24 Hour EMT Refresher

24 Hour EMT Refresher Online

Completed entirely online.

This course is currently unavailable.


Who Should Take This Course?

This US Department of Transportation (DOT) 24 Hour EMT Refresher is for currently and/or previously certified (not more than 2 years expired) EMTs who need to complete 24 hours of refresher training. This course meets the requirements and is approved for local and state requirements.* This course is not approved for Arizona Certified EMT-Bs.

* Check your state EMS Authority for any possible additional requirements.

Who Can Take this Course?

You can take this course under any of the following circumstances:

  1. You have attempted the NREMT exam 3 times anywhere in the US and have not yet passed the exam. This course will renew your eligibility to take the exam 3 more times.
  2. You are currently certified as an EMT in the State of California and would like to renew your 24 Hour EMT. This course will allow you to renew your EMT throughout California. In addition, you will need a valid CPR card and EMT skills testing.
  3. Your NREMT certification has expired. If your certification expired more than 2 years ago, you will need to retake the entire EMT course, unless you have maintained a State EMT card anywhere in the US. In the latter case, this course will renew your eligibility to take the NREMT exam and receive an NREMT card. In addition, you will need a CPR card and EMT skills testing.
  4. If your NREMT certification expired less than 2 years ago and you have maintained a State EMT card. This course will renew your eligibility to take the NREMT exam and receive and NREMT car. In addition, you will need a CPR card and EMT skills testing.
  5. You are a valid NREMT, your certification has not expired, and you want to renew it. There are 3 options:
    1. You do not need to take any training hours and you can take the NREMT exam once. If you pass, your NREMT card will be renewed.
    2. 24 hour EMT Refresher and 48 hours of Continuing Education (CE), of which a total of 34 hours can be completed online. A maximum of 10 hours of EMT Refresher can be done online and a maximum of 24 additional hours of CE can be done online. You can use this course for 10 hours of Refresher and 14 hours of CE-if you choose this method, please alert us which method you will be using in order to issue the correct certificate.
    3. 72 hours of CE as long as at least 24 hours include the US OT curriculum of EMT refresher. Using this option, a maximum of 24 hours can be completed online. This course will count towards 24 hours of CE. This course also qualifies for distance education for the NREMT. You can make this choice during the registration process.


This course consists of 28 sections grouped into 7 modules. Students are required to take each section in sequential order as listed below.

Module Section Course Title
Module 1 1 Introduction to Emergency Medical Care
Section Exam
2 Well-Being of the EMT
Section Exam
3 Lifting and Moving Patients
Section Exam
4 Medical/Legal and Ethical Issues
Section Exam
5 Medical Terminology
Section Exam
6 Anatomy and Physiology
Section Exam
7 Ventilation, Perfusion, and Shock: Understanding Pathophysiology
Section Exam
8 Life Span Development
Section Exam
Module 2 9 Airway Management
Section Exam
10 Respiration and Artificial Ventilation
Section Exam
Module 3 11 Scene Size Up
Section Exam
12 The Primary Assessment
Section Exam
13 Vital Signs and Monitoring Devices
Section Exam
14 01 The Secondary Assessment - The Medical Patient
02 The Secondary Assessment - The Trauma Patient
03 The Secondary Assessment - Reassessment and Diagnosis
Section Exam
15 Communication and Documentation
Section Exam
Module 4 16 General Pharmacology
Section Exam
17 Respiratory Emergencies
Section Exam
18 Cardiac Emergencies
Section Exam
19 Diabetic Emergencies and Altered Mental Status
Section Exam
20 Allergic Reactions
Section Exam
21 Poisoning and Overdose Emergencies
Section Exam
22 Abdominal Emergencies
Section Exam
23 Behavioral and Psychiatric Emergencies and Suicide
Section Exam
24 Hematologic and Renal Emergencies
Section Exam
Module 5 25 Bleeding and Shock
Section Exam
26 Soft Tissue Trauma
Section Exam
27 Chest and Abdominal Trauma
Section Exam
28 Musculoskeletal Trauma
Section Exam
29 Trauma to the Head, Neck, and Spine
Section Exam
30 Multisystem Trauma
Section Exam
31 Environmental Emergencies
Section Exam
Module 6 32 Obstetric and Gynecologic Emergencies
Section Exam
33 Pediatric Emergencies
Section Exam
34 Geriatric Emergencies
Section Exam
35 Emergencies for Patients with Special Challenges
Section Exam
Module 7 36 Operations
Section Exam
37 Hazardous Materials, Multiple-Casualty Incidents, and Incident Management
Section Exam
38 Highway Safety and Vehicle Extrication
Section Exam
39 EMS Response to Terrorism
Section Exam


This course has 39 section exams, each consists of 10 questions randomly selected from a large pool of questions. There is no final exam.

Each exam consists of 25 questions randomly selected from a large pool of questions. A 80% score or better is required to pass each exam. If a student does not pass the first time, they may retake the exam as many times as necessary to pass.

Additional Training

Workers must receive additional training, when required by Federal and State OSHA DOT, EPA, and any other standards that apply, on the specific hazards of their job.

Training providers should be used to ensure credibility and augment a company’s training program. Therefore, in addition to the training provided by an outside party, a student should receive site-specific training that is supplied by their own company. This training should target the company’s unique approach to hazard prevention, including the use of site-specific equipment, health and safety policies, and emergency procedures. As a rule, this company specific training should be well documented.

The bottom line in ALL SITUATIONS is that employers are required to ensure that their employees are adequately trained to do their job.


Proof of High School Diploma or its Equivalent Assignment

The California State Department of Consumer Affairs, Bureau for Private Postsecondary Education requires that EMT Refresher students show proof of "a high school diploma or its equivalent".

