Emergency Medical Technician I (EMT-I)



This competency-based course contains the training requirement for Emergency Medical Technician-I (EMT) certification. This includes basic EMT sciences such as anatomy and physiology, emergency medical and trauma care, obstetrics, pediatrics, and behavioral emergencies. The course is based on the Los Angeles County Core Curriculum. Upon successful completion the student will have the knowledge and training required for EMT I certification. The competencies in this course are aligned with the California High School Academic Content Standards and the California Career Technical Education Model Curriculum Standards.

This course contains the training requirements for Emergency Medical Technician (EMT) certification. Prerequisites: Over 18 years of age, TB clearance, and reading assessment required.


1. How do I become an Emergency Medical Technician I?

To become an EMT-I in the State of California, you will need to successfully complete an approved EMT-I training program. After you have completed your training, you must pass a National Registry written and skills certifying examination and apply for certification at a local EMS agency.

2. How long is my course completion record valid to apply for initial EMT-I certification or recertification?

Course completion records are good for a period of two years. For an initial certification, you have two years time in which to take your certification exam and obtain an EMT-I certificate. For recertification, your approved course completion refresher course or continuing education certifications are also good for a period of two years.

3. Can I transfer my EMT-I (or Basic) certification to California, and if so, what is required?

In California, EMT-Is are certified by a local (county) EMS agency. You can contact the local EMS agency in the county in which you will be working or residing for information on reciprocity. In most cases, the local EMS agency will review your documentation, i.e., course completion record, out-of-state certification, National Registry card, etc., to ascertain whether or not it meets California and local requirements. Also, unless you hold a current National Registry EMT-Basic card, you will be asked to take a written and skills examination and perhaps additional training specified by the local EMS agency. If you are currently certified by another state and do not have a current National Registry EMT-Basic certification, you will need to pass the National Registry EMT-Basic written and skills examination.

4. What are the recertification criteria for an EMT-I?

In order to recertify, an EMT-I must possess a current EMT-I card and have obtained either 24 hours of approved EMS continuing education or an approved 24 hour refresher course within the past two years. Any refresher course or CE must be through an approved training program. Additionally, EMT-Is are to complete the “EMT-I Skills Competency Verification Form” EMSA-SCV (07-03)

National Registry certification does not need to be renewed for recertification in California.

5. What happens if my EMT-I certification has lapsed?

EMT-I certifications are good for two years from the date issued (except in the case of persons seeking reciprocity from out of state with current National Registry cards; see #3 above). Lapsed certifications may require additional continuing education (CE) as outlined below:

  • For lapses of less than 6 months, 24 hours of CE or 24 hours of an approved refresher course is required with no additional CE
  • For lapses of 6 months to less than 12 months an additional 12 hours of CE for a total of 36 hours of CE is required
  • For lapses of 12 months to less than 24 months an additional 24 hours of CE for a total of 48 hours of CE is required and the applicant must pass the written and skills certification exam.
  • For lapses of 24 months or more, the individual must complete an entire EMT-I course and successfully pass the written and skills certifying exam and apply with a local EMS agency for certification.

Successful completion of the “EMT-I Skills Competency Verification Form” EMSA-SCV (07-03) is necessary for lapsed EMT-I certifications between 0 and 12 months.