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Nemmouche, 33, the alleged jihadist gunman, faces life imprisonment for being convicted of killing four people during the May 24, 2014 anti-Semitic attack.
Paramedics present at the scene told the criminal court in Brussels that they had first found a dead man and woman in the lobby of the museum. Everyone was shot in the head at close range.
Inside the museum reception, they then found a third victim "unconscious and trembling violently" before seducing him to provide first aid.
The victim was a young man with "a bullet in the middle of the head," said the first speaker, Benoit Claessens, showing the space between the two eyes.
"This precision was surgical," Claessens told the court as he strove to keep his cool.
Charlyne Lietard, a nurse from the same rescue team, echoed her comments.
"These are people who seem to have been executed, given the accuracy of the beatings," Lietard told the court.
The two rescuers claimed to have entered a "shocking" scene where it was stressful to work because they did not know if the shooter was still present.
It was not until later that witnesses stated that the gunman had fled, disappearing into the crowd outside, carrying the two black bags he had arrived with.
The two bodies in the lobby have been identified as Emmanuel Riva and his wife Miriam. The third victim was Alexander Strens, 26, who died at the hospital two weeks later.
The rescuers then found a fourth body, that of Dominique Sabrier, a volunteer in a French museum, 60 years old.
Nacer Bendrer, a 30-year-old Frenchman who allegedly supplied Nemmouche with weapons, also faces life imprisonment if he is convicted of the same terrorist murder.
Investigators said Nemmouche had attacked the museum soon after returning from Syria, where he would have fought on behalf of jihadist groups.
Six days after the attack, Nemmouche was arrested in the port city of Marseille, in the south of France. Bendrer was arrested in Marseille in December 2014.
The trial is expected to last until late February or early March. The two accused were present in court on Monday, as since the beginning of the trial on January 10.
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