Top 3 Things You Need To Know Before Getting Into EMS  

Before jumping into the EMS world, it is very important to understand what you’re getting into. While EMS is a great way to kickstart your healthcare career and to quickly start working in the health industry, there are also a lot of mental and physical challenges that automatically get piled on as part of being in the EMS profession.

This blog goes over the Top 3 things you need to know before getting into EMS. 

Top 3 Things You Need To Know Before Getting Into EMS 

 

 

 

1. Training And Certification 

To even get started in the EMS field you will be required to complete a state approved training program. The EMS field has 4 main training programs that are ranked below from the lowest level of certification to the highest level of certification. 

• Emergency Medical Responder (EMR)
• Emergency Medical Technician (EMT) 
•  Advanced EMT (AEMT)
•  Paramedic

Each level of certification builds on the previous one, with more advanced skills and knowledge required as you progress. The specifics of the requirements and continuing education may vary slightly depending on state regulations, so it’s a good idea to check with your local certifying agency or educational institution for the most accurate information.

I will be doing another blog post on the different ems program requirements for the above certifications along with the duration, preequistes and what to expect 😉 

Also have a few completely free Ebook guides on:

• How to get into EMT School
• How to get into Paramedic School
• Advice from fellow EMT students on going to EMT school 

Personal note: Add links to Ebook Guides in above underlined sections 

Books I Read That Gave Me More Insight Into The World Of EMS And I Enjoyed!

A Paramedic’s Walk Along The Lines Of Life and Death

A Paramedics Wild Ride To The Edge And Back 

A Year In The Life Of A NYC Paramedic

2. EMS Has It’s Own Type Of Shift Work

Unlike typical 9-to-5 jobs, EMS employees operate on a shift-based system designed to ensure coverage around the clock. The nature of emergency services demands that EMS crews be available 24/7, which means shifts are often long and varied. 

Here’s a breakdown of how these shifts are typically organized

1. 24/48 Schedule:

One of the most common shift schedules in EMS is the 24/48 model. In this setup, EMS personnel work for 24 hours straight, followed by 48 hours off. This model allows for continuous coverage while providing a substantial break period to recuperate.

 The 24-hour shift usually includes periods of high activity and downtime, allowing for both emergency response and rest (depending on your dept, station and call volume obviously;).

My department used to use this model and the 48hrs off was just not enough time in my opinion, as you used the first 24hrs to rest from shift, and that only left you with one more day to get what you needed done for the day.

2. 12-Hour Shifts:

Another popular schedule is the 12-hour shift. In this model, EMS personnel  might work from 7 AM to 7 PM or 7 PM to 7 AM, or varied 12-hr shifts depending on service.  

This creates two shifts per day, ensuring that the service is available around the clock. While 12-hour shifts can be demanding, they provide a more predictable routine compared to the 24-hour model.

3. 48/96 Schedule: (This is the model my dept uses and I loveeee)

Some EMS services use a 48/96 schedule, where employees work for 48 hours straight followed by 96 hours off.

This extended time off helps manage fatigue and provides longer rest periods. This schedule is less common but can be advantageous in reducing the frequency of shift changes and improving job satisfaction.

My department has recently shifted from the 24/48 model to the 48/96 hr model and while it is not fun to be stuck at the fire station for 48hrs straight, those 4 days off make the 2 days on so worth it!

So…….Why These Crazy, Erratic Schedules?

The unique nature of EMS work requires a shift schedule that balances constant readiness with the need for adequate rest. Here’s why these schedules are designed the way they are:

–Continuous Coverage: Emergencies can happen at any time, so EMS must be available 24/7. Shifts are structured to ensure that there’s always a team ready to respond.

~Fatigue Management: Contrary to what appears to be popular belief, EMS personnel are HUMANS too and we need sleep in order to FUNCTION.  

Working long hours can be physically and mentally exhausting. Longer shifts with extended off periods help mitigate the risk of burnout and fatigue, though they also come with their own set of challenges.

3. The Physical And Mental Side Of EMS

Ok… I’m gonna get it out of the way and just say it. EMS is not for the faint of heart,

EMS can be emotionally and physically draining, and is not for everyone. With the long shift hours, high pressure situations, trauma’s and the emotional burden that comes along with the profession, many EMS providers can be prone to burnout and compassion fatigue. So here’s a little insight into the physical and mental side of EMS. 

Mental Challenges

 

• Exposure to Trauma: EMS workers frequently encounter traumatic scenes, including severe injuries, life-threatening conditions, and death. Repeated exposure to such distressing situations can lead to emotional and psychological stress.

• High-Stress Environment: The urgency and unpredictability of emergency calls create a high-stress work environment. EMS personnel must make quick, critical decisions under pressure, which can contribute to anxiety and mental fatigue.

• Emotional Burden: The responsibility of providing care to individuals in their most vulnerable moments can be emotionally taxing. EMS workers often form connections with patients and their families, and dealing with the outcomes of their interventions can lead to emotional strain.

• Burnout and Compassion Fatigue: The cumulative effects of stress, trauma, and long hours can lead to burnout and compassion fatigue. This condition is characterized by a reduced ability to empathize with patients, feelings of emotional exhaustion, and a diminished sense of personal accomplishment.

 

Physical Challenges:

 

• Physical Strain and Endurance: EMS workers frequently engage in physically demanding tasks, such as lifting and carrying patients, maneuvering heavy equipment, and performing CPR. These activities require significant strength and stamina, often under high-stress conditions.

• Long Hours and Fatigue: Shift work, including extended 12- or 24-hour shifts, can lead to physical exhaustion. Long hours on the job can disrupt sleep patterns, leading to cumulative fatigue that impacts overall health and performance.

• High-Pressure Situations: The nature of emergency calls means that EMS personnel must remain physically alert and agile, even in situations involving hazardous environments or extreme weather conditions. This constant state of readiness can take a toll on physical health.

• Risk of Injury: The physical demands of the job, combined with the unpredictable nature of emergencies, expose EMS workers to a higher risk of injuries, such as musculoskeletal strains or trauma from accidents.

 

 

EMS is a rewarding career and offers you the opportunity to make a direct impact in other peoples lives while building a connection within your community. The personal growth you will see in EMS as a byproduct is monumental, through continuous learning and skill development, along with career advancement opportunities, the possibilities are endless with how much you can learn and grow both as a person and provider.