NREMT study plan
NREMT · Give each week a clear focus.
8 weeks · About 6 hours per week
Airway, Respiration, and Ventilation & Patient Assessment
Map the anatomy of the upper and lower airway onto a hand-drawn diagram you label from memory, including the structures that separate the oropharynx from the trachea
Differentiate between ventilation, oxygenation, and respiration, and state which vital sign or assessment finding best reflects each
Practice selecting and sizing oropharyngeal and nasopharyngeal airways, and state one contraindication for each device
Build a repeatable primary assessment sequence (scene size-up through transport decision) and rehearse it aloud on three practice scenarios
Identify the auscultation sites for breath sounds and describe what absent, wheezing, crackles, and stridor each suggest
Your checkpoint
A one-page airway and primary assessment reference sheet, handwritten from memory, that you can reproduce blank in under 10 minutes
Airway, Respiration, and Ventilation & Patient Assessment
Demonstrate bag-valve-mask technique with a two-rescuer approach, correcting for mask seal, head positioning, and squeeze volume
Calculate and compare oxygen delivery for nasal cannula, non-rebreather, and BVM, and justify device selection for three patient presentations
Explain the indications, contraindications, and complications of suctioning, and describe how to preoxygenate before the attempt
Integrate pulse oximetry and capnography readings into a ventilation decision and state what a rising or falling waveform trend tells you
Perform a focused respiratory history and physical on a volunteer in under 5 minutes, documenting findings in a standard format
Your checkpoint
A recorded 5-minute mock run of a respiratory distress scenario with a self-scored checklist covering airway adjunct choice, oxygen device, and reassessment
Cardiology and Resuscitation & Patient Assessment
Trace the cardiac conduction pathway and link each step to the corresponding ECG waveform component
Identify sinus rhythm, bradycardia, tachycardia, atrial fibrillation, and the lethal ventricular rhythms on practice strips, and state whether each is perfusing
Sequence high-quality CPR for adult, child, and infant patients, naming compression rate, depth, ratio, and the point at which you would defibrillate
Describe the safe operation of an automated external defibrillator, including pad placement, why you clear the patient, and what to do if the rhythm is nonshockable
Differentiate cardiac chest pain from musculoskeletal, respiratory, and aortic causes using history and physical findings alone
Your checkpoint
A rhythm identification log of 25 practice strips with your interpretation, perfusion status, and next action for each, scored at 80% or better
Cardiology and Resuscitation & Medical, Obstetrics, and Gynecology
Explain the pathophysiology and prehospital management of shock, distinguishing hypovolemic, cardiogenic, distributive, and obstructive types by assessment cues
Describe the assessment and immediate care for a patient with an altered mental status, including the role of blood glucose measurement
Outline the recognition and management of common respiratory emergencies such as asthma, COPD exacerbation, and pulmonary edema
Apply a structured approach to the unresponsive medical patient, prioritizing airway, breathing, and glucose before secondary survey
State the indications for and risks of common prehospital medications used in cardiac and respiratory emergencies
Your checkpoint
A comparison table of the four shock types with cause, key findings, and prehospital intervention for each, plus a 10-question self-quiz scoring 80% or better
Trauma & Patient Assessment
Perform a systematic trauma secondary survey from head to toe, naming what you inspect, palpate, and ask at each region
Control simulated external bleeding with direct pressure, wound packing, and tourniquet application, and state the criteria for each escalation
Recognize the signs of tension pneumothorax, flail chest, and hemothorax, and describe the immediate supportive interventions available at the EMT level
Assess and immobilize a suspected spinal injury, and justify when spinal motion restriction can be limited
Describe the management of burns, including estimation of body surface area and the decision to transport to a burn center
Your checkpoint
A timed head-to-toe trauma assessment performed on a volunteer, documented on a standard patient care report and reviewed against a checklist
Medical, Obstetrics, and Gynecology & Trauma
Differentiate the stages of labor and describe the decision points for normal delivery versus imminent delivery in the field
Manage a normal delivery, including newborn assessment, drying, warming, and stimulation, and state when to begin newborn resuscitation
Recognize postpartum hemorrhage and describe uterine massage, positioning, and transport priorities
Identify the signs of obstetric emergencies such as prolapsed cord, breech presentation, and ectopic pregnancy, and state the immediate action for each
Explain the assessment and prehospital care for abdominal trauma, including the role of mechanism and serial vital signs
Your checkpoint
A written obstetric emergency decision flowchart covering normal delivery, prolapsed cord, breech, and postpartum hemorrhage, each with the first three actions
EMS Operations & Clinical Judgment and Decision Making
Apply the incident command system to a simulated multi-casualty scene, naming your role and the first three actions you would take
Describe scene safety and hazard assessment for traffic, hazardous materials, and violent scenes, and state when to stage and wait for law enforcement
Explain the principles of triage and apply a simple triage method to rank five simulated patients
Distinguish clinical judgment from protocol following, and describe how to communicate a refusal of care and document it defensibly
Describe the components of a patient care report that support continuity of care and legal protection
Your checkpoint
A triage exercise ranking 10 simulated patients with a written rationale for each, plus a completed mock patient care report
Airway, Respiration, and Ventilation & Cardiology and Resuscitation & Trauma & Medical, Obstetrics, and Gynecology & EMS Operations & Patient Assessment & Clinical Judgment and Decision Making
Complete a full-length timed practice exam and score each domain separately to identify your two weakest areas
Rework every missed question from the practice exam by writing the correct reasoning in your own words
Run three complete integrated scenarios from dispatch to handoff, covering airway, cardiac, trauma, medical, and obstetric presentations
State the NREMT testing format and time limits, and rehearse the strategy of committing to the best answer and moving on
Build a final two-week maintenance schedule that revisits your weakest domains twice per week
Your checkpoint
A scored full-length practice exam with a written remediation log for every missed item and a final weak-area study schedule
Milestones
Week 2: You can perform a primary assessment and select an airway adjunct and oxygen device correctly in a live mock scenario without prompting
Week 4: You score 80% or better on a 25-strip rhythm identification set and correctly classify all four shock types
Week 6: You complete a timed head-to-toe trauma assessment and correctly sequence the first three actions for normal delivery and postpartum hemorrhage
Week 7: You correctly triage 8 of 10 simulated patients and can articulate the refusal-of-care documentation requirements
Week 8: Your full-length practice exam shows no domain below 70% and a written remediation log exists for every missed item