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NREMT LOGO. 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]
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.
EMT-CC - Emergency Medical Technician - Critical Care [citation needed] EMT-CT - Emergency Medical Technician - Cardiac Tech [citation needed] EMT-M - Emergency Medical Technician - MAST (Military Anti-Shock Trousers) EMT-T - Emergency Medical Technician - Tactical [10] EMT-ST - Emergency Medical Technician - Shock Trauma [citation needed]
In the United States there are no federal rules or regulations for the scope of practice for any level of EMS provider, though there is a noncompulsive scope of practice model. In the field, paramedics follow a set of pre-approved procedures and interventions for particular scenarios, which may be known as protocols or guidelines.
[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.
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.