1Learn the page2Drill its questions3Miss one? Jump back
Real screen recording, not a mockup
02 · Why it's current
On April 7, 2025 the NREMT EMT exam changed. A lot of study guides didn't.
Chapters by body system5 phases of the call, weighted like the test
Multiple choice only5 item types, all-or-nothing
Fixed-length practice testsAdaptive: 70 to 120 items, stops at 95% certainty
2020 CPR and choking stepsAHA 2025, flagged where it changed
The 5 exam domains
Scene size-up & safety15–19%
Primary assessment39–43%
Secondary assessment5–9%
Treatment & transport20–24%
Operations10–14%
Multiple choiceMultiple responseOptions tableBuild listDrag and drop
03 · Packages
What's in each package
Every tool is also sold on its own, so the savings are real, not a made-up "original price".
Tool
Notes$39
Complete$59
Pass Pack$69
EMT Visual Notes · 302 pages ($39)
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Adaptive Simulator · 1,557 questions ($39)
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✓
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507 Flashcards ($19)
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20 Quick Sheets ($14)
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10 Skills Checklists ($12)
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Study & Retake Plan
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✓
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Scenario Mastery ($24)150 full calls: the "what first, what next" judgment the exam weighs most
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Final 48 Hours Cram Kit ($19)Hour-by-hour plan, must-know numbers, 2 final timed runs
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Simulator access codes
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1
1
Bought separately
$39
$123
$166
See the full table of contents286 topics in 15 chapters
01Part I · The Exam12 pages
The NREMT EMT Exam at a Glance
How the Adaptive Exam Decides
Scores, Results and Retakes
The 5 Domains and Their Weights
The 28 Tasks Mapped to This Book
Multiple Choice and Multiple Response
Options Table, Build List, Drag-and-Drop
Best-Answer Reasoning
How NREMT Items Are Written
Pediatrics, Scope and AHA 2025
Your Study Plan on One Page
Part I Review
02Scene Size-Up & Safety16 pages
Scene Size-Up & Safety
Dispatch and the Pre-Arrival Plan
Arrival: Positioning and Approach
Roadway and Vehicle Hazards
Violence and Crime Scenes
Environmental and Rescue Hazards
Invisible Hazards: When to Back Out
Standard & Transmission Precautions
Choosing and Wearing PPE
Mechanism of Injury: Vehicle Crashes
Falls, Penetrating, Blast; Illness Clues
Finding Every Patient
Multiple Patients: From Size-Up to Triage
Requesting Resources: Who, When, How
Size-Up Sequence Drill
Scene Size-Up Review
03Primary Assessment28 pages
Primary Assessment
The Primary Assessment Roadmap
Establishing Rapport
Rapport Across the Life Span
General Impression: Sick or Not Sick
Pediatric Assessment Triangle
LOC: AVPU and Orientation
Glasgow Coma Scale
Unresponsive: Recognizing Arrest
Assessing the Airway
Assessing Breathing: Adequate or Not
Hypoxia and Hypoventilation
Respiratory Distress, Failure, Arrest
Assessing Circulation
Shock: Compensated to Decompensated
Primary Assessment in Trauma
Life Threats: Treat as You Find
Chief Complaint and Choosing the Path
Rapid Transport: The Priority Decision
Calling for More: ALS and Rapid Treatment
Vital Signs: The Baseline Set
Blood Pressure
Pupils and Skin Signs
Pulse Oximetry
Blood Glucose Monitoring
12-Lead ECG: Acquire and Transmit
Temperature and Other Monitoring
Primary Assessment Review
04Secondary Assessment12 pages
Secondary Assessment
Which Exam, When
SAMPLE History
OPQRST and Pain Scales
Interview Tactics and Pertinent Negatives
DCAP-BTLS and the Full-Body Exam
Head, Neck and Chest Findings
Abdomen, Pelvis, Extremities and Back
Focused Exam by Body System
Reassessment
Trends and Checking Your Interventions
Secondary Assessment Review
05Treatment & Transport15 pages
Treatment & Transport
Airway & Breathing: The Ladder
Managing Circulation: The EMT Toolkit
Spinal Motion Restriction: Who Needs It
SMR in Practice: Collars & Transfers
Medications by Chief Complaint
Adapting Care for Size and Age
Where to Go: Destination Decisions
Field Triage 2021: Red Criteria
Field Triage 2021: Yellow Criteria
Stroke Destination and Time Windows
Safe Patient Transport
Radio Report and Medical Direction
Handoff at the Hospital
Treatment & Transport Review
