The short answer is that a paramedic has additional training and education to an Emergency Medical Technician (EMT). This allows them to offer a greater scope of practice and level of care in the field. So, if you were only Googling “paramedic vs EMT” out of interest’s sake, you’re free to return to your online meanderings.

If, however, you wanted to know the difference between an EMT and paramedic because you intend to become one or the other, this guide covers exactly the information you’re probably looking for, such as:

  • What is an Emergency Medical Technician or EMT?
  • What is a Paramedic or PM?
  • Where does an EMT vs paramedic work?
  • What is the paramedic vs EMT salary?

However, first things first: who are we? And what the heck do we know about EMT vs paramedic stuff?

Well, we’re Brainscape, the world’s smartest study app. And we’ve partnered with nationally registered and certified paramedic and emergency medical services (EMS) instructor, Jeralyn Price to curate a certified collection of NREMT EMT flashcards, as well as informative guides, such as the one you now hold in your virtual hands, on working in EMS.

Throughout her 33+ year career, Jeri has taught over 100 EMT courses; authored countless exams, evaluations, and matrices; coordinated NREMT psychomotor skills finals at every level; and served as a board member of the Colorado State EMS Education Association.

So, yeah, not to brag or anything, but she knows a whole lot!

And we, the team here at Brainscape, are truly passionate about helping people complete their EMT and paramedic training so that they can join the ranks of this really important field. So stick with us, and we’ll guide you through everything you need to know, starting with what an EMT is and does …

Pssst! Are you studying to become an EMT? Check out Brainscape’s Academy guide: ‘How to ace your EMT training (more efficiently),’ which contains the best tips for acing your NREMT exam!

Alternatively (or additionally), if you're ready to take that next step, read: 'How to ace your paramedic training & the NREMT-P exam'.

Paramedic vs EMT: What is an Emergency Medical Technician?

EMT rendering aid using chest compressions on patient

The primary job of an Emergency Medical Technician (EMT) is to assess a patient and determine if any life-threatening injuries or illnesses may be present. This quick assessment is then followed by interventions intended to (1) save the patient’s life, (2) stabilize them for transport, and even (3) provide respite from pain, shock, and emotional distress, for example:

  • Splinting injuries for a patient following some kind of accident, such as a car crash
  • Administering life-saving epinephrine for a patient in anaphylactic shock
  • Giving CPR to a patient in cardiac arrest
  • Delivering a newborn baby to a patient who wasn’t able to get to a hospital in time
  • Administering oxygen / bag valve mask ventilations to a patient struggling to breathe

Once an EMT has done as much as they can to stabilize the patient in the field, they will then transport (ambulance or helicopter) the patient to a medical facility to receive advanced care.

How do I become an EMT?

In order to become an EMT, you have to complete a training course that is between 120 and 150 credit hours in length, which is typically spread out between three weeks and one year.

This training culminates with the National Registry of Emergency Medical Technicians ® (NREMT) examination (a cognitive and psychomotor exam), which tests your content knowledge and practical emergency care skills, respectively.

In general, to be eligible for enrollment at an EMT school you don’t need any prior medical experience. Beyond that, educational institutions may have some requirements for applicants (such as a minimum age of 18) so make sure you check with your chosen school’s and state’s regulations beforehand.

Side note: Not everyone who gets EMT certification stays an EMT. Many go on to become paramedics (more on that in the next section) or even nurses, firefighters, and doctors!

Hey! Want to know what you’re in for, and how you can best prepare for the challenge? Check out our guide ‘What to expect from EMT school’.

Paramedic vs EMT: What is a Paramedic?

EMS professional holing an orange back outside of an ambulance

Paramedics actually start out as EMTs (with a minimum of 6 months’ experience) but then complete additional training and certification in order to offer a greater scope of care to patients.

How much additional training?

Well, a paramedic program takes between 1,200 and 1,800 hours, and up to 24 months to complete (although it can be done quicker). This training involves lectures, skills labs, a hospital internship, and then an EMS field internship. Finally, paramedic students are required to pass the national certification exam.

Want the full scoop? Read: 'How to become a paramedic' and check out Brainscape's certified NREMT Paramedic flashcards!

Cool fact: A paramedic is the highest certification level of pre-hospital care provider in the United States. So, if you're excited to embark upon this career, check out 'How to get the best paramedic jobs'.

