I have been a paramedic for over 18 years. I love the job, and the close relationships I have made with co-workers. However, the pay for Paramedics will never be anything super great, unless you specialize, or use the flexible schedule to work more than one job. I would recommend the RN direction, and then take the RN to Paramedic transition. Use the RN career to make sure you always put food on the table, but work part time as a Paramedic to stay fine tuned on skills and enjoy the freedom that the protocols give you.