1.    Teams of two will select one time-slot and associated certification track (ALS or BLS). Teams of two will select one time-slot and associated certification track (ALS or BLS).

2.    The BLS track is for BLS crews only; the team will be comprised of any of the below certifications.

- BLS Track Certifications - First Responder/EMT-B/AEMT

3.    The ALS track teams will be comprised of at least one of the below certifications.

- ALS Track Certifications - EMT-I/NR-P/CCEMT-P/RN

4.    The competition will consist of challenging, award-winning scenarios that test medical knowledge, critical thinking skills, teamwork and situational awareness.

5.    The final team score will be the combination of each team member’s results in the following areas:

a.    Individual, 3-Minute Challenge Computer Based Score

b.    Team Clinical Challenge Psychomotor Score (National Registry of Emergency Medical Technicians Advanced Level Psychomotor Examination INTEGRATED OUT-OF-HOSPITAL SCENARIO grade sheet will be used)

6.    All required equipment, including Body Substance Isolation (goggles, gloves, etc.) will be provided to each team for use during the Challenge.

7.    Participants should dress appropriately to compete in real-time EMS scenarios.
8.    All teams and participants should arrive 15 minutes prior to their registered start time. If both team members are not at the Clinical Challenge registration table 15 minutes prior to their scheduled time, the time-slow may be forfeited to another team.

9.    All team and participants agree to be filmed for debriefing and scoring, as well as for future promotional purposes.

10.    The on-site Clinical Challenge Coordinator and makes all final decisions regarding scoring, logistics and any issues that may arise during the Challenge. For clinical issues the on-site OMD makes the final decision.

11.    No cell phones or text messaging devices are allowed in the team sequester room or to be carried by team members during the Challenge.

12.    Each participant will receive a 2018 EMS World Clinical Challenge t-shirt for competing.

13.    The top three teams from each track (ALS and BLS) will advance to the finals on Friday, November 2, 2018.

14.    The top three teams from each track (ALS and BLS) will be presented with their award  at the awards ceremony on Friday, November 2, 2018.

15.    Each participant from the winning team from each track (ALS and BLS) will win a trip to an international EMS conference in 2019 ($3,000 value). Location to be announced.

16.    Rules and regulations are subject to change as seen fit by the committee. All registrants will be notified if rules and regulations change.

17.    You are allowed to bring (1) non-electronic reference (commercial or personal) guide per team member to have on your person to use during the scenario. These are not allowed for use on the 3-Minute Challenge. 

If you have any questions or can no longer make your scheduled competition time, please e-mail

Clinical Grading Criteria References 
1. American Heart Association (AHA) 2017 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: 
3. Systems-Approach/National_EMS_Education_Standards.pdf 

Rev. 3/1/18