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Paramedic License Requirements

Emergency Medical Technician - Paramedic (EMT-P) is the highest emergency medical service personnel designation offered by the National Registry of Emergency Medical Technicians (NREMT). Aspiring paramedics with a high school diploma can begin the emergency medical technician (EMT) and paramedic training programs required for licensure.

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License Requirements for Paramedics

Paramedics in all 50 states must pass the NREMT paramedic exam or a state certification exam to become licensed. NREMT exam prerequisites include the completion of a formal paramedic training program and EMT - Basic certification. Additional state licensing requirements may include a criminal background check, proof of immunizations and health checks and continuing education credits.

Education Requirements

Most paramedic programs culminate in a certificate or associate's degree and include classroom instruction as well as practical skills training. Because only licensed EMTs can sit for the NREMT paramedic exam, some programs only accept applicants with EMT certification. Others require applicants to complete prerequisite EMT coursework or incorporate EMT training into the early part of a degree program. Training is available at different levels, including EMT-Basic level and the EMT-Intermediate 1985/1999 level.

Common Coursework

Course topics include advanced patient assessment, advanced resuscitation, ventilation management, cardiac management and intravenous therapy methods and techniques. Students are also taught how to use dual lumen airway devices and automated external defibrillators (AEDs) for respiratory and cardiac emergencies.

Paramedic education programs also include instruction in pediatric life saving skills, including ventilation, CPR and intraosseous infusion for infants (injection into a bone). Other skills learned in a paramedic training program include spinal immobilization techniques, bleeding control and shock management. The mannequins used in most EMT and paramedic training programs now simulate real victims.

NREMT Exam Information

The NREMT paramedic licensing examination consists of a written test and a practical exam. The written portion addresses topics studied during the paramedic's formal training program. The practical skills exam is intended to test students' skills in the field. Candidates perform medical procedures in mock emergency situations in seven areas, including patient assessment, cardiac management and IV administration. Candidates may take the test up to six times, with varying waiting periods between each retest. Paramedics must renew their license every two years.

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  • Minimum eligibility requirements:
    • Must be a high school graduate or have completed GED
    • Eligibility and relevancy of sample programs below will vary by article and program
    School locations:
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        • Undergraduate Certificate in General Studies (Medical Assistants)

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Other Schools:

  • School locations:
    • Columbia (D.C.) (1 campus)
    Areas of study you may find at George Washington University include:
      • Graduate: Doctorate, First Professional Degree, Master
      • Non-Degree: Certificate, Coursework
      • Post Degree Certificate: Post Master's Certificate, Postbaccalaureate Certificate
      • Undergraduate: Associate, Bachelor
    • Medical and Health Professions
      • Clinical Laboratory Science Professions
      • Communication Disorders Sciences
      • Dental
      • Health and Fitness
      • Medical Administrative Services
      • Medical Diagnostic and Treatment Professions
        • Athletic Trainer
        • EMT and Paramedic
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        • Ultrasound and Sonography Technologies
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      • Public Health and Safety
      • Therapeutic and Rehabilitation Professions
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    • Alabama (1 campus)
    Areas of study you may find at University of South Alabama include:
      • Graduate: Doctorate, First Professional Degree, Master
      • Non-Degree: Certificate, Diploma
      • Undergraduate: Bachelor
    • Medical and Health Professions
      • Clinical Laboratory Science Professions
      • Communication Disorders Sciences
      • Medical and Health Preparatory Sciences
      • Medical Diagnostic and Treatment Professions
        • EMT and Paramedic
        • Physician Assistant
        • Radiological Science and Technologies
        • Respiratory Care Therapy
      • Medical Residency Programs
      • Nursing Professions
      • Therapeutic and Rehabilitation Professions
  • School locations:
    • Kentucky (1 campus)
    Areas of study you may find at Eastern Kentucky University include:
      • Graduate: Master
      • Non-Degree: Coursework
      • Post Degree Certificate: Post Master's Certificate
      • Undergraduate: Associate, Bachelor
    • Medical and Health Professions
      • Clinical Laboratory Science Professions
      • Communication Disorders Sciences
      • Medical Administrative Services
      • Medical Assisting
      • Medical Diagnostic and Treatment Professions
        • Athletic Trainer
        • EMT and Paramedic
      • Mental Health Services
      • Nursing Professions
      • Nutrition Services
      • Public Health and Safety
      • Therapeutic and Rehabilitation Professions

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