EMT psychomotor practice

NREMT Skill Sheet Library

Open official EMT skill-sheet PDFs, study the order of operations, and practice applying the sequence inside guided patient scenarios. The scenario coach begins with scene safety, PPE, patient count, NOI/MOI, resources, spinal precautions, general impression, AVPU, and transport priority.

Start a guided scenarioCheck current NREMT exam informationFind your state EMS office

Patient-assessment order

Use a repeatable sequence without becoming robotic

Scene size-up
General impression & AVPU
Airway, breathing & circulation
Priority & transport decision
History, vitals & secondary exam
Treatment & reassessment
PCR & handoff

Your skill-sheet practice

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Official PDF links

EMT skill sheets

Patient assessmentMedical

Patient Assessment/Management—Medical

Practice moving from scene size-up through primary assessment, focused history/exam, vitals, intervention, reassessment, and report.

  1. PPE, scene safety, NOI, patient count, resources, and spinal need
  2. General impression, responsiveness, ABCs, and patient priority
  3. History, secondary assessment, baseline vitals, care, reassessment, and report
Open official sheet
Patient assessmentTrauma

Patient Assessment/Management—Trauma

Use a rapid, threat-focused sequence while balancing spinal precautions, transport priority, vital signs, SAMPLE history, and reassessment.

  1. Control hazards and identify mechanism, patient count, resources, and spinal concerns
  2. Find and treat immediate airway, breathing, hemorrhage, and shock threats
  3. Complete rapid trauma assessment, vitals, history, transport, and reassessment
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Airway and oxygenBVM

Bag-Valve-Mask Ventilation—Apneic Adult

Review body-substance isolation, responsiveness, airway opening, adjunct use, oxygen connection, mask seal, ventilation rate, and chest rise.

  1. Open and clear the airway
  2. Select and insert the appropriate adjunct
  3. Ventilate with oxygen while confirming visible chest rise
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Airway and oxygenOxygen

Oxygen Administration by Non-Rebreather Mask

Practice cylinder safety, regulator setup, flow selection, reservoir inflation, mask placement, and reassessment.

  1. Inspect and safely operate the oxygen system
  2. Set an appropriate flow and prefill the reservoir
  3. Apply the mask and reassess oxygenation and tolerance
Open official sheet
CardiacAED

Cardiac Arrest Management/AED

Rehearse immediate CPR, AED preparation, safe rhythm analysis, shock delivery when advised, and rapid return to compressions.

  1. Recognize arrest and begin high-quality CPR
  2. Apply the AED while minimizing interruptions
  3. Clear for analysis/shock and resume CPR immediately
Open official sheet
Trauma skillsSpinal

Spinal Immobilization—Seated Patient

Review manual stabilization, neurologic checks, device placement, torso/head securing, movement, and post-procedure reassessment.

  1. Maintain neutral manual stabilization
  2. Assess motor, sensory, and distal circulation
  3. Secure the patient and repeat the neurologic assessment
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Trauma skillsSpinal

Spinal Immobilization—Supine Patient

Practice coordinated movement, neutral stabilization, securing torso and extremities, head immobilization, and reassessment.

  1. Direct the team and maintain stabilization
  2. Move and secure the patient in a controlled sequence
  3. Repeat motor, sensory, and circulatory findings
Open official sheet
Trauma skillsBleeding/shock

Bleeding Control/Shock Management

Prioritize major hemorrhage control, shock recognition, oxygen/ventilatory support when indicated, heat conservation, and rapid transport.

  1. Expose and control life-threatening bleeding
  2. Escalate pressure, packing, or tourniquet use as appropriate
  3. Treat for shock, prevent heat loss, and reassess
Open official sheet
Trauma skillsSplinting

Joint Injury Immobilization

Assess the injury and distal neurovascular status, stabilize in the position found when appropriate, secure the splint, and reassess.

  1. Check distal pulse, motor function, and sensation
  2. Immobilize the injured joint and adjacent structures
  3. Repeat distal findings after splinting
Open official sheet
Trauma skillsSplinting

Long Bone Injury Immobilization

Expose and assess the extremity, check distal function, stabilize the bone and adjacent joints, then repeat the distal assessment.

  1. Manually stabilize and assess distal neurovascular function
  2. Apply the correct splint without creating additional injury
  3. Secure and reassess pulse, motor function, and sensation
Open official sheet

Apply the sequence to a patient

The connected scenarios now begin with the picture and basic dispatch information, then guide the learner through first-look decisions without blocking progress for a missed answer. The final debrief shows what was selected, the preferred decision, and the reason.

Choose a guided patient scenarioOpen the assessment workspace