EMT
Often called EMT-B
Assessment-led BLS decision making
Computer adaptive · 70–120 items · 2 hours
Scene Size-Up & Safety15–19%
Primary Assessment39–43%
Secondary Assessment5–9%
Treatment & Transport20–24%
Operations10–14%
The flagship TTI review program
Think through the call.
Then answer the question.
Original, instructor-led preparation for EMT, AEMT, and Paramedic candidates—built around patient assessment, clinical judgment, pathophysiology, and the best next action.
Choose your examination level
Three distinct scopes.
One disciplined approach.
Each pathway follows its current national examination blueprint and stays within the knowledge and decisions expected at that level.
View EMT guide plan
AEMT
Advanced Emergency Medical Technician
Expanded interventions with clinical judgment
Linear examination · scenario-integrated items
Airway, Respiration & Ventilation9–13%
Cardiology & Resuscitation11–15%
Trauma7–11%
Medical / OB / GYN25–29%
EMS Operations6–10%
Clinical Judgment31–35%
Paramedic
National Registry Paramedic
Advanced pathophysiology and clinical judgment
Computer adaptive · integrated ALS scenarios
Airway, Respiration & Ventilation8–12%
Cardiology & Resuscitation10–14%
Trauma6–10%
Medical / OB / GYN24–28%
EMS Operations8–12%
Clinical Judgment34–38%
Pediatric care is integrated throughout every examination level rather than isolated as a separate domain.
The TTI Method™
RIPAR
A Clinical Reasoning Framework
A repeatable way to think through EMS questions, patient presentations, and changing clinical conditions. Don't memorize the answer. Learn how to reach it.
Recognize
Identify the important findings. Separate meaningful clinical clues from distracting information and determine what requires your attention first.
Interpret
Decide what the findings mean physiologically. Connect signs, symptoms, history, vital trends, and context rather than treating each clue separately.
Prioritize
Determine which threat, problem, or decision has the greatest consequence. Decide what must happen first - and what can safely wait.
Act
Select the safest, most appropriate intervention within your level of practice. Turn clinical reasoning into a defensible action.
Reassess
Measure the patient’s response. Decide whether your intervention worked, whether the condition changed, and whether the plan must change.
Recognize → Interpret → Prioritize → Act → Reassess → repeat
Developed by Trade Technical Institute for structured EMS examination review and clinical reasoning.
Original visual guide library
Eight clinical chapters.
Built page by page.
Every guide uses TTI's own structure, language, diagrams, and teaching sequence. The chapters stay compact enough for review while preserving the reasoning students need for scenario questions.
Available nowTTI EMS Review Essentials
Open a guide in your browser or save the PDF for study and printing.
Volume 1 5-page original guide
Assessment and First Priorities
Read the call, build the first impression, identify immediate threats, and choose the safest next action.
Volume 2 5-page original guide
Airway, Perfusion and Resuscitation
Separate oxygenation from ventilation, recognize perfusion failure, protect compression quality, and measure response.
Volume 3 5-page original guide
Trauma, Medical and Operations
Prioritize time-sensitive trauma, organize medical patterns, adapt for special populations, and defend operational decisions.
Original TTI educational resources for EMT, AEMT, and Paramedic review. Get a free 72-hour Day One Pass to preview Volume 1. Follow current local protocols, authorized scope of practice, and medical direction.
01EMT · AEMT · Paramedic
Read the Call
What information changes what I do first?+
EMT · AEMT · Paramedic
Read the Call
Scene information, safety, mechanism or nature of illness, resources, first impression, and the difference between important detail and distracting detail.
- Scene threats
- Patient count
- MOI / NOI
- First impression
- Resource decisions
02EMT · AEMT · Paramedic
Primary Assessment
What can harm this patient before anything else?+
EMT · AEMT · Paramedic
Primary Assessment
Mental status, airway, breathing, circulation, hemorrhage, immediate intervention, transport priority, and the findings that must not wait for a complete history.
