Advanced EMT (AEMT--formerly known as "EMT-I)

Expanding on the skills demonstrated in the EMT-Basic Program, the EMT-Intermediate Program takes one semester to finish. The program teaches students how to insert a breathing tube and administer medications intravenously. Upon completion of the program, students take a state certification exam to become eligible to work in the state of Texas.

If you have completed an EMT-B course but are not yet certified as an EMT-B, you may still enroll in AEMT. Be aware that you will not be allowed to begin clinicals until you are at least NREMT-certified. The absolute deadline for attaining your certification is the fourth week of school. Failure to obtain your certification by that time will result in a grade of "F" for the clinical portion of your AEMT program. If you have been in the industry for some time and only retain an Texas DSHS EMT-B certification, that is sufficient--there is not a requirement for NREMT certification as a pre-requisite for AEMT courses.

Daytime classes begin each fall and spring based on demand. All deadlines (registration, financial aid, etc) are identical to those found in the COM Academic Calendar.

Semester Duration 2020-2021 Start Dates Days Time
Fall – Day Class 16 Weeks Cancelled T/TH 8 a.m.-5 p.m.
Spring – Day Class 16 Weeks Jan. 19 T/TH 8 a.m.-5 p.m.
Summer TBD TBD    

Application and Registration Procedures

  1. Apply to the College (click the yellow "Learn More" button next to the term which best describes you--graduating HS, transfer student, etc.) if you are a new student or have not attended classes at COM for 1 year. Complete all College requirements (placement testing, meningitis vaccine, etc.)

  2. The college will be communicating with you via your NEW COM email address--about a week after you have applied to the college, you should access your new email

  3. Completed, cleared background check. Download Program Info Packet (Instructions are on last page. There is no need to pay the extra fee for the "card" the service offers).

    • Once you submit the background check, you will appear on our "Incoming" roster. You will be contacted to find out which program you would like to enter.
    • Once the check is complete, we will contact you via email that your registration form is signed and ready. You will have to register in person at the Enrollment Center/Administration Building.
    • There is no other formal "application" or additional steps--when Step 1 and Step 2 are completed, you are ready to register. HOWEVER, keep reading for requirements which will be due the first week of class.
  4. Gather your items to qualify for clinicals – see page 3 of the Program Info Packet you downloaded in Step 2. Save your documents (ideally, scan them to PDF format and store them where you can find them)--we will direct you what to do with them the first week of class. The packet provides complete information regarding physical exam, drug screen and immunization requirements. See additional information in the Program Info Packet. ****Failure to complete these requirements by the end of the first week of class will result in failure of the clinical class.****
  5. You must obtain Texas EMT-B Certification within four weeks of the beginning of class in order to stay in the program.
  6. Obtain American Heart Association BLS CPR certification. This is required prior to attending clinicals; it is also required prior to certification testing by NREMT. The class is offered through COMsee the Continuing Education Schedule. It is also possible to find local fire departments, hospitals and companies that offer the required AHA CPR class (Red Cross CPR is not accepted).


EMT-Intermediate classes are approved by the Texas Department of State Health Services. They consist of 176 contact hours of training, which exceeds NHTSA National EMS Scope of Practice and Education Standards and include classroom lectures and activities; hands-on, life-saving skills training; and scenario-based practice. Additionally, students attend 146 hours of clinical training on-site at hospitals and with area ambulance services. The curriculum is incorporated into the following courses:

  • EMSP 1438—Intro to Advanced Practice
  • EMSP 1455—Trauma Management
  • EMSP 2168—Practicum/Field Experience I

Note: These courses are Web-enhanced, and course materials and study aids are available online through COM’s Blackboard Learning System.

Course Completion

Upon successful completion of required elements, students are authorized to test via the National Registry online system. Also, an initial application must be made to the Texas DSHS. Students must also demonstrate skills proficiency at a National Registry-sanctioned event (in person). COM makes every effort to sponsor such events in a timely manner. Students also have the option to take NR skills testing anywhere it is available.


Nancy Caroline’s Emergency Care in the Streets, 8th Edition

(Jones and Bartlett)

International Trauma Life Support book cover

ITLS for Emergency Care Providers – 9th Edition

(International Trauma Life Support)
ISBN: 9780135379318


Previous students of the program will already have the required uniform components which includes:

  • COM polo shirt
  • Black EMT pants
  • Stethoscope
  • Black belt
  • Black work shoes or boots

Financial Aid/Scholarships/Other Funding Sources

In order to receive financial aid, students must complete the FAFSA (Free Application for Federal Student Aid) and the COM Financial Aid Application, regardless of the type of financial aid sought. Veterans should contact the Financial Aid Office directly for additional guidance in Veterans Affairs.

Another possible source of funding is the COM Foundation. It is a nonprofit organization that distributes a wide variety of need and non-need-based scholarships. Look under the category "Public Service Careers" for the scholarships designated specifically for EMS candidates. The deadline to apply is generally in July.

Students may also qualify for receive grants from Texas Public Education Grant. (Note: The FAFSA application determines eligibility for these grants.) The College for All Texans website may give you additional suggestions such as Veteran’s and Texas Workforce (see subtitle B here) benefits. As always, contact the experts in the Financial Aid Office at 409-933-8274 for additional information.

College Catalog Summary

Semester 1

Course SCH

Semester 2

Course SCH

EMSP 1455


Gainful Employment Disclosure

College of the Mainland provides gainful employment information about graduation rates, the median debt of students and other important information to all interested persons regarding the College’s certificate programs.

View the disclosure template for the Advanced Medical Technician Certificate