60-Hour Online
Paramedic Refresher
Knock out your entire refresher requirement from your phone, tablet, or laptop — on shift, off shift, or at 2 a.m. No classroom. No schedule to work around.
Meets the NREMT Paramedic refresher education requirement. Certificate included.
Your refresher, without rearranging your life
You already work 24s, 48s, and overtime. This course was built so 60 hours of continuing education fits into the gaps in your schedule instead of eating your days off.
Approved, not improvised
Approved by the State of Florida for 60 hours of continuing education under CE Broker tracking number 20-1400566 — so the hours you put in actually count.
Truly self-paced
No live sessions, no attendance windows. Log in at 3 a.m. between calls, finish a module, and pick up exactly where you left off next time.
Covers the full requirement
All 60 hours in one enrollment — 47 courses across seven tracks, instead of stitching together scattered CE from five different vendors to reach your total.
Works on the device you have
Phone in the bunk room, tablet on the couch, or the station computer. The platform is browser-based — nothing to install.
Documentation you can file
Finish the program and receive a certificate of completion to keep with your certification and renewal records.
Built by working EMS professionals
Trilogy is run by paramedics and instructors with decades of combined EMS, military, law enforcement, and maritime medicine experience.
60 hours. 47 courses. Seven tracks.
This isn't one long slideshow. The refresher is built from 47 individual continuing-education courses across seven tracks — so every hour you spend is on a specific, current clinical or operational topic.
Airway, Respiration & Ventilation
Advanced airway and the failed-airway algorithm, ventilation strategy and waveform capnography, CPAP/BiPAP escalation, and pediatric airway.
4 individual coursesCardiovascular & Resuscitation
High-performance CPR and post-ROSC care, 12-lead interpretation and STEMI recognition, dysrhythmias and electrical therapy, ACS and cardiogenic shock, pediatric arrest.
6 individual coursesTrauma
Hemorrhage control and damage-control concepts, TBI and spinal motion restriction, thoracic and abdominal trauma, 2021 field triage and MCI, special-population trauma and burns.
5 individual coursesMedical Emergencies
Stroke, seizure and the altered patient; toxicology and emerging street drugs; sepsis, anaphylaxis and endocrine; OB and neonatal resuscitation; behavioral emergencies; pediatrics.
6 individual coursesEMS Operations
Provider safety and infection control, evidence-based practice and defensible documentation, crew resource management, mobile integrated health and systems of care.
4 individual coursesFlorida-Specific Content
Ch. 401 F.S. and 64J-1 F.A.C., trauma alert criteria, stroke and STEMI systems, Baker and Marchman Acts, DNRO and end-of-life, hurricane and disaster operations.
12 individual coursesSpecialty Content
TECC and street medicine, diving and hyperbaric emergencies, marine envenomation, water rescue awareness, human trafficking recognition, provider wellness, austere medicine.
10 individual coursesSee all 47 individual courses
Airway, Respiration & Ventilation 4 courses · 6 hours
- Advanced Airway Management: Supraglottics, Intubation & the Failed Airway Algorithm2 hrs
- Ventilation Strategy, Waveform Capnography & Transport Ventilator Fundamentals1.5 hrs
- Respiratory Emergencies at the ALS Level: CPAP/BiPAP, Pharmacology & Escalation1.5 hrs
- Pediatric Airway & Ventilation1 hr
Cardiovascular & Resuscitation 6 courses · 7 hours
- Adult Cardiac Arrest: Resuscitation Science, HP-CPR & Team Leadership1.5 hrs
- Post-ROSC Care & Special Resuscitation Situations1 hr
- 12-Lead ECG Interpretation & STEMI Recognition1.5 hrs
- Dysrhythmia Management & Electrical Therapy: Cardioversion, Pacing, Defibrillation1 hr
- ACS, Acute Heart Failure & Cardiogenic Shock: ALS Pharmacology & Management1 hr
- Pediatric Cardiac Arrest & Rhythm Disturbances1 hr
Trauma 5 courses · 5 hours
- Hemorrhage Control, Hemorrhagic Shock & Damage-Control Resuscitation Concepts1 hr
- TBI & Spinal Motion Restriction: ALS Management & Ventilation Targets1 hr
- Thoracic & Abdominal Trauma: Needle Decompression, Chest Seals & Occult Injury1 hr
- Field Triage (2021 Guideline), Kinematics & MCI Operations1 hr
- Special Populations Trauma: Pediatric, Geriatric, Pregnant & Burns1 hr
Medical Emergencies 6 courses · 8 hours
- Neurologic Emergencies: Stroke, Seizure & the Undifferentiated Altered Patient1 hr
- Toxicology & Overdose: Toxidromes, ALS Pharmacology & Emerging Street Drugs1.5 hrs
- Endocrine Emergencies, Sepsis & Anaphylaxis at the ALS Level1.5 hrs
- Obstetrics & Neonatal Resuscitation1.5 hrs
- Behavioral Emergencies, Severe Agitation & Restraint Safety1 hr
- Pediatric Medical Emergencies & Children with Special Health Care Needs1.5 hrs
EMS Operations 4 courses · 4 hours
- Provider Safety: Roadway, Violence Against Providers & Infection Control1 hr
- Evidence-Based Medicine, Documentation & Quality Improvement1 hr
