Study material, not medical advice.

This is not medical advice

Everything here — the notes, the question banks, the flow diagrams, the scenarios, the drug pages and the reference cards — exists to help somebody learn. None of it is advice about a real patient, and reading it does not create any clinician–patient relationship or any professional relationship with you.

The same is true of the Anatomy & Physiology and Organic Chemistry courses: they teach science for coursework and exams. Nothing in them is health advice about you or anyone else; for that, ask a doctor or other qualified professional. Nor does the AI study assistant change any of this: it can be wrong, and its answers are study material like the rest.

If someone in front of you is sick or hurt, call your emergency number. Do not use this site to decide what to do about an actual emergency.

Your protocols win, every time

EMS is practiced under medical direction, and what an EMT may do differs between states, services and medical directors. Where this site describes a dose, an interval, a device or a sequence, it is describing what is commonly taught nationally — which is the right thing to study for a national exam and the wrong thing to follow when your own protocol says otherwise.

Several pages say so in place, because the difference is real: whether you may assist with a second dose of epinephrine, whether you may attempt to realign a limb to restore a pulse, whether you may give anything for a fever, and whether you may proceed under implied consent for a minor all vary. When this site and your protocol disagree, your protocol and your medical director govern.

What we can and cannot promise about accuracy

The clinical content is written against current national guidance, and the editions it is written to are listed on the Sources page. Corrections are made as guidance changes and as errors are found, and the changelog records them.

What is not true, and would be easy to assume: this material has not been reviewed and signed off by a named clinician. That review is something the site wants and does not yet have, and until it does, this page is the honest place to say so. Study from it, and check anything that will change what you do against your course materials and your protocols.

If you find something wrong, say so — [email protected]. A report that turns out to be right is the most useful thing anybody sends.

Not affiliated with anybody, and not a certification

This is an independent project: not a company, not a training program, and not affiliated with, endorsed by, or connected to the National Registry of Emergency Medical Technicians, any state EMS office, any EMS training institution or any university. NREMT is a registered trademark of the National Registry of Emergency Medical Technicians, used here only to say what the material is for. In the same way, LevlPrep is not affiliated with or endorsed by Assessment Technologies Institute (TEAS and ATI TEAS are its trademarks), by OpenStax or Rice University (whose openly licensed figures the A&P and Biology courses credit), by the College Board, or by any textbook publisher; names of exams, books and organisations are used only to describe what the material covers. The practice questions are original and are not taken from any real exam. AP® is a trademark registered by the College Board, which is not affiliated with, and does not endorse, this site.

Working through this site earns no credit, no certificate and no qualification of any kind. Certification comes from an accredited course and the Registry, and from nowhere else.

Using the site

No account is needed for any free feature except the study assistant’s AI answers, which need a free account (without one, the assistant answers from the course’s own pages). A Premium pass is attached to an account, so it follows you to any device you sign in on. You must be at least 13 to create an account. If you make one, you are responsible for what happens under it. An account is for one person: sharing a Premium account, or reselling or bulk-copying the course material, is not allowed. An account being used to attack or abuse the site, to break these terms, or to get around the refund rules can be suspended or removed.

Two ordinary requests. Do not try to break, overload or gain unauthorised access to the site or its infrastructure. And if you are republishing the material rather than studying from it, read the license first: the written content is offered under Creative Commons BY-NC 4.0, the code under the MIT license, and a few third-party assets carry their own terms.

Copyright and takedown: if you believe something on this site uses your copyrighted work without permission, email [email protected] with the page address, the work you own, and how to reach you. We reply within 14 days and take the material down while we check.

Premium passes

Each course offers Premium as a one-time pass for a fixed period (for example 90 days, or a semester). A pass never renews and never charges you again; when it ends, the Premium parts of that course lock again and everything you earned — progress, XP, streaks, history — stays. Buying another pass for the same course adds its days to the end of the one you have.

Who sells it: passes are sold by our reseller, Polar, which is the merchant of record: it is the seller of the purchase, takes the payment, charges any sales tax or VAT on top of the listed price, and sends the receipt. Its buyer terms apply to the payment itself; we provide the Premium features. Prices are shown in US dollars before you check out, and the total with tax is shown at checkout before you pay. We may change prices or end an offer (such as the founding-member discount, which ends on the date shown on the Free vs Premium page and in the Premium dialog) at any time; a change never affects a pass you have already bought. What each pass includes is listed in the Premium dialog of each course, and we may improve or change individual features during a pass, but we will not take away the core of what was listed (unlimited practice, exams and the Premium tools) from a pass you hold.

