I’m in a different country but it’s the same here. The nurses in the ambulances have standing orders for all the various medications that they have accessible to them. It’s an ambulance after all, not an entire pharmacy. For the meds they carry, they basically follow the the formula of: if conditions a, b and c are met, administer x mg of drug y.
I’m not downplaying the work they do, but as an anesthetist I’m not super impressed by the fact that paramedics can administer medications after they’ve made their assessment. What I am impressed by is the fact that they work under conditions that are more challenging than a hospital. They have to consider scene safety, be it violence or potential hazardous materials at an accident site. They have to work outdoors in inclement weather and in poor lighting. There’s heavy lifting and sometimes having to work in cramped quarters. They have limited resources and less support at their disposal compared to a trauma hospital.
So yes, I value the job they do. But I don’t see anything positive coming out of OP’s post with its anecdotal claim that being a paramedic is ten times more demanding than being a nurse is. I don’t believe it’s true and I frankly think the 10x is a bit dumb. What’s perceived as difficult and challenging to each one of us, in my opinion has very much to do with our own personal strengths and weaknesses.