What can you do as a Paramedic?

Paramedic courses build on an EMT education, teaching candidates to provide emergency care to patients with life-threatening medical or traumatic emergencies:

  • Administering medications,
  • Starting intravenous lines,
  • Providing advanced airway management,
  • EKG Interpretation for patients,
  • Provide emergency care to patients

And while EMTs can perform some invasive procedures—like inserting an oropharyngeal airway (OPA) or injecting an epinephrine pen intramuscular (IM)—paramedics can offer considerably more invasive interventions*, as well as having extensive training in pharmacology, electrocardiograms (EKGs), and treatment.

* The goal is to keep invasive procedures to an absolute minimum in the field to avoid infection. However, if deemed necessary, a paramedic has the training to do it.

Additionally, Paramedics Advanced Cardiac Life Support (ACLS) is required in order for paramedics to maintain their certifications … and this is the same required of doctors! In other words: a critical cardiac patient or a patient in cardiac arrest will receive the same standard of care from a paramedic as they would from a doctor!

Paramedic program eligibility

In order to be eligible for a paramedic course, you must first become a certified EMT and get a minimum of 6 months’ work experience. The entrance requirements of the various paramedic programs differ from school-to-school and state-to-state, so do your research. Here are some pretty common requirements:

  • College level anatomy and physiology prior to admission
  • Proof of immunizations
  • A physical assessment (good general health and fitness)
  • A criminal background check
  • Admissions interview
  • Entrance exam to determine your eligibility for admission

The goal of having you run through the gauntlet of all these requirements is to ensure that you will be successful in the training program. So while it may seem like a pain in the butt, it keeps the classes narrowed down to those who have the mettle to become paramedics.

And you’re going to want those kinds of people as your classmates!

Where does an EMT vs paramedic work?

EMT and paramedic staff rushing patient into the back of an ambulance

The same places, actually! In fact, EMTs and paramedics often work side-by-side in ambulances, hospitals, governments, fire departments, and police departments.

The difference arises in the scope of care an paramedic vs EMT is allowed to provide, which we discussed previously. Also, EMTs typically work under the supervision of a doctor or medical director, while paramedics can work more independently in environments requiring a higher level of care.

What is the EMT vs paramedic salary?

Money around border of image of EMT vs Paramedic in front of an ambulance

As an unsurprising side-effect of having a more advanced education and training, paramedics tend to receive a greater salary than EMTs.

According to, the average paramedic salary in 2021 in the United States is $45,258 but the range typically falls between $40,718 and $50,798. (This range is accounted for by varying degrees of education, skills, experience, and certifications, as well as where in the country you live.)

On the other hand, the average salary for EMTs in 2021 is $36,780 with a range of $32,960 to $41,520.

Pro Tip: The states with the highest pay for EMTs and paramedics include Nevada, Maryland, Washington, Alaska, and Delaware. Time for a move?

Ready to hit the job market? Check out Brainscape’s Academy guide: ‘EMT Jobs—how to get one and be successful’.

A final note on what it means to be a paramedic vs EMT

EMS professional using radio to tell hospital about an incoming patient

EMTs and paramedics are both Emergency Medical Service responders; both wear uniforms; work in ground ambulances, fire departments, industrial safety, or helicopters; and care for patients and save lives.

But if there’s one key difference, it’s that paramedics have additional education and training, which enables them to offer more advanced medical care in the field; sometimes that which is on par with what a doctor can offer.

Regardless of which one you want to become, Brainscape and our partner Jerilyn Price have a powerful supplemental study tool that can help you drill yourself on the facts you need to ingrain in your head to ace your NREMT certification exam. Our certified NREMT EMT flashcards have been engineered to help you learn and remember the most critical information twice as efficiently as traditional study techniques.

NREMT EMT flaschards class dashboard screen in Brainscape
Brainscape’s NREMT EMT collection features 500+ engaging flashcards, neatly organized into 10 different decks, tackling topics (as we see here) such as patient assessment, airway management techniques, and basic pharmacology. In other words: EVERYTHING you need to know to ace the NREMT EMT examination.

Also, it should be remembered that an EMS education never ends! As long as medicine and technology continue to evolve, you’ll need to dedicate yourself to ongoing education. And Brainscape’s flashcards are the perfect study tool for the job!

With that said, we wish you all the very best. And if you want to learn more, check out these other super helpful guides: