Who Should Take This Course?

Our 48 Hour Paramedic Refresher Topics Course Online is Instructor based training for current or expired 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 Paramedics in California who need EMS-CE credit.

National Registry EMTs (NREMT)

For NREMT recertification, please enroll in our CAPCE (F5/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
SectionParamedic Operations
1Part 1 – The Paramedic and the EMS System
Part 2 – The Paramedic
2Medical and Legal Aspects of Advanced Prehospital Care
3Part 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
4General Principles of Pathophysiology
5Life Span Development
6General Principles of Pharmacology
7IV Access & Medical Administration
Objectives Learned
Module 2
SectionAirway, Breathing and Cardiology
10Airway Management and Ventilation
11Therapeutic Communications
12History Taking
13Patient Assessment: Physical Exam Techniques
14Patient Assessment in the Field
15Patient Assessment and Clinical Decision Making
Objectives Learned
Module 3
19Hemorrhage and Shock
20Soft-tissue Trauma
22Muskuloskeletal Trauma
23Head, Facial, and Neck Trauma
24Spinal Trauma
25Thoracic Trauma
26Abdominal Trauma
Objectives Learned
Module 4
SectionMedical Emergencies
28Part 1 – Cardiology
Part 2 – Cardiology (cont.)
29Allergies and Anaphylaxis
31Toxicology and Substance Abuse
33Environmental Emergencies
34Infectious Disease
35Psychiatric and Behavioral Disorders
Objectives Learned
Module 5
SectionObstetrics and Pediatrics
40Geriatric Emergencies
41Abuse and Assault
Objectives Learned
Module 6
SectionSpecial Operations
42The Challenged Patient
43Acute Interventions for the Chronic Care Patient
44Assessment-based Management
45Ambulance Operations and Air Transport
46The Incident Command System
47Rescue Awareness and Operations
48Hazardous Materials Incidents
49Crime-Scene Awareness
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.

Once the course is completed, you will immediately be able to download, save or print your Course Completion Certificate which is provided in PDF format.

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, CAPCE provider #SUNI10321. Check with your state EMS Authority for any possible additional requirements.


This online Paramedic Refresher Topics course is based on the National EMS Scope of Practice Model and 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 immediately be able to download, save or print your Course Completion Certificate which is provided in PDF format.

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.

The HazMat Student Advantage

Student Advantages