Poster 11. This study of 315 EMS professionals reveals a significant link between burnout, depression, anxiety, and suicidal tendencies, emphasizing gender identity as a distinct influencer. High burnout rates persist across demographics, and external factors, including the COVID-19 pandemic and "Defund the Police," impact mental health. The findings stress the universal nature of EMS burnout, highlighting the need for tailored interventions and updated guidelines to support this resilient yet vulnerable community.