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How to Become a Paramedic

By Andrea Delgado


If you’re passionate about helping others in times of emergency and want to pursue a rewarding career in healthcare, becoming a paramedic could be your calling. This article will explore the ins and outs of this critical profession, including the paramedic job description and salary. Whether you’re just starting or looking to make a career change, we’ve got all the essential information on how to become a paramedic.

Career Summary

Paramedic Salary

Paramedic Salary

One important question when considering a career as a paramedic is ‘How much do paramedics make?’ The salary of paramedics can fluctuate substantially based on various factors.

Below is a general summary of the salary range for paramedics across different levels, as per data sourced from

  • Entry Salary (US$59k)
  • Median Salary (US$75k)
  • Executive Salary (US$95k)

Notably, the average salary of paramedics in the United States surpassed the national average income for all occupations, which stood at approximately US$61,900 in May 2022.

Paramedic Job Description

A paramedic is a highly skilled medical professional responsible for providing immediate medical care to individuals in emergency situations. They respond to 911 calls, assess patients’ conditions, and administer necessary treatments on-site or during transportation to medical facilities. Paramedics must work quickly and decisively, employing their expertise to stabilize patients and ensure the best possible outcome in critical and life-threatening situations.

Paramedic Career Progression

Paramedics have several career progression opportunities that allow them to advance in their profession and take on greater responsibilities.

  • EMT-Basic (Emergency Medical Technician-Basic): The entry-level position for those starting their career in emergency medical services. EMT-Basics provide basic medical care and transportation to patients.
  • EMT-Intermediate (EMT-I): After gaining experience as an EMT-Basic, individuals can advance to become an EMT-Intermediate, allowing them to administer more advanced medical interventions.
  • Advanced EMT (AEMT): An advanced certification that bridges the gap between EMT-Intermediate and paramedic, allowing for additional medical interventions.
  • Paramedic: At the highest level of pre-hospital care, paramedics possess extensive medical knowledge and skills to provide advanced life support to patients in emergency situations.
  • Paramedic Specialist: A specialized paramedic role that focuses on specific areas of emergency medicine, such as Critical Care Transport, Flight Paramedicine, or Community Paramedicine.
  • EMS Supervisor/Manager: Experienced paramedics can move into leadership roles within EMS organizations, overseeing operations, staff, and resources.
  • EMS Educator/Instructor: Paramedics with a passion for teaching can become EMS educators or instructors, passing on their knowledge and skills to the next generation of emergency medical professionals.
  • EMS Director: At the highest level of career progression, paramedics with extensive experience and leadership skills may take on executive roles, such as EMS director, where they’re responsible for overseeing entire EMS systems or departments.
Paramedic Career Progression


  • Saving lives.
  • Diverse and exciting work environment.
  • Teamwork and camaraderie.
  • Public appreciation and respect.
  • Sense of purpose and pride.


  • Exposure to infections and diseases.
  • Job dangers.
  • Physical strain and injuries.
  • Emotional impact.
  • Lack of control.

Valuable Skills to Have as a Paramedic

  • Medical Knowledge
  • Physical Fitness
  • Emotional Resilience
  • Communication
  • Compassion and Empathy

Popular Paramedic Specialties

  • Critical Care Transport Paramedic
  • Flight Paramedic
  • Firefighter Paramedic
  • Tactical Paramedic
  • Community Paramedic

How to become a Paramedic

Paramedic 5 Steps to Career

Obtain the Required Education

To start your journey as a paramedic, you must have a high school diploma or GED. Having a strong foundation in science and math can be advantageous for your future medical studies.

Do I need a degree to become a Paramedic?

You typically do not need a degree to become a paramedic. The educational requirements for becoming a paramedic vary by country and region, but in most cases, it involves completing a paramedic training program, which is often offered at community colleges, technical schools, or EMS training centers.

While a degree is not a requirement, some individuals may choose to pursue an associate’s or bachelor’s degree in paramedicine or a related field for additional knowledge and career advancement opportunities. These degrees may also be helpful if you plan to move into leadership roles within the EMS field or if you wish to pursue further studies in healthcare.

Ultimately, the most crucial factor in becoming a paramedic is completing the required training and obtaining the necessary certification and licensure to practice as a paramedic in your region.

How long does it take and how much does it cost to get a degree in paramedicine?

The duration and cost of obtaining a degree in paramedicine can vary depending on the type of degree, the institution, and whether you attend full-time or part-time. Here’s an overview of the typical options:

Associate’s Degree in Paramedicine
  • Duration: An associate’s degree in paramedicine usually takes about 2 years of full-time study to complete.
  • Cost: The cost of an associate’s degree in paramedicine can vary widely, but on average, it may range from $6,000 to $35,000 per year, depending on the institution and whether you attend a public or private school.
Bachelor’s Degree in Paramedicine
  • Duration: A bachelor’s degree in paramedicine typically takes 4 years of full-time study to complete.
  • Cost: The cost of a bachelor’s degree in paramedicine can vary significantly, and tuition fees may range from $15,000 to $28,000 per year or more, depending on the school and location.

