Emergency Medical Services (EMS) Training

Training and certification for first responders, including EMRs, EMTs, AEMTs and paramedics.

Pre-hospital care is a critical link in an integrated health care system. The responsibility of first responders to assess a situation and triage accordingly cannot be understated. To deliver the most successful medical outcomes, personnel need a broad range of clinical skills and the critical thinking acumen to act quickly.

We offer curricula to cover the full continuum of emergency medical services. All courses are compliant with established state and national protocols and meet or exceed requirements.

Certified Testing Center


Emergency Medical Responder (EMR) Training Programs

Emergency Medical Responder (EMR) Training

48-hour (6-day) course for those interested in becoming a first responder who have never taken an EMR class.

Emergency Medical Responders are a vital part of the comprehensive EMS response. Typically the first to arrive at the scene of an emergency, they are responsible for initiating immediate lifesaving care while awaiting additional EMS response. Under medical oversight, EMRs perform basic interventions with minimal equipment and assist higher-level providers on scene and during transport.

Learning objective: Learn the basic lifesaving knowledge and skills necessary to provide lifesaving interventions and care to critical patients.


  • Respiratory emergencies
  • Cardiac problems
  • Strokes
  • Seizures
  • Trauma
  • Childbirth emergencies

Certifications:  Completion of state-approved Emergency Medical Responder (EMR) course that meets or exceeds the National Emergency Medical Services Education Standards for the Emergency Medical Responder


EMR Refresher

18-hour (3-day) course for EMRs who need to renew their current or recently expired license.  

Prerequisites: Candidates must have an EMR license that is current or expired within the past year.


Emergency Medical Technician (EMT) Training Programs

Emergency Medical Technician (EMT) Training Programs

200+ hour (2–4 month) program for those 16 years or older and interested in pre-hospital care.

CPREmergency Medical Technicians (EMT) are integral members of the pre-hospital team, responsible for patient care en route to the hospital via ambulance.

The entry-level program includes 200+ classroom hours and 20 hours of observation time at the Hartford Hospital Emergency Department and/or at a local ambulance service provider. 

Learning objectives: Learn basic knowledge and life-saving skills, how to assess the medical needs of the sick or injured and provide immediate care, and how to prioritize treatment based on patients most at risk. 


  • Basic life support
  • CPR
  • Airway management
  • Bleeding control treatment
  • Shock recognition
  • Trauma victim patient care
  • Medical emergencies
  • OB/GYN
  • Pediatrics 

Program Costs:

Your $1,275 tuition fee includes:

  • Trauma shears
  • Stethoscope
  • Blood pressure cuff
  • Pen light
  • CPR certification
  • CESI EMT program shirt

Note: Tuition does not include your NREMT practical examination fee.

Certifications: Upon successful completion of the program, you will be eligible to take the certification exam from the National Registry of Emergency Medical Technicians (NREMT). Successful completion of the exam is required in order to be certified as an EMT in Connecticut.  


Emergency Medical Student Technician (EMT-I) Training

15-week program with two evening classes per week for those certified EMT-level and above by CT DPH.

EMT CPR TrainingThe curriculum includes thirty (30) four-hour didactic modules followed by 25 hours of student teaching time. After completing the didactic program, participants schedule student teaching time with CESI-approved EMS personnel in existing CESI courses.

Learning Objectives: Learn instructional methodology to develop, manage, teach and evaluate EMS programs. Create lesson plans and learn about current CT DPH regulations, forms, deadlines and requirements for EMS program approval. 

Prerequisites: Candidates must be certified EMT level or above by CT DPH.

Certifications:  Completion of state-approved Emergency Medical Student Technician (EMT) course that meets or exceeds the National Emergency Medical Services Education Standards for the Emergency Medical Technician


Paramedic Training Programs

Paramedic Training

For current EMTs and AEMTs looking to build their knowledge and skills. 

The Paramedic is the highest level of emergency responder training. Our intensive program:

  • Exceeds the current National EMS Education Standards
  • Approved by the State of Connecticut Department of Health, Office of Emergency Medical Services
  • Accredited by the Commission on Accreditation of Allied Health Education Programs (www.caahep.org) upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP)  

Learning objectives: Information and skill training to initiate and maintain treatment for medical, trauma, and cardiac emergencies. Practice medical emergencies, trauma, OB/GYN, neonatal, pediatric, and difficult airway scenarios in a realistic teaching environment using high-fidelity patient simulators

Certification: Upon successful completion of all four semesters, students are eligible to sit for the National Registry of Emergency Medical Technicians (NREMT) Paramedic Examination, recognized by the State of Connecticut. In addition, students are eligible to receive 59 college credits from Charter Oak State College.

Effectiveness data:

2019 Reporting Year: (Note: There were no graduates during the 2020 reporting year)
63% Students Graduated
Percent of students that graduated from our program
22% Withdrew for personal or medical reasons
15% Withdrew or dismissed due to academic performance
100% Passed Certification Exams on First Attempt
Percent of graduates that passed their NREMT + State exams
94% Graduates Currently Employed in Profession
Achieved job placement as Paramedics or in a related field

Course Locations:

  • Hartford Region – On site at CESI with primary access to Hartford Hospital
    - To learn more about upcoming information sessions please contact us at Paramedic.Training@hhchealth.org
    - To enroll in our Hartford region program: Enroll

  • Fairfield Region – On site at St. Vincent’s Medical Center, Bridgeport, CT
    - To learn more about upcoming information sessions please contact us at HHCEMS@hhchealth.org
    - To enroll in our Fairfield region program: Enroll

Trauma Skills Training for First Responders

Tactical Emergency Casualty Care (TECC)

*This course is not being offered at this time. (Update: January 2021)*

16-hour (2-day) course essential for EMS and first responders with potential exposure to mass casualty or active shooter events.

Tactical Emergency Casualty Care (TECC) equips EMS personnel and first responders with the skills necessary to care for victims during mass casualty and active shooter events. TECC is modeled after a US Military combat course employed by military personnel in the battlefield. Proven again and again on the front lines in Afghanistan and Iraq, the trauma skills you will learn were refined in combat and customized for first responders.

Using high-fidelity patient simulators and scripted scenarios, training is hands-on and experiential. The course culminates with a final, mass-casualty/active shooter event simulation.

Learning objectives: Learn the trauma and life-saving skills necessary to care for patients during a mass casualty or active shooter event. 

TECC covers the three core phases of trauma care:

  • Phase 1. Direct Threat Care. Under attack or in adverse conditions.
  • Phase 2. Indirect Threat Care. Threat has been suppressed but may resurface at any point.
  • Phase 3. Evacuation Care. While the casualty is being evacuated from the incident site.


  • Hemorrhage control,  including tourniquet application
  • The MARCH (massive hemorrhage, airway, respirations, circulation, head injury/hypothermia) algorithm—an acronym to help remember the proper order to treating massive hemorrhages.
  • Surgical airway control and needle decompression
  • Strategies for treating wounded responders in threatening environments
  • Pediatric patient care
  • Safe evacuation techniques

Learn skills that could save your canine partner with K-9 Simdog “Axel”

Practice life-saving care techniques for canines with Axel, our high-fidelity canine simulator. Axel growls, whimpers and barks—and teaches how to protect your partner on the job. Meet Axel >



$350 Fee. Includes combat application tourniquet (CAT).






Beyond the training itself, we foster a world-class experience for you and your team that's comfortable and conducive to learning.





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