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Most states use or require NREMT testing for some level of state certification. [2] [7] [8] NREMT recognizes four levels of EMS: EMR, EMT, Advanced EMT, and Paramedic (some states may have additional certifications). [7] NREMT certification at an EMT Intermediate level may or may not be sufficient for some state EMT-I requirements. [9]
As of 2011, 38 states use the NREMT examination for EMT certification and 45 states use the NREMT examination for Paramedic certification. [3] These levels are denoted below using an asterisk (*). At present time, use of the NREMT examination for EMT-Intermediate 85 and 99 have not been included in this list.
CADS - Certified Ambulance Documentation Specialist [6] CCP - Critical Care Paramedic (Canada) CCP-C Certified Critical Care Paramedic [7] CCP-F - Critical Care Paramedic - Flight (Canada) CEMSO - Chief Emergency Medical Service Officer; CFR - Certified First Responder; CIC - Certified Instructor Coordinator; CLI - Certified Lab Instructor
EMR training is intended to fill the gap between first aid and EMT. The American Red Cross conducts a course titled "emergency medical response" that fits this definition. In the US the term "emergency medical responder" has largely replaced the term "certified first responder" or "medical first responder" beginning in 2012.
In addition, a minimum of continuing education (CE) hours is required to maintain certification. For example, to maintain NREMT certification, EMTs must obtain at least 48 hours of additional education and either complete a 24-hour refresher course or complete an additional 24 hours of CE that cover, on an hour by hour basis, the same topics as ...
An EMT must be certified by the NREMT to be eligible for initial state licensure Advanced Emergency Medical Technician: AEMT An AEMT must be certified by the NREMT to be eligible for initial state licensure Paramedic: NRP An NRP must be certified by the NREMT to be eligible for initial state licensure Licensed Clinical Social Worker: LCSW