- Crew Resource Management & Clinical Decision-Making Under Pressure1 hr
- Mobile Integrated Health, Community Paramedicine & Systems of Care1 hr
Florida-Specific Content 12 courses · 15 hours
- Florida EMS Law: Ch. 401 F.S., 64J-1 F.A.C., Scope of Practice & Medical Direction1.5 hrs
- Florida Trauma System & Adult/Pediatric Trauma Alert Criteria1.5 hrs
- Florida Stroke & STEMI Systems of Care1 hr
- Baker Act, Marchman Act, Consent, Capacity & Refusals1.5 hrs
- Hurricane & Disaster Operations for Florida EMS1.5 hrs
- Drowning & Submersion Injury1.5 hrs
- Heat & Environmental Emergencies in Florida1 hr
- Geriatrics & Mandatory Reporting1 hr
- Protocol Pharmacology & Controlled Substances: Florida Compliance for the Paramedic1.5 hrs
- Florida DNRO (DH 1896), End-of-Life Care & Advance Directives1 hr
- Pediatric Transport & Florida EMS for Children1 hr
- Interfacility & Critical Care Transport in the Florida System1 hr
Specialty Content 10 courses · 15 hours
- Street Medicine & Tactical Emergency Casualty Care Principles (ALS Applications)2 hrs
- Diving & Barometric Emergencies for the Paramedic2 hrs
- Hyperbaric Medicine & the Critical Care Interface1.5 hrs
- Hazardous Marine Life Injuries & Envenomation1.5 hrs
- Surface Water Rescue Awareness1.5 hrs
- Firearms Safety & Encountering Firearms on Scene1.5 hrs
- Human Trafficking Recognition for EMS1 hr
- Provider Wellness & Resilience1 hr
- Remote, Austere & Expedition Medicine for the Paramedic1.5 hrs
- AI, Simulation & Scenario-Based Practice in EMS Education1.5 hrs
Individual course titles and hour values are drawn from the Trilogy EMS paramedic refresher catalog. Total: 47 courses, 60.0 CE hours.
Four steps from enrolled to done
No applications, no waiting list, no orientation night. Register and start reading.
Register
Enroll through the secure Trilogy EMS LMS checkout in a couple of minutes.
Log In
Your account gives you immediate access to the full course library.
Work Through It
Complete modules at your pace. Progress is saved as you go.
Get Documented
Download your certificate of completion and file it with your renewal records.
Built for medics with a renewal deadline
- Florida paramedics approaching recertification who need 60 documented refresher hours.
- NREMT-certified paramedics completing the refresher education portion of recertification.
- Shift workers who can't commit to a fixed classroom schedule.
- Returning medics who want a full ALS review before getting back on a truck.
- Agencies and departments standardizing ALS refresher training across their crews.
Florida EMS Approval
CE Broker Tracking Number20-1400566
This program is approved by the State of Florida for 60 hours of paramedic continuing education, delivered through the Trilogy EMS online learning platform. Keep your completion documentation for your certification and renewal records.
Register for the CourseFrequently asked questions
Is this paramedic refresher completely online?
Yes. All 60 hours are delivered online and self-paced through the Trilogy EMS learning management system. There is no required classroom attendance for the didactic portion.
What is actually inside the 60 hours?
Forty-seven individual continuing-education courses grouped into seven tracks: airway and ventilation (6 hrs), cardiovascular and resuscitation (7 hrs), trauma (5 hrs), medical emergencies (8 hrs), EMS operations (4 hrs), Florida-specific content (15 hrs), and specialty content (15 hrs). The full course list is above under What's Covered.
Is the course approved for Florida paramedic continuing education?
Yes. The course is approved by the State of Florida for 60 hours of continuing education and carries CE Broker Tracking Number 20-1400566.
Does this count toward NREMT Paramedic recertification?
The course is designed to meet the NREMT Paramedic recertification refresher education requirement. Because requirements vary by certification status and cycle, you should confirm what applies to your individual certification before enrolling.
How long do I have to finish?
The course is self-paced, so you set the timeline. Most students work through it over several weeks in whatever blocks their schedule allows. Your progress is saved between sessions.
How quickly can I start?
Access is provided through the Trilogy EMS LMS once registration and account setup are complete — in most cases you can begin the same day you enroll.
What do I get when I finish?
A certificate of completion documenting your 60 hours of paramedic continuing education. Keep a copy for your certification file and renewal submission.
Can my department enroll a group?
Yes. For agency, department, or multi-student enrollment, email training@trilogyems.com or call (813) 567-1099 and we'll set it up.
Who do I contact if I need help?
Email training@trilogyems.com or call (813) 567-1099. Trilogy support handles both course content and platform access questions.
Ready to get your refresher done?
Enroll today, log in today, and start checking hours off tonight. Introductory tuition won't stay at this price forever.