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The NREMT was established in 1970 in response to a recommendation from President Lyndon Johnson's Committee on Highway Traffic Safety that recommended that a national certifying agency for Emergency Medical Technicians be created in order to establish and standardize training requirements. [2]
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.
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.
[25] [26] Currently, NREMT exams are used by 46 states as the sole basis for certification at one or more EMT certification levels. [27] A NREMT exam consists of skills and patient assessments as well as a written portion. On June 12, 2019, the NREMT changed the rules regarding age limits for EMTs, AEMTs, and paramedics.
The National Association of Emergency Medical Technicians (NAEMT) along with National Registry of Emergency Medical Technicians (NREMT) [28] attempted to create a national standard by means of a common licensing examination, but to this day, this has never been universally accepted by U.S. States, and issues of licensing reciprocity for ...
Reciprocity - that is, recognition of one state's EMT certification being valid in another state - between states is somewhat limited, and after 30 years of operation by the National Registry of Emergency Medical Technicians, only about 40 states provide unlimited recognition of the NREMT certifications. [46]