The medical content in all Big Texas CPR LLC courses are consistent with the latest CPR, AED and first aid guidelines, to reflect the current  ILCOR Consensus Guidelines for CPR and ECC. All Big Texas CPR courses meet or exceed the medical objectives of similar training programs, to include those released by the American Heart Association.

What type of certification do you need?   

The short answer: 

  • If you are a medical professional (Nurse, Doctor, EMT, Paramedic, etc)

there is a 99% chance you MUST have certification that has the AHA logo

(American Heart Association) on it, because your boss will require it. 

Click here for AHA BLS Hybrid Course Information. 

  • If you are not a medical professional, or do not need the AHA logo,

the basic ECSI courses are probably best for you.

Click here for CPR/AED with (or without) Standard First Aid Classroom Information. 
Click here for CPR/AED with (or without) Standard First Aid Hybrid Course Information. 

​The long answer:

Before you try to decide what course you need, please know that every training center teaches the same standards and guidelines. These are often known as (and called) the AHA standards.

This means that ECSI courses are taught using AHA Standards - But only AHA Courses will have the AHA logo on the certification / card - Is that important to you? Read below to find your answer. 

ILCOR is the International Liaison Committee on Resuscitation. The AHA is one of several contributors that help decide how these standards are taught.  The AHA provides a large amount of data to the ILCOR. Click on this link to learn about the ICLOR or click here to watch a short video.

It is the ILCOR Consensus, and not the AHA, that sets all guidelines and standards for teaching CPR. The ILCOR meets at least once yearly to talk about these standards, and they set industry guidelines as needed. All of our courses use their most recent guidelines. 

So, what certification do you need? 

It depends on why you are taking training and/or what your boss needs:

  • As mentioned above, all training centers use the AHA standards.

  • Some medical employers, however, will only allow their staff to get certification / cards that have the AHA logo. If you are a nurse, doctor, EMT or paramedic, there is a 99% chance you MUST have certification that has the AHA logo (American Heart Association Certification) on it, because your boss will require it. 

  • If you are not a medical professional, or do not need the AHA logo, the ECSI courses are probably best for you. 

We always highly recommend that students check with their boss, and/or medical director prior to obtaining CPR/AED/First Aid education as needed.

Now that you have some basic knowledge: 

It is YOU (the student) who must determine if AHA certification is needed, or if ECSI certification would be sufficient. Big Texas CPR can not provide a refund, nor issue a different card, once the training is complete. 

The training in AHA courses is usually focused to the medical professional. These courses will use advanced medical terms, advanced medical techniques, different course material, and provide more detailed medical knowledge than the ECSI courses. This is the reason for the difference in price between AHA and ECSI courses.  


The American Heart Association strongly promotes knowledge and proficiency in BLS, ACLS, and PALS and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the American Heart Association. Any fees charged for such a course, except for a portion of fees needed for AHA course material, do not represent income to the Association.

Big Texas CPR LLC

Providing Education in AHA BLS Provider CPR/AED, ECSI Standard First Aid, CPR, AED, BBP, and more. Online training available everywhere. Live classes available in/around Houston and San Antonio (and all of Texas soon)