OnScene: Paramedic (NREMT)

Pass the NREMT Paramedic cognitive exam with practice built around the official Paramedic test plan — not a recycled EMT question bank. OnScene: Paramedic covers all six content domains, weighted the way the real exam is: • Airway, Respiration & Ventilation — oxygenation, BVM, CPAP, intubation and placement confirmation, surgical airway, waveform capnography • Cardiology & Resuscitation — ECG rhythm strips, 12-lead STEMI localization, ACS, 2025 AHA adult and pediatric ALS, defibrillation, synchronized cardioversion, pacing, post-arrest care • Trauma — 2021 national field triage, hemorrhagic shock, head, chest, abdominal and spinal injury, burns, traumatic arrest • Medical / Obstetrics / Gynecology — neuro, endocrine, toxicology and antidotes, environmental, anaphylaxis, pharmacology and dosing math, OB emergencies and neonatal resuscitation • EMS Operations — scene size-up, MCI roles and triage, hazmat, communication and handoff, documentation, medical-legal • Clinical Judgment (the largest domain, 34–38%) — scenario sets that follow one patient from dispatch to handoff: recognize cues, form a field impression, act, and reassess Every official item type The Paramedic exam is not just A/B/C/D. OnScene includes multiple-choice, multiple-response, build-list (ordering), drag-and-drop, and options-box items, plus scenario sets and original ECG rhythm-strip and 12-lead figures — so nothing on test day looks unfamiliar. How it works • 13 study units + a 150-question full-length practice exam at the real exam's maximum length, with a fixed number of questions per domain • 601 questions, each with a plain-English explanation and a source citation — resuscitation content aligned to the 2025 AHA Guidelines • 180 flashcards with spaced repetition — cardiac drugs, rhythm criteria, electrical therapy, scope-of-practice boundaries, algorithm steps • Streaks, XP, and badges to keep your study habit on duty • Works offline once installed Free to start The first unit (Airway, Oxygenation & Ventilation) and 20 flashcards are free. A one-time purchase unlocks every unit, all flashcards, and the full practice exam. No subscription. Official sources • NREMT Paramedic Examination Specifications (July 2024): https://www.nremt.org/getmedia/1f27af23-e889-4edc-8041-55d1854d66ed/Paramedic-Test-Plan_1July2024 • National EMS Scope of Practice Model 2019 incl. Change Notices 1.0 & 2.0 (NHTSA, hosted by NREMT): https://www.nremt.org/getmedia/d82edd97-1425-423f-954c-fdd63cf1daa3/National_EMS_Scope_of_Practice_Model_2019_Change_Notices_1_and-_2_August_2021 • National EMS Education Standards 2021 (NHTSA, hosted by NAEMSE — authoring org): https://cdn.ymaws.com/naemse.org/resource/resmgr/files/ems_education_standards_2021.pdf • National Model EMS Clinical Guidelines v3.0 (NASEMSO): https://nasemso.org/docs.ashx?id=1444322 • 2025 AHA Guidelines for CPR & ECC (Highlights): https://cpr.heart.org/-/media/CPR-Files/2025-documents-for-cpr-heart-edits-posting/Resuscitation-Science/252500_Hghlghts_2025ECCGuidelines.pdf Disclaimer OnScene is an independent study aid based on the National Registry Paramedic Examination Specifications (2019 National EMS Practice Analysis and 2021 Addendum), the National EMS Scope of Practice Model 2019, the National EMS Education Standards 2021, the 2025 AHA Guidelines for CPR and ECC, and the NASEMSO National Model EMS Clinical Guidelines. It is not affiliated with, endorsed by, or sponsored by the NREMT, NHTSA, NASEMSO, the American Heart Association, or any other organization. NREMT certification does not itself grant the right to practice; a state license is required. OnScene is for exam study only and is not clinical guidance; in practice, follow your local protocols and medical direction.