Available courses

This course is designed to provide students with the core skills necessary to sustain life and prevent further injury at the scene of an emergency until more advanced help arrives. The MFR (EMR) course covers basic safety at the scene of an emergency, fundamentals of patient assessment, basic airway control methods, emergency splinting and hemorrhage control and other specialty topics. 

Upon successful completion of this course, the student will be eligible to take the National Registry MFR (EMR) exam. Students who successfully complete this course and pass the National Registry exam will meet MDHHS requirements to apply for an MFR (EMR) license. 
Course Length: October 8th to December 5th 2019.

Total course is 60 hours beginning with a Mandatory orientation and CPR training on October 8, 2019 at 5:00 pm. Participants must attend orientation, no exceptions if you do not attend, you will be dropped from the class and forfeit your deposit. Students need to be enrolled in the course no later than October 1, 2019.

Students must submit an application (found on this site), copy of drivers license, a non-refundable $150.00 deposit no later than October 1, 2019. If you have a service or organization paying for the class, the payment in full must be received no later than October 1, 2019.

Minimum Number of students to hold the course is 10. The class will be canceled in the event minimum class size is not obtained on October 1, 2019 at 5 pm. In the event of a class cancellation, those enrolled will be issued a full refund.


  • Must be at least 18 years old to apply for a license with MDHHS after successful program completion
  • Must be a high school graduate or have your GED
  • Healthcare Provider CPR (provided at orientation)

Book used in this course:  

Emergency Medical Responder: First on Scene

  • Author(s): Chris Le Baudour
  • Publisher: Pearson
  • Copyright year: © 2016
  • Edition: 10th
  • The class will be held on Mon/Thurs
  • Sanilac Medical Services Class Room
    • Cost of the class is $300.00 for out of county residents
    • $75.00 for Sanilac County Residents. 
    • Cost includes EMS Testing.
    • Book not included, but student must obtain the book prior to class.

This Course will begin on Mondays, Tuesdays and Thursdays 17:00-21:00 pm at the Sanilac Medical Services Class Room. 171 Dawson St. Sandusky MI 48471.  A $250.00 non refundable deposit is required no later than December 1,2019  to secure your seat. You can send a check or Money order in we do not accept credit or debit card. Cash is acceptable in person,please do not mail in any form of cash deposit.    Please enroll on the site and complete all required paperwork. Application will be emailed to you upon enrollment into the course.

In the event of a service sponsoring your program you must submit a letter of commitment from said service with deposit prior to the date as well as specifications for payment to be paid in full on agreed date. 

Total Cost of this Course is $950.00 Tuition includes: Platinum EMS Testing subscription,Fisdap testing. Clinical ID Badge and 1 Clinical Shirt and a Urine Drug Screen. Please download and print the application and submit prior to the December 1st deadline.

Text Book and required workbook are not included and must be purchase prior to the start of the class by the student. Please use the following ISBN number to obtain the correct materials. 

ISBN-13: 978-0134024554  Text
ISBN-10: 0134024559
ISBN-13: 978-0134010731 Workbook
ISBN-10: 0134010736


  • Must be 17 years or older( you can be 17 to take the class and NREMT but can not obtain a Michigan license until the age of 18)
  • Must be high school graduate or in your senior year or have a GED
  • Pass a background check

Candidates are required to submit the following records prior to December 1, 2019

  • Negative 2 step TB test within 1 year
  • Proof of immunity to MMR & Varicella (Titers required)
  • Proof of immunity to HepB (Titers required) or signed HepB declination
  • Physical 
  • Urine Drug screen will be obtained prior to clinical time.
  • Copy of High School Diploma or GED
  • Copy of Valid Drivers License.

This Course will begin on April 3, 2019. Classes will be held on Monday, Wednesday and Thursdays at Scheurer Hospital from 5:00 pm - 9:30 pm in the Wilson Conference Room. A $150.00 non refundable deposit required no later than April 1, 2019 to secure your seat. Please enroll on our website at www.sanilacmca.org. 

If a service is sponsoring a student, the service is required to submit a letter of submission to SMS, Inc. with a $150.00 deposit and a signed Responsibility of Payment Contract due no later than April 1, 2019. 

Total Cost of this Course is $1100.00, which includes; Platinum EMS Testing subscription, Clinical ID Badge, one Clinical Shirt, Blood Pressure Cuff and Stethoscope. Required application and Paperwork will be provided during Mandatory Orientation on March 13, 2019.