It’s essential to consider additional costs beyond tuition, such as textbooks, lab fees, and clinical placement expenses. Financial aid, scholarships, and grants may be available to help offset some of the costs.

Can I complete an online degree program in paramedicine?

While it is possible to find online courses and certifications related to paramedics and emergency medical services, completing an entire paramedic degree program solely online is not common. Paramedic training typically requires a significant amount of hands-on practical experience, clinical rotations, and in-person skills training, which is challenging to replicate fully in an online setting.

The hands-on components are essential for paramedics to gain the necessary skills and experience to provide critical medical care in emergency situations. However, it’s worth noting that some institutions may offer hybrid programs that combine online coursework with in-person lab sessions and clinical experiences. These hybrid programs can provide more flexibility for students while ensuring they receive the practical training required to become competent paramedics.

If you are interested in pursuing a paramedic degree or certification, research accredited programs in your area or online and contact the institutions directly to inquire about their course offerings, including any hybrid or partially online options they may have available. Keep in mind that the requirements for paramedic training may vary by region, so it’s essential to ensure that the program you choose meets the certification standards in your area.

What are some web resources to learn skills to become a Paramedic?

There are several reputable web resources where you can learn skills to become a paramedic. These platforms offer a range of educational materials, training courses, and study resources to help you on your journey.

Here are some excellent web resources to consider:

  • NREMT (National Registry of Emergency Medical Technicians): The NREMT website provides information on the certification process for paramedics, exam requirements, and study resources to prepare for the NREMT paramedic certification exam.
  • AHA (American Heart Association): AHA offers courses and resources for learning life-saving skills like CPR, advanced cardiac life support (ACLS), and pediatric advanced life support (PALS), which are essential for paramedics.
  • NAEMT (National Association of Emergency Medical Technicians): NAEMT provides various educational resources, including online courses, webinars, and publications, to support paramedics’ professional development.
  • EMS1: EMS1 is a comprehensive resource website for emergency medical professionals, offering articles, videos, training courses, and information on current trends and topics in the field of emergency medical services.
  • JEMS (Journal of Emergency Medical Services): JEMS is a respected publication that covers a wide range of topics related to emergency medical services, including clinical articles, training resources, and industry news.
  • Bound Tree University: Bound Tree University offers a variety of online courses and training materials for paramedics, covering topics such as trauma care, airway management, and medical emergencies.
  • EMT National Training: This website offers interactive quizzes and study guides to help you review and reinforce your knowledge of various paramedic topics.

Complete EMT-Basic Training

The next step is to become an Emergency Medical Technician (EMT)-Basic. You can enroll in an accredited EMT-Basic training program, which can last anywhere from several months to two years, depending on the level of certification and the specific curriculum.

Paramedic training programs provide comprehensive education and practical training in emergency medical care. This training equips you with the skills and knowledge needed to save lives and provide critical care to patients. You will learn essential medical knowledge, skills, and procedures required to provide advanced life support in emergency situations.

Gain Experience as an EMT

After becoming an EMT-Basic, gain practical experience by working as an EMT. This hands-on experience will expose you to various emergency situations, honing your skills and preparing you for the more advanced responsibilities of a paramedic.

Internship opportunities for aspiring Paramedics

Internship is a crucial step for aspiring paramedics, providing a bridge between theoretical education and practical, real-world application.

Depending on the specific area where you choose to intern, you might:

  • Gain experience through ambulance ride-along, where you’ll work alongside experienced paramedics, assisting with patient care and developing your skills under their guidance.
  • Spend time in hospital emergency departments, observing the procedures of patient assessments, treatments, and life-saving measures. Experience the daily realities of emergency medical care as a part of a professional team.
  • Enhance your abilities with rotations in mobile intensive care units (MICUs), learning about advanced life support procedures.
  • Collaborate with firefighters and paramedics in fire department internships, working together to respond to emergency calls and maintain community safety.
  • Explore specialized areas such as pediatric units, critical care centers, or trauma facilities to further refine your medical expertise.
  • Learn about community paramedicine programs, engaging in non-emergency settings, and focusing on preventive care and health education to support the well-being of your local community.

The internship experience is incredibly diverse and offers a glimpse into the many facets of a paramedic’s work. You will have the opportunity to see a broad spectrum of medical scenarios and practice skills that will be essential in your career as a paramedic.

