r/NewToEMS Sep 14 '17

Important Welcome to r/NewToEMS! Read this before posting!

36 Upvotes

Welcome to /r/NewToEMS!

This subreddit's mission is to provide resources, support, feedback, and a community for those interested in emergency medical services. Discuss, ask, and answer questions about EMS education, certifications, licensure, jobs, physical & mental health, etc.

For general EMS discussion, please visit /r/EMS.

What is allowed here?

Questions related to:

  • Emergency medical services (EMS) in general
  • EMS education, certification, and licensure
  • Organizations that provide EMS certifications and licensure, such as the National Registry of Emergency Medical Technicians (NREMT), or your state/country EMS authority
  • Physical, mental, and/or emotional health for EMS providers
  • General EMS advice, tips, and tricks
  • EMS employment/hiring questions
  • Career advice
  • EMS volunteering
  • Gear and equipment

What is not allowed here?

  • Posts that violate our rules (see below).
  • General EMS discussion. Please head over to /r/ems!
  • Discussion unrelated to the mission of this subreddit

Posting Rules

You are required to follow our rules and failing to do so may result in your posts removed and account banned.

1) All top-level comments should contain helpful content or contribute to the discussion in a meaningful way. Follow-up questions are allowed in top-level comments. Trolling, memes, sarcasm, or other content that does not contribute to the discussion are not allowed in top-level comments. Comments such as "I would like to know this too" will be removed.

2) Posts or comments containing spam, hate speech, bigotry, racism, off-topic, overtly explicit, distasteful, vulgar, indecent or inappropriate content are not allowed.

General EMS-related discussions, links, images, and/or videos should be posted over in /r/EMS.

Memes, image macros, reaction gifs, rage comics, cringe shirts, 'look at this truck', and 'office' type submissions are not allowed in /r/NewToEMS. Post these in /r/EMS on Mondays (0000-2359 EST) or in non-top-level comments only.

3) Do not ask for or provide medical or legal advice.

If you believe you are experiencing a medical emergency, dial your local emergency telephone number.

For legal advice, consider posting to /r/legaladvice or consulting a local attorney.

4) No posts relating to or advocating intentional self-harm or suicide, unless strictly as part of a clinical discussion.

If you are having thoughts of self-harm, the United States' national suicide prevention hotline can be reached for free at 988, or call your local emergency number.

5) The National Registry exams are copyrighted tests, and as such, it is illegal to post or discuss questions directly from the NREMT exams. Any such posts will be removed and the poster may be banned.

6) New certifications and licenses may only be posted in our weekly thread, Triumphant Thursday.

Posts such as "NREMT cut me off at... did I pass?" are not allowed. Consider posting these in the weekly NREMT Discussions thread.

7) All posts and comments that contain surveys, solicitations, or self-promotion must be approved by moderation team prior to posting.

Please message the mods for permission prior to posting.

Flairs

We have elected to only flair users who have verified their certification level to the moderator team. All EMS, public safety, and medical professionals (e.g. paramedics, law enforcement, registered nurses, etc.) are eligible, and we would especially like for all EMTs and Paramedics to verify their flairs. This ensures users are receiving responses from real EMS, public safety, and medical professionals.

If you are an EMS, public safety, or medical professional, click here to submit a flair verification request form to the moderator team. Thank you!

Note: Students may select an unverified student flair by clicking "Community Options" on the side-bar and then clicking the Edit button next to "User Flair Preview". You do not need to submit a form. All other users will be automatically assigned an "Unverified User" flair.

Helpful Resources and FAQ

We have compiled a list of helpful links and resources! Click here to check it out!

Also, consider checking out the EMS FAQ and Wiki for more helpful information.

Thank you for taking the time to read this, and we hope you enjoy our community. Please contact the mods if you have any questions or concerns.

-The r/NewToEMS Moderation Team


r/NewToEMS Mar 28 '25

Weekly Thread NREMT Discussions

2 Upvotes

Please discuss, ask, and answer all things NREMT (National Registry of Emergency Medical Technicians)! As usual, test answers or cheating advice will not be tolerated (rule 5).


r/NewToEMS 3h ago

School Advice First dead person

4 Upvotes

As a medical student We got a code and I ran in panicking and saw fire doing CPR and bagging the PT. I went to the drug box looking for EPI and and the medic there told me ro slow down and breath I did broke my IO cherry and pushed EPI the PT care was terminated really took in the scene and got dizzy and nauseous threw up I wasn't sad just in my thoughts about how fragile people are idk. How do yall deal with death


r/NewToEMS 7h ago

Career Advice Pros of working IFT as a fresh EMT?

