NREMT study materials
NREMT study resources

NREMT study plan

NREMT · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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