Renewal of a Class I, Class II, or Class III Permit. Beginning in 2016 and thereafter, an applicant who seeks renewal of a Class I, Class II, or Class III permit shall: Complete not less than 24 hours of clinical continuing education related to sedation or anesthesia in a classroom setting during the 5-year term of the permit; and Maintain cardiopulmonary resuscitation certification from one of the following programs: The American Heart Association's Basic Life Support for Healthcare Providers; The American Red Cross's Cardiopulmonary Resuscitation for Professional Rescuers; The American Safety & Health Institute; or An equivalent program approved by the Board. Additional Requirements for Renewal of a Class I Permit. In addition to the requirements outlined in §A of this regulation, an applicant for the renewal of a Class I permit shall: Complete a Board-approved course of at least 4 hours that provides instruction on medical emergencies and airway management; Maintain Advanced Cardiac Life Support (ACLS) certification; or Maintain Pediatric Advanced Life support certification (PALS). The following courses may count toward the required hours of continuing education: Advanced Cardiac Life Support (ACLS) course; Pediatric Advanced Life Support (PALS) course; or A Board-approved course in medical emergency and airway management. Additional Requirements for Renewal of a Class II or Class III Permit. In addition to the requirements outlined in §A of this regulation, an applicant for the renewal of a Class II or Class III permit shall: Complete a Board-approved course of at least 4 hours that provides instruction on medical emergencies and airway management; Maintain Advanced Cardiac Life Support (ACLS) certification; or Maintain Pediatric Advanced Life Support (PALS) certification. The following courses may count toward the required hours of continuing education: Advanced Cardiac Life Support (ACLS) course; Pediatric Advanced Life Support (PALS) course; or A Board-approved course in medical emergency and airway management.