So, You Want to Be an EMT! Where Do I Start?

How to be an EMT

Becoming an EMT (Emergency Medical Technician) is an exciting, hands-on way to make a difference in people’s lives. EMTs are often the first to respond to emergencies, providing life-saving care and ensuring that patients are stable during transport to the hospital. If you’ve got the passion and the drive, this rewarding career could be for you! Here’s everything you need to know about becoming an EMT and the steps to take if you want to continue your journey to becoming a paramedic.

Meet the Basic Requirements:
Before jumping into training, make sure you meet these basic criteria:

  • Age: Most EMT programs require you to be at least 18 years old.
  • Education: A high school diploma or GED is typically required.
  • Physical Fitness: EMTs must be physically fit to lift and transport patients.
  • Driver’s License: A valid driver’s license is often required, especially if you’ll be driving ambulances.

Step 1: Enroll in an EMT Program

The first official step in becoming an EMT is completing an accredited EMT training program. These programs are offered through community colleges, technical schools, and specialized EMS academies.

  • Duration: EMT programs typically take 3 to 6 months to complete, depending on the institution and schedule (some offer part-time options).
  • Coursework: You’ll learn the basics of emergency medical care, including CPR, trauma care, patient assessment, wound treatment, and airway management.
  • Hands-On Experience: Expect to spend a significant amount of time in practical skills labs and doing clinical rotations at local hospitals or with ambulance services.

Step 2: Pass the NREMT Certification Exam

Once you’ve completed your EMT training, the next step is becoming certified. The National Registry of Emergency Medical Technicians (NREMT) is the organization that handles EMT certification in most states.

  • Cognitive Exam: This is a computer-based test that covers everything you learned in your training—CPR, trauma, medical emergencies, and more.
  • Psychomotor Exam: You’ll also need to pass a hands-on skills exam that demonstrates your ability to handle real-life emergency situations.

Step 3: Obtain State Licensure

After passing the NREMT exam, you’ll need to apply for state licensure. Every state has different requirements, but generally, you’ll need to:

  • Provide proof of your NREMT certification.
  • Complete a background check.
  • Pay a licensing fee.

Get Hired as an EMT
With your certification and license in hand, you’re ready to hit the field! EMTs are in high demand, and there are a variety of places you can work, including:

  • Ambulance Services: EMTs are often part of emergency medical response teams, working alongside paramedics and other healthcare professionals.
  • Hospitals: Some EMTs work in emergency rooms, helping transport and stabilize incoming patients.
  • Fire Departments: Many fire departments hire EMTs to assist in responding to medical emergencies.
  • Private Companies: Many private businesses, especially those in the industrial sector, hire EMTs for on-site medical care.

    “Overall employment of EMTs and paramedics is projected to grow 6 percent from 2023 to 2033, faster than the average for all occupations.

    About 19,200 openings for EMTs and paramedics are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.”         – U.S. Bureau of Statistics

Continuing Education and Advancing Your Career
After becoming an EMT, you’ll need to complete continuing education to maintain your certification. Every two years, the NREMT requires you to complete a certain number of continuing education hours, which helps keep your skills sharp.

If you’re interested in taking your career to the next level, consider becoming a Paramedic. While EMTs provide basic emergency care, paramedics are trained in advanced life support, including administering medications, starting IVs, and performing advanced airway management.

  • EMT-Paramedic Programs: Becoming a paramedic involves completing a longer training program—usually 1 to 2 years—where you’ll gain deeper medical knowledge and experience.
  • Prerequisites: To enroll in a paramedic program, you’ll often need 6 months to 1 year of experience as an EMT, as well as your EMT certification.

What’s the Difference Between an EMT and a Paramedic?
If you’re new to the field, you may be wondering how EMTs and paramedics differ. Here’s a quick breakdown:

  • EMT (Basic-Level Care): EMTs are trained to provide life-saving care using CPR, bandaging, splinting, oxygen administration, and basic airway management.
  • Emergency Medical Responder (EMR): EMRs are trained to provide basic, immediate care in emergency situations. Their skills include CPR, wound care, and basic stabilization, making them essential first responders before EMTs or paramedics arrive.

