Formal training and certification is needed to become an EMT. A high school diploma is typically required to enter a formal training program. Some programs offer an associate degree along with the formal EMT training. All 50 states have a certification procedure. In most states and the District of Columbia, registration with the National Registry of EMTs (NREMT) is required at some or all levels of certification. Other states administer their own certification examination or provide the option of taking the NREMT examination. To maintain certification, EMTs must reregister, usually every 2 years. In order to reregister, an individual must be working as an EMT and meet a continuing education requirement.
EMT-Basic coursework typically emphasizes emergency skills, such as managing respiratory, trauma, and cardiac emergencies, and patient assessment. Formal courses are often combined with time in an emergency room or ambulance. The program also provides instruction and practice in dealing with bleeding, fractures, airway obstruction, cardiac arrest, and emergency childbirth. Students learn how to use and maintain common emergency equipment, such as backboards, suction devices, splints, oxygen delivery systems, and stretchers. Graduates of approved EMT basic training programs who pass a written and practical examination administered by the state certifying agency or the NREMT earn the title “Registered EMT-Basic.” The course also is a prerequisite for EMT-Intermediate and EMT-Paramedic training.
EMT-Intermediate training requirements vary from state to state. Applicants can opt to receive training in EMT-Shock Trauma, wherein the caregiver learns to start intravenous fluids and give certain medications, or in EMT-Cardiac, which includes learning heart rhythms and administering advanced medications. Training commonly includes 35 to 55 hours of additional instruction beyond EMT-Basic coursework, and covers patient assessment as well as the use of advanced airway devices and intravenous fluids. Prerequisites for taking the EMT-Intermediate examination include registration as an EMT-Basic, required classroom work, and a specified amount of clinical experience.
EMTs should be emotionally stable, have good dexterity, agility, and physical coordination, and be able to lift and carry heavy loads. They also need good eyesight (corrective lenses may be used) with accurate color vision.
Source: US Department of Labor Occupational Outlook Handbook