EMT Intermediate/99 TestThe EMT-Intermediate/99 certification is based on the 1999 EMT Intermediate National Standard Curriculum from the NHTSA. In the new 2014 license classifications, the EMT-Intermediate/99 certification will be come part of the EMT-Paramedic certification. Potential EMT candidates applying for an EMT-Intermediate/99 certification must meet certain requirements.  EMT-Intermediate/99 candidates must be 18 years or older.  EMT-Intermediate/99 candidates must also have an EMT-Basic certification at the national or state level.  Candidates must also have completed a state-approved EMT-Intermediate/99 course.  The state EMT-Intermediate/99 course must meet or exceed the US Department of Transportation National Standard Curriculum for EMT-Intermediate/99.  This EMT-Intermediate/99 state course must have been successfully completed within the previous two years.  Additionally, EMT-Intermediate/99 candidates must hold a current CPR credential and have successfully demonstrated competence in Intermediate/99 skills.

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NREMT EMT-Intermediate/99 Process for Application

The following tasks need to be completed to apply for the EMT-I/99 exam:

  • Register for an account at the NREMT.org website.
  • Submit an online application for the National Registry.  The application also contains a Licensing Action and Felony statement.  Applicants that have a previous felony conviction will have their applications denied.  Appeals, however, can be submitted for denials.    
  • Pay a $100 application fee.  Each time you attempt the cognitive exam you will be required to pay the $100 application fee.  This fee can not be transferred or refunded.
  • After you submit your application, you will receive and Authorization To Test (ATT).  Complete test information and logistics, such as required identification, scheduling instructions and test center locations, will be detailed in your ATT.

NREMT EMT-Intermediate/99 Exam

Candidates for the EMT-Intermediate/99 certification must pass both the NREMT EMT-Intermediate/99 cognitive test and the Psychomotor examinationt.  The EMT-Intermediate/99 test is given via a computer and is a Computer Adaptive Test (i.e., which adapts the test based on the student’s aptitude).  The number of questions on the EMT-Intermediate/99 exam will be approximately 150 based on the EMT student’s aptitude.  You will be given a maximum of 2 hours and 30 minutes to complete the EMT-Intermediate/99 exam.

The EMT-Intermediate/99 exam will cover all portions of the curriculum, including: EMS Operations, Cardiology, Trauma, Medical, Obstetrics, Pediatrics and Airway and Breathing.  The EMT-Intermediate/99 test is heavily focused on fundamentals and operations.

EMT Intermediate Psychomotor Test

Eleven separate skills are assessed in the psychomotor section of the EMT test process.  The skills tested include: patient assessment-trauma, patient assessment-medical, ventilatory management, cardiac management skills, IV and medication skills, pediatric skills, and basic skills such as spinal immobiulization and bleeding control/shock management. The skills are presented as scenarios to better simulate out-of-hospital situations that arise for EMT-Intermediate professionals.  Development of the skills and the curriculum is based on the EMT-Basic and EMT-Intermediate/99 National Standards and Training Curriculum.

EMT-Intermediate/99 Test Outline

The EMT-Intermediate/99 test outline is shown below.

 NREMT Intermediate 85 Exam Question Topics   Range of Questions on NREMT-Intermediate 85 Exam
 Airway and Breathing  15-24
 Cardiology  15-24
 Trauma  14-23
 Medical  13-21
 Obstetrics and Pediatrics  14-22
 Operations  14-22
 Total   85-135

Expiration Dates

The date that you successfully complete the entire certification process will determine you initial expiration date.  Applicants who finish their certification process between January 1 and June 30 will receive an expiration date of March 31, two years in the future.  For example, if you complete your certification on April 16, 2011, your certification will expire on March 31, 2013.
Applicants who complete their certification process between July 1 and December 31 will have an expiration date of March 31, three years in the future.  For example, if you complete your certification on September 12, 2011, your expiration date will be March 31, 2014.

EMTs have different duties and responsibilities based on their training and certification.  An EMT's salary is often different based on their experience, training, and location. Typically, most EMTs are certified to one of five levels that are administered by NREMT, the National Registry of Emergency Medical Technicians.  The five NREMT certifications are: First Responder, EMT-Basic, EMT-Intermediate/85, EMT-Intermediate/99 and Paramedic. An effective way to pass your NREMT certification exam is to use free EMT practice tests.  


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