Texas ems CE courses

Curated courses matched to Texas’s EMTs and paramedics renewal mandates — with prices, accreditation, and format. Plain listings, no affiliate markup.

144CE hours every 4 yearsBoard-verified 10-06-2026

Renewal: Paramedic license renewed for 4 years (25 TAC 157.40).

Source: Texas Department of State Health Services

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Mandated topics

Topic	Hours	Frequency	Who
Preparatory	12 hours	Every 4 years	All EMTs and paramedics
Airway Management/Ventilation	12 hours	Every 4 years	All EMTs and paramedics
Patient Assessment	8 hours	Every 4 years	All EMTs and paramedics
Trauma	12 hours	Every 4 years	All EMTs and paramedics
Medical	36 hours	Every 4 years	All EMTs and paramedics
Special Considerations	12 hours	Every 4 years	All EMTs and paramedics
Clinically Related Operations	4 hours	Every 4 years	All EMTs and paramedics
Pediatric	12 hours	Every 4 years	All EMTs and paramedics
Additional units	36 hours	Every 4 years	All EMTs and paramedics

Airway Management/Ventilation (12 hours, every 4 years)

EMS-CE: Capnography for Paramedics

Safety Unlimited · 1h · self-paced · CAPCE (CAPCE-accredited for 1 Paramedic (NRP) CE hour)

$15.00View course →

Note: One-hour CAPCE course on capnography interpretation — a focused way to earn airway or medical hours.

EMS-CE: Oxygenation for All Levels

Safety Unlimited · 0.5h · self-paced · CAPCE (CAPCE-accredited for 0.5 CE hours (all provider levels))

$10.00View course →

Note: Short CAPCE-accredited refresher on oxygenation — a cheap way to top up airway hours.

Trauma (12 hours, every 4 years)

Pediatric Abusive Head Trauma: Shaken Baby Syndrome

Wild Iris Medical Education · 3h · self-paced · ANCC (ANCC-accredited provider (Wild Iris, in business since 1998); confirm your state EMS office accepts ANCC CE)

$15.00View course →

Note: Three-hour course on recognition and prevention of pediatric abusive head trauma — counts toward pediatric hours where your state requires them.

Medical (36 hours, every 4 years)

Infection Control: Preventing and Controlling Infectious Diseases

Wild Iris Medical Education · 6h · self-paced · ANCC (ANCC-accredited provider (Wild Iris, in business since 1998); confirm your state EMS office accepts ANCC CE)

$24.00View course →

Note: Six-hour infection prevention and control course covering PPE, the chain of infection, and occupational exposures.

Clinically Related Operations (4 hours, every 4 years)

Human Trafficking: Victim Recognition and Intervention

Wild Iris Medical Education · 3h · self-paced · ANCC (ANCC-accredited provider (Wild Iris, in business since 1998); confirm your state EMS office accepts ANCC CE)

$15.00View course →

Note: Three-hour course on recognizing and responding to human trafficking victims — relevant for states adding trafficking awareness to EMS training.

Pediatric (12 hours, every 4 years)

Identifying and Reporting Child Abuse, Neglect, and Trafficking

Wild Iris Medical Education · 3h · self-paced · ANCC (ANCC-accredited provider (Wild Iris, in business since 1998); confirm your state EMS office accepts ANCC CE)

$15.00View course →

Note: Three-hour course on physical and behavioral indicators of child abuse and neglect, plus reporting duties — useful for pediatric-hour requirements.

General electives

Fill your remaining hours with these board-accepted courses.

30-Hour NCCP National Component NRP (Paramedic) Refresher

Safety Unlimited · 30h · self-paced · CAPCE (CAPCE-accredited (F3) for 30 Paramedic (NRP) CE hours)

$150.00listed at 38% off on provider siteView course →

Note: Meets the 30-hour national component of the NCCP model — airway, cardiology, trauma, medical, and operations. CAPCE-accredited for paramedics.

15-Hour NCCP State/Local Component NRP (Paramedic) Refresher

Safety Unlimited · 15h · self-paced · CAPCE (CAPCE-accredited (F3) for 15 Paramedic (NRP) CE hours)

$90.00listed at 40% off on provider siteView course →

Note: Built for the 15-hour state/local component in states without additional specific local requirements.

Complete renewal bundles

One purchase covering your full 144-hour renewal — usually cheaper than buying courses individually.

60-Hour NCCP NRP (Paramedic) RefresherBundle

Safety Unlimited · 60h · self-paced · CAPCE (CAPCE-accredited (F3) for 60 Paramedic (NRP) CE hours; accepted for NREMT recertification and by most state EMS offices)

$240.00listed at 43% off on provider siteView course →

Note: Covers the full 60-hour NREMT paramedic recertification in one purchase. Online with 24/7 customer support and printable certificates.

Axene CE Unlimited — Paramedic RecertificationBundle

Axene CE · 60h · self-paced · CAPCE (Every course CAPCE-accredited; completions auto-uploaded to NREMT)

$175.00per year; individual courses from $10/creditView course →

Note: Unlimited CAPCE-accredited paramedic CE for a year, organized by NCCP topic area. Podcast-style audio lessons built for shift work; completions upload to NREMT automatically.

FOAMfrat EMS Library (Annual)Bundle

FOAMfrat · 60h · self-paced · CAPCE (200+ hours of on-demand CAPCE and ANCC-accredited CE; completions reported through CAPCE to NREMT)

$159.99annual subscriptionView course →

Note: Annual subscription with 200+ hours of on-demand CAPCE-accredited CE, including a full paramedic refresher learning path. Free blog and podcast content also available.

Free options

Accredited free courses. Note: free options rarely cover state-specific mandates — verify each mandate is satisfied.

Bound Tree EDU — 5 Free CE Courses on SignupFree

Bound Tree EDU · 5h · self-paced · CAPCE (CAPCE-accredited EMS1 Academy courses; completions auto-reported to CAPCE)

Freefive courses free with signup; full 150-hour library is paidView course →

Note: Five CAPCE-accredited EMS courses free when you sign up — typically 1 hour each. A solid no-cost start on any renewal cycle.

Frequently asked questions

How many CE hours do Texas EMTs and paramedics need?

Texas EMTs and paramedics need 144 CE hours every 4 years.

What are the mandatory CE topics for Texas EMTs and paramedics renewal?

Each renewal cycle requires: Preparatory (12 hours); Airway Management/Ventilation (12 hours); Patient Assessment (8 hours); Trauma (12 hours); Medical (36 hours); Special Considerations (12 hours); Clinically Related Operations (4 hours); Pediatric (12 hours); Additional units (36 hours). See the mandated topics table above for the full list.

When is the Texas renewal deadline?

Paramedic license renewed for 4 years (25 TAC 157.40).

Does NREMT recertification count toward Texas CE?

In most cases, yes. Texas aligns with the NREMT NCCP model (national, local/state, and individual components), so CAPCE-accredited courses that count for NREMT paramedic recertification typically count for Texas renewal too. Always confirm with the Texas Department of State Health Services before relying on this.

Are there requirements beyond CE hours in Texas?

Yes — in addition to CE hours: Texas Jurisprudence exam each cycle (conditional — not additive).

Disclaimer: CECourse is not affiliated with, endorsed by, or sponsored by any course provider listed on this page. We do not control provider pricing, course availability, content, accreditation status, or board reporting — all of which may change without notice. Course listings are curated for convenience and were last verified on 10-06-2026. Requirements change — always verify current mandates with the Texas Department of State Health Services. CECourse does not guarantee that any listed course satisfies your specific renewal requirements.

Other states

Texas EMTs and paramedics license requirements →