The challenging job is featured prominently in the 2006 film The Guardian, starring Kevin Costner and Ashton Kutcher.
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After three weeks of EMT training, they must take and pass the National Registry of Emergency Medical Technicians-Basic (NREMT-B) test as part of their qualification as a helicopter rescue swimmer.
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The United States Coast Guard Aviation Survival Technician (AST)/rescue swimmer school in Elizabeth City, North Carolina is 18 weeks long, along with four required weeks at the Coast Guard's Emergency Medical Technician (EMT) in Petaluma, California, where ASTs learn to be qualified EMTs.