60 Hour NREMT Refresher Course (Paramedic)
2025 NCCP Model-compliant 60-hour refresher. Includes 30 hours for the National Component and 30 hours for the State/Local and Individual Components.
What’s included
2025 NCCP (ALS) · National Component
15 2-hour classes, with live online or eligible self-paced options through Flex. See the Lesson 5 exception below.
State/Local + Individual Components
A separate self-paced program of 19 recorded courses.
How the Flex option works
For each eligible course in the 30-hour National Component, choose the format that works for you:
- Live online: Attend a scheduled live class. Or;
- Self-paced: Complete the eligible self-paced course when you can’t attend live.
- A combination: Use live and self-paced formats across your eligible courses.
No duplicate credit: The live and self-paced options satisfy the same course requirement. Completing both formats does not provide duplicate credit.
Program details
2025 NCCP (ALS)
National Component · Flex option available
- Number of courses
- 15 live 2-hour classes, with eligible self-paced alternatives. Lesson 5 requires two one-hour courses when completed self-paced.
- Credit awarded
- 30 hours
- Credit type
- Advanced
- Course Accreditation
- CAPCE (F5-VILT), CE Broker (FL & TN), Pennsylvania Bureau of EMS, and Virginia Office of EMS
- Topics
- Covers all mandatory National Component hours of the NREMT NCCP 2025 Model (30 hours).
Self-Paced Program
State/Local and Individual Components
- Number of courses
- 19 recorded courses
- Credit awarded
- 30 hours
- Credit type
- Advanced
- Course Accreditation
- CAPCE (F3-Distributive), CE Broker (FL & TN), Pennsylvania Bureau of EMS*, and Virginia Office of EMS
- Topics
- Courses designed to fulfill State/Local and Individual Components for NREMT (30 hours).
*PA Bureau of EMS reporting is by Regional Endorsement.
Included courses
View the full course list
National Component · 30 hours
Choose the live course or its eligible self-paced equivalent for each lesson. Each row fulfills one 2-hour requirement.
| Live Online Courses | Corresponding Flex Options |
|---|---|
| Live Online CoursesNCCP L1: Airway Anatomy and Physiology – Adult and Pediatric (2hr) | Corresponding Flex Options
NCCP L1 | Airway Anatomy and Physiology – Adult and Pediatric Self-Paced (2hr) |
| Live Online CoursesNCCP L2: Basic Airway Management, CPAP/BiPAP (2hr) | Corresponding Flex Options
NCCP L2 | Basic Airway Management, CPAP/BiPAP Self-Paced (2hr) |
| Live Online CoursesNCCP L3: Cardiac Emergencies – Adult and Pediatric (2hr) | Corresponding Flex Options
NCCP L3 | Cardiac Emergencies – Adult and Pediatric Self-Paced (2hr) |
| Live Online CoursesNCCP L4: Cardiac Resuscitation – Pediatric (2hr) | Corresponding Flex Options
NCCP L4 | Cardiac Resuscitation – Pediatric Self-Paced (2hr) |
| Live Online CoursesNCCP L5: Heart Failure and VADs, Trauma Assessment (2hr) | Corresponding Flex Options
NCCP L5(A) | Heart Failure and VADs Self-Paced (1hr) NCCP L5(B) | Trauma Assessment Self-Paced (1hr) Both courses required. |
| Live Online CoursesNCCP L6: Bleeding Control/Shock, CNS Trauma (2hr) | Corresponding Flex Options
NCCP L6 | Bleeding Control/Shock, CNS Trauma Self-Paced (2hr) |
| Live Online CoursesNCCP L7: Ambulance Safety, Evidence Based Guidelines (2hr) | Corresponding Flex Options
NCCP L7 | Ambulance Safety, Evidence Based Guidelines Self-Paced (2hr) |
| Live Online CoursesNCCP L8: Medical Emergencies Overview, Opioids (2hr) | Corresponding Flex Options
NCCP L8 | Medical Emergencies Overview, Opioids Self-Paced (2hr) |
| Live Online CoursesNCCP L9: Allergic Reactions/Anaphylaxis, Environmental Emergencies (2hr) | Corresponding Flex Options
NCCP L9 | Allergic Reactions/Anaphylaxis, Environmental Emergencies Self-Paced (2hr) |
| Live Online CoursesNCCP L10: Diabetic Emergencies, Pediatric Emergencies (2hr) | Corresponding Flex Options
NCCP L10 | Diabetic Emergencies, Pediatric Emergencies Self-Paced (2hr) |
| Live Online CoursesNCCP L11: Sepsis, Neurological Emergencies (2hr) | Corresponding Flex Options
NCCP L11 | Sepsis, Neurological Emergencies Self-Paced (2hr) |
| Live Online CoursesNCCP L12: Advanced Airway Management (2hr) | Corresponding Flex Options
NCCP L12 | Advanced Airway Management Self-Paced (2hr) |
| Live Online CoursesNCCP L13: Advanced Cardiac Management – Adult and Pediatric (2hr) | Corresponding Flex Options
NCCP L13 | Advanced Cardiac Management – Adult and Pediatric Self-Paced (2hr) |
| Live Online CoursesNCCP L14: Advanced Trauma Management (2hr) | Corresponding Flex Options
NCCP L14 | Advanced Trauma Management Self-Paced (2hr) |
| Live Online CoursesNCCP L15: Crew Resource Management, MCI Response (2hr) | Corresponding Flex Options
NCCP L15 | Crew Resource Management, MCI Response Self-Paced (2hr) |
Eligible self-paced alternatives satisfy the same course requirements. For Lesson 5, both required one-hour self-paced courses must be completed. Completing both formats does not provide duplicate credit.
Additional self-paced program · 30 hours
These 19 recorded courses cover the State/Local and Individual Components.
- Abuse, Neglect & Human Trafficking2 hr
- Endocrine & Metabolic Emergencies1 hr
- Environmental Emergencies1.5 hr
- Field Triage1.5 hr
- Introduction to Pharmacology2 hr
- Lifespan Development, A&P and Assessment2 hr
- Musculoskeletal Trauma1 hr
- Neonatal Care1 hr
- OBGYN Pregnancy & Assessment1.5 hr
- Pediatric Assessment1.5 hr
- Respiratory Emergencies**2 hr
- Terrorism Response, Disaster Management & Trauma Triage1.5 hr
- Tools for Pediatric Care1 hr
- Toxicological Emergencies1.5 hr
- Acute Coronary Syndrome1 hr
- Fundamentals of Ventilation2 hr
- Nervous System A&P3 hr
- Transport Fundamentals Air & Ground1.5 hr
- Trauma Assessment & Management1.5 hr
**Oregon provider substitute course: LGBTQ+ Awareness (2 hr)
Enrollment period
Both programs: Enrollment lasts one year or until completed, whichever comes first.