NREMT case studies
NREMT · Put your knowledge to work in context.
The National Registry of Emergency Medical Technicians (NREMT) certification exams are the cognitive and psychomotor assessments used in most U.S. states as part of EMS licensure. They exist for candidates completing an EMT, Advanced EMT, or Paramedic course who need a nationally recognized credential showing they meet a common entry-level standard. The cognitive exam is computer-adaptive: an algorithm selects each item based on your prior responses, so no two candidates see the same set, and the test ends when the scoring model has enough information to classify you as above or below the passing standard. The NREMT case studies are 5 cases and about 2,360 words.
1COPD Exacerbation With Decreasing Consciousness
Dispatch sends you to a rural farmhouse for a 68-year-old man in respiratory distress. His wife reports two days of worsening cough and today he became 'sleepy.' He is sitting bolt upright, tripoding, and speaking in two- to three-word phrases.
548 words, about 3 min2Inferior STEMI With Hypotension and Bradycardia
You respond to a 58-year-old man with 45 minutes of crushing substernal chest pain radiating to the jaw, nausea, and diaphoresis. He is pale and anxious.
495 words, about 2 min3Unstable Pelvis and Suspected Hemorrhagic Shock
You are dispatched to a two-vehicle collision on a county road. A 34-year-old unrestrained driver struck a tree head-on at approximately 50 mph.
435 words, about 2 min4Seizure at 37 Weeks Gestation
A 29-year-old woman at 37 weeks gestation is found seizing on her living room floor. Her husband says the generalized seizure lasted about 90 seconds and she has had a severe headache and blurred vision since this morning.
433 words, about 2 min5Four-Patient MCI With Limited Transport Resources
You are the first ALS unit on scene of a four-vehicle collision. A helicopter is 20 minutes out, two additional BLS ambulances are 10 minutes out, and you have one fire engine with three firefighters.
449 words, about 2 min