Who Should Take This Course?

Our 48 Hour Paramedic Refresher Topics Course Online is Instructor based training for current or expired (no longer than 12 months) California Licensed Paramedics, and meets the state and local requirements for California. Course content includes: Paramedic Operations; Airway, Breathing, and Cardiology; Medical Emergencies; Trauma; Obstetrics and Pediatrics; and Special Operations. This course may be taken for Continuing Education (CE) credit.

Please check with your EMS State Authority for any possible additional requirements.

State of California Paramedics

This course qualifies as 48 Hours of EMS Continuing Education for current or expired (no longer than 12 months) Paramedics in California who need EMS-CE credit.

National Registry EMTs (NREMT)

For NREMT recertification, please enroll in our CAPCE (F3) NCCP EMS Refresher Courses

Currently Certified NREMT Paramedics – NREMT has recently updated their recertification requirements, so Nationally Certified EMS personnel due to recertify in 2019 or after, are now required to use the National Continued Competency Program (NCCP).

Aspiring NREMT Paramedics  – This course is NOT APPLICABLE for those who have failed the initial NREMT Paramedic exam in the U.S. three times and need a refresher course in order to retest an additional three times. See our NREMT NCCP courses.

Expired NREMT Paramedics – This course is NOT APPLICABLE as a Paramedic Refresher Course for expired NREMT Certified Paramedics who want eligibility to take the NREMT Paramedic exam. See our NREMT NCCP courses.

Course Sections

This course consists of 6 modules broken down into 50 sections within our Online Training System (OTS).

Module 1
Section Paramedic Operations
1 Part 1 – The Paramedic and the EMS System
Part 2 – The Paramedic
2 Medical and Legal Aspects of Advanced Prehospital Care
3 Part 1 – Cells and Tissues
Part 2 – Skin, Blood, and Bones
Part 3 – The Nervous, Endocrine, and Cardiovascular Systems
Part 4 – The Respiratory System and Abdomen
4 General Principles of Pathophysiology
5 Life Span Development
6 General Principles of Pharmacology
7 IV Access & Medical Administration
8 Communications
9 Documentation
Objectives Learned
Module 2
Section Airway, Breathing and Cardiology
10 Airway Management and Ventilation
11 Therapeutic Communications
12 History Taking
13 Patient Assessment: Physical Exam Techniques
14 Patient Assessment in the Field
15 Patient Assessment and Clinical Decision Making
16 Neurology
17 Endocrinology
Objectives Learned
Module 3
Section Trauma
18 Trauma
19 Hemorrhage and Shock
20 Soft-tissue Trauma
21 Burns
22 Muskuloskeletal Trauma
23 Head, Facial, and Neck Trauma
24 Spinal Trauma
25 Thoracic Trauma
26 Abdominal Trauma
Objectives Learned
Module 4
Section Medical Emergencies
27 Pulmonology
28 Part 1 – Cardiology
Part 2 – Cardiology (cont.)
29 Allergies and Anaphylaxis
30 Gastroenterology
31 Toxicology and Substance Abuse
32 Hematology
33 Environmental Emergencies
34 Infectious Disease
35 Psychiatric and Behavioral Disorders
Objectives Learned
Module 5
Section Obstetrics and Pediatrics
36 Gynecology
37 Obstetrics
38 Neonatology
39 Pediatrics
40 Geriatric Emergencies
41 Abuse and Assault
Objectives Learned
Module 6
Section Special Operations
42 The Challenged Patient
43 Acute Interventions for the Chronic Care Patient
44 Assessment-based Management
45 Ambulance Operations and Air Transport
46 The Incident Command System
47 Rescue Awareness and Operations
48 Hazardous Materials Incidents
49 Crime-Scene Awareness
50 Terrorism
Objectives Learned

Course Exams / Objectives Learned

  • There are no exams for this course.
  •  After each module, students will write about three objectives learned from the module. At least 75 characters of text are required for each learned objective.

Course Format

This is a fully narrated, 100% Online Paramedic Refresher Topics Course for EMS-CE credit. Students complete the course through our state-of-the-art Online Training System (OTS), which provides self-paced training that is available 24/7.

Our Paramedic course online includes up-to-date, high quality training designed with your learning as our top priority. The course features interactive training modules, which combine audio and visual elements for maximum retention. The course is completed entirely online using a computer with an internet connection and is available 24/7. For your convenience, it can be completed over time, and your progress will be saved to the last section completed. Students are given 24 months to complete the course after enrollment. For best results, the training should be taken when you have a solid, stable internet connection vs. when you are a passenger in a vehicle and can intermittently lose internet connection.

Once the course is completed, you will fill out a brief evaluation and confirm your identity. Then the Course Completion Certificate will be provided in PDF format for you to download, save or print.

EMS Continuing Education

This course is provided by Safety Unlimited and has been approved for 48 hours of EMS Continuing Education by California C.E. provider #56-0013. Check with your state EMS Authority for any possible additional requirements.


This online Paramedic Refresher Topics course is considered Instructor-based training. The course is provided by Safety Unlimited and approved for Paramedic Refresher CE for California Licensed Paramedics by the State of California and the Ventura County EMS Agency. Provider #56-0013. For other states, check with your local State EMS Agency to see if this course is accepted.


Once the course is completed, you will fill out a brief evaluation and confirm your identity. Then the Course Completion Certificate will be provided in PDF format for you to download, save or print.

Course Objective

The course objective is to provide high quality EMS-CE Paramedic Course Topics to paramedics in need of Continuing Education (CE) credit.

Additional Training

California Paramedics require a current, valid Healthcare Provider CPR card. Please check with your EMS Authority to ensure all state and local paramedic recertification requirements are met. This online Paramedic course provides valuable paramedic recertification online training information, but it is not meant to replace hands-on training which is critical.

For more information on NREMT Paramedic Recertification, see the NREMT website.

In ALL situations, Paramedics must ensure they are adequately trained to do their job.

All our EMS courses are sponsored and authorized by Safety Unlimited, Inc – CAPCE Provider #SUNI0321 and Ventura County, CA EMS Agency #56-0013. All content is redirected to the Online Training Systems, LLC website and certificates issued by Safety Unlimited, Inc.

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