Abstract
Paramedic students often witness traumatic events during clinical rotations, placing them at risk for post-traumatic stress symptoms. This qualitative study explored the impact of critical incident exposure on their mental health. Eighty-one paramedic students from across the United States completed open-ended survey questions focused on traumatic clinical experiences, emotional responses and coping strategies. Nearly half of respondents (48%) reported experiencing symptoms consistent with post-traumatic stress. Thematic analysis revealed three core issues: frequent exposure to distressing incidents (especially paediatric deaths and high-stress interventions); a range of trauma-related symptoms (e.g. anxiety, sleep disruption and substance use); and various coping strategies (e.g. social support, exercise and counselling). There was a significant prevalence of post-traumatic stress symptoms among students after attending this required element of paramedic clinical education. Strategies are essential for supporting student wellbeing and preparing future paramedics for the emotional demands of the profession.