NREMT EMR study materials
NREMT EMR study resources

NREMT EMR study plan

NREMT EMR · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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