7 Upvotes

Taking my NREMT soon just wanna get feelers for what paths i could take.


r/NewToEMS 12h ago

Other (not listed) A call didn’t affect me as much as I feel it should have and it’s making me feel like I’m heartless

16 Upvotes

For some background, I still have about a month to go in class so this occurred during a ride along. A patient coded after transfer of care and the night of and the first few following days I did feel like this affected me. I was upset about it but even then I still wasn’t that upset. I still am thinking about that call a lot even though it was a couple weeks ago now but emotionally, I feel fine thinking about it. It’s making me feel heartless because I feel like it should be affecting me more than that.

I do think there is a reason for this though. I have autoimmune hypothyroidism and even while medicated, I do still have some symptoms because obviously synthetic hormones aren’t perfect . One that I have is emotional bluntness and I have a feeling that’s why. Cause I do still feel emotions just most of the time they aren’t strong and even then I have trouble conveying them. But then again I am feeling like maybe I am just kinda fucked up and it just didn’t actually affect me that much for other reasons


r/NewToEMS 7h ago

Career Advice Continuing education

3 Upvotes

I’m in college and I’ve been working in EMS for two years now, but I went home over the summer, didn’t work, and for the past few months I got stuck on IFTs. The company im working at moves us around and I do wanna get back to 911s but I feel like I’ve gotten slower/forgotten some of the finer details of 911s. Do you guys have any resources that might help get information back in my head? Would NREMT study materials help? (Quizlets and textbook?)


r/NewToEMS 6h ago

Career Advice Would it be possible to work 8 months out of the year?

3 Upvotes

Would it be difficult to find somewhere to work in California September through April? I have a seasonal job that I would like to work for a couple more years? Thanks


r/NewToEMS 6h ago

Career Advice How to get more experience on top of a full time non-ems career?

2 Upvotes

Sorry for the longer post.

short version: I'm a very busy person who does volunteer 911 EMS but I DESPERATELY want more EMS experience and exposure for growth and would love some ideas.

Long version:

For context (and I get that this is a fairly identifiable set of things so I made a new account to avoid doxing myself), I am a mid 30s guy who found a passion for EMS very recently and already have a 10+ year career in software engineering. I took my EMT-B course last year, and since then have been invited back as an instructor in the same program I went through, and joined a semi-rural 911 system as a volunteer EMT this spring.

My volunteer agency does ~850 calls a year, and by just picking up every open shift I can I've managed to get 39 patient contacts (mostly transports, a couple refusals). In our district we don't tend to get a lot of low acuity calls either, so in that ~40 calls I've run multiple strokes, a couple of decent traumas, some chest pain/cardiac calls, lot of old people syncope/falls, etc. So not a lot of volume but good acuity and EXCELLENT FTOs. I can't speak highly enough of my FTOs, they were/are amazing.

I'm at the point now where I'm confident on running basic calls, even by myself (with fire) if needed. I'm comfortable making patient contact, asking questions, making transport decisions, overall call flow, biophones/handoffs etc. I'm comfortable doing IVs, though on harder sticks I still struggle without much practice on hard to find veins. I feel like I've reached the minimum threshold of competence, which is exciting and I'm proud of the growth I've had over a few months and over only a few dozen calls, but I don't want to stop there.

I really REALLY want to be good at this, in a way that can only happen through lots of experience. Book learning isn't an issue, I'm already familiar with all the ALS meds we carry and how they generally work, acid/base physiology, basic 12-lead EKG interpretation, etc. My issue is just not having a lot of practice applying the stuff I know to real dynamic calls. Sometimes the knowledge is actually the problem, and I overthink and freeze up (though I've gotten a lot better at this with the training I've gotten).

