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Hoja de Repaso del Examen NREMT EMT (2026)
Una hoja de repaso gratis e imprimible del examen NREMT EMT: los 91 puntos de mayor rendimiento, agrupados en 5 secciones que siguen las áreas de contenido del examen, cada sección con su peso publicado.
- Gratis para leer, imprimir y guardar — sin registro, sin correo electrónico, sin muro de pago.
- Se imprime desde el navegador (Ctrl-P, o Cmd-P en Mac): la navegación, los botones y los enlaces no salen en la copia impresa.
- 300 preguntas de práctica gratuitas de NREMT EMT sobre el mismo material, cada una explicada.
- Última actualización: septiembre de 2026.
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La práctica sigue gratis. La guía completa de NREMT (EMT) es el material en sí, explicado de principio a fin — un PDF + EPUB descargable que conservas.
Airway, Respiration & Ventilation
20% del examen- Look, listen, and feel
- Assess chest rise, air movement, and effort to judge whether breathing is adequate.
- Recognize abnormal sounds
- Snoring suggests the tongue, stridor suggests upper airway narrowing, and crackles suggest lower airway fluid.
- Normal adult rate is 12 to 20
- Rates well above or below this range signal distress and possible need for support.
- Watch for signs of distress
- Accessory muscle use, nasal flaring, and tripod positioning indicate increased work of breathing.
- Head-tilt/chin-lift for no trauma
- Use for unresponsive medical patients without suspected spinal injury.
- Jaw-thrust for suspected spine injury
- Opens the airway while keeping the head neutral and in-line.
- Suction no more than 15 seconds
- Suctioning removes oxygen, so limit each attempt and reoxygenate between attempts.
- Recovery position protects the airway
- Use for unresponsive, adequately breathing patients without trauma to allow drainage.
- OPA only without a gag reflex
- An oral airway triggers gagging or vomiting in patients with an intact gag reflex.
- Size the OPA correctly
- Measure from the corner of the mouth to the earlobe or angle of the jaw.
- NPA for intact gag reflex
- A nasal airway is tolerated by semiconscious patients but avoided with suspected basilar skull fracture.
- Nasal cannula: 1 to 6 L/min
- Delivers roughly 24 to 44 percent oxygen for patients needing low concentrations.
- Nonrebreather: 10 to 15 L/min
- Keeps the reservoir full and delivers about 80 to 90 percent oxygen.
- Never withhold oxygen from the hypoxic
- Treat hypoxia even in COPD patients, supporting ventilation if breathing is inadequate.
- Confirm chest rise
- Visible, gentle chest rise with each breath confirms effective ventilation.
- BVM with reservoir at 15 L/min
- Delivers nearly 100 percent oxygen when the reservoir stays full.
- Adult rescue breathing every 6 seconds
- For an apneic adult with a pulse, deliver about 10 breaths per minute.
- Avoid over-ventilation
- Ventilating too fast or hard causes gastric distention and reduces circulation.
Cardiology & Resuscitation
22% del examen- Rate 100 to 120 per minute
- Applies to adults, children, and infants for effective circulation.
- Adult depth at least 2 inches
- Compress at least 5 cm but not more than 6 cm on the lower half of the sternum.
- Allow full chest recoil
- Full recoil lets the heart refill, improving the next compression's output.
- Minimize interruptions
- Blood flow falls quickly when compressions stop, so keep pauses short.
- Adult 30:2 one or two rescuers
- Adults always use 30 compressions to 2 breaths in BLS.
- Child/infant 30:2 single rescuer
- A lone rescuer uses 30:2 for children and infants.
- Child/infant 15:2 with two rescuers
- Two rescuers switch to 15:2 for pediatric patients.
- Infant depth about 1.5 inches
- Roughly one third of the chest depth using two fingers or two thumbs.
- Apply and follow prompts early
- Attach the AED as soon as it arrives and follow its voice prompts.
- Resume CPR after any outcome
- After a shock or 'no shock advised', immediately resume compressions.
- Clear medication patches
- Remove patches under pad sites and wipe the skin to avoid burns or blocked energy.
- Use adult pads on children if needed
- If pediatric pads are unavailable, use adult pads placed so they do not touch.
- Recognize associated signs
- Sweating, nausea, and shortness of breath often accompany cardiac chest pain.
- Assist with chewable aspirin
- Give aspirin for suspected ACS if there is no allergy or contraindication.
- Confirm BP before nitroglycerin
- Ensure adequate systolic pressure and no recent erectile dysfunction drugs.
- Position of comfort
- Allow a stable cardiac patient to sit up and keep them calm and at rest.
- Switch compressors every 2 minutes
- Rotate during rhythm checks to prevent fatigue-related quality loss.
- Check pulse no more than 10 seconds
- Feel the carotid briefly; if no definite pulse, start compressions.
- Start compressions first
- For an unresponsive, pulseless adult, begin compressions immediately.
Trauma
16% del examen- Direct pressure first
- Firm direct pressure controls most external bleeding.
- Tourniquet for life-threatening limb bleeding
- Apply if direct pressure fails or the bleed is immediately life-threatening.
- Tighten until bleeding and pulse stop
- A tourniquet must eliminate the distal pulse to fully stop arterial flow.
- Record the application time
- Document and report when the tourniquet was placed.
- Recognize early signs
- Rapid weak pulse; pale, cool, clammy skin; and anxiety appear before hypotension.
- Falling BP is a late sign
- The body compensates first, so low blood pressure indicates advanced shock.
- Keep the patient supine and warm
- Support perfusion, give oxygen, prevent heat loss, and transport rapidly.
- Splint and check PMS
- Immobilize fractures and check pulse, motor, and sensation before and after.
- Cover burns with dry sterile dressing
- Avoid ointments, ice, or breaking blisters.
- Estimate burns with the rule of nines
- Gauges the percentage of body surface area burned to judge severity.
- Stabilize impaled objects
- Leave objects in place and pad around them unless they block the airway or CPR.
- Maintain in-line stabilization
- Keep the head neutral for suspected spinal injury until immobilized.
- Monitor mental status trends
- Use AVPU or GCS and track changes; declining status is a red flag.
- Assess pupils
- Unequal or unreactive pupils may indicate serious brain injury.
- Seal open chest wounds
- Apply an occlusive dressing and monitor for worsening breathing.
- Recognize serious chest injury
- Severe dyspnea with unequal chest rise after trauma needs rapid transport.
- Prioritize rapid transport
- EMTs cannot reverse major internal injury, so minimize scene time.
Medical, Obstetrics & Gynecology
28% del examen- SAMPLE for history
- Signs/symptoms, Allergies, Medications, Past history, Last intake, Events.
- OPQRST for pain
- Onset, Provocation, Quality, Region/Radiation, Severity, Time.
- AVPU for responsiveness
- Alert, Verbal, Painful, Unresponsive quickly grades mental status.
- Know normal vitals
- Adult pulse 60 to 100, respirations 12 to 20, systolic BP roughly 90 to 140.
- Oral glucose for conscious hypoglycemia
- Give only if the patient can swallow and protect the airway.
- Fruity breath suggests high sugar
- Deep rapid breathing and thirst point to diabetic ketoacidosis.
- Screen strokes and note onset time
- Use facial droop, arm drift, and speech; report last-known-well time.
- Protect seizing patients
- Prevent injury and manage the airway; never restrain or place objects in the mouth.
- Epinephrine for anaphylaxis
- Assist with the prescribed auto-injector into the outer thigh.
- Activated charcoal only when appropriate
- For certain oral poisonings in alert patients per medical direction; not for caustics or hydrocarbons.
- Fresh air for inhaled poisons
- Ensure scene safety, remove the patient, and give oxygen.
- Scene safety in behavioral crises
- Protect the crew and patient and call for help before restraint.
- Support the head, check for a nuchal cord
- Never pull the infant; let delivery proceed with contractions.
- Warm, dry, and stimulate the newborn
- Keep the airway clear and prevent heat loss immediately after birth.
- Left-lateral for the supine pregnant patient
- Relieves vena cava compression that causes dizziness and hypotension.
- Prolapsed cord is an emergency
- Relieve pressure, keep the part off the cord, and transport rapidly.
- Assist with a prescribed inhaler
- Help asthma patients use their own inhaler per protocol and medical direction.
- Support breathing in overdose
- Ventilate opioid overdose patients; naloxone follows per protocol.
- Recognize worst-ever headache
- A sudden severe headache may indicate a brain bleed and possible stroke.
- Consider ectopic pregnancy
- Abdominal or shoulder pain with shock in a woman of childbearing age is an emergency.
EMS Operations
14% del examen- Scene safety comes first
- Assess for traffic, violence, fire, and toxins before approaching the patient.
- Use standard precautions
- Treat all blood and body fluids as infectious and wear appropriate PPE.
- Position apparatus to protect
- Block traffic at roadway incidents to shield the work area.
- Greatest good for the greatest number
- MCI triage prioritizes patients most likely to benefit from limited resources.
- Start by moving the walking wounded
- Direct those who can walk to a designated area to identify minor patients.
- Immediate for RR over 30
- A high respiratory rate flags a red (Immediate) patient in START.
- Immediate if breathing only after airway opening
- A patient who breathes only after repositioning is tagged red.
- Lift with the legs, keep the back straight
- Keep the load close and avoid twisting to protect the back.
- Emergency move for immediate danger
- Use when fire, explosion, or an unsafe scene threatens life.
- Non-urgent moves preserve stabilization
- When no immediate threat exists, use methods that protect the spine.
- Give a concise radio report
- Include age, chief complaint, vitals, treatment, and ETA so staff can prepare.
- Document thoroughly
- Accurate records support patient care and legal protection.
- Report tourniquet and time-critical facts
- Communicate interventions and their timing at handoff.
- Expressed consent
- A competent, informed patient specifically agrees to care.
- Implied consent
- Assumes an unresponsive patient would want life-saving care.
- Honor competent refusals
- A competent, informed adult may refuse care; document it thoroughly.
- Avoid abandonment
- Do not stop care without transferring to equal or higher-level providers.
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Ahora demuestra que los sabes
Leer un esquema no es lo mismo que recordarlo bajo la presión del examen. Practica con las preguntas gratuitas de NREMT EMT para encontrar las áreas que fallas, y luego haz un simulacro completo con tiempo.
Material de apoyo, no un sustituto del material oficial: confirme siempre la regla vigente con National Registry of Emergency Medical Technicians (NREMT).