Run it next to your EMS course
EMT Ticket is free NREMT practice for EMR, EMT, Advanced EMT and Paramedic that students can start in the first week of class. Every question is tagged to a domain and job task from the National Registry's test plan, so you can assign the domain that matches the module you're teaching. Your class board shows who did it, the class's weakest topics, and each student's Pass Meter. This page is the plan, module by module.
What students get today
Every EMR and EMT question is tagged to one of the exam's 28 job tasks in five domains, and mixes in multiple-response and build-list items scored all-or-nothing, the way the Registry scores them. The AEMT and Paramedic levels follow their six-domain test plans, with about a third of the questions in Clinical Judgment scenarios that run en route, on scene and after the call, plus ECG strips and 12-leads in Paramedic. Each answer explains why, and is written from the NHTSA EMS education standards and the 2019 National EMS Scope of Practice Model, with CPR numbers from the current AHA guidelines. Students also get a score report by job task or domain, practice tests split by the exam's domain weights, a Pass Meter, and a push-to-talk radio report trainer.
Study is free. Full practice tests are free for every student on a board with a school plan. No student accounts and nothing to install: it runs in Safari or Chrome on a phone or laptop. It covers the written (cognitive) exam; skills stay in your lab.
Module by module (EMT)
Modules follow the content areas of the 2021 National EMS Education Standards, which most EMT courses and textbooks use. On your board, pick the EMT guide and set one domain as the week's assignment. Students' score reports break each domain into its job tasks.
| Module | Assign these domains | Checkpoint |
|---|---|---|
| Preparatory | OperationsScene Size-up and Safety EMS systems, workforce safety and wellness, PPE, medical, legal and ethics, communication, documentation. | Study days, not scores. Aim for a few questions on two days a week. |
| Anatomy, physiology, life span | No domain of its own. Students use Today's 5, a short mix from the whole guide, while you build the base. | Same: study days. |
| Patient assessment | Scene Size-up and SafetyPrimary AssessmentSecondary Assessment Scene size-up, general impression, ABCs, vital signs, history and the focused exam. | Weak topics on the board after the assessment exam. |
| Airway, respiration and ventilation | Primary AssessmentPatient Treatment and Transport Assessing the airway and breathing, then managing airway, ventilation and oxygen. | The board's Teach next list before the airway exam. |
| Pharmacology | Patient Treatment and Transport The medications in the EMT scope of practice, when to give them and when not to. | Assignment completion and the domain's average on the board. |
| Medical emergencies | Secondary AssessmentPatient Treatment and Transport Respiratory, cardiac, neurologic, diabetic, allergic, toxicologic, abdominal and behavioral emergencies. | First full practice test at the end of the medical block. Watch the Pass Meter trend from here on. |
| Shock and resuscitation | Primary AssessmentPatient Treatment and Transport Recognizing shock, CPR and the AED on current AHA numbers. | Same. |
| Trauma | Patient Treatment and TransportSecondary Assessment Bleeding control, soft tissue, head and spine, chest, abdomen, and bone and joint injuries; motion restriction. | Same. |
| Special patient populations | Patient Treatment and Transport Obstetrics and the newborn, pediatrics, older adults, and patients with special challenges. | Same. |
| EMS operations | Scene Size-up and SafetyOperations Ambulance operations, incident management, triage and mass-casualty incidents, hazardous materials, vehicle extrication. Students practice the hospital radio report out loud in the radio report trainer. | Weak job tasks on the board. |
| Before the NREMT | Full 70-question practice tests, split by the exam's domain weights. | Before students book the exam: Pass Meter at 90% and a passed full practice test. The board lists everyone in that zone as READY. |
Your course has its own module names and order. Match the domains to them; the domains don't change.
Other levels
- EMR: the same five domains and 28 job tasks as EMT, at the EMR scope. Use the EMT table above with the EMR guide; practice tests are 60 questions.
- Advanced EMT and Paramedic: six domains: Airway, Respiration and VentilationCardiology and ResuscitationTraumaMedical, Obstetrics and GynecologyEMS OperationsClinical Judgment Assign each with the matching course block. Add Clinical Judgment from the first patient-care block on: it's about a third of the real exam.
- One class board can hold every level. Students join once and study the guide for their level.
A week in the course
- First class of the week: set the assignment on your board: the domain for this week's module, 20 to 30 questions, due before the module quiz. A one-line note is optional ("Before Thursday's skills lab").
- During the week: students open the guide, where the assignment sits at the top with a button that serves those questions. A few minutes of Today's 5 on a couple of other days keeps the earlier modules coming back.
- Lab night: open the board. Spend ten minutes on the top item in Teach next, the topic the class gets right least often, before skills.
- After a quiz: students print or email their review sheet: each missed question, the best answer and the one line to remember. That's their remediation, and they can show it to you.
Grading it
Give credit for finishing the assignment (the board shows how many each student answered), not for the score. The Pass Meter is for coaching: who to check in with, and what to reteach. Don't use it as a gate for finishing the course or for signing off exam eligibility. It's a practice-test estimate, not the Registry's exam.
Syllabus wording
Paste it, then put your class code in the blank.
To put it in your LMS course (Canvas, Blackboard, D2L or another), post the join link from your board as a link item. Nothing to install or connect.
For the program director
Exam results come back after a cohort has finished. The board gives you numbers to watch every week before that: where the Pass Meters sit, how many students studied this week, the weakest domains and job tasks, assignment completion, and real NREMT results that students choose to report. Print it at the start, middle and end of a course for a dated record, or download the CSV.
Students report the real result in their guide (I passed / Not this time). The board counts each student once. We never contact students or your agency about results.
Privacy and records
- No student accounts, emails or ID numbers. Students join with a first name or nickname they choose.
- For each guide, the board gets the student's Pass Meter, score by topic, last study day, practice test score, assignment progress and a reported result. Never answers to single questions.
- A student can leave the class at any time, which deletes their rows. One button at headedin.com/privacy#erase deletes everything their browser ever sent.
- The board's private link is the only key. There is no instructor account and no login to manage.
- Nothing comes from your student records or LMS, and nothing goes back to it.
- Boards nobody opens or studies on for 180 days are deleted.
Full policy: headedin.com/privacy#study.
What it costs
Students: free to study. Every practice test is free for students on a board with a school plan.
Free board: up to 10 students. School plan: $5 per student per month, only the months your class runs, or $299 a year for a whole program up to 100 students, invoiced to the school. EMR through Paramedic count as one program.
With Hall Monitor: programs on a school plan can add question checks for their own unit and final exams, on one invoice. Ask us for a quote.
Pilot programs: one class free in exchange for the class's real pass/fail counts at the end (counts only, no names). Write to hello@headedin.com.
Your own exam questions
Instructors write their own module exams and rarely get them reviewed. Start with a $249 pilot: send up to 50 questions with the keys and we'll send them back checked: is the key right, is it current with the newest CPR and protocol guidelines, can it be guessed from the choices alone, and is there one best answer. Anything flagged comes back with a fixed version and the source. Your questions never go into Hall Pass.
Who makes it
Built by an RN and former EMT who knows what it's like to be restricted from passing due to having to pay for practice exams. So these are free. Headed In LLC, St. Petersburg, Florida.
The questions are our own, written to the National Registry's current test plans. Under every answer there's a way to report a problem; we check it against the source and post the ruling under the question. EMT Ticket is a study aid, not a medical protocol: follow your medical director and your agency's protocols. Not affiliated with, endorsed by or connected to the National Registry of Emergency Medical Technicians (NREMT) or any state EMS office.