"Tools? Take a break, give yourself permission to say no, rest, eat healthy and exercise. My own personal favorite: laugh . Over the years in the EMS business I have seen many people suffer from "emotional bankruptcy" My own experience of this was with the 4 th dead baby call in a couple of weeks. We were extricating a car passenger and the baby she had been holding fell out from underneath the dash. She had been feeding the baby at the time of the accident . We had another call and I was unable to get out of the ambulance. I was paralyzed. I took myself off the call list and didn't ride for 6 months." Patti Courson, Director of Emergency Management Services, Kennewick, Washington.