NREMT EMR study plan
NREMT EMR · Give each week a clear focus.
8 weeks · About 6 hours per week
Airway, Respiration, and Ventilation
Label the upper and lower airway structures and explain what each does during normal breathing
Distinguish between oxygenation and ventilation, and state the signs of inadequate breathing in an adult, child, and infant
Assemble and operate a bag-valve-mask with a two-rescuer technique until you can deliver smooth, coordinated ventilations
Select and insert the correct airway adjunct for a given patient scenario without hesitation
Calculate and recite the correct ventilation rate for an adult, a child, and an infant with a pulse
Your checkpoint
A completed 25-question self-quiz on airway anatomy and ventilation with a score of 80% or higher, plus a signed self-checklist showing BVM setup completed in under 30 seconds
Airway, Respiration, and Ventilation & Cardiology and Resuscitation
Demonstrate suctioning and foreign-body airway obstruction relief for a responsive and an unresponsive patient
Decide when to ventilate with supplemental oxygen versus room air using the pulse oximeter and patient presentation
Explain the chain of survival and the role the EMR plays in each link
Identify the anatomical landmarks used for CPR and for AED pad placement
Perform 2 minutes of high-quality single-rescuer CPR on a training manikin while calling for help and retrieving the AED
Your checkpoint
A skills log recording three uninterrupted 2-minute CPR cycles with compression rate and depth within accepted ranges on the manikin
Cardiology and Resuscitation
Operate an AED through a full scenario, including pad placement, voice-prompt response, and safe defibrillation
Differentiate shockable from non-shockable rhythms in plain language and describe what the AED instructs for each
List the signs and symptoms of a patient in cardiac arrest versus one in respiratory arrest and state the action for each
Recognize the presentations of chest pain, syncope, and palpitations and describe the EMR's immediate actions for each
Sequence the steps of one-rescuer and two-rescuer CPR with an AED integrated into the cycle
Your checkpoint
A written scenario worksheet covering five cardiac cases with the correct action sequence and AED decision for each, reviewed against a reference answer key
Trauma
Perform a rapid trauma assessment in the correct order on a simulated patient
Control severe external bleeding using direct pressure, a pressure dressing, and a tourniquet when indicated
Immobilize the cervical spine manually and apply a rigid cervical collar with a partner
Differentiate the signs of hypoperfusion from those of a head injury and state the priority action for each
Classify burns by depth and body surface area and identify which burns require immediate transport
Your checkpoint
A timed trauma practical: complete a rapid trauma assessment with bleeding control and spinal motion restriction in under 8 minutes, scored on a pass/fail checklist
Trauma
Assess and splint a suspected extremity fracture using the appropriate device and check distal circulation before and after
Identify the signs of a chest injury including a flail segment and a tension pneumothorax, and state the EMR's action for each
Manage a patient with a suspected spinal injury from mechanism of injury through packaging for transport
Recognize the signs of internal bleeding and shock and prioritize transport accordingly
Describe how to manage an impaled object, an amputation, and an open abdominal injury
Your checkpoint
A one-page mechanism-of-injury reference card you wrote yourself, listing five injury patterns with the assessment findings and EMR actions for each
Medical, Obstetrics, and Gynecology
Take a SAMPLE history and a set of vital signs on a simulated medical patient within 5 minutes
Recognize the signs and symptoms of a diabetic emergency, a seizure, and a stroke and state the EMR's action for each
Assist a patient with a prescribed epinephrine auto-injector and a prescribed inhaler per protocol
Identify the signs of an opioid overdose and describe the EMR's role in naloxone administration
Prepare for an imminent delivery, including positioning, suctioning the newborn, and keeping the newborn warm
Your checkpoint
A completed set of documented vital signs and SAMPLE histories for three different medical or obstetric scenarios, all legible and in the correct order
EMS Operations
Describe the EMR's role in the incident command system and identify the sections of a basic command structure
Demonstrate safe scene entry by identifying hazards and stating the required personal protective equipment for a given call
Explain how to request additional resources and how to give a complete handoff report to arriving EMS
Describe the reporting and documentation requirements that follow a patient contact
State the steps for safely lifting and moving a patient and identify when to wait for additional help
Your checkpoint
A complete written patient care report for one simulated call, plus a hazard assessment list covering five different scene types
Airway, Respiration, and Ventilation & Cardiology and Resuscitation & Trauma & Medical, Obstetrics, and Gynecology & EMS Operations
Integrate airway, cardiac, trauma, medical, and operations skills into three uninterrupted full-scenario run-throughs
Identify your three weakest objectives from weeks 1 through 7 and drill each one to a clean pass
Recite the correct order of assessment steps and the correct action for each life threat without notes
Complete a full-length practice exam under timed conditions and review every missed item
Your checkpoint
A full-length timed practice exam with a score of 85% or higher, plus a one-page list of remaining weak objectives with a plan for each
Milestones
Week 2: Can set up a BVM, choose an airway adjunct, and deliver a full cycle of CPR in the correct sequence without prompting from notes
Week 4: Can complete a rapid trauma assessment with bleeding control and spinal motion restriction on a live partner in under 8 minutes
Week 6: Can take and document a SAMPLE history and a full set of vital signs on a stranger in under 5 minutes
Week 8: Scores 85% or higher on a timed full-length practice exam and passes every hands-on skill station without critical errors