LAUSR

Through a survey of emergency medical technicians in the Puget Sound region of Washington, we found that 67.5% of respondents reported high stress, and 35.0% had scores indicating that major depressive disorder was likely. Job demands were significantly associated with both stress and depression. Objectives This study characterizes determinants of stress, depression, quality of life, and intent to leave among emergency medical technicians (EMTs) in the Puget Sound region, Washington, during the COVID-19 pandemic and identifies areas for intervention on these outcomes. Methods A cross-sectional survey measured stress, depression, quality of life, and intent to leave among EMTs (N = 123). Regression models were developed for these outcomes. Results A total of 23.8% of respondents were very likely to leave their position in the next 6 months. Job demands predicted stress and depression, and financial security predicted stress and quality of life. Intent to leave was predicted by stress, manager support, and length of employment. Conclusions Increased exposure to hazards has impacted EMT mental health. Emergency medical technicians are vital to healthcare, so improving EMT health and well-being is important, as attrition during a pandemic could impact public health.