 Paramedics in some states must attend up to 50+ hours of ongoing education, plus maintain Basic Cardiac Life Support and Advanced Cardiac Life Support.National Registry requires 70 + hours to maintain its certification or one may re-certify through completing the written computer based adaptive testing again (between 90-120 questions) every two years.Paramedicine continues to grow and evolve into a formal profession in its own right, complete with its own standards and body of knowledge, and in many locations paramedics have formed their own professional bodies.