Required Text and Work Book NOT INCLUDED in the price:

ISBN-13: 978-0134024554  Text
ISBN-10: 0134024559

ISBN-13: 978-0134010731 Workbook
ISBN-10: 0134010736


  • Must be 18 years or older
  • Must be high school graduate or have a GED
  • Pass a background check
  • Healthcare Provider CPR

Candidates are required to submit the following records prior to, or on April 1, 2019

  • Negative 2 step TB test within 1 year 
  • Proof of immunity to MMR & Varicella (Titers required)
  • Proof of immunity to HepB (Titers required) or signed HepB declination
  • Influenza immunization during active flu season
  • Copy of High School Diploma or GED
  • Copy of Valid Drivers License

  • *Physical
  • *Other lab tests / Drug Screen*
**The cost for these tests will be the responsibility of the student.

Registration deadline along with a minimum of $150.00 non-refundable deposit are due by June 3, 2019. Total cost will be $950.00 for Out-of-County residents and $850.00 for In-County (Millage dollars at work for you). Course runs June 17, 2019 - August 12, 2019. The registration packet and minimum deposit are required to reserve a spot in the course. (The course requires a minimum of 8 students and is limited to 20 students)

CPR and Mandatory Orientation will be on June 11, 2018 at Sanilac Medical Services Inc. Class Room from 9:00 am to 3:00 pm. If you have a current Healthcare Provider BLS card, you must provide a copy of your CPR card and it has to remain current during the length of the class.

Required paper work includes the completed application, current immunization records, current negative two step TB test, physical, a copy of your high school diploma or equivalent and a copy of your Drivers License. Deposit is required to begin class. Payment arrangements can be set up at orientation. If you have an organization funding your class, please have the agency provide a letter of intent.

This EMT Course is designed to prepare you for a career in the field of pre-hospital patient care. Class will be meet at SMS, Inc. every Monday, Tuesday and Thursday from 8:00 am to 4:30 pm starting June 17, 2019 - August 12, 2019. The course provides 192 hours of classroom time and 72 hours of clinical rotation (48 hours in EMS and 24 hours in Emergency Department). Upon successful completion of the program, participants will be eligible to take the National Registry Exam and upon passing the exam can apply for a license in the State of Michigan. Students will be expected to wear uniforms while in class and on clinical rotations. Cost of the course includes uniform shirt, clinical ID badges, and access to Platinum's EMS testing and computer adaptive testing.


  • 18 years or older 
  • High School diploma or GED
  • Valid Driver's License
  • No felony convictions
  • Negative two step TB test
  • Up-to-Date vaccinations
  • Physical

Prerequisites due no later than June 11, 2019.

Required Text and Work Book NOT INCLUDED in the price:

ISBN-13: 978-0134024554  Text
ISBN-10: 0134024559

ISBN-13: 978-0134010731 Workbook
ISBN-10: 0134010736

Registration deadline along with a minimum of $200.00 non-refundable deposit are due by August  26, 2019. The registration packet and minimum deposit are required to reserve a spot in the course. This course requires a minimum of 8 students and is limited to 20 students. If the minimum number of students is not secured by August 27, 2019, the class will be canceled.

Start Date: Tuesday, September 17, 2019

End date: December 3, 2019

Course Days and Times: Tuesdays 8:00 am - 5:00 pm


  Sanilac County: $700.00

  Out of County: $850.00

Textbook not included Please order prior to the first class date

sources for ordering include Amazon, Chegg, Jones, and Bartlett, Pearson.

ISBN-13: 978-0135030431
ISBN-10: 0135030439

Valid State of Michigan EMT license
Valid Driver's License
No felony convictions
Negative Two-Step TB test
Up-to-Date vaccinations


influenza vaccination

Internet access

The AEMT Course is designed to prepare you to continue your career in EMS at a higher scope of practice in the field of pre-hospital patient care. This course includes 90 hours in the classroom setting with 50 additional hours of out of hospital clinical rotations. Upon successful completion of the program, participants will be eligible to take the National Registry Exam for licensure in the State of Michigan. Students will be expected to wear uniforms while in class and on clinical rotations. Cost of the course is $700.00 for in county and $850.00 for out of county and includes a uniform shirt, clinical ID badges, and access to computer adaptive testing. The book is not  included in the cost 
Prerequisites due no later than September 10, 2019

10 Things You Should Know About Oximetry

Premieres LIVE: November 7, 2017 
Free to Attend     Register Today 

The use of pulse oximetry is broad in EMS, but do you know all that you should about pulse oximetry when making decisions for your patient? 

