Preparing medical students for residency in emergency medicine involves education in many areas of knowledge and skill, including instruction in advanced emergency procedures. We outline the logistics involved in running a training course in advanced emergency procedures for 4 th year medical students and report student perceptions of course impact. The course is a cadaver based training lab which utilizes several teaching modalities including a web based syllabus and online streaming video, didactic lecture, hands on practice with models and ultrasound, and hands on practice with unembalmed (fresh) cadavers. The course focuses on 7 emergent procedural skills, including deep venous access via the subclavian, internal jugular and femoral veins, tube thoracostomy, saphenous vein cutdown, intraosseous line placement and emergency cricothyrotomy. It is taught by attending emergency physicians and anatomy department faculty.After completion of the course, 33 students reported their self-assessment on a five-point Likert scale. Data was evaluated using a paired T -test (two-tailed). Students reported a mean increase in their understanding of the indications for the procedures from 3.3 ±1.1 before to 4.8 ±0.4 after the course, p = 0.004, 95% CI 0.7 -2.0. Students reported a mean increase in their understanding of how to perform the procedures from 2.1 ±0.9 before to 4.6 ±0.6 after the course, p = 0.003, 95% CI 1.9 -3.0. Students reported a mean increase in their comfort level performing the procedures from 1.6 ±0.8 before to 4.2 ±0.7 after the course, p < 0.001, 95% CI 2.0 -2.9. Our experience supports the value of an advanced emergency procedural training course using an unembalmed cadaver-based lab and incorporating several teaching modalities. By outlining the logistics involved in running the course, including curriculum, equipment and cost, we hope to facilitate use of this teaching modality in other medical schools and to generate interest in future research regarding the utility of this approach to procedural training.