Founding-member free month: every account made before Premium went on sale on 1 October 2026 was given 30 days of Premium in every course, free, from that day. It was a one-off gift: it needed no payment, ends on its own, never turns into a paid pass, and cannot be refunded or extended with Pass-or-extend.

Passes with an end date: most passes run for a number of days from when they start. The AP® Biology, AP® Chemistry, AP® Physics 1, AP® Calculus AB, AP® Statistics, AP® Environmental Science and AP® Psychology passes instead run through a date (June 30, 2027, the end of the 2027 exam season) whenever you buy one, never ending sooner; bought while another pass for the same course or a free month is running, it starts when that one ends and still runs through the date (at least a day). They are not sold after that date.

Age: to buy a pass you must be old enough to make a binding contract where you live (18 in most US states), or have a parent or guardian’s permission, in which case your parent or guardian accepts these terms, and Polar’s buyer terms, for you. This matches Polar’s own rule. Polar does not knowingly take personal information from anyone under 16, so if you are under 16, a parent or guardian should make the purchase.

Refunds: if Premium is not what you expected, you can refund a pass yourself, in full, from your Account page within 7 days of buying it; the pass ends straight away. Each account, and each email address, can do this once; deleting an account and making a new one with the same address does not reset it. After 7 days, or once an account has had a refund, passes are not refundable, except for billing errors (such as being charged twice), which we fix if you email us, and wherever the law where you live gives you more (for example, a statutory right of withdrawal in the EU or UK; Polar, as the seller, handles those). Founding-member free months and Pass-or-extend extensions are gifts, not purchases, so there is nothing to refund. Deleting your account ends any pass on it without a refund, so take a refund first if you are within the 7 days. If a payment is reversed or disputed with your bank, the pass it paid for ends.

NREMT Pass-or-extend: if you take the NREMT cognitive exam during an NREMT pass you bought and do not pass, you can claim one free 90-day extension from your Account page, within 30 days of the exam. You must have finished at least 2 full timed or adaptive exams on LevlPrep during the pass, before the real exam, while signed in: an exam counts only when it is finished while you are signed in, because that is when our server records it. Each account and each email address can claim it once. You give the legal name and state you tested under, and we may check the claim against the National Registry’s public certification lookup; if you were already certified by the exam date, or the claim is otherwise untrue, we end the extension. It is an extension of access, not a refund, not a promise that you will pass, and is not available with a free month alone.

Availability

The site is offered as it is. It can go down, a page can break, and a feature can change or be removed. Your progress lives in your own browser unless you sign in, so the most reliable way to keep it is the backup described on the Privacy page.

Accessibility

The site is built to be usable with a keyboard and a screen reader, aiming at WCAG 2.1 AA, and every page is checked automatically for accessibility problems before it goes live. Automated checks do not catch everything, and the Premium checkout is Polar’s page rather than ours. If something here is hard to use with the way you browse, or you cannot complete a purchase, email us and we will fix it or find another way.

Limitation of liability

To the fullest extent the law allows, this site is provided without warranties of any kind, and LevlPrep and Olivier Testa are not liable for any loss or damage arising from using it or relying on it — including any clinical decision. That sentence is doing real work rather than sitting here as boilerplate: this is a study aid written by one person, and it is not a substitute for training, supervision or judgement. Where the law allows a limit on liability but not an exclusion, the total liability is limited to the amount you paid for Premium in the 12 months before the claim. Nothing here limits rights that the law where you live does not allow to be limited.

Who runs LevlPrep, and which law applies

LevlPrep is run by Olivier Testa, an individual in Minnesota, United States. “We” and “us” on this site mean Olivier Testa. These terms are governed by the laws of the State of Minnesota and of the United States, without regard to conflict-of-law rules, and any dispute that cannot be settled by email goes to the state or federal courts in Minnesota. If you live somewhere whose consumer-protection law gives you rights these terms cannot take away, you keep those rights.

Changes, and how to reach us

If these terms change, the date above changes with them. A change does not take away what a pass you already bought includes. Questions: [email protected].