06Operations10 pages
Operations
Equipment Readiness and Cleaning
Medications and Supplies Inventory
The Patient Care Report
Documentation Pitfalls and Special Cases
Stress, Resilience and Grief
Responder Suicide Prevention and PTSD
Fatigue, Fitness and Safety Culture
Exposure and Infection Control
Operations Review
07Airway & Breathing25 pages
Airway & Breathing
Airway Anatomy Across Ages
Ventilation vs Respiration
Opening the Airway: Manual Maneuvers
Suctioning
Oropharyngeal Airway (OPA)
Nasopharyngeal Airway (NPA)
Upper-Airway Obstruction
Oxygen Delivery Devices
Oxygen Targets
Oxygen Cylinders and Safety
Bag-Valve-Mask Ventilation
Assisted Ventilation and Special Airways
CPAP
Lung Sounds
Abnormal Breathing Patterns
Dyspnea: The Differential
Asthma
COPD
Pneumonia and Respiratory Infections
Pulmonary Embolism
Acute Pulmonary Edema (Heart Failure)
Other Causes of Dyspnea
Advanced Airways: Assist Only
Airway & Breathing Review
08Cardiology & Resuscitation22 pages
Cardiology & Resuscitation
The Heart: Anatomy and Perfusion
The 2025 Chain of Survival
Adult BLS Sequence
High-Quality CPR
Child CPR
Infant CPR
Ventilation During CPR
Using the AED
Team CPR, When Not to Start, When to Stop
Opioid-Associated Emergencies
Cardiac Arrest in Pregnancy
Arrest in Special Circumstances
After ROSC
Choking: Adults and Children
Choking: Infants
Acute Coronary Syndrome: Recognition
Acute Coronary Syndrome: Management
Heart Failure & Hypertensive Emergencies
Aortic Emergencies
Rhythm Problems & Cardiac Devices
Cardiology & Resuscitation Review
09Medical Emergencies36 pages
Medical Emergencies
Altered Mental Status: The Differential
Stroke: Recognition and Mimics
Stroke Scales and LVO Screening
Stroke: Care and Last Known Well
Seizures and Status Epilepticus
Syncope
Headache and Neurologic Red Flags
Diabetes: Insulin, Glucose & Tools
Hypoglycemia: Recognize & Treat
Hyperglycemia: DKA vs HHS
Allergic Reaction vs Anaphylaxis
Anaphylaxis: EMT Management
Toxicology: Principles & Poison Control
Toxidromes: Pattern Recognition
Opioid Overdose: Patient With a Pulse
Stimulants, Sedatives and Alcohol
Medication and Household Poisonings
CO, Cyanide & Inhaled Toxins
Chest Pain: Not Always the Heart
Abdominal Pain: Anatomy and Pain Types
Abdominal Emergencies: Red Flags & Care
GI Bleeding, Vomiting and Dehydration
Renal Emergencies and Dialysis Patients
Genitourinary and Gynecologic Emergencies
Sexual Assault: Care and Evidence
Hematologic Emergencies
Behavioral Emergencies: Medical Mimics
Anxiety, Depression and Psychosis
Suicide Risk and Self-Harm in Patients
Agitation, De-escalation & Restraint
Infectious Diseases EMTs Meet
High-Consequence and Outbreak Infections
Sepsis
Weak, Dizzy and Vague Complaints
Medical Review
10Trauma34 pages
Trauma
Bleeding: Types and Recognition
External Hemorrhage Control Sequence
Tourniquets
Wound Packing and Hemostatic Dressings
Shock: Types and Causes
Shock: EMT Management
Soft-Tissue Injuries and Dressings
Special Wounds
Burns: Depth and Extent
Burns: EMT Care and Burn-Center Criteria
Chemical, Electrical and Radiation Burns
Chest Wall Injuries
Pneumothorax and Hemothorax
Heart and Great-Vessel Injuries
Abdominal and Pelvic Trauma
Head Injury: Recognition
Head Injury: Management
Face and Neck Injuries
Eye and Dental Injuries
Spinal Cord Injury: Recognition
Seated Patients, Helmets & Extrication
Musculoskeletal: Types & Signs
Splinting Principles
Traction Splint
Upper-Extremity Injuries
Lower-Extremity and Hip Injuries
Heat Illness
Cold Emergencies
Drowning and Diving Emergencies
Bites, Stings and Envenomation
Lightning and Altitude
Multisystem Trauma: Putting It Together
Trauma Review
11OB & Newborn12 pages
OB & Newborn
Pregnancy: Anatomy and Normal Changes
Bleeding in Pregnancy: Early vs Late
Trauma in Pregnancy
Hypertensive Disorders of Pregnancy
Labor and the Imminent Delivery Decision
Normal Delivery
Delivery Complications
Postpartum Hemorrhage and Other Risks
The Newborn: First Minutes and APGAR
Newborn Resuscitation (2025)
OB & Newborn Review
12Special Populations15 pages
Special Populations
The Aging Body
Assessing Older Adults and Falls
Delirium vs Dementia
Elder Abuse and Neglect
Child Abuse and Neglect
Intimate Partner Violence
Human Trafficking
Home Airway and Breathing Devices
Other Medical Devices at Home
Disabilities and Bariatric Patients
Cultural Humility and Language Access
Sudden Infant Death and BRUE
The Sick Child: Fever and Dehydration
Special Populations Review
