Megacode is a simulation designed to mimic a real-life code as much as possible. Students progress through a series of questions or scenarios requiring them to recall knowledge of patient assessment techniques and management skills. This is an essential test in a paramedic's educational program.

Paramedic training is another way that MEMS focuses on training the best Paramedics. The class is made up of current MEMS EMTs who apply to be accepted into the in-house Paramedic program. Since MEMS  is a satellite campus of South Arkansas Community College, these students not only get paid to train but are earning college credit at the same time. Most students finish the course with only three classes away from their associate degree in emergency medicine.