
Online: Nov 3, 2025 || Onsite: Dec 1-14, 2025
Location: North Cascades Institute, Wa
Certifications: REMT (RMT), NREMT (NREMT), MCPIC (USCG), HCP CPR/AED (ECSI)
The Hybrid Remote Emergency Medical Technician (HREMT) course combines 70 hrs of online curriculum with 100 hrs of in person training to provide intermediate to advanced medical skills for individuals working in remote areas of the world. This course is self-guided and designed for self-motivated students seeking a REMT™ certification. This course is recommended for individuals who plan to work as medical practitioners in remote areas as well as outdoor professionals looking for a higher level of medical certification. This is an accredited Washington State EMT course and upon course completion, students can apply to the NREMT. Students will need to complete additional applications for individual State licensure upon completion of their course.
The REMT™ course meets and exceeds wilderness medical standards by covering all Wilderness EMT (WEMT) curriculum, while also incorporating a select higher level of scope. This hands-on, intensive training course educates students in a wide range of skills and real-world scenarios. By combining the NREMT curriculum with the REMT™ curriculum, the HREMT enables successful students to work as an EMT in a wide variety of environments. The HREMT curriculum educates students on high-level medical skills and topics that include advanced wound closure (suturing and stapling), antibiotic therapy, IV administration, sick call and primary care, pediatrics, geriatrics, and childbirth.
Additionally, the course covers travel medicine, telemedicine, medical kit integration, lifting and moving patients, advanced airway management, oxygen administration, shock, thoracic trauma, head injuries, dental emergencies, musculoskeletal injuries, respiratory and cardiac emergencies, mass-casualty incidents, anaphylaxis, cold and heat emergencies, altitude, immersion, submersion, and more
Course Format
The HREMT includes 4 weeks of online learning followed by 12 days of in-person training, running Monday-Friday. The online curriculum is designed to be self guided. You will also have an instructor monitoring your online course work to help answer your questions. Once in person, a typical day will run from 8am to 5pm with about an hour lunch break. Please plan to check-in by 7:45 AM on the first day of class. The days will consist of short lectures, interactive labs, and realistic practice scenarios.
Weekly Zoom Meetings
Every Monday evening during the online component of your course there will be a 1-hour Zoom Meeting held by your instructor to allow you to ask questions and meet with them as a class.
COURSE DURATION:
This course combines approximately 70 hours of online curriculum and 12 days of in-person training with additional days for clinical rotations.
CLINICAL ROTATIONS:
Students will be required to complete a minimum of 8-12 hours of clinical rotations while on course. These will be scheduled over the weekends.
CERTIFICATIONS RECEIVED:
REMT (RMT),
EMT (NREMT)*,
Healthcare Provider CPR/AED (ECSI),
MCPIC (Medical Care Provider in Charge) — Starting in 2025
*Please note that upon successful completion of Remote Medical Training's REMT course, students will receive a REMT certification and become eligible to take the NREMT certification exam. Successful completion of the NREMT exam will be required to become a nationally-registered EMT. For more information about the steps necessary to earn a NREMT certification, follow this link: nremt.org.
RECERTIFICATION INTERVAL:
- REMT: Three years
- CPR: Two years
PREREQUISITES:
- 18+ years old
- high school diploma or equivalent
- Required Immunizations by first day of course:
- Measles, Mumps, Rubella (MMR),
- Hepatitis B,
- Varicella,
- Tetanus
- PPD (tuberculosis) within six months of course start date
- ability to lift 250 pounds with assistance,
- a copy of government-issued photo ID
TEXTBOOKS:
The course requires the purchase of Pearson's MyLab Brady access code. The MyLab platform provides essential digital resources and interactive tools integral to your coursework. The ISBN for the access code is 9780135479148. Ensure you acquire these materials promptly to stay on track with the curriculum.
COURSE FORMAT:
Non Residential - does not include food and lodging.
North Cascades Environmental Learning Center - Diablo Lake, WA
ncascades.org
OVERVIEW
Situated on the shore of Diablo Lake in the heart of the North Cascades National Park, the North Cascades Environmental Learning Center (ELC) provides an optimal site for our courses. The ELC campus is surrounded by mountains and forests with an extensive trail network, offering endless possibilities for simulated wilderness medicine scenarios and recreation alike.
LODGING
Lodging is included for all Remote Medical Training courses at the ELC. Each student will share a lodge room with one or two other students. Each lodge has shared gender-specific bathrooms with two private shower stalls and two toilet stalls. The student lodges also have a lounge room with a small fridge and sink. There are three lodges on the ELC campus.
MEALS
Scratch made, locally-sourced and organic meals are provided as a part of all Remote Medical Training courses at the ELC. Meals are prepared daily in the commercial kitchen by ELC chefs beginning the day the course starts through the last day, including weekends. Meals are typically served buffet style with meat and vegetarian options, but most dietary restrictions can be accommodated. Coffee, tea, and snacks are also available daily.
TRANSPORTATION
Students are responsible for their own transportation. The ELC is a three-hour drive from Seattle, WA, and best reached with a personal vehicle. For students flying in, there are car rentals available at the airport. You may also post in the Student Portal's Discussion Board before the course to coordinate carpools or shared rental vehicles with your classmates.
WI-FI/PHONE
Wireless internet access is available throughout the ELC campus. There is no cell service at the ELC. Phones are available in the lodges and classrooms for outgoing calls. Cell service is available in the town of Newhalem, 15 minutes away by car.
RECREATION
With immediate access to Diablo Lake for boating and fishing, extensive hiking and running trails right on campus, and proximity to climbing, snow sports, and the national park, this facility is a great place to visit and an even better place to spend a month! Remember to bring your gear with you!
ACCESSIBILITY
The Environmental Learning Center is ADA accessible. Service animals are welcome.
SMOKING
Smoking is limited to the designated smoking area.