What the work actually is

You build cases the way a call unfolds: dispatch info, scene size-up, initial impression, vitals and rhythm strips, the interventions you'd order and in what sequence, changes en route, and transfer of care. Each scenario ships with a reference answer that spells out the clinical reasoning — not just "push 300 mg amiodarone" but why that, why then, and what would have changed the call. The second half of the work is grading: you read model-generated management plans and score them against protocol, pharmacology, and patient safety, writing a short justification for every deduction.

The most valued skill here is catching the plan that reads well and kills the patient. Models produce fluent, confident, textbook-shaped answers that skip a contraindication, stack pressors, mishandle a crashing airway, or treat a rhythm without treating the cause. Flagging that class of error — and articulating precisely where the reasoning broke — is what the labs are paying for.

What the screen looks for

  • Verifiable credentials: NRP with an active state paramedic license, and 2+ years of 911 ALS field time. Expect the platform to ask for specifics on system, call volume, and acuity.
  • Depth under follow-up: cardiology, airway, and pharmacology questions that go a layer past the protocol card — dosing rationale, contraindications, what you do when the first intervention fails.
  • Writing: your answers are the deliverable. Clinical documentation quality in plain English matters more than speed.
  • Evaluation judgment: whether you can separate "different from how I'd run it" from "clinically wrong," since regional protocols vary and the grading rubric is not your county's.

Logistics

Fully remote, fully async — no shifts, no scheduled calls, no holdovers. You set your hours week to week with a floor around 10. Pay is hourly, invoiced through Stripe on a weekly cycle; the $55–80 range is as observed on the platform and typically tracks credentials, critical care or flight certs, and grading track record rather than raw seniority. Work is ongoing and project-based, so volume can fluctuate between batches.