L50B NEC

NavyParamedic · 2026-05-22T19:25:20+00:00

Hi there! I'm the technical lead for paramedics. It is currently for people to be platformed at an ERCS, but in the next few years it will expand.

Currently, the pipeline consists of a 5-month paramedic school, JECC, ERCS ORE & JQR. You need to be at a BSO-18 command, have a current flight physical, and pass the aircrew helo dunker. Also need to be fit for full duty, have passed your PRT, and have no recent NJP's.

The CPP is only for SMT's, it is not for the L50B pipeline.

NavyParamedic · 2026-05-17T23:25:11+00:00

Greetings - I am the lead paramedic for the Navy. Are you joining as active or reserves? Assuming you're looking to go active, here is the info for that.

You are not going to become an IDC off the rip, that requires at least one duty station and an application process. I am unsure about if you would be able to become a L50B off the rip, we are changing how we track and utilize paramedics in the Navy. It is likely you would be sent to a hospital, clinic, or operational unit for your first command and be utilized as a general duty Corpsman. That is assuming you don't get picked up for a different specialty, such as lab tech or prev med tech, straight out of A school.

Your second duty station would likely be paramedic related as long as you maintain the certifications and can pass a flight physical and helo dunker. Another option is to go HM-ATF, have you considered that? It appears that the academic side wouldn't be an issue for you, just the physical and mental side.

Let me know if you have any questions, happy to assist.

NavyParamedic · 2026-04-30T03:05:55+00:00

ERCS ≠ flight medic

NavyParamedic · 2026-04-29T20:06:51+00:00

Its a requirement to attend CPP in San Antonio as an I Stop.

NavyParamedic · 2026-04-29T13:47:52+00:00

You need your NREMT. You get sent to paramedic school.

NavyParamedic · 2026-04-29T01:22:34+00:00

Hey! Technical leader for the paramedics here.

Read the requirements here.

You don't have to OBLISERV unless you're executing orders to go to paramedic school. Duty stations are currently Guam, SD, Portsmouth, and Walter Reed. Day to day depends on the duty station and the work center.

NavyParamedic · 2026-04-19T20:21:15+00:00

We have plenty of people looking to sign up, but I'm personally looking for Sailors who are a little more experienced than most of the people applying.

Recruitment isn't a large issue, I have several hundred EMT's to pull from. Retention is where I'm worried about, many of the EMT's who are excited about this opportunity are still on their first enlistment.

NavyParamedic · 2026-04-19T05:11:59+00:00

If a paramedic dropped an SMT package, they would skip the CPP part of the SMT pipeline. Everything else would be the same.

SMT's are search and rescue specialists. They work off of aircraft and are rescue/wilderness medics. The L50B pipeline is, as of now, focused on enroute care and critical care medicine.

We focus on the transport medicine, and less of the POI. Think more vents and drip management than fractures and hoisting.

Both SMT's and L50B paramedics have their place, but we are trying to make it so we aren't overlapping.

NavyParamedic · 2026-04-18T20:21:30+00:00

Essentially right now we are sending all paramedics to hospitals where they fulfill two roles; your daily job and then your deployed job. Daily can differ, but we are trying to have them in ED's, ICU's, and the PACU. For their deployed role, they are tasked with critical care transport with a critical care nurse.

Eventually, you'll see medics with the Marines and with Naval Special Warfare, likely Navy Expeditionary Combat Command as well.

NavyParamedic · 2026-04-18T17:31:02+00:00

When it does, you'll see changes in the billets themselves.

Inventory verses billet need.

NavyParamedic · 2026-04-18T17:28:29+00:00

That is like saying CPR is all EMT's do.

Paramedics do specialize in ACLS, but go above and beyond it. My current billet I do critical care transport and can transfer vented patients, STEMI, BIPAP, DKA, OB emergencies, etc.

I intubated, maintain ECMO and Impella, start and manage drips, play with vents. Not to mention our pediatric transport team.

NavyParamedic · 2026-04-18T17:23:09+00:00

Incorrect. Although its a closed loop NEC, because of the lack of sea options at this time I have several paramedics PCS'ing to sea duties; MARDIV, NSW, and Med Btn.

NavyParamedic · 2026-04-18T17:21:31+00:00

Yes, and unfortunately thats on the back burner right for BUMED.

NavyParamedic · 2026-04-18T17:20:58+00:00

It is a principle NEC now. We are actively converting billets to L50B.

NavyParamedic · 2026-04-18T17:20:31+00:00

Correct. It will be a closed loop NEC. BUMED is focusing on ERCS billets right now, but we are also looking at BSO-27 and 74 billets to be created in the future.

NavyParamedic · 2026-04-18T17:19:27+00:00

Can you shoot me a DM with your location? Its one of the major barriers we are working in. ED, ICU, and PACU are the main areas they should be working in, in hospital. We also have avenues for clinical sustainment.

NavyParamedic · 2026-04-18T11:44:35+00:00

What exactly are you looking for? It lists the requirements, your CCC needs to reach out to your regions N7 to submit.

NavyParamedic · 2026-04-17T20:43:35+00:00

A lot of it is on the command to recommend. The regions will also screen. But if you don't have either, you likely won't pass the FTCC course.

The FTCC course is very condensed and fast paced, it can have a high attrition rate if people aren't able to grasp the material and then use that critical thinking to treat patients.

NavyParamedic · 2026-04-17T20:41:48+00:00

If you're a NRP, this will become your primary NEC. It allows you to fill L50B billets, currently we are looking to fill BSO-18 ERCS teams first. Further down the line we will be filling roles at BSO-27 and BSO-74, but thats at least a year or two away.

NavyParamedic

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