EMS Continuing Education and Refresher Training. Completed entirely online.

Course Overview

Who Should Take This Course?

This online EMS-CE (24 Hours) EMT Refresher Topics course is brought to you through a partnership with the Safety Unlimited, Inc.

Take this course completely online at your own pace. You have the option to purchase a textbook with this training as well as skills testing. Online Training Systens offers the busy EMT the ability to complete the required 24 hours of EMS-CE refresher training online and at anytime. This course meets local and state requirements for California. This course qualifies for Instructor based training.

* Check your state EMS Authority for any possible additional requirements.

How This Course Applies

State Certified EMTs

State of California EMTs

This course counts as the required 24 hours of EMS Continuing Education (CE) for current or expired (within the past 2 years) EMTs in California. This course is based upon the EMT Refresher topics as outlined in the National EMS Curriculum.

Also needed is a valid CPR certification and California EMT Skills Testing, which is currently scheduled monthly in Simi Valley, California or can be provided by a certified instructor in your area.

Other State Certified EMTs

Each State EMS Agency establishes it's own specific EMT certification requirements many of which simply utilize the certification process of the NREMT (see below for how this course applies to NREMTs).

Additionally, local EMS agencies, EMS Providers, and Medical Directors can establish higher standards and requirements. Please contact your EMS Agency for specific recertification requirements. State EMS Agencies Information

Note This course is not accepted for State recertification for Arizona or Nevada EMTs, but DOES APPLY to Arizona and Nevada EMTs looking for NREMT recertification as described below.

National Registry EMTs (NREMTs)

Currently Certified NREMTs

NREMT has recently updated their recertification requirements. Effective immediately, all Nationally Certified EMS personnel due to recertify in 2019, or after, are required to utilize the National Continued Competency Program (NCCP).

We are currently retooling this course in order to assist EMS personnel to meet these program requirements.

Please contact us if you wish to be notified when our new course is ready.

Aspiring or Expired NREMTs

This course DOES NOT apply for NREMTs who have an expired certification or who have failed the NREMT exam three times and who must take a refresher course to retest.


This course consists of 39 sections grouped into 7 modules. Students are required to take each section in sequential order as listed below.

Module Section Course Title
Module 1
1 Introduction to Emergency Medical Care
2 Well-Being of the EMT
3 Lifting and Moving Patients
4 Medical/Legal and Ethical Issues
5 Medical Terminology
6 Anatomy and Physiology
7 Ventilation, Perfusion, and Shock: Understanding Pathophysiology
8 Life Span Development
Module 2
9 Airway Management
10 Respiration and Artificial Ventilation
Module 3
11 Scene Size Up
12 The Primary Assessment
13 Vital Signs and Monitoring Devices
14 01 The Secondary Assessment - The Medical Patient
02 The Secondary Assessment - The Trauma Patient
03 The Secondary Assessment - Reassessment and Diagnosis
15 Communication and Documentation
Module 4
16 General Pharmacology
17 Respiratory Emergencies
18 Cardiac Emergencies
19 Diabetic Emergencies and Altered Mental Status
20 Allergic Reactions
21 Poisoning and Overdose Emergencies
22 Abdominal Emergencies
23 Behavioral and Psychiatric Emergencies and Suicide
24 Hematologic and Renal Emergencies
Module 5
25 Bleeding and Shock
26 Soft Tissue Trauma
27 Chest and Abdominal Trauma
28 Musculoskeletal Trauma
29 Trauma to the Head, Neck, and Spine
30 Multisystem Trauma
31 Environmental Emergencies
Module 6
32 Obstetric and Gynecologic Emergencies
33 Pediatric Emergencies
34 Geriatric Emergencies
35 Emergencies for Patients with Special Challenges
Module 7
36 Operations
37 Hazardous Materials, Multiple-Casualty Incidents, and Incident Management
38 Highway Safety and Vehicle Extrication
39 EMS Response to Terrorism

No Exams

Because this course is being taken as C.E. there are NO EXAMS for this training. However, in lieu of exams, students must describe at least 3 objectives learned from each Module.

Students are required to explain their answer in detail. All answers must be in complete sentences and thoughts. Each learned objective must have at least 75 characters of text, with a maximum of 1000.

Additional Training

Workers must receive additional training, when required by Federal and State OSHA DOT, EPA, and any other standards that apply, on the specific hazards of their job.

While this course counts as a complete set of EMS-CE Refresher Topics Course for current or expired (within the past 2 years) EMTs in California, also needed is a valid CPR certification and EMT Skills Testing, which is scheduled monthly in Simi Valley, California or can be provided by a certified instructor in your area.

Each State EMS Agency establishes it's own specific EMT certification requirements many of which simply utilize the certification process of the NREMT.

Additionally, local EMS agencies, EMS Providers, and Medical Directors can establish higher standards and requirements. Please contact your EMS Agency for specific recertification requirements.

The bottom line in ALL SITUATIONS is that employer is required to ensure that their employees are adequately trained to do their job.


EMT Refresher Student have 1 day to process a refund as detailed below.