Register Now!         Facebook Linkedin Twitter 

What You'll Learn:

  • Information and tips to help you guide and deliver quality care in an EMS setting – BLS and ALS
  • About patient perfusion and how oximetry provides clues to perfusion as well as oxygenation
  • What you need to know before purchasing your next pulse oximeter – are you using a pulse oximeter that puts your department at risk

Register Today!          Facebook Linkedin Twitter

Who Should Attend: 
EMTs, paramedics, instructors/trainers, supervisors, medical directors

Need More Details?     Register Now

Register Now

November 7, 2017

2:00 PM EST 
1:00 PM CST 
11:00 AM PST 
6:00 PM GMT

Click Here to Register

Registration Rates:
Free to Attend 


NEW! All live and on demand webcasts are now available on any mobile device including iPads, tablets and phones!
 Presented by:   
 Keith Wesley, MD, FACEP, Medical Director, HealthEast Medical Transportation 
Moderator:A.J. Heightman, MPA, EMT P, Editor in Chief, JEMS 

Click Here to Register

Lifting and Moving

Refusal of Care: Adult and Minor protocol review.

During 2016 SMS will have 1 lecture continuing education credit available online. These credits will be open for the entire year. Providers will be issued a chit automatically after they complete each month's CE. To complete the CE providers must review all the information and spend at least 50 minutes in reviewing the materials. When the 10 question quiz is completed with an 80% or better the certification chit will open with a unique certificate identification number. Providers should download the certificate, print, and file it some where safe for their records. 

This course will be open from January 1, 2016 to December 31, 2016. The course is free. The Designer Drugs and Excited Delirium course covers designer street drugs and excited delirium. The current approved Excited Delirium Protocol for Sanilac county will be reviewed. In order to complete the course students must review all the materials and spend at least 100 minutes reviewing the material provided and complete a 10 question quiz. Students must score at least a 70% to receive a passing score on the quiz. 

This course is required for all level of EMS responders. Effective October 1, 2015 all levels of EMS providers in Sanilac County will be able to administer Narcan / Naloxone for suspected opiate overdoses.  

EMS defensible documentation Course

Explore how to complete your documentation in a way it can successfully be defended in court. In this course you will review  the common pitfalls of documentation.

Course Cost: Free

CE Credit: 2 hour Lecture credits in the Preparatory Category.

Requirements to complete the course and receive a certificate / chit. 

                       110 minutes spent reviewing the materials

                        watch all three parts of the movie in there entirety

                        Review all three parts of the power point presentation

                        Complete a 20 question quiz with a 70% or higher.


This in-service is required for all EMT-B’s in Sanilac County. Albuterol administration was added to the EMT-B’s skill set in 2013. When student complete this course they are awarded 1 lecture CEU in the airway category.

To complete the course you must view the Power Point Presentation and complete the Quiz with a 80% or higher. 

This eight hour course will be covering Interpreting 12 leads and recognition AMI along with current patient care protocols for Sanilac County.

Course will be taught by Scott Filkins, EMTP, IC

Cost: Free

Time: 9:00 am - 5:00 pm on Tuesday, April 23, 2019.

Where SMS classroom

The all-level Refresher course is available for MFR to Paramedic Level anyone wanting to participate in this refresher will be expected to attend as the schedule is presented.

Dates to participate are as follows: September 30th, 2019

October 2,3,7,9,10 and 11,2019

Time : 08:00- to 17:00

Cost of the course: Fee is waived to all Sanilac County residents, $50.00 for out of county residents.

To enroll go to sanilacmca.org. If you have any questions please contact the office. 810-648-3092


Refresher Course beginning Tuesday, March 20, 2018, and complete on Thursday, March 29, 2018. This course will start off with MFR refresher curriculum and continue through Paramedic. Please see schedule for complete list of days needed to attend for your level of licensure. Classes will be held in the SMS, Inc. classroom located at 171 Dawson Street, Sandusky, MI. 

Cost is free to In-County Providers.

Out-of-county pricing is: 

MFR : $25.00 

EMTB : $50.00 

AEMT : $75.00 

EMTP : $100.00. 

Seating is limited, so please call our office early to register at 810-648-3092.

Where: SMS Classroom

Dates:   November 8th and 9th 2019

 Refresher candidates need to attend the first day , full course participants will attend both days.

Time: 8 am  to 4:30 pm

Cost: Full course $150 for in county residents , $ 300 for all others  (Includes PALS provider manual) $75 for in county refresher participants and $150 for all others.

(Students may purchase the ECC handbook for $25.00)

This course is limited to 15 students.


A current BLS HCP card 

Complete the online pre-course quiz

Pediatric Advanced Life Support (PALS) is a classroom, video-based, Instructor-led course that uses a series of simulated pediatric emergencies to reinforce the important concepts of a systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation and team dynamics. The goal of the PALS Course is to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes.