Acceptable proof includes any of the following:

  • Proof of GED, High School or College Diploma
  • Any College transcripts
  • Current or prior EMT Certification

Please submit your documentation by either:

  • Email - info@otsystems.net
  • FAX - 866-869-7097

This task must be completed before we can issue you a certificate of completion.


EMT Refresher Student have 1 day to process a refund as detailed below.

EMT Refresher "Student's Right to Cancel"

The student has a right to cancel the enrollment agreement and obtain a refund. The institution shall, for all students, without penalty or obligation, refund 100 percent of the amount paid for the institutional charges, less a reasonable deposit or application fee not to exceed $100.00, if the notice of cancellation is made prior to or on the first day of instruction. Furthermore, the student has the right to withdraw from a course of instruction at any time. A student who has completed 60 percent or less of the course of instruction shall be granted a pro rata refund of tuition and amounts paid for returnable equipment. Books, once they have been opened, are not refundable. If the student withdraws from the program of instruction after instruction has begun, the student is obligated to pay only for educational services rendered, plus the non-refundable registration fee. Any student who withdraws after completing 60% or more of the course will not receive a refund. There will be no refund issued if student fails program or any requisite requirements. EMS Training Institute, Inc. offers a distance education program where the instruction is not offered in real time and shall transmit the first lesson and any materials to students within seven days after the institution accepts the student for admission. The student shall have the right to cancel the agreement and receive a full refund pursuant to section CCR71750 before the first lesson and materials are received. Cancellation is effective on the date written notice of cancellation is sent.

In lieu of a refund, students are allowed to reschedule the class one time as long as they contact EMS Training Institute in writing prior to the first day of class. Keep in mind that the above refund policy applies to the original class dates of instruction, not the rescheduled dates. Students will not be eligible to receive a refund of any kind after the original class dates have passed.

Hypothetical Refund Example of EMT Refresher Course

A student withdraws from the program after completing 5 hours of instruction. $125.00 less $25.00 registration fee and $00.00 STRF assessment fee = $100.00 divided by 24 hours = $4.17 hourly program charge. 5 hours X $4.17 = $20.85. $100.00 less $20.85 = $79.15 refund. This calculation does not include a refund for the books.

You must pay the state-imposed fee for the Student Tuition Recovery Fund (STRF) if all of the following applies to you: (1) you are a student, who is a California resident and prepays all or part of your tuition either by cash, guaranteed student loans, or personal loans; and (2) your total charges are not paid by any third-party payer such as an employer, government program or other payer unless you have a separate agreement to repay the third party. You are not eligible for protection from the STRF and you are not required to pay the STRF fee if either of the following applies: (1) you are not a California resident; and (2) your total charges are paid by a third party, such as an employer, government program, or other payer and you have no separate agreement to repay the third party.

Any questions or problems concerning this school which have not been satisfactorily answered or resolved by the school should be directed to the:

Bureau for Private Postsecondary Education, 2535 Capitol Oaks Drive, Suite 400, Sacramento, CA 95833
Mailing address: P.O. Box 980818, West Sacramento, CA 95798-0818 (888) 370-7589

Questions About Refund Policy

Should you have other questions or concerns about this refund policy, please call us at 805-581-2124 or 877-EMTTRAIN (368-8724), or send us an email to info@emstraininginstitute.com.

Mobile Version

We’re excited to announce that this course is now available in HTML 5, making it more compatible with the browser on your mobile device (e.g., smartphone or tablet).

Many of our existing courses are presented using Adobe Flash Player and require additional software that may not be available on your mobile device. By comparison, this course requires only the most recent version of your mobile device's web browser.

Mobile Pros & Cons

Mobile versions of this sort of training are new, but below are some Pros and Cons that we have noticed during our extensive testing.


  • No computer needed
  • Tablet mobility
  • Tablet screen graphics


  • Smartphone screens can be too small to see
  • Mobile browsers react differently than computer browsers
  • Phone calls can interrupt training

During our testing we noticed that tablets work much better than smartphones, simply due to their screen size. The newer the device, the better the result. We are also aware that the course will not work on the first generation iPad, nor older Android Tablets.

Growing Pains

Because this is a Beta version of our course, you may encounter some issues as we work out the kinks.

Your Mobile Browser

While HTML5 makes taking this course on mobile devices possible, not all mobile browsers are optimized for HTML5, meaning you may not have complete functionality. If you have difficulty taking this course using the browser on your mobile device, you may need to use a different browser.

Test the functionality of your browser using HTML5 and compare it to the performance of other browsers. If you find other browsers are more compatible than your own, you may want to make the switch.


Below are some frequently asked questions specific to this course.

Q – How long will this course take to complete?
A – Our courses are set up to take a specific amount of time. Some students may get through the training more quickly, while others may actually take longer to complete their training. Remember, this training should be used as an intricate tool in the context of an overall training program; it can be combined with other training throughout the year in order to meet any hour requirements needed.

Q – Do I have to finish the course in one sitting?
A – No, our courses are designed so you can start and stop as needed, allowing you to break the training up over a longer period of time. Our system will keep track of your progress, enabling you to resume where you left off upon your next login. It is important that once you start a section, you complete that section or you will need to start that section over from the beginning upon your return.

Q – Can I take the course from more than one computer?
A – Yes, you can take the online portion by signing in with your username and password from any location and computer with high-speed internet access. However, each computer does need to meet our basic system requirements for viewing our online courses.

Q – Will I receive a certificate for this course?
A – Yes, once you have completed a course, you are able to download, save or print a certificate of completion from your student account. Certificates are created in a pdf format. Users must have the latest version of Adobe Reader before attempting to download the completion certificate.