OnScene: Advanced EMT (NREMT)

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About this app

Pass the NREMT Advanced EMT cognitive exam with practice built around the official AEMT test plan — not a generic EMT question dump.

OnScene: Advanced EMT covers all six content domains, weighted the way the real exam is:
• Airway, Respiration & Ventilation — BVM, CPAP, supraglottic airways, waveform capnography
• Cardiology & Resuscitation — ACS, 12-lead acquisition, 2025 AHA CPR/AED, IV/IO epinephrine, shock
• Trauma — hemorrhage control, chest/abdominal/head/spinal injury, burns, fluid resuscitation
• Medical / Obstetrics / Gynecology — medical emergencies, the AEMT medication formulary, IV/IO access and fluids, OB and neonatal care
• EMS Operations — vehicle ops, communication, legal, MCI triage, provider safety
• Clinical Judgment (33% of the exam) — scenario sets that test recognizing cues, forming a field impression, acting, and reassessing

Every official item type
The AEMT exam is no longer 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 capnography waveform figures — so nothing on test day looks unfamiliar.

How it works
• 13 study units + a 135-question fixed-length practice exam that mirrors the real linear AEMT exam (no backtracking)
• 450 questions, each with a plain-English explanation and a source citation
• 140 flashcards with spaced repetition — med doses, capnography waveforms, scope-of-practice boundaries, BLS/ALS algorithms
• Streaks, XP, and badges to keep your study habit on duty
• Works offline once installed

Free to start
The first unit (Airway & Ventilation Management) and 20 flashcards are free. A one-time purchase unlocks every unit, all flashcards, and the full practice exam. No subscription.

Official sources
• NREMT Advanced EMT Examination Specifications: https://www.nremt.org/getmedia/ae90d9db-c974-49e1-a43b-f1dddd4ea365/AEMT-Test-Plan_Public_final.pdf
• 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
• 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 Advanced Emergency Medical Technician Examination Specifications (2019 National EMS Practice Analysis and 2021 Addendum), the National EMS Scope of Practice Model 2019, the National EMS Education Standards 2021, and the 2025 AHA Guidelines for CPR and ECC. It is not affiliated with, endorsed by, or sponsored by the NREMT, NHTSA, the American Heart Association, or any other organization. NREMT certification does not itself grant the right to practice; a state license is required.

What’s new

Initial release.
• All six NREMT AEMT domains, weighted to the official test plan
• Real item types: multiple response, build list, drag-and-drop, options box, scenario sets
• 135-question linear practice exam simulator
• 450 cited questions and 140 spaced-repetition flashcards