IBSC® Approved Recertification Review Program Guidelines and Application

Flight Paramedic Certification(FP-C®)

Critical Care Certification (CCP-C®)

Obtaining and maintaining a credential from the IBSC/BCCTPC is important to individuals, employers and the public. Because of the way that the Board elected to create the recertification process, the cornerstone has always been the 16-hour approved refresher. We believed that this was important for a variety of reasons, but most importantly that we could guarantee that at least a portion of the candidate’s continuing education was focused on the certification they hold and be up-to-date. It is important that educators continue to provide high-quality and accessible approved review programs

All candidates renewing their FP-C®, CCP-C® or TP-C® are required to have a minimum of 16 hours of CE from a IBSC Approved Review Course List.

To better serve the candidate who is recertifying, or in some case who is a first-time applicant who is looking for review material prior to sitting for the exam, we are committed to improving the link between the educators and the candidates.


In the past, we have allowed approved programs to remain on the active list indefinitely with updates being accepted on an honor system from the programs which has resulted in candidates being unable to have the most up-to-date information about approved review programs. Additionally, the new process will allow the IBSC/BCCTPC to ensure that the material and instructors are current.

The new process went into effect on 1 January 2017.


Click here for instructions for applying for an Approved Review Course.


Educational programs will have to update their profiles every 24-months and submit the following updated information:

  1. Updated Instructor CVs
  2. Current course outlines per exam
  3. List of reference materials used in conjunction with the class
  4. Calendar of review courses offered in the previous 24 months
  5. Calendar of upcoming scheduled review courses for at least the coming 6 months
  6. Fill out the Approved Review Course Application.
  7. Submit the Application and the documents listed above to Jeanette Myers at jmyers@ibsc.org. You will receive notice of approval by email within 3 weeks



    The outline below is a sample of an approved review course outline. The IBSC®/BCCTPC® does not dictate the specific categories or hours to a subject matter. The content and hours should instead cover a broad subject matter of critical care in the transport environment.

    Safety Issues

    • Ambulance safety issues
    • Ambulance Operations, scene and highway safety
    • Crash safety
    • Proper safety equipment

    CAMTS: You should be familiar with all CAMTS policies such as:

    • Ambulance specifications
    • Safety education
    • Driver qualifications
    • Staffing and schedules
    • Equipment and operations around the ambulance.


    • Rapid Sequence Induction inclusive of standard medications.
    • Intubation and other airway procedures.
    • Surgical cricothyroidotomy, Needle cricothyroidotomy
    • Airway medications and their uses, limitations, and contraindications.

    Lab Analysis

    • Regulation of acid-base balance
    • Acid-base derangements
    • Causes and correction of abnormal lab values


    • Fetal circulation
    • Recognition and treatment of maternal complications.
    • Delivery Complications
    • Postpartum complications
    • Maternal Medications
    • Fetal monitoring


    • Administration of blood products
    • Fluid replacement
    • Trauma scoring systems
    • Recognize and manage critical trauma injuries
    • Predictable patterns of injury due to mechanisms.
    • Burn assessment and management


    • Identify and interpret blood gases
    • Ventilator settings and parameters
    • Equipment, uses and troubleshooting
    • Capnography waveforms
    • Managing the rapidly deteriorating patient condition.


    • Signs and symptoms of early versus late cardiac tamponade.
    • Procedures pertaining to thoracic injuries.
    • Needle thoracentesis, pericardiocentesis, thoracostomy tube placement, etc.
    • Treatment and signs and symptoms of cardiac tamponade, tension pneumothorax, hemothorax, etc.


    • Treatment and recognition of elevated intracranial pressure.
    • Neuroprotective agents, vasoactive agents, loop diuretics, etc. and their uses, limitations, and contraindications.
    • Types of strokes, their assessment and management
    • Differentiation of signs and symptoms of head injuries,
    • Intracranial Pressure monitoring, cerebral perfusion pressures.
    • Mechanism of Injury and head injury dynamics.
    • Spinal cord injuries and management


    • Knowledge of cardiovascular disease, cardiac anomalies and their treatment.
    • 12 lead EKG's
    • EKG changes associated with drug, electrolyte, or medical conditions.
    • Cardiac Anatomy/Physiology
    • Cardiac Pharmacology
    • Thrombolytic therapy
    • A basic understanding of intra-aortic balloon pump (IABP) mechanics and troubleshooting/contraindications.
    • Hemodynamic monitoring
    • Arterial line management
    • Pacing, synchronized cardioversion, defibrillation, and medications

    Pediatric and Neonatal

    • Pediatric and Neonatal resuscitation
    • Physiological and anatomical differences
    • Pharmacology
    • Congenital abnormalities
    • Pediatric assessment
    • Recognition and treatment of conditions and complications
    • Transitional circulation
    • Respiratory and Airway differences
    • Common medical and trauma emergencies
    • Vascular access
    • Pediatric psychosocial issues
    • Non-accidental trauma
    • Isolette use in transport


    Trauma Combat Casualty Care Methodology

    Topic Areas

    • TCCC/ C-TECC Methodology
    • Hemorrhage Control
    • Airway
    • Breathing
    • Circulation
    • Medication Administration
    • Neurological emergencies
    • Trauma Management
    • Burns
    • Remote Assessment/Surrogate Care
    • Rescue/Extraction
    • ICS/Chain of Command/Interface with EMS
    • Tactical Team Operations
    • Medical Mission Analysis
    • Legal Aspects of TEMS
    • Force Health Protection
    • Environmental Factors
    • Injuries and Complications of Less Lethal Weapons
    • Canine Management