Complete Paramedic Training Program

Enroll in a paramedic training program accredited by CAAHEP or CoAEMSP. These programs usually take one to two years to complete and include comprehensive coursework, hands-on training, and clinical rotations in hospitals or ambulance settings.

A Day in the Life of a Paramedic | Video by The Paramedic Coach

Essential Skills You Will Learn as a Paramedic

As a paramedic, you’ll learn a wide variety of skills that encompass both medical expertise and soft skills necessary for effective patient care and teamwork.

Here’s an overview:

Medical and Technical Skills
  • Patient Assessment: Learning to quickly and accurately assess a patient’s condition, including vital signs, medical history, and symptoms.
  • Emergency Medical Procedures: Performing procedures such as CPR, defibrillation, intubation, and wound care.
  • Administering Medications: Understanding and administering various medications, including intravenous (IV) drugs, based on a patient’s needs.
  • Handling Medical Equipment: Operating medical equipment like defibrillators, ventilators, and monitoring devices.
  • Trauma Care: Managing traumatic injuries, such as fractures, burns, and head injuries.
  • Childbirth Assistance: Providing assistance during emergency childbirth situations.
  • Infection Control: Practicing proper infection control procedures to ensure both patient and provider safety.
Communication and Interpersonal Skills
  • Patient Communication: Communicating effectively with patients to gather information, explain treatments, and provide reassurance.
  • Team Communication: Collaborating with other medical professionals, including other paramedics, nurses, and doctors, to ensure coordinated care.
  • Cultural Sensitivity: Developing the ability to interact with patients from various cultural backgrounds with empathy and understanding.
Decision-making and Critical Thinking
  • Critical Thinking: Making rapid, accurate decisions based on a complex array of information.
  • Problem-Solving: Adapting to unexpected challenges or changes in a patient’s condition.
Emotional Resilience and Stress Management
  • Stress Management: Learning to manage the intense stress that can come with emergency medical work.
  • Emotional Resilience: Building resilience to cope with the emotional demands of dealing with critically ill or injured patients and their families.

These skills together equip you to respond effectively to a wide variety of medical emergencies, providing both immediate care and support as part of a broader healthcare system. Continued education, practice, and mentorship are key to developing and maintaining these competencies.

Obtain Paramedic Certification and State Licensure

After successfully completing the paramedic training program, you’ll need to pass the NREMT paramedic certification exam. Once certified, apply for state licensure to become a licensed paramedic and begin your career in emergency medical services.

What’s the Career Outlook for Paramedics?

According to the Bureau of Labor Statistics (BLS), the employment outlook for EMTs and paramedics is expected to experience a 7 percent growth between 2021 and 2031, which is roughly in line with the average growth rate for all occupations. On average, there will be around 20,000 job openings for EMTs and paramedics each year throughout the decade. According to the BLS, the expected rise in demand for paramedics is due to several factors.

First, the BLS cites that the U.S. population is aging. This will prompt a corresponding rise in health emergencies associated with older age and declining health. Another growth-driving factor that the BLS notes is an increase in the number of specialized medical facilities operating in the United States. More paramedics and EMTs will be needed as patients with particular medical conditions are transported to these facilities.

Paramedic Popular Career Specialties

What are the Job Opportunities for a Paramedic?

Paramedics have a range of job opportunities in various settings within the field of emergency medical services (EMS). Their specialized skills and training allow them to provide crucial medical care during emergencies.

Some common job opportunities for paramedics include:

  • Critical Care Transport: These paramedics focus on the care of critically ill or injured patients during transport, often between medical facilities. They have specialized training in advanced medical procedures and the use of complex equipment.
  • Flight Paramedic: Working on air ambulances, flight paramedics provide care in remote locations or during medical evacuations. They must adapt to the unique challenges of providing care in-flight.
  • Tactical Paramedic: Collaborating with law enforcement agencies, tactical paramedics provide medical support during high-risk law enforcement operations, like SWAT missions.
  • Community Paramedic: These paramedics work within communities to provide ongoing care, health education, and preventive services, often in non-emergency settings.
  • Firefighter Paramedic: Many fire departments employ paramedics with specialized training in firefighting, enabling them to provide medical care during fire-related emergencies.
  • Pediatric Paramedic: Specializing in the care of infants and children, pediatric paramedics must understand the unique medical needs and treatment approaches for this age group.
  • Search and Rescue Paramedic: Working in wilderness or disaster response scenarios, these paramedics are trained in search and rescue techniques and often work with specialized teams.
  • Hazardous Materials (HazMat) Paramedic: These professionals are trained to respond to emergencies involving hazardous materials, understanding the unique risks and treatment requirements.
  • Disaster Response Paramedic: Specializing in large-scale emergencies like natural disasters or mass casualty incidents, disaster response paramedics work with emergency management agencies to coordinate care.
  • Bike Paramedic: In some urban areas, paramedics on bicycles can navigate crowded streets more easily, providing rapid response during events or in heavily trafficked areas.
  • Marine Paramedic: These paramedics specialize in providing medical care in marine or water-based environments, such as on boats, oil platforms, or during water rescue operations.
  • Mental Health Paramedic: This specialty focuses on providing care for mental health emergencies, with specialized training in psychiatric assessment and intervention.
  • Neonatal Intensive Care Unit (NICU) Transport: Specializing in the care and transport of premature or critically ill newborns between medical facilities.

