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The National Registry of Emergency Medical Technicians (NREMT) is a US based, non-profit certification organization for pre-hospital emergency medical providers that exists to ensure that every Emergency Medical Technician has the knowledge and skills required for competent practice. [1]
The NREMT offers a national certification based on the NHTSA National Standard curriculum for the levels of EMR, EMT, Advanced EMT and Paramedic. [2] Individual states are allowed to use NREMT certification as part of their certification process, but are not required to.
"Emergency medical responder", or "EMR", [2] is an EMS certification level recognized by the National Registry of Emergency Medical Technicians. [ 3 ] The term "emergency medical responder" is used loosely in many states, with "first responder" and "medical first responder" still being common terms.
An EMS provider's post-nominal (listed after the name) credentials usually follow his or her name in this order: Highest earned academic degree in or related to medicine, (e.g. "MD") Highest licensure or certification (e.g. "NRP") Further certifications (e.g. "CCEMT-P") Generally, credentials are listed from most to least prestigious.
Importantly, this training can be conducted by an EMT-Basic with some field experience—which is a resource available "in-house" for many volunteer fire departments who do not have the resources for full EMT training. The first responder training is intended to fill the gap between First Aid and Emergency Medical Technician.
By about 1990, most of the 'trendiness' in pre-hospital emergency care had begun to disappear, and was replaced by outcome-based research and evidence-based medicine; [21] the gold standard for the rest of medicine. This research began to drive the evolution of the practice of both paramedics and the emergency physicians who oversaw their work ...