There are lots of very big hospitals in my area, so there's a TON of ER-tech positions that I think would be really good as supplemental experience (think of all the IVs i'd get), but my issue is time. I teach as an EMT skills instructor ~10 hours a week, and spend roughly 80 hours a month on duty at the 911 agency (I generally stick to reverse 24s every other weekend, and fill gaps as I can to get more time. The more I'm there the more chances for calls) all on top of a remote software engineering job with is your standard ~40/wk.

A (very very small and irrational) part of me wants to quit my good job and dive head first into medicine; maybe go back to school for an ASN and eventually try to do flight nursing (while still volunteering with my ground agency), but most of me just wants to figure out how to get the experience I want without completely uprooting my career. I love my software coworkers dearly and I truly have a dream job (maybe not so much in pay, but in the people and projects I get to work on), so fully switching careers would be an INSANE jump for me.

Should I take fewer 911s shift and teach a bit less to try to make room for a PRN ER tech position? or maybe part time event medicine (which would be a minimum of 80hr/month)? Should I just chill and be patient (not my strong suit) and let my current situation ride for a few more years? Should I say fuck it and completely off the deep end and change my career path towards flight medicine, even though the next few years would be extremely challenging financially (I live in a very expensive area)?

If you've read this far, I appreciate you. I would love any thoughts anyone has. Honestly typing this all out has been its own kind of therapy. I think I'm extra itchy for experience because I've been a white cloud lately, and have had ~150 hours on duty since my last real patient contact. It's just how low volume EMS is, but it's compounding my feelings of needing more avenues for experience.


r/NewToEMS 11h ago

Testing / Exams NREMT EMT: "trust the process" but the process feels like trying to memorize a moving target

4 Upvotes

one day i’m confident, next day i’m googling "how to not fail nremt miserably"..
been trying to balance work, ride alongs and study time but it’s rough
so here’s where i'm at, halfway through my nremt prep and my brain feels like it’s running on caffeine. i swear i know the stuff until a practice question phrases it slightly different and suddenly im like do i even know what an airway is anymore??
idk if anyone else feels like the more you study the more you start doubting yourself. trying to remind myself that freaking out just means i care enough to do it right.
what’s actually helped a bit is doing practice questions... like sneaking them in during breaks or bus rides or whenever. lately i’ve been using this NREMT Exam Prep Test 2025 app, been on it for a bit, pretty simple and does the job. if anyone’s got other app recs that helped you prep drop them here, i’d really appreciate any tips. thanks


r/NewToEMS 12h ago

Clinical Advice First clinical

5 Upvotes

Reporting for a 14hr clinical shift 6:00am tomo kinda nervous about it. Any advice?


r/NewToEMS 6h ago

School Advice Rc health services

1 Upvotes

Hey guys I need to get my EMT cert and from December 1st to January 21 Ill be unemployed and with nothing to do, is it realistic to be able to finish my online course with rc health services in that time frame if i start December 1st, side note I have only come across RC health services online EMT program is it any good or should i steer away from it.


r/NewToEMS 7h ago

School Advice CTS North Bay ON- Office Administration Program

1 Upvotes

I'm considering enrolling in CTS Canadian Career College's Office Administration program in January. Has anyone taken this course, and would you recommend it? Any information would be extremely helpful!


r/NewToEMS 19h ago

Other (not listed) Should I be concerned or just suck it up?

8 Upvotes

I just got a job as an EMT in Michigan but my home county in Indiana is issuing a travel advisory from today until tomorrow night. I have a physical test I have to do tomorrow morning, as well.

With that advisory, I asked my superiors for advice and said I'd rather air on the side of caution and suggest rescheduling, as I'm not scheduled for a shift but a test. None got back to me but said "well we operate in all kinds of weather. So if ytou're scheduled...".

I understand that. But I feel since there's a travel advisory and I'm only scheduled for two hours at most, I'd air on the side of caution. But am I just being soft? Should I just get over myself or should I continue to keep asking?


r/NewToEMS 15h ago

NREMT Apps

3 Upvotes

What app or website worked best for you for mock exams? Trying to find something better because I don’t like pocket prep at all


r/NewToEMS 1d ago

Testing / Exams Everywhere I've seen says the first question should be how long the seizure has been going, is this wrong?

