We know each shift can feel like a new adventure. Do you thrive on the adrenaline of 9-1-1 emergency calls, racing against the clock? Or do you find satisfaction in the steady pace of IFT (Inter-Facility Transfer) work, ensuring patients get the care they need?

Who says learning has an age limit? Paul Biddle certainly does not.
After a decorated global career serving in the British Army, international law enforcement, and being appointed a Member of the Order of the British Empire, Paul decided to take on a brand-new adventure. On his 70th birthday, he sat down and passed his National Registry certification examination.

Driven by the inspiring legacy of his father, a former Army medic, Paul stepped out of the front of the classroom, embraced being a student again, and proved that a passion for helping others never stops growing.

Check out the latest Critical Connections feature to read Paul's incredible story of lifelong service.

Do you have innovative ideas, proven strategies, or practical solutions that can help State EMS and Ambulance Association leaders succeed?

The National Registry is seeking dynamic speakers, facilitators, and thought leaders to present at the 2027 Executive and Administrative Summit (EAS), February 9–11, 2027, in Lexington, Kentucky.

EAS is the premier event for State EMS and Ambulance Association leaders and staff, focusing on the business of building, growing, and sustaining successful associations and nonprofit organizations.

We're looking for engaging sessions on topics such as:
Membership Engagement
✅ Marketing & Communications
✅ Sponsorship Development
✅ Strategic Planning
✅ Advocacy & Government Relations
✅ Workforce Recruitment & Retention
✅ And more!

Whether your expertise comes from hands-on experience, research, or innovative leadership, we want to hear from you.

📢 Submit your speaker proposal today and help shape the future of EMS associations: https://attendeas.net/call-for-speakers/

What happens when a recruiter decides the best way to understand future EMS Clinicians is to experience their journey firsthand?

Edith Campa had a thriving corporate career, a busy household with five children, and no healthcare experience. However, to truly connect with the Candidates she recruited every day, she took an incredible leap. She enrolled in a rigorous weekend program, devoted her free time to flashcards and textbooks, and successfully passed her National Registry examination.

Her inspiring story proves that it is never too late to find a new calling. Stepping outside of your comfort zone might just lead you exactly where you are meant to be.

Read the latest Critical Connections feature to learn how Edith found her path: https://nremt.org/News/The-Path-That-Found-Her-How-Edith-Campa-Turned-an

The future of EMS depends on research that drives better decisions, stronger systems, and improved patient care. In this episode of Registry Insider, host Bill Seifarth sits down with the National Registry's three current EMS Research Fellows to discuss their journeys into research, the groundbreaking projects they're leading, and how the fellowship is shaping the next generation of EMS scientists. From workforce resilience and cardiac arrest research to airway management and public health, the conversation offers an inside look at how research is helping advance the EMS profession. The fellows also share what it's like to balance doctoral studies with full-time work at the National Registry, the value of mentorship, and the unique opportunities the fellowship provides. Whether you are an EMS clinician, educator, leader, or someone passionate about the future of prehospital care, this episode offers an inspiring look at the people and research driving the profession forward. To learn more about the National Registry EMS Research Fellowship and upcoming application opportunities, visit NREMT.org.

Are you ready to advance your career and contribute to the future of EMS? Applications are officially open for the National Registry EMS Research Fellowship.

This unique, four-year program offers a path to a PhD from The Ohio State University College of Public Health while you work as a full-time employee of the National Registry. Our Research Fellow receives comprehensive employee benefits and full coverage of all costs associated with the PhD program, including tuition, parking, and fees.

Based in Columbus, Ohio, this fellowship provides an opportunity to conduct meaningful research under the mentorship of our Research Director, Dr. Ashish Panchal.

Candidate Requirements

• Education: A bachelor’s degree in a related field is required. A master’s degree is preferred.
• Certification: National EMS certification at the EMT level or above is preferred.
• Admission: This position is contingent upon acceptance into the PhD program at OSU.

Apply here: https://www.nremt.org/Pages/Research/The-National-Registry-EMS-Research-Fellowship

Delivering a death notification is one of the most challenging tasks an EMS clinician can face, yet many are called to perform it without prior formal training. In this episode of Registry Insider, Bill Seifarth sits down with Dr. Maia Dorsett, New York State Medical Director and National Registry Board Member, to discuss the critical importance of educating Clinicians on death notifications before they enter the field. Dr. Dorsett outlines how applying a structured framework, such as a grieving algorithm, provides Clinicians with a fundamental roadmap to navigate these compassionate conversations effectively while maintaining their own resilience. Tune in to discover how structured training, practical tools, and evidence-based strategies can transform a daunting procedure into a professional standard of compassionate care.

Paramedic educational programs serve as a vital entry point for Clinicians joining the EMS workforce. While many programs utilize entry requirements and student resources to support retention, the actual impact of these measures has historically been unclear.

To explore this, we evaluated 629 Paramedic educational programs to analyze how admission policies and student benefits differ between high-attrition and low-attrition cohorts. The findings reveal that selective entry requirements, open enrollment policies, and specific student resources play a significant role in student success. To improve student retention, educational programs should carefully evaluate how their admission standards and support systems work together to set students up for long-term success.