  • Advanced EMT (AEMT): AEMTs build on the skills of an EMT by learning advanced procedures like IV therapy, administering some medications, and more advanced airway management. They provide a higher level of care but aren’t as extensively trained as paramedics.

  • Paramedic (Advanced-Level Care): Paramedics receive the most advanced pre-hospital care training, including administering a wide range of medications, performing advanced airway procedures, and using EKGs to monitor heart function. They are the highest level of emergency responders in the EMS system.

Other levels of training available:

Emergency Medical Responder (EMR): EMRs are trained to provide basic, immediate care in emergency situations. Their skills include CPR, wound care, and basic stabilization, making them essential first responders before EMTs or paramedics arrive.

Advanced EMT (AEMT): AEMTs build on the skills of an EMT by learning advanced procedures like IV therapy, administering some medications, and more advanced airway management. They provide a higher level of care but aren’t as extensively trained as paramedics.

Paramedic: Paramedics receive the most advanced pre-hospital care training, including administering a wide range of medications, performing advanced airway procedures, and using EKGs to monitor heart function. They are the highest level of emergency responders in the EMS system.

Final Thoughts
Becoming an EMT is a challenging yet incredibly rewarding career. You’ll be working in fast-paced, high-stress environments, but the satisfaction of saving lives and helping those in need makes it worth the effort. If you’re interested in emergency medical services, becoming an EMT is the first step on a journey that could lead to a fulfilling career, or even a lifelong mission of service. Whether you’re looking to stop there or continue your training to become a paramedic, this profession offers countless opportunities to make a difference in your community.

Here are some examples of the medical supplies EMTs may use in their career:

So, what are you waiting for? Start your journey to becoming an EMT today!

Here are some helpful links to get started in a career as an EMT:

Here is a list of schools per state to help you get started in the EMT field:

Kansas

  1. Johnson County Community College
  2. Kansas City Kansas Community College
  3. Butler Community College 

Kentucky

  1. Eastern Kentucky University
  2. Bluegrass Community and Technical College 
  3. Madisonville Community College

Louisiana

  1. Louisiana State University at Eunice 
  2. Delgado Community College
  3. Northshore Technical Community College

Maine

  1. Southern Maine Community College 
  2. Eastern Maine Community College 
  3. Kennebec Valley Community College 

Maryland

  1. Howard Community College 
  2. Anne Arundel Community College
  3. Community College of Baltimore County

Massachusetts

  1. Bunker Hill Community College
  2. Springfield Technical Community College
  3. MassBay Community College

Michigan

  1. Lansing Community College 
  2. Macomb Community College
  3. Oakland Community College 

Minnesota

  1. Hennepin Technical College
  2. Century College
  3. Inver Hills Community College

Mississippi

  1. Hinds Community College
  2. East Central Community College
  3. Jones College

Missouri

  1. Saint Louis Community College
  2. Metropolitan Community College
  3. Ozarks Technical Community College 

Montana

  1. Flathead Valley Community College
  2. Missoula College – University of Montana
  3. Miles Community College 

Nebraska

  1. Metropolitan Community College
  2. Southeast Community College 
  3. Central Community College 

Nevada

  1. College of Southern Nevada
  2. Truckee Meadows Community College
  3. Great Basin College

New Hampshire

  1. NHTI – Concord’s Community College
  2. Lakes Region Community College 
  3. White Mountains Community College

New Jersey

  1. Union County College
  2. Camden County College
  3. Bergen Community College

New Mexico

  1. Central New Mexico Community College
  2. Santa Fe Community College
  3. Eastern New Mexico University 

New York

  1. LaGuardia Community College 
  2. Monroe Community College
  3. SUNY Broome 

North Carolina

  1. Wake Technical Community College
  2. Guilford Technical Community College
  3. Central Piedmont Community College

North Dakota

  1. Bismarck State College
  2. Dakota College at Bottineau 
  3. Williston State College 

Ohio

  1. Sinclair Community College
  2. Cuyahoga Community College 
  3. Columbus State Community College

Oklahoma

  1. Oklahoma City Community College
  2. Tulsa Community College
  3. Rogers State University

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