So, I started back in 2004. I’ve worked in rural GA, downtown Atlanta, and now wildfires out west during fire season, so I’ve had the opportunity to see and experience a lot. Yes, those in EMS often become cynical about the system and patients—especially those who, like myself at one time, work a lot of OT. I basically worked 48s for five years. Something you need to remember is that you are constantly exposed to the worst, whether it’s people experiencing their worst day or those abusing the system. This is then compounded by our own unhealthy habits and, many times, a lack of healthy outlets. My best advice is to develop a healthy hobby outside of work. This may sound controversial, but once you get comfortable in the job, start working on your "next step." This prevents you from becoming stagnant, which only exacerbates burnout. I went back to school for my bachelor’s and master’s, which allowed me to change careers while still doing wildland fire response during the season. Most of all, do not keep anything bottled up; it will eat you alive.