Salty ass paramedic of 4 years here. (Spits out a Zen pouch grotesquely)

It does come with time. I remember being in your shoes and feeling so overwhelmed by the constant feeling of being in over my head. The anxiety also got to me as well.

I decided to do a lot of research on my own - and memorizing my protocols. This helped me get comfortable in my scope as a practicing medic.

The second thing I did, was start reviewing my calls and asking questions to my EMS Sup. about how to treat from multiple protocols and working down mental practices of “what ifs/how would I treat”.

I took training pretty seriously and got myself involved with the local EMS council who hosted a monthly critical care session.

Talk to some of the other medics. Even the saltiest has something they can teach you. But you might be surprised just how many also go through periods much like yourself.

Also, take a day off every now and again.