What Type of Organizations Hire Paramedics?

  • Emergency Medical Services (EMS) Agencies: Many paramedics work for EMS agencies, responding to 911 calls and providing emergency medical care in ambulances or other medical response vehicles.
  • Fire Departments: Some fire departments have their own paramedic units, where paramedics work alongside firefighters to provide medical assistance during emergencies.
  • Hospitals: Paramedics may find employment in hospital emergency departments or critical care units, where they can use their advanced skills to treat critically ill or injured patients.
  • Mobile Intensive Care Units (MICU): MICUs are specialized ambulances equipped with advanced life support capabilities, and paramedics can work on these units to provide critical care during patient transport.
  • Community Health Programs: Some areas have community paramedicine programs, where paramedics provide preventive care, health screenings, and health education in non-emergency settings.
  • Industrial or Occupational Settings: Paramedics may work in industries such as oil and gas, mining, or construction, providing medical care and emergency response on-site.
  • Educational Institutions: Paramedics with educational and instructional skills may work in colleges, universities, or specialized training centers to teach EMS courses.
  • Cruise Lines and Offshore Facilities: Paramedics may be hired to provide medical care on cruise ships, oil rigs, or other remote locations where immediate hospital care is not available.
  • Public Health Departments: Working in collaboration with public health initiatives, paramedics may be involved in vaccination campaigns, disaster response, or other community health programs.
  • Correctional Facilities: Prisons and other correctional institutions might hire paramedics to assist with on-site medical care for inmates.
  • International Organizations: Paramedics with specialized training and experience may have opportunities to work with international humanitarian organizations, providing medical aid in disaster-stricken areas or underserved regions.

The demand for paramedics is typically steady, and job opportunities can vary by location and population density. Paramedics play a vital role in the healthcare system, and their skills are highly valued in providing critical care during emergencies.

What is the Work-Life Balance of a Paramedic

The work-life balance of a paramedic can vary depending on factors such as the specific work schedule, the demands of the job, and individual preferences. Generally, paramedics work in shifts that may include nights, weekends, and holidays, which can impact their personal time and family life. The nature of emergency medical services means that paramedics must be available at all hours to respond to emergencies, which can lead to irregular and unpredictable work hours.

Due to the high-stress nature of the job, paramedics may face challenges in balancing work and personal life. They may experience emotional and physical exhaustion, which can impact their ability to fully engage in personal activities and relationships. The exposure to traumatic events and the emotional toll of providing care during emergencies can also affect their overall well-being and contribute to work-life imbalances.

However, many paramedics also find satisfaction and fulfillment in their careers, as they make a meaningful impact on people’s lives during critical moments. Despite the challenges, some paramedics may develop coping strategies and find support from their colleagues, family, and friends to achieve a healthier work-life balance.

Efforts to promote work-life balance among paramedics include scheduling practices that allow for rest and recovery between shifts, providing access to mental health resources, and fostering a supportive work environment. Implementing such measures can help paramedics maintain their well-being while continuing to excel in their essential role of providing emergency medical care.

Should I become a Paramedic?

Deciding whether to become a paramedic is a personal choice that depends on your interests, strengths, and career goals. You should also consider if you can handle the emotional and physical demands of this profession.

Working as a paramedic can be highly stressful, as you’ll be responding to life-or-death situations and facing challenging emergencies. However, paramedics often experience a sense of purpose and job satisfaction in knowing they play a crucial role in saving lives and providing essential medical care.

The job of a paramedic can be physically demanding, requiring strength and stamina to lift and transport patients, work in various environments, and perform life-saving interventions. Paramedics encounter traumatic events and emotional challenges regularly. Evaluate if you have the emotional resilience to cope with the demands of this profession.

Ultimately, becoming a paramedic is a noble and critical profession that requires dedication and compassion. If you feel a strong calling to help others in emergency medical situations and are willing to embrace the challenges and rewards that come with it, becoming a paramedic may be a fulfilling and impactful career path for you.

Careers Related to Paramedic

Andrea Delgado

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