[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-373291-105":59,"doc-detail-373291-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","intermediate-99-re-certification-requirements-how-to-maintain-your-national-ems-certification","Intermediate 99 - Re-certification Requirements - How to Maintain Your National EMS Certification","","Intermediate 99 refresher and re-certification requirements outline how EMS professionals maintain their National EMS credential. The brochure specifies mandatory core content across four divisions—airway/breathing/cardiology, medical emergencies, trauma, and obstetrics/pediatrics—plus flexible core content covering five divisions with flexible topic coverage. It also details continuing education options, including distributive education, required education hours, application submission timelines, and eligibility conditions such as active ALS work and cognitive competency.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/intermediate-99-re-certification-requirements-how-to-maintain-your-national-ems-certification/373291/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/intermediate-99-re-certification-requirements-how-to-maintain-your-national-ems-certification/373291.png","ImageObject",300,407,{"name":92,"@type":93},"lilac","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"How can an Intermediate 99 provider re-certify after completing the continuing education requirements?","Question",{"text":113,"@type":114},"Re-certification can be completed by submitting the mailed re-certification form, downloading and completing a form from the NREMT website, or completing the online form on nremt.org, printing it, and mailing it with signatures.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What mandatory core content divisions and coverage are required?",{"text":118,"@type":114},"Mandatory core content must cover every topic within four divisions: Airway, Breathing and Cardiology; Medical Emergencies; Trauma; and Obstetrics and Pediatrics.",{"name":120,"@type":111,"acceptedAnswer":121},"What are the continuing education hour requirements and related constraints?",{"text":122,"@type":114},"A total of 72 education hours are required, including an approved DOT National Standard Intermediate 99 Refresher, 36 additional EMS-related continuing education hours, and payment of a $15 non-refundable processing fee. All continuing education hours, including the refresher, must be completed within the current re-certification cycle.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},373291,1790783267,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":24,"preview_page_count":4},3985747861865,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Intermediate 99 Refresher Requirements  \nYou may complete continuing education equivalent to a Refresher Course if one is not required by your state. You may count education received in lectures, standardized courses (such as ABLS, ACLS, PEPP, PALS, PHTLS, ITLS, etc.), college courses, in service training, case reviews, conferences, etc. Up to 10 hours of the refresher training can be by Distributive Education (online, video or magazine-based) .  \nYou must ensure that you cover every topic within the four divisions of the mandatory core content. You must also cover each of the five divisions of the flexible core content; however, you are not required to cover each topic.  \nMandatory Core Content  \n\n| Airway, Breathing and Cardiology\u003Cbr>6 hours ■ Provide ventilatory support for a patient\u003Cbr>■ Attempt to resuscitate a patient in cardiac arrest\u003Cbr>■ Provide care to a patient experiencing cardiovascular compromise\u003Cbr>■ Provide post resuscitation care to a cardiac arrest patient |\n| --- |\n| Medical Emergencies\u003Cbr>2 hours ■ Assess and provide care to a patient experiencing an allergic reaction\u003Cbr>■ Assess a patient with possible overdose\u003Cbr>■ Assess and provide care to a near-drowning patient |\n| Trauma\u003Cbr>4 hours ■ Perform a rapid trauma assessment\u003Cbr>■ Assess a patient with a head injury\u003Cbr>■ Assess and provide care to a patient with suspected spinal injury\u003Cbr>■ Provide care to a patient with a chest injury\u003Cbr>■ Provide care to a patient with an open abdominal injury\u003Cbr>■ Provide care to a patient with shock/hypoperfusion |\n| Obstetrics and Pediatrics\u003Cbr>6 hours ■ Assess and provide care to an infant or child with cardiac arrest\u003Cbr>■ Assess and provide care to an infant or child with respiratory distress\u003Cbr>■ Assess and provide care to an infant or child with shock/hypoperfusion\u003Cbr>■ Assess and provide care to an infant or child with trauma |\n\n18 hours  \nFlexible Core Content  \n\n| Airway, Breathing and Cardiology\u003Cbr>6 hours ■ Assess and provide care for respiratory distress in an adult patient\u003Cbr>■ Use oxygen delivery system components\u003Cbr>■ Perform techniques to assure a patent airway\u003Cbr>■ Assess and provide care to a patient experiencing non-traumatic chest\u003Cbr>pain/discomfort |  |\n| --- | --- |\n| Medical Emergencies\u003Cbr>4 hours ■ Assess and provide care to a patient with an altered mental status\u003Cbr>■ Assess and provide care to a patient with a history of diabetes\u003Cbr>■ Assess and provide care to a patient experiencing a seizure\u003Cbr>■ Assess and provide care to a patient exposed to heat or cold\u003Cbr>■ Assess and provide care to a patient experiencing a behavioral problem\u003Cbr>■ Assess and provide care to a patient with suspected communicable disease |  |\n| Trauma\u003Cbr>1 hour | ■ Provide care to a patient with a painful, swollen, deformed extremity\u003Cbr>■ Assess and provide care to a patient with burn injury |\n| Obstetrics and Pediatrics\u003Cbr>6 hours ■ Assess and provide care to an infant or child with suspected abuse or neglect\u003Cbr>■ Assess and provide care to an infant or child with a fever\u003Cbr>■ Assess and provide care for an obstetric patient\u003Cbr>■ Provide care to a newborn\u003Cbr>■ Provide care to a mother immediately following delivery of a newborn |  |\n| Operational Tasks\u003Cbr>1 hour ■ Use body mechanics when lifting and moving a patient\u003Cbr>■ Communicate with a patient while providing care |  |\n\n18 hours  \n99 Intermediate   \nHow to Maintain Your National EMS Certification  \nRe-certification Requirements  \n[www.nremt.org](www.nremt.org)  \nAccredited by the National Commission for Certifying Agencies  \nNational Registry of Emergency Medical Technicians® Mailing Address: 6610 Busch Blvd. Columbus, OH 43229 614/888-4484 [www.nremt.org](www.nremt.org) Revised 7/08  \n| Intermediate 99 Re-certification Requirements |  |  |  |\n| --- | --- | --- | --- |\n| | Thank you for your commitment to re-certification. NREMT certification gives you recognized credibility across the nation and demonstrates your desire to serve the public with the highest standards. Your cert","cbCaijT6Fe99YMak","https://ap.wps.com/l/cbCaijT6Fe99YMak","pdf",165078,"English","# Re-certification Requirements\n## Mandatory Core Content\n## Flexible Core Content\n## Re-certification Application Timelines\n## Re-certification Application Options\n## Continuing Education Option\n## To Re-certify You Need To","[{\"question\":\"How can an Intermediate 99 provider re-certify after completing the continuing education requirements?\",\"answer\":\"Re-certification can be completed by submitting the mailed re-certification form, downloading and completing a form from the NREMT website, or completing the online form on nremt.org, printing it, and mailing it with signatures.\"},{\"question\":\"What mandatory core content divisions and coverage are required?\",\"answer\":\"Mandatory core content must cover every topic within four divisions: Airway, Breathing and Cardiology; Medical Emergencies; Trauma; and Obstetrics and Pediatrics.\"},{\"question\":\"What are the continuing education hour requirements and related constraints?\",\"answer\":\"A total of 72 education hours are required, including an approved DOT National Standard Intermediate 99 Refresher, 36 additional EMS-related continuing education hours, and payment of a $15 non-refundable processing fee. All continuing education hours, including the refresher, must be completed within the current re-certification cycle.\"}]","Intermediate 99 - Re-certification Requirements - How to Maintain Your National EMS Certification | PDF",1790198631]