San Francisco Fire Department Paramedic Examination

The San Francisco Fire Department Paramedic Examination is part of the competitive selection process for applicants seeking paramedic employment with the San Francisco Fire Department. It is intended for candidates who meet the qualifications in the current hiring announcement and must demonstrate the knowledge and abilities required for prehospital emergency care. The exam and other hiring steps can affect who advances or is placed on an eligible list. Because requirements and procedures may change between cycles, applicants should use the official 2027–2028 announcement and examination materials as their source of truth.

Preparation should cover core paramedic knowledge as well as applying it to patient-care situations. Relevant areas include anatomy and physiology for prehospital care, scene size-up, primary assessment, patient history, secondary assessment, airway management, and ventilation. The exact exam format, tested competencies, and selection stages depend on the official notice; do not assume that a previous cycle’s process will be repeated. Review current guidance, practice making sound clinical decisions under time pressure, and identify weak areas early. Online multiple-choice practice can help reinforce review, but it should supplement—not replace—official materials.