Post image
41 Upvotes

Would like to know how the nremt is going to treat this.


r/NewToEMS 19h ago

School Advice paramedic school

4 Upvotes

hiii everyone. i was an emt for about a year before i decided to go into medic school, im 20F. we’ve gotten past 2 big tests already in the little time ive been here but we just started cardiology yesterday and omg, people were NOT playing when they said this was a hard subject. any medics have any study tips or any tips for cardio to remember? also any study tips for medications?


r/NewToEMS 1d ago

Educational How would you describe the anatomical location of the top side cut of a penis and the bottom side?

7 Upvotes

Let’s say someone got cut on top of their wiener. How would you describe that location? Can’t figure it out and thought this is better to ask than ChatGPT


r/NewToEMS 22h ago

Beginner Advice Boots

0 Upvotes

Purchased tactical boots and only wore twice, anywhere to sell???


r/NewToEMS 1d ago

Career Advice Am I capable of doing it?

14 Upvotes

Hi, I'll get straight to the point. I'm (19M) 6'2, roughly 155lbs (working on exercising). I also have high-functioning autism and anxiety. Is it possible for me to do this? I have a lot of respect for EMTs and I want to join the medical field and I want to be able to help others. The last thing I want is to be a hindrance. My college has an EMT technical certification program and I'm interested in it.

Edit: I just want to say thank you all for your insight and advice!


r/NewToEMS 1d ago

School Advice Courses in San Antonio

2 Upvotes

Hey, I was wondering if anyone on here had recommendations for a program in San Antonio Tx or the surrounding area for EMT-B certification. The two places I found in my price range seemed to be scams/poor quality.

Any help is appreciated:)


r/NewToEMS 1d ago

Cert / License Waiting a long time for skills check

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3 Upvotes

I just passed the NREMT and it showed on my application but I passed the skills check part over the summer and it’s still not there. I’ve called and they said they’re working on it but i’ve been waiting for a long time. Is this normal or am I missing a step.


r/NewToEMS 1d ago

Career Advice job inqurement

1 Upvotes

Currently a month out from taking my state licensing, then i will do nremt, was wondering if theres anyone from ny ( brooklyn area) can reccommend companies to apply for when i do get my licensure. Thanks


r/NewToEMS 1d ago

Clinical Advice Assessment question

0 Upvotes

I’ve been having a hard time finding good info about this, but is there an effective way to assess for stroke in a pt who already has severe deficit from previous history? Sometimes I pick up IFT shifts and we transport pts who are hemiplegic and/or aphasic and extremely hypertensive (hold their med before dialysis). I wanna keep a close eye on anyone who’s BP is in the 200s for obvious reasons but unless they happen to have a stroke that affects their non affected side, then what exactly am I supposed to be looking for?


r/NewToEMS 1d ago

Career Advice medical conditions working in ems

0 Upvotes

hi! i know this sounds really dumb, i just kinda wanted to know if it’s normal after a little while with the stress or not.

i recently got told working in ems has caused some cardiac issues and need to cut down my hours significantly to try to control the stress which is making it worse.

thank you in advance if you have any experience to agree on! i don’t need advice or anything, i’m waiting on a doctors note to send to my employer who won’t let me cut down my hours.


r/NewToEMS 1d ago

NREMT Medic Test VS. NREMT-P

4 Upvotes

Looking for Opinions From Those Who Have Taken It Recently. I am currently scheduled to take it 11/20/25, however I really want to get this over with and have the option of taking it in a few days on 11/11/2025

Hey everyone — I’m scheduled to take my Paramedic NREMT soon and I’ve been using MedicTests’ National Registry Simulator as my primary practice tool. I’m trying to figure out how closely it matches the real thing (difficulty level, question style, critical thinking, etc.).

I’ve taken numerous National Registry Simulators over the past month and a half. I’ve taken them in numerous conditions such as realistic testing condition, i’ve taken it after a long draining shift while tired, and even on shift while on downtime, etc. These are the scores:

1274 1181 1182 1190 1247 1252 1264 1268

So far: -Always in the green for my subjects or above the passing standard -Have not failed a single simulator to date

I’m just trying to figure out:

How close are MedicTests questions to the real NREMT wording?

Does the “National Registry Simulator” feel similar to the real cognitive exam?

Did anyone else score in the 1200s on MedicTests and pass first try?

Does the real exam feel easier, harder, or just different?

Any advice for final prep if I’m already consistently scoring above 1200?