations), and EMSP 2260 (Clinical).  These courses focus on the assessment and management of a variety of medical emergencies as well as OB-GYN, neonatal, pediatric, geriatric, and psychiatric patients.  The third semester research project requires students to research a specific medical intervention or therapy and make recommendations regarding its applicability to an EMS system. The laboratory focuses on integrating the student’s knowledge and skill through extensive use of clinical simulations as well as a focus on the use of capnometry and CPAP/BiPAP. Third semester clinical experiences include the emergency department, coronary, medical, and surgical intensive care units, electrophysiology/cardiac catheterization lab, poison center, dialysis, labor and delivery, immunization clinic, and mobile intensive care unit. Students also complete an emergency department rotation with the program’s Medical Director that allows on-on-one instruction in a clinical setting.  In the hospital, students demonstrate proficiency in intramuscular, subcutaneous, and IV drug administration as well as acquisition and interpretation of monitoring and 12-lead electrocardiograms. During the third semester, students are assigned paramedic preceptors who will supervise them during all remaining field experiences. Students begin the process of developing and demonstrating prehospital proficiency in IV therapy, IV drug administration, ECG acquisition and interpretation, radio reporting, and documentation. Third semester rotations on the MICU also begin the process of taking the student from an initial role as an observer through functioning as a team member to ultimately serving as team leader and directing the EMS crew in its response to a variety of calls.

The fourth and final semester of the program consists of instruction that prepares the student to perform the non-clinical aspects of the paramedic’s job and to integrate clinical knowledge and skills in preparation for becoming an entry-level practitioner. Courses included in this semester are EMSP 2338 (EMS Operations), EMSP 2143 (Assessment-Based Management), EMSP 2135 (Advanced Cardiac Life Support), EMSP 1147 (Pediatric Advanced Life Support), and EMSP 1149 (Prehospital Trauma Life Support).  In laboratory, students practice managing a variety of ill and injured patients to help solidify the knowledge gained in previous semesters. Clinical experience includes pediatric clinic, pediatric intensive care, and mobile intensive care unit. Students also complete an emergency department rotation with the program’s Medical Director that allows for evaluation in the clinical environment. On the MICU, students finish verifying prehospital proficiency in IV therapy, IV drug administration, ECG acquisition and interpretation, radio reporting, documentation, and patient assessment. They also must demonstrate over-all proficiency in call management ending with their preceptor certifying that they are competent to function as an entry-level paramedic.  After completing the field internship and demonstrating entry-level competence, students will have the option (with the department chair’s approval) of completing additional “enrichment” clinical rotations, including the opportunity to work in other EMS Systems and Aeromedical Services.  At the end of the fourth semester, students complete a series of comprehensive multiple choice, short answer, and essay examinations. They also complete a final clinical simulation examination and an oral examination with the Medical Director.

Course Offerings

Classes begin in the Fall semester in Hutto and the Spring semester on the Temple Campus.  Completion of an EMT course is a prerequisite for admission to the Advanced EMT and Paramedic Program.  In addition, students must complete an introductory course in Human Anatomy and Physiology as a prerequisite or corequisite for admission to the program. Successful completion of all parts of the Texas State Initiative is also required for admission into the Paramedic Program.  Students must be certified as an EMT prior to beginning clinical rotations.  We offer a variety of course offerings including day and night classes.

Advanced EMT & Paramedic Admission Information

Additional information regarding application requirements, costs, and other pertinent information can be found in the application packet.  Students must make formal application to the EMSP Department to pursue course work beyond EMT.

   Advanced EMT/Paramedic Program Application Packet   
Certificates and Degrees

Students in the Department of EMS Professions Programs have several certificate Degree options to choose from.