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NREMT was established in 1970 in response to a recommendation from President Lyndon Johnson's Committee on Highway Traffic Safety that a national certifying agency for Emergency Medical Technicians be created in order to establish and standardize training requirements.
Most states use or require NREMT testing for some level of state certification. NREMT recognizes four levels of EMS: EMR, EMT, EMT-Advanced, and Paramedic (some states may have additional certifications). NREMT certification at an EMT Intermediate level may or may not be sufficient for some state EMT-I requirements.While NREMT certification may be mandatory for new state certification, it is not necessarily required for renewals. These procedures and requirements vary from state to state. In 1986, military emergency rooms were required to certify all medical technicians through NREMT.
