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=== Certification ===<!-- This section is linked from [[GERMS]] --> In the United States, EMTs are certified according to their level of training. Individual [[U.S. state|states]] set their own standards of certification (or licensure, in some cases) and all EMT training must meet the minimum requirements as set by the [[National Highway Traffic Safety Administration]]'s (NHTSA's) standards for curriculum.<ref name=NHTSA_NSC>{{cite web |url=http://www.nhtsa.dot.gov/portal/site/nhtsa/template.MAXIMIZE/menuitem.2a0771e91315babbbf30811060008a0c/?javax.portlet.tpst=4670b93a0b088a006bc1d6b760008a0c_ws_MX&javax.portlet.prp_4670b93a0b088a006bc1d6b760008a0c_viewID=detail_view&itemID=1822abcc80c81010VgnVCM1000002c567798RCRD&overrideViewName=Article |title=National Standard Curriculum |access-date=10 March 2008 |publisher=National Highway Transportation Safety Administration |url-status=dead |archive-url=https://web.archive.org/web/20080916221721/http://www.nhtsa.dot.gov/portal/site/nhtsa/template.MAXIMIZE/menuitem.2a0771e91315babbbf30811060008a0c/?javax.portlet.tpst=4670b93a0b088a006bc1d6b760008a0c_ws_MX&javax.portlet.prp_4670b93a0b088a006bc1d6b760008a0c_viewID=detail_view&itemID=1822abcc80c81010VgnVCM1000002c567798RCRD&overrideViewName=Article |archive-date=16 September 2008 }}</ref> The [[National Registry of Emergency Medical Technicians]] (NREMT) is a nonprofit organization<ref>{{cite web |url=http://nremt.org/about/Legal_Opinion.asp |title= Legal Opinion: Certification v. Licensure|access-date=10 March 2008 |author=Abram, T |publisher=National Registry of Emergency Medical Technicians |archive-url = https://web.archive.org/web/20071027161221/http://www.nremt.org/about/Legal_Opinion.asp <!-- Bot retrieved archive --> |archive-date = 27 October 2007}}</ref> which offers certification exams based on NHTSA education guidelines and has been around since the 1970s.<ref>{{cite web |url=http://nremt.org/about/about_exams.asp |title= About NREMT Examinations|access-date=10 March 2008 |publisher= National Registry of Emergency Medical Technicians |archive-url = https://web.archive.org/web/20071027161226/http://www.nremt.org/about/about_exams.asp <!-- Bot retrieved archive --> |archive-date = 27 October 2007}}</ref><ref>{{Cite web|url=https://wvde.state.wv.us/abe/Public%20Service%20Personnel/HistoryofEMS.html|title=History of EMS|website=wvde.state.wv.us|access-date=2 November 2016}}</ref> Currently, NREMT exams are used by 46 states as the sole basis for certification at one or more EMT certification levels.<ref>{{cite web |url= http://www.nremt.org/EMTServices/emt_cand_state_offices.asp|title=State Office Information |access-date=10 March 2008 |publisher=National Registry of Emergency Medical Technicians |archive-url = https://web.archive.org/web/20071026051111/http://www.nremt.org/EMTServices/emt_cand_state_offices.asp <!-- Bot retrieved archive --> |archive-date = 26 October 2007}}</ref> A NREMT exam consists of skills and patient assessments as well as a written portion. On June 12, 2019, the NREMT changed the rules regarding age limits for EMTs, AEMTs, and paramedics. There is no longer an age limit for registered personnel. However, applicants must successfully complete a state-approved EMT course that meets or exceeds the NREMT standards within the past two years of applying. Those applying for the NREMT certification must also complete a state-approved EMT psychomotor exam. It is possible for the candidate to be refused access to a state-approved course due to their age within the state. <ref>{{Cite web|title = NREMT β EMT|url = https://www.nremt.org/nremt/about/reg_basic_history.asp|website = www.nremt.org|access-date = 27 April 2015|archive-date = 12 May 2015|archive-url = https://web.archive.org/web/20150512195908/http://www.nremt.org/nremt/about/reg_basic_history.asp|url-status = dead}}</ref>
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