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Outcomes of the 5,093 answers, 53.1% (n=2,703) had been not any longer practicing in EMS and had been contained in the analyses. The most important element for leaving EMS was following education for EMTs (20.6%) and seeking much better pay/benefits for paramedics (19.6%). Excluding those deciding on retirement, 32.4% of EMTs and 16.4% of paramedics (p less then 0.001) stated an intention to come back to EMS. CONCLUSION EMTs and paramedics leave EMS for various factors