13EMT Pharmacology13 pages
EMT Pharmacology
Medication Principles and the Rights
Routes and the Medication Double-Check
Oxygen as a Drug
Oral Glucose
Aspirin
Nitroglycerin (Patient's Own)
Epinephrine Auto-Injector
Naloxone
Inhaled Bronchodilators
Oral OTC Analgesics
Nerve Agent Antidote Kits
Pharmacology Review
14The Job19 pages
The Job
EMS Systems, Levels and Medical Direction
Consent and Decision-Making Capacity
Refusal, Negligence and Abandonment
Confidentiality and Mandatory Reporting
Advance Directives and Death in the Field
Body Mechanics and Lifting
Moving Patients: Moves & Devices
Incident Command (NIMS/ICS)
MCI Triage: The MUCC Standard
SALT Triage
START and JumpSTART
Hazardous Materials
Terrorism, WMD & Active Threats
Teamwork and Crew Resource Management
Vehicle Extrication and Rescue
Air Medical Transport
EMS and Public Health
The Job Review
15Appendix17 pages
CPR 2025 vs 2020: BLS and Choking
2025 vs 2020: Beyond BLS
Normal Vital Signs by Age
Medical Terminology: Word Parts
Directional Terms, Planes and Positions
Body Systems at a Glance
Perfusion, Metabolism and the ANS
Medications Patients Take at Home
Key Numbers Index
Mnemonics 1: Assessment
Mnemonics 2: Conditions & Rx
Mnemonics 3: Operations, MCI and Hazmat
Abbreviations A-L
Abbreviations M-Z
Glossary A-F
Glossary G-O
Glossary P-Z
507 flashcards. Each one cites its page.
15 color-coded decks for Anki, Quizlet or print. Front is the cue; back is the answer, the trap and the book page to reread.
Tap a card to flip it
04 · Trust
Built to be trusted on exam day.
Every fact comes from the sources your exam is written from, and a real person stands behind it.
100+ sources, citedThe NREMT test plan, the National EMS Scope of Practice, AHA 2025 CPR & ECC and more, listed at the back of the book.
Found an error? We fix itTell us and we correct it and send you the updated file, free.
Free updates for this editionWhen the NREMT swaps its 2020 CPR items for AHA 2025 (expected by January 2027), you get the updated edition.
A real person answersQuestions before you buy? info@scenesafeprep.com, answered by the person who built it.
05 · FAQ
Questions, answered
Is it updated for the new NREMT (April 2025)?
Yes. It's built on the NREMT EMT exam in use since April 7, 2025: the 5 domains weighted like the real exam (primary assessment alone is 39–43%), all 5 item types, and adaptive practice exams of 70 to 120 questions. The AHA 2025 changes are flagged on the pages.
Which package do I need?
The Complete System if you want to learn it and test it: the book, the simulator, flashcards, sheets and checklists. It's what most students pick. The Pass Pack adds 150 full calls to train clinical judgment and the Final 48 Hours Cram Kit for exam weekend, for $10 more.
I already failed the NREMT. Will this help?
After every practice exam the simulator shows your weakest domain, and every question you miss sends you to the page that teaches it, so you fix the gap instead of guessing. The Study & Retake Plan is included in the Complete System and the Pass Pack.
My exam is soon. Is there enough time?
Add your exam date in the box above to see your daily pace in pages and questions. The Pass Pack also includes the Final 48 Hours Cram Kit: an hour-by-hour plan and 2 final timed runs.
Is it a printed book? Does it work on my phone?
It's digital: print-ready PDFs you can print at any copy shop, a phone version of the book, and the web simulator that runs in any browser, nothing to install. The flashcards come as Anki, Quizlet and printable PDF. Nothing ships, so you can start tonight. The printed items in our photos show what the PDFs look like once printed.
How is this different from a question app?
Apps rent you questions by the month. This is a one-time payment for the book, the simulator, flashcards, sheets and checklists, and every question is tied to the page that teaches it. You keep all of it.
How fast do I get it?
Right after checkout, by email: download links for the PDFs and a personal access code for the simulator. If a file or a code doesn't work, we fix it, usually the same day. And within 7 days you can move up to a bigger package by paying only the difference.
What if it's not for me?
Email info@scenesafeprep.com within 14 days of purchase and tell us what isn't working: often we can fix it. If you'd still rather have your money back, we refund the full amount. The PDFs you downloaded stay yours; your simulator access is switched off once the refund is issued.