Where: SMS Classroom

Dates: March 3rd and 4th 2020

Students wishing to complete a refresher course need to attend only the first day.

Time: 8:30 am to 4:30 pm

Cost: $150.00 In County  (Includes ACLS provider manual)

        $200.00 Out of County Recertification fee is $ 75.00

(Students may purchase the ECC handbook for $25.00)

This course is limited to 16 students.

Prerequisites Required to take this course:

A current BLS HCP card & ACLS Provider card.

Complete the online pre-course quiz

Advanced Cardiovascular Life Support (ACLS) for Healthcare Providers

The ACLS course builds on the foundation of lifesaving Basic Life Support (BLS) for Healthcare Providers skills, emphasizing the importance of continuous, high-quality CPR. This advanced course highlights the importance of team dynamics and communication, systems of care, and immediate post-cardiac arrest care. ACLS also covers airway management and related pharmacology.

Skills are taught in large-group sessions and small-group learning and testing stations where case-based scenarios are presented.

The ACLS course covers:

  • ACLS algorithms
  • immediate post-cardiac-arrest care
  • airway management
  • rhythm recognition
  • high-quality CPR
  • 1-rescuer CPR AED
  • effective resuscitation team dynamics
  • science overview (update course)
  • BLS and ACLS surveys
  • ACS
  • Megacode treatment
  • identification and initial care of other life-threatening clinical situations (such as stroke)

ACLS training is intended for healthcare providers who either direct or participate in the resuscitation of a patient, whether in or out of the hospital, including:

  • physicians
  • nurses
  • emergency medical technicians 
  • paramedics
  • staff in intensive care units and emergency or critical care departments 
  • other professionals who may respond to a cardiovascular emergency

Students must pass a written exam and skills test in order to qualify for an ACLS Course Completion Card.

To be successful in any ACLS course, students should be able to identify ECG rhythms and should know pharmacology specific to cardiopulmonary arrest and other cardiopulmonary emergencies before beginning the course. It is strongly recommended that students review the ACLS course materials and complete a precourse self-assessment using the tools in their student materials before starting the course.

This course explains how to use the bleeding control equipment provided in the bleeding control kits for Sanilac County.  These kits were designed by the Sanilac Bleeding Control Task Force and purchased by Sanilac Medical Control Authority for use in an Active Assailant Event.  The material must be reviewed to complete the in-service.  No credit are awarded but a certificate of completion will be issued once all the material has been reviewed. 

Medical Examiner Special Investigator Course

Course Instructor: William Starbird, MD

Must be Approved by ME Office to Attend!

Please enroll online. If you have any questions, please contact the office. 810-648-3092

March 16th 2019 from 9 am to 5 pm Please enroll online 

Class room portion will be held at the Sandusky fire department.

CEVO was first introduced in the early 90's, the Coaching the Emergency Vehicle Operator™ (CEVO) courses for ambulance, fire and police personnel quickly became accepted as standards in driver training for these fields. Since then, over 500,000 emergency professionals have been trained with the CEVO™ programs. 

Now, based on valuable input from participants, instructors, and loss prevention professionals, a revised and updated CEVO 3: Ambulance™ course is available.

As with the original program, operators will appreciate CEVO 3's non-lecture, participant-intensive educational approach, and instructors will appreciate the program's flexible and easy-to-use format. 

What's new: 
* New and updated Response Book situation analysis 
* "Coaching Reminder Points" completion statements in the Response Book 
* All new discussion scenarios based on common collision situations. 
* New video including: Vehicle inspection, a balance of small town and rural locations with large urban locations and in-cab video of actual collisions. 
* Operator learning teams used to promote discussion among participants.

The MARRS Advanced course is a comprehensive farming accident rescue course based on real-life agriculture accidents. Each year in Michigan, there are 4 to 6 people killed in agricultural incidents, and 6,000 - 8,000 people are seriously injuries. Without proper training, professional rescuers can actually create more problems than they solve at the scene of a farming accident.

The goal of this course is to improve rescue efficiency at a farm accident to positively impact patient outcomes.

This course runs 2 days and includes a Lecture and Practical Component to build on the skills and knowledge learned in the operations level.

Time: 09:00 to 5:00 Pm on Saturday , Sunday Start time will be announced Saturday.

Cost of the Course is 30.00 Payable to Sanilac Medical Services , Payment is due No Later than May 17,2018

Lunch and hydration will be provided. 

You Must have a current MAARS Operation Level Certification to Participate in this Class.