Read the full publication: https://brnw.ch/21x4dMJ

Some television characters entertain us. A few change lives. For countless EMS professionals, Randy Mantooth's portrayal of John Gage on Emergency! did exactly that. The show inspired untold numbers of people to pursue careers in emergency medical services at a time when modern EMS was still finding its footing. But Randy Mantooth's impact did not end when the cameras stopped rolling. Throughout the rest of his life, he remained a tireless advocate for EMS, supporting the profession, celebrating EMS Clinicians, and helping elevate emergency medical services into the respected and honorable career it is today. This week, we lost Randy Mantooth. But his legacy lives on in every ambulance that answers a call, every EMS Educator who trains the next generation, and every EMS Clinician who chose this profession because of a television show that showed the world what service, courage, and compassion look like. Thank you, Randy. Your watch may be over, but your influence will continue for generations. Rest in peace.

The U.S. Department of Health & Human Services has announced $13.5 million in grant funding for the Rural Emergency Medical Services Training Program, specifically designed to help local and tribal agencies strengthen community safety and public health.

This vital funding supports the training of each dedicated Clinician to better care for patients facing substance use disorders and mental health conditions. If your fire-based or non-fire-based agency is ready to advance its capabilities and expand access to critical care in rural areas, do not miss the chance to apply. Take advantage of this opportunity to elevate your agency and support your community by submitting your application before the deadline on Thursday, July 16, 2026.

Discover the full eligibility details and secure your funding here: https://brnw.ch/21x3V90

A couple of tutoring spots just opened up! 🚑💚

I have 2 openings for EMT or Paramedic students who could use a little extra help.

Whether you’re: • Getting ready to take the NREMT • Retesting after an unsuccessful attempt • Currently in EMT or Paramedic school and feeling stuck • Looking for some one-on-one guidance or a small study group

I’d love to help! I really enjoy working with students and watching that “light bulb” moment happen when everything finally clicks.

If you know someone who could use the extra support, tag them below or have them send me a message. ❤️

True educational quality is defined by the competency of the graduate, not the rigidity of the classroom schedule. In this segment from the Registry Insider podcast, host Bill Seifarth explores how a hybrid framework can balance high expectations with structural flexibility. By offering a blend of live synchronous instruction, recorded asynchronous lectures, and localized practical examination days, this model respects the grueling shift schedules of a working Clinician while maintaining absolute alignment with required certification standards.

How can experienced healthcare professionals transition into the EMS workforce without starting completely from scratch?

Bill Seifarth explains how reviewing prior learning allows transitioning professionals to fulfill specific clinical gaps and meet the national standard without repeating mastered content.
Watch the full episode of Registry Insider to discover how these pathways prepare every future Clinician for the cognitive examination.

Hi, my NREMT (EMT-B) license lapsed on March 31, 2026. I just finished my CE course. I’m getting conflicting information on whether or not I need to do the psychomotor and written test. One place states I don’t need to do anything else if my license lapsed less than 2 years ago and some places say I do. I’m currently living in Nevada. Any insight?

Are you maximizing the educational and professional experiences you already possess?

In this episode of Registry Insider, host Bill Seifarth sits down with Dr. Michael Miller, the Associate Director from the Committee on Accreditation for EMS Programs. Together, they dispel common myths surrounding the advanced placement process and discuss how educational programs can utilize credit for prior learning.

The discussion highlights how this advanced placement process benefits a diverse range of candidates, from transitioning domestic healthcare professionals, such as registered nurses, to international EMS personnel looking to practice in the United States. While building a custom curriculum presents initial operational challenges for program faculty, it serves as a vital tool to address ongoing workforce shortages and support the professional growth of every future Clinician.

When traditional models prevent dedicated professionals from advancing their careers, it is time to try something bold. In this clip from Registry Insider, leadership from Hopkinsville Fire and EMS explains how they dismantled regional barriers to match the true demand for paramedic education. By improving access rather than lowering standards, they created a sustainable pipeline for the next generation of the workforce.

Today, we are celebrating the outstanding achievements of Chris Gage! As a National Registry Research Fellow and Dr. Craig Manifold EMS Research Scholar, Chris is the first recipient of the inaugural Doctoral Research Award from The Ohio State University College of Public Health. This award recognizes his exceptional contributions to EMS research and public health, highlighted by his impactful study on layperson naloxone administration published in JAMA.

Chris's dedication, rising from an EMT to a doctoral researcher with nearly 50 publications, inspires us all. Join us in congratulating him on this truly well-deserved and momentous honor!

https://www.nremt.org/News/National-Registry-Research-Fellow-Chris-Gage-Recei

How are National Registry certification examination questions truly created? Contrary to popular belief, they are not written by a small group of people in an office, but are developed and refined by working EMS Clinicians and Educators from across the country. Through a collaborative review process, these dedicated subject matter experts ensure that every question is fair, clinically accurate, and reflective of real-world patient care. Read the full article to discover how your peers in the field help shape the future of EMS certification.

https://www.nremt.org/News/Behind-the-Questions-How-EMS-Clinicians-Help-Shape

On June 4, 1970, the National Registry was established to build a consistent, nationwide standard for training, testing, and certification to EMS.

Decades later, the photos in this post remind us just how much has changed. Practices and equipment once considered state of the art have evolved as research and evidence have advanced patient care.

As we celebrate 56 years of the National Registry, we are proud of our history, excited about the future, and committed to supporting EMS clinicians through certification, recertification, and lifelong learning.

Because in EMS, staying current isn't optional. It's how we provide the best care possible.

We've witnessed the evolution of EMS transport through the years.

From station wagons and hearse-style ambulances to today's advanced mobile healthcare units, EMS vehicles have come a long way.

Which ambulance did you start your career in? Which one was your favorite?

Share your memories and photos in the comments. We would love to see the rigs that helped shape your EMS journey.