TThe Emergency Medical Technician, or EMT, is a highly trained emergency respondent who provides medical services to injured or ill people. EMTs are responsible for providing patients with basic life support services.

EMTs are trained to use medical skills in a fast-paced environment. When an EMT responds to an emergency situation they are expected to assess a patient's condition while maintaining the patient's airway, breathing, and circulation. The primary tools used by EMTs include CPR and defibrillators.

The EMT-I 99 certification is one step below Paramedic. EMT-I 99 certification allows EMTs to use various tools and procedures that are not available those EMTs without certification. EMTs with EMT-I 99 certification are allowed to perform needle-decompressions, conduct endotracheal intubation, insert nasogastric tubes, use ECGs, and administer medication to control arrhythmias.

In order to take the EMT-I 99 Exam, candidates must be at least 18 years old, currently hold National Registration as EMT-I 85 or higher, have completed an EMT-I 99 educational program within the past two years, and hold CPR certification.
The EMT-I 99 Exam is composed of a cognitive exam and a practical exam. The cognitive exam contains 150 multiple-choice questions that cover six areas. The cognitive portion of the exam can last up to two hours and thirty minutes. The areas covered include airway and breathing, cardiology, trauma, medical, obstetrics and pediatrics, and operations. Candidates can retake the cognitive part of the exam up to three times. After three failed attempts, candidates must complete 36 hours of remedial training before retesting.

The practical part of the exam requires candidates to demonstrate their competence in eleven skill areas. The test is presented in a scenario format. Skill areas may include traumatic and medical patient assessment, ventilatory management, cardiac management, IV and medication skills, pediatric skills, and random basic skills. Failure of five or fewer skills will allow the candidate the opportunity to retest two times. Failing the second retest will be considered a failure of the entire practical exam. Candidates will be required to complete remedial training before retesting.

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