Pros
Thinking about EMS in Las Vegas? Do a ridealong. Talk to medics. If you're okay with 95% nonsense calls for patients who act like trolls, running all 12+ hours without a break, a late call almost every shift, supervisors who harass you to clear the hospital 10 minutes after you arrive while the patient is still on your gurney, lots of broken or missing equipment, dispatchers who openly admit they're screwing over crews for their entertainment, $10-15 an hour (starting pay for basics and new medics respectively) and a weak benefits package including insurance premiums equal to your paycheck, then you won't be disappointed. Oh and don't forget the fire dept has scene control, takes the high-risk calls so you get only leftovers, and they hate AMR. Coworkers are mostly cool, good camaraderie, but burnout is at an all-time high. Most of us are doing the job to get experience, a stepping stone. Decide if you can handle the environment, know your own goals, then go in eyes wide open.
Cons
Punching bag for troll patients, management, fire dept, and dispatch. Mostly nonsense calls. Get paid more working fast food. If you're thinking EMS is your career and you want the glory of saving lives, you'll need an attitude adjustment working in Las Vegas. We mostly taxi homeless people for Code Sandwich, lots of psychs, drug seekers, and people too lazy to make an appointment for their non-emergency/chronic condition. We're happy if one call a month is a patient who is actually sick. Working EMS in Vegas used to be fun, changed a lot the past year or so. EMTs are a dime a dozen, but medics are are leaving in droves... which makes it worse. Fewer crews left to run record-high call volume. Seriously, we run all night.