EMT Refresher "Student's Right to Cancel"

The student has a right to cancel the enrollment agreement and obtain a refund. The institution shall, for all students, without penalty or obligation, refund 100 percent of the amount paid for the institutional charges, less a reasonable deposit or application fee not to exceed $100.00, if the notice of cancellation is made prior to or on the first day of instruction. Furthermore, the student has the right to withdraw from a course of instruction at any time. A student who has completed 60 percent or less of the course of instruction shall be granted a pro rata refund of tuition and amounts paid for returnable equipment. Books, once they have been opened, are not refundable. If the student withdraws from the program of instruction after instruction has begun, the student is obligated to pay only for educational services rendered, plus the non-refundable registration fee. Any student who withdraws after completing 60% or more of the course will not receive a refund. There will be no refund issued if student fails program or any requisite requirements. Safety Unlimited, Inc. offers a distance education program where the instruction is not offered in real time and shall transmit the first lesson and any materials to students within seven days after the institution accepts the student for admission. The student shall have the right to cancel the agreement and receive a full refund pursuant to section CCR71750 before the first lesson and materials are received. Cancellation is effective on the date written notice of cancellation is sent.

In lieu of a refund, students are allowed to reschedule the class one time as long as they contact Safety Unlimted, Inc. in writing prior to the first day of class. Keep in mind that the above refund policy applies to the original class dates of instruction, not the rescheduled dates. Students will not be eligible to receive a refund of any kind after the original class dates have passed.

Hypothetical Refund Example of EMT Refresher Course

A student withdraws from the program after completing 5 hours of instruction. $125.00 less $25.00 registration fee and $00.00 STRF assessment fee = $100.00 divided by 24 hours = $4.17 hourly program charge. 5 hours X $4.17 = $20.85. $100.00 less $20.85 = $79.15 refund. This calculation does not include a refund for the books.

You must pay the state-imposed fee for the Student Tuition Recovery Fund (STRF) if all of the following applies to you: (1) you are a student, who is a California resident and prepays all or part of your tuition either by cash, guaranteed student loans, or personal loans; and (2) your total charges are not paid by any third-party payer such as an employer, government program or other payer unless you have a separate agreement to repay the third party. You are not eligible for protection from the STRF and you are not required to pay the STRF fee if either of the following applies: (1) you are not a California resident; and (2) your total charges are paid by a third party, such as an employer, government program, or other payer and you have no separate agreement to repay the third party.

Any questions or problems concerning this school which have not been satisfactorily answered or resolved by the school should be directed to the:

Bureau for Private Postsecondary Education, 2535 Capitol Oaks Drive, Suite 400, Sacramento, CA 95833
Mailing address: P.O. Box 980818, West Sacramento, CA 95798-0818 (888) 370-7589

Questions About Refund Policy

Should you have other questions or concerns about this refund policy, please call us at 805-581-2124 or 877-EMTTRAIN (368-8724), or send us an email to info@safetyunlimited.com.

Mobile Version

We're excited to announce that this course is now available in HTML 5, making it more compatible with the browser on your mobile device (e.g., smartphone or tablet).

This course requires only the most recent version of your mobile device's web browser.

Mobile Pros and Cons

Mobile versions of this sort of training are new, but below are some Pros and Cons that we have noticed during our extensive testing.


  • No computer needed
  • Tablet mobility
  • Tablet screen graphics


  • Smartphone screens can be too small to see
  • Mobile browsers react differently than computer browsers
  • Phone calls can interrupt training

During our testing we noticed that tablets work much better than smartphones, simply due to their screen size. The newer the device, the better the result. We are also aware that the course will not work on the first generation iPad, nor older Android Tablets.

Growing Pains

Because this is a Beta version of our course, you may encounter some issues as we work out the kinks.

Your Mobile Browser

While HTML5 makes taking this course on mobile devices possible, not all mobile browsers are optimized for HTML5, meaning you may not have complete functionality. If you have difficulty taking this course using the browser on your mobile device, you may need to use a different browser.

Test the functionality of your browser using HTML5 and compare it to the performance of other browsers. If you find other browsers are more compatible than your own, you may want to make the switch.


Below are some frequently asked questions specific to this course.

Q - How long will this course take to complete?

Our courses are set up to take a specific amount of time. Some students may get through the training more quickly, while others may actually take longer to complete their training. Remember, this training should be used as an intricate tool in the context of an overall training program; it can be combined with other training throughout the year in order to meet any hour requirements needed.

Q - Do I have to finish the course in one sitting?

No, our courses are designed so you can start and stop as needed, allowing you to break the training up over a longer period of time. Our system will keep track of your progress, enabling you to resume where you left off upon your next login. It is important that once you start a section, you complete that section or you will need to start that section over from the beginning upon your return.

Q - Can I take the course from more than one computer?

Yes, you can take the online portion by signing in with your username and password from any location and computer with high-speed internet access. However, each computer does need to meet our basic system requirements for viewing our online courses.

Q - Will I receive a certificate for this course?

Yes, once you have completed a course, you are able to download, save or print a certificate of completion from your student account. Certificates are created in a pdf format. Users must have the latest version of Adobe Acrobat Reader before attempting to download the completion certificate.