If you have a lapsed National Registry AEMT certification, lapsed state AEMT license including a lapsed equivalent AEMT certification, or recognized higher level of EMS certification and want to gain National Registry AEMT certification, you must meet the following requirements:

Requirements for Certification

  • Proof of education requirements. The following methods are acceptable:
    • Successful completion of a state‐approved AEMT refresher course or  
    • 50 hours of continuing education that meets all requirements of the current National Component of the 2016 National Continued Competency Program within the past two years.
  • The National Registry accepts State EMS Office approved and CAPCE accredited education, education from EMS education programs, and U.S. accredited academic credit or college course. All education must be directly related to EMS patient care. 
  • Successful completion of the National Registry AEMT cognitive (knowledge) examination and psychomotor (skills) examination. 
    • Passed portions of the cognitive and psychomotor exam remain valid for 24 months provided all other eligibility requirements are met. 
  • Copy of a lapsed state AEMT license/certification if never nationally certified as an AEMT.
  • Have a current CPR-BLS for "Healthcare Provider" or equivalent credential.

National Component - 25 Hours

The National Component requires Advanced-EMTs to complete 25 hours of approved continuing education. A maximum of 8 hours of distributive education may be used to meet the 25 hour requirement. (Distributive Education (DE) is a method of delivering EMS education where the educator and student are not able to interact in real time. Examples include online courses, journal article reviews, and videos) may be used to meet the 25 hour requirement.


Airway/Respiration/Ventilation - 2.5 hrs

  • Ventilation
  • Oxygenation


Trauma - 3 hrs

  • Trauma Triage
  • Central Nervous System (CNS) Injury
  • Hemorrhage Control
  • Fluid Resuscitation


Medical - 7.5 hrs

  • Special Healthcare Needs
  • OB Emergencies
  • Infectious Diseases
  • Medication Delivery
  • Pain Management
  • Psychiatric and Behavioral Emergencies
  • Toxicological Emergencies – Opioids
  • Neurological Emergencies – Seizures
  • Endocrine Emergencies – Diabetes
  • Immunological Emergencies


Operations - 5 hrs

  • At-Risk Populations
  • Ambulance Safety
  • Field Triage—Disasters/MCIs
  • EMS Provider Hygiene, Safety, and Vaccine
  • EMS Culture of Safety
  • Pediatric Transport
  • Crew Resource Management
  • EMS Research
  • Evidence Based Guidelines


Cardiovascular - 7 hrs

  • Post-Resuscitation Care
  • Ventricular Assist Devices
  • Stroke
  • Cardiac Arrest
  • Pediatric Cardiac Arrest
  • Acute Coronary Syndrome

 

Local or State Component - 12.5 Hours

If specific local and/or state are not specified, these required hours are considered flexible content. You may use any state or Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) approved EMS–related education to fulfill these requirements. A maximum of 8 hours of distributive education*  may be used to meet the 12.5 hour requirement. (*Distributive Education (DE) is a method of delivering EMS education where the educator and student are not able to interact in real time. Examples include online courses, journal article reviews, and videos.)

Individual Component - 12.5 Hours

The individual hours are considered flexible content. You may use any state or Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) approved EMS–related education to fulfill these requirements. A maximum of 12.5 hours of distributive education may be used to meet the 12.5 hour requirement. (*Distributive Education (DE) is a method of delivering EMS education where the educator and student are not able to interact in real time. Examples include online courses, journal article reviews, and videos.)

Application Process

Follow these easy steps to apply for a National Registry exam:
  1. Create your account/log in to your profile.
  2. Create an application - Select the AEMT level. Verify your personal information and make any necessary changes. Then, follow the prompts through the application process.
  3. Pay the application fee of $136.00 (US funds). The application fee is non-transferable and non-refundable. This fee is charged for each attempt of the cognitive examination.
  4. Email your lapsed AEMT license/certification (if applicable) and proof of education to support@nremt.org. Please include your application confirmation ID number.
  5. Monitor the progress of your application from your “Certification Application Status” in case additional actions are needed. Once the National Registry approves your application and your status is “Ready to Test,” you can view your ATT letter and contact Pearson Vue to schedule your exam.

Related Policies

Expiration Dates
Initial expiration dates are determined by the date the candidate successfully completes the entire national certification process (cognitive and psychomotor exams). AEMT candidates completing the national certification process between the January 1 and June 30 will receive an expiration date of March 31 two years in the future. Individuals successfully completing the national certification process between July 1 and December 31 will receive an expiration date of March 31 three years in the future.


Initial Certification

If you successfully complete the national
certification process between:

January 1 - June 30
July 1- December 31


Initial Cycle

Your initial certification date will be
March 31:

2 years in the future
3 years in the future