This program is designed to meet the Michigan System Protocol Inter-Facility Patient Transfer & Critical Care Inter-Facility Patient Transport, Section 6-14.

The intent of the program is to meet the requirements for specialty Transport as set forth by Centers for Medicare & Medicaid Services at the Paramedic Level. ( Must hold a valid Paramedic license in the state of MI to be eligible to partake in the class.)

Class begins 

Thursday September 12th ,13th,19th,20th, and end on September 26th.

Time: 08:00 to 16:30

Book Not  Included: AAOS Critical Care Transport 

ISBN 13:978-0-7637-1223-5

10: 0-7637-1223-x

Cost of the course is 250.00. Call Lea or Lisa in the office if you have questions about discounts for in county residents.

Where: SMS Class room
Dates: Tuesday November 19th and 20th (for FULL course must attend both days!) 

Second day is refresher portion Please email me at aherek@sanilacmca.org and let me know if your enrolling for full class or refresher.

Time: 8:00am  to 5pm
Cost: $150.00 (Includes PHTLS provider manual)

This course is limited to 15 students

A current PHTLS Provider card.

PHTLS  Course description.
NAEMT's Prehospital Trauma Life Support (PHTLS) is recognized around the world as the leading continuing education program for prehospital emergency trauma care. The mission of PHTLS is to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care through global education.  PHTLS is developed by NAEMT in cooperation with the American College of Surgeons' Committee on Trauma. The Committee provides the medical direction and content oversight for the PHTLS program. 
PHTLS courses improve the quality of trauma care in your area and decrease mortality. The program is based on a prehospital trauma care philosophy, stressing the treatment of the multi-system trauma patient as a unique entity with specific needs. This may require an approach to the trauma patient that varies from traditional treatment modalities. PHTLS promotes critical thinking as the foundation for providing quality care. It is based on the belief that, given a good fund of knowledge and key principles, EMS practitioners are capable of making reasoned decisions regarding patient care. The PHTLS course is continuously updated and revised to keep up with the advances in the field, ATLS Guidelines and feedback from PHTLS participants.

This course is designed for licensed Emergency Medical Services personnel interested in becoming licensed Instructor/Coordinators or for current instructors interested in upgrading their teaching skills. This course follows the National Instructor Curriculum as published by NHTSA. This course follows a blended format: attendance is required for the MDHHS and NREMT orientation; the rest of the class is 50/50 online and classroom review. Sanilac Medical Services will assist the students in arranging the required 30 hours of student teaching. 

Requirements: Once registration and payments are complete students are required to submit 2 letters of endorsement from active IC’s by October 28, 2019. For licensure eligibility you will have to document 3 years of field experience, verified by your employer. IC activities are tied to your provider license and you may only participate in activities to that level.

*Times: Classroom Times are Wednesdays from 8:00 am to 4:30pm beginning October 30,2019 to December 11th 2019  one day a week in class with the remainder of class online.

*Location: SMS Class room, 171 Dawson Street Suite 238, Sandusky, MI. 48471

*Cost of this course is $700.00 with discounts available for Sanilac County residents or with payment in full prior to the beginning of the course.

Test book not included in the price of the course: ISBN-10: 0323028675

IC Refresher course.

Where: Sanilac Medical Services, 171 Dawson Suite 238, Sandusky, MI. 48422

Cost: Free for Sanilac County residents and $75.00 for out of county residents. (course fees will be do at the start of the course.)

Register online

The Instructor/Coordinator Refresher Course is designed to meet the continuing education requirements to renew an IC license. This course expands on the knowledge that effective EMS educators already have and allow IC's to share their tricks of trade to help improve EMS programs. The student will be re-familiarized with theories of learning and teaching the adult learner. Preparation of educational materials, along with methods of teaching and evaluation. Utilizing technology inside and outside of the classroom. And last but not least, presentation of material, and administrative issues relating to teaching an EMS course. 

This IC Refresher course is 30 hours of instruction.

Seating is limited to 20 seats due to space so register early. 

Date: October 21/22/23/28,2019

Time:8 am to 4:30 pm


All current EMS providers in Sanilac County must watch the video, and take a brief quiz on the use of the Duo-Dote Auto-Injectors by March 1, 2018. Any new providers to the county who are added to licensed EMS services rosters must complete this with in 60 days of hire.

MDHHS will be reviewing all the protocols this year. Additional protocols changes and additions can be found here. 

This course is required for all EMT-B’s in Sanilac County. CPAP was added to the EMT-B's skill set in 2013. When student complete this course they are awarded 1 lecture CEU in the Airway category.

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