National Registry of Emergency Medical Technicians

The National Registry of Emergency Medical Technicians is a US certification agency covering prehospital medical providers.

NREMT was established in 1970 in response to a recommendation from President Lyndon Johnson's Committee on Highway Traffic Safety that a national certifying agency for Emergency Medical Technicians be created in order to establish and standardize training requirements.

Most states use or require NREMT testing for some level of state certification. NREMT recognizes four levels of EMT: EMR, Basic, Intermediate (two types/levels), and Paramedic (some states may have additional certifications). NREMT certification at an EMT Intermediate level may or may not be sufficient for some state EMT-I requirements. While NREMT certification may be mandatory for new state certification, it is not necessarily required for renewals. These procedures and requirements vary from state to state. In 1986, military emergency rooms were required to certify all medical technicians through NREMT.

Highest level of certification through the NREMT. This represents the pinnacle of the EMS ladder. Question: what about critical care, states with PHRN Paramedics are considered Advanced Life Support (ALS) and can administer a range of medication, as well as perform advanced electrical and invasive surgical interventions (please see Paramedics for a full list of skills.)

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