How to Become an EMT (Emergency Medical Technician) in 2026
EMTs provide emergency medical care and transport for the sick and injured. You complete a state-approved EMT course, pass the National Registry (NREMT) cognitive and skills exams, and get certified by your state EMS office.
Steps to become an emt (emergency medical technician)
- 1Complete a state-approved EMT course
BLS lists a postsecondary nondegree award as the typical entry-level education. EMT courses cover assessment, airway, trauma, and patient handling.
- 2Pass the NREMT exam
The National Registry of Emergency Medical Technicians (NREMT) administers the national cognitive and psychomotor (skills) exams used by most states.
- 3Get certified/licensed by your state EMS office
States use the NREMT result to issue EMT certification or licensure. Requirements and reciprocity vary by state.
- 4Recertify on schedule
EMT certification must be renewed periodically with continuing education, on a schedule set by the NREMT and your state.
EMT (Emergency Medical Technician) salary
National EMT median; paramedics (a higher certification level) had a higher median of $58,410 in May 2024. Pay varies by state, agency, and experience. Requirements and pay vary by state and experience.
Source: U.S. Bureau of Labor Statistics (BLS) Occupational Outlook Handbook →The examyou'll need
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Most states use the NREMT exam, but course requirements, certification vs. licensure, and reciprocity are set by each state EMS office.
Always verify the current requirements with the NREMT and your state EMS office before you start.
Frequently Asked Questions
What is the difference between an EMT and a paramedic?+
Paramedic is a higher certification level with more training and a broader scope of practice. BLS reported a median wage of $41,340 for EMTs and $58,410 for paramedics in May 2024. Most people start as an EMT and later advance to paramedic.
Do all states use the NREMT exam?+
Most states use the National Registry (NREMT) exam for EMT certification, but each state EMS office sets its own course and certification requirements, so verify with your state.
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Salary figures are U.S. national medians from the BLS Occupational Outlook Handbook (May 2024). Last updated: July 2026