Experienced EMS educators
Your instructor already teaches North Country providers in person — AHA cards for nurses, daycare staff, law enforcement, and clinicians across five counties. The person who wrote the course answers when you call.
Fourth Coast Medical Education · Northern New York
Train. Respond. Lead.
EMS education built for the clinicians who answer the call.
Continuing education, advanced training and recertification support for North Country providers — written to today's standard of care by an instructor in your county who answers the phone.
Real instructors, real answers. Email or call when a certificate does not upload or a council questions an hour.
Sample
4CMECertificate of completion
This certifies that
Dana R. Whitcomb
EMT · NY 123456 · Massena Volunteer Rescue
completed
Pediatric respiratory distress — EMT
- Credit hours
- 2
- Issued
- March 14, 2026
- Type
- Certificate of completion
Hours tracker — EMT
this cycle12 of 40 credit hours
NY self-study ceiling · 50%
What's next: 28 hours to go. The EMT bundle covers a full cycle.
Why 4CME
Education from people who work the field.
Real-world clinical scenarios
Scenarios drawn from prehospital practice in the North Country, including the interfacility transports that fill your shifts.
Evidence-informed education
Written to the current standard of care and current regional practice, with objectives and references visible in every course.
Flexible continuing education
Self-paced lessons available at 2 a.m. after a shift, with an instant certificate and an hours tally the moment you pass.
Practical, hands-on training
In-person classes for AHA cards and skills on real dates in real classrooms — posted on the calendar with seats you can reserve.
Professional development
From your first certification through advanced provider roles — more levels, more disciplines, and agency-level support as you grow.
Education
Three tracks, one standard of care.
EMS Education
Built for prehospital medicine
Education designed specifically for EMS professionals and the realities of prehospital medicine — from your first certification through every recertification cycle.
Advanced Training
High-acuity skills, practiced
High-acuity clinical education, advanced skills, simulation and scenario-based training for providers moving up in scope and acuity.
Continuing Education
Relevant, practical hours
Continuing education designed to improve clinical knowledge, confidence and patient care — hours that count in New York and under NREMT.
Courses
Courses built for your certification level.
Individual courses from $12 per credit hour, recertification bundles by level, and seats in local in-person classes. No subscription, ever.
Online2 CE contact hours
Pediatric respiratory distress — EMT
Recognize and manage the sick pediatric airway, with scenarios drawn from North Country transfers.
Enroll any time · Online · self-paced
Learn moreOnline3 CE contact hours
Expanded scope: medication administration — AEMT
Expanded-scope medication administration for AEMT and Critical Care providers running interfacility transports.
Enroll any time · Online · self-paced
Learn morePotsdam, NY4 contact hours
AHA BLS Provider
The American Heart Association provider course — the card local hospitals and agencies ask for.
Sat, Mar 14, 9:00 AM · In-person class
Learn moreSample course cards — the full catalog opens with enrollment. Email the instructor to be told the day courses go live, or with the course your service needs next.
Recertification
How your hours work, in plain terms.
Providers here recertify under the NREMT NCCP model, New York's DOH CME pathway, or both. Here is what that means for the hours you buy.
Hours per cycle, by level
Under the NREMT NCCP model.
- EMT
- 40 credit hours
- AEMT
- 50 credit hours
- Paramedic
- 60 credit hours
New York's 50% self-study ceiling
How much of your recertification online self-study can cover.
Self-study online · up to 50%
Other hours · the rest
Courses & classes
Three ways to buy. No subscription, ever.
Single courses
from $12per credit hour
Buy one course, take it, keep the certificate. Bought once — no subscription, nothing recurring.
- Instant certificate
- Free courses to start
- Retakes at no cost
Recertification bundles
One purchaseper level
A full cycle of hours for EMT, AEMT / Critical Care, or Paramedic, at a lower effective rate. Twelve months of access.
- Covers a whole cycle
- Grouped by your level
- Hours tracker included
In-person class seats
Fixed priceper scheduled class
AHA BLS, ACLS, PALS and Heartsaver, plus daycare, nursing and law-enforcement classes. Reserve a seat on a real date.
- AHA course cards
- Local classrooms
- Seats posted on the calendar
Checkout is hosted and NanoCorp is the merchant of record. No free trials, no invoicing, no auto-renew — you buy what you need, when you need it.
View coursesWhere accreditation stands
Every 4CME course is a certificate of completion for state and agency hours. It is not, today, a CAPCE-accredited course, and we do not say that it is.
4CME is filing for CAPCE accreditation. When a course is accredited, its CAPCE number and F-designation will appear on that course and your certificate, and completions will upload to CAPCE. Until then, we say so plainly on every course.
In-person classes
Card classes on real dates, in your town.
When a class is scheduled it shows here with the date, town, seats left and the card it issues. Reserve a seat online and pay the fixed price.
Sample listing — format only
AHA BLS Provider
Sat, Mar 14, 9:00 AM · Potsdam, NY
Issues an AHA BLS Provider card
No classes are on the calendar right now. Email to be told when the next one is posted.
Ask the instructor
The person who wrote the courses answers. If a certificate does not upload or a council questions an hour, you get a real reply — not a ticket.
Email the instructorFor agencies
Training officers can buy bundles or class seats for a crew and keep hours in one place. Ask about setting up an agency account.
Talk about crew training