- AVPU
- Airway threats
- Ventilation
- Perfusion
- Life threats
03EMT · AEMT · Paramedic
Secondary Assessment
Which focused findings explain the complaint?+
EMT · AEMT · Paramedic
Secondary Assessment
Purposeful history, focused physical examination, vital-sign trends, diagnostic information by level, and choosing an assessment that fits patient stability.
- SAMPLE
- OPQRST
- Focused exam
- Vital trends
- Differentials
04Level-specific interventions
Airway & Ventilation
Is air moving effectively—and is oxygen reaching tissue?+
Level-specific interventions
Airway & Ventilation
Airway patency, respiratory effort, ventilation versus oxygenation, device selection, positive-pressure ventilation, capnography concepts, and response to treatment.
- Patency
- Rate and volume
- BVM
- Airway devices
- Capnography
05BLS through ALS
Perfusion & Resuscitation
What pattern of failure is the circulation showing?+
BLS through ALS
Perfusion & Resuscitation
Shock recognition, compensatory findings, hemorrhage control, cardiac arrest priorities, rhythm and electrical-therapy concepts by level, and post-resuscitation reasoning.
- Shock patterns
- Hemorrhage
- CPR
- Rhythms
- Post-ROSC
06EMT · AEMT · Paramedic
Trauma Decisions
Which injury changes priority, destination, or time on scene?+
EMT · AEMT · Paramedic
Trauma Decisions
Major versus minor injury, internal bleeding, neurologic and thoracic threats, burns, extremity trauma, motion restriction decisions, and rapid transport logic.
- Kinematics
- Bleeding
- Chest trauma
- Neurologic injury
- Burns
07Level-specific pharmacology
Medical & Special Populations
Which presentation and physiology best fit the findings?+
Level-specific pharmacology
Medical & Special Populations
Respiratory, cardiovascular, neurologic, endocrine, toxicologic, behavioral, obstetric, neonatal, pediatric, and geriatric presentations with scope-appropriate treatment decisions.
- Medical patterns
- Pharmacology
- OB / newborn
- Pediatrics
- Geriatrics
08Exam-day integration
Operations & Judgment
What is the safest, most defensible next action?+
Exam-day integration
Operations & Judgment
Communication, documentation, consent, refusal, incident operations, triage, ambulance safety, technology-enhanced item formats, and complete scenario integration.
- Ethics
- Communication
- Triage
- Safety
- TEI practice
Instructor-led video library
Every page becomes
a guided lesson.
Mark Kennedy will walk through each guide point by point, connect it to field practice, and demonstrate how to use the information in an examination scenario. Video players will connect here as episodes are completed.
EMT · AEMT · Paramedic
Read the Call
Production queueEMT · AEMT · Paramedic
Primary Assessment
Production queueEMT · AEMT · Paramedic
Secondary Assessment
Production queueLevel-specific interventions
Airway & Ventilation
Production queueBLS through ALS
Perfusion & Resuscitation
Production queueEMT · AEMT · Paramedic
Trauma Decisions
Production queueLevel-specific pharmacology
Medical & Special Populations
Production queueExam-day integration
Operations & Judgment
Production queueRead
Begin with one concise visual guide built around priorities and decision points.
Watch
Follow Mark point by point as he explains the findings, physiology, and common traps.
Apply
Work through a new patient scenario that requires the same reasoning in a different form.
Defend
Use the rationale to explain why the best answer is best—and why the others are not.
Independent and standards-aligned
Original instruction.
Transparent sources.
TTI develops its own explanations, visual organization, cases, diagrams, and questions. The curriculum is mapped to public national examination blueprints and EMS education standards—not copied from another publisher's proprietary materials.
Official EMT examination information ↗Official AEMT & Paramedic information ↗Official examination structure & item types ↗National EMS education resources ↗
Trade Technical Institute is independent and is not affiliated with, sponsored by, or endorsed by the National Registry of Emergency Medical Technicians or any commercial examination-preparation publisher. Review does not guarantee examination success and does not replace an approved initial education program or required remediation.
Personal guidance inside the Review Center
Contact your tutor.
Need clarification on a concept, question, or study strategy? Your TTI instructor is available to help guide your review.
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