Critical Care Paramedic since last December for a private service covering 5400 square miles of our own county and provide ALS coverage for all our neighboring counties. Occasionally responses can be as far as 120 miles away! We are one of the most advanced EMS systems in Nevada and have excellent protocols. We frequently operate from off road vehicles, sandrails and 4 wheelers, even the US Navy SAR helicopter as needed. Also we do limited extrication and rescue, but in the near future we'll be adding hydraulic tools to our ambulances. I'm also a volunteer SAR member for the county. I tired the fire side of things as a reserve for a while but respectfully turned down a full time FF/EMT position